Paramedic Trauma Final Exam Questions

Paramedic Trauma Final Exam Questions with Correct Answers 2024

The FIRST step in any neurologic assessment involves:

• obtaining an initial Glasgow Coma Scale score.
• asking the patient if he or she can feel or move.
• determining the patient's level of consciousness.
• assessing the pupils for size, equality, and reactivity. - Correct Answer C) determining the patient's

level of consciousness.When performing a cranial nerve assessment of a patient with a suspected spinal injury, you note that the patient's pupil is constricted and the upper eyelid droops. This indicates an injury to:

A) C3.

B) C4.

C) C5.

• C6. - Correct Answer A) C3.

Inability to feel or move below the level of the nipple line indicates injury to which spinal nerve root?

• C7
• T1
• T4
• L1 - Correct Answer C. T4

A positive Babinski reflex is observed when the:

• toes curve or move downward when the sole of the foot is touched.
• patient responds to pain by flexing the arms and extending the legs.
• patient's reflexes are hyperactive in response to an external stimulus.
• toes move upward in response to stimulation of the sole of the foot. - Correct Answer D) toes move

upward in response to stimulation of the sole of the foot.Spinal cord injuries that cause neurogenic shock generally produce: 1 / 2

• cool, clammy skin distal to the site of the spinal cord injury.
• reflex tachycardia due to sympathetic nervous system stimulation.
• flaccid paralysis and complete loss of sensation distal to the injury.
• signs and symptoms that are identical to those of hypovolemic shock. - Correct Answer C) flaccid

paralysis and complete loss of sensation distal to the injury.

An injured patient's head should be secured to the long backboard only after:

• you have placed padding under the shoulders.
• his or her torso has been secured adequately.
• both of the legs are secured to the board properly.
• a vest-style immobilization device has been applied. - Correct Answer B) his or her torso has been

secured adequately.In which of the following situations would it be MOST appropriate to apply a vest-type extrication device or a short backboard to a patient who is seated in his or her crashed motor vehicle?

• Conscious with bilateral femur fractures
• Unconscious with obvious spinal deformity
• Confused with lower back pain and tachycardia
• Conscious with neck pain and stable vital signs - Correct Answer D) Conscious with neck pain and

stable vital signs When immobilizing a sitting patient with a vest-type extrication device or short backboard, you should

manually stabilize his or her head and then:

• apply an appropriately sized cervical collar.
• perform a rapid assessment to detect life threats.
• assess distal pulse and sensory and motor functions.
• carefully place the vest device behind the patient. - Correct Answer C) assess distal pulse and sensory

and motor functions.When applying a vest-type extrication device or short backboard to a seated patient, his or her head

should be secured to the device:

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