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NREMT-PTE : NREMT Paramedic Trauma Exam

Medical NREMT-PTE Questions & Answers

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NREMT-PTE


NREMT Paramedic Trauma Exam


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Question: 691


During the assessment of a patient with a suspected compartment syndrome, which of the following findings would most support this diagnosis?


  1. Normal capillary refill time

  2. Pain with passive stretch of the affected muscles

  3. Presence of a palpable pulse

    er: B


    nation: Pain with passive stretch of the affected muscles is a classic sign of compartment syn dicates increased intracompartmental pressure.


    ion: 692


    ent with blunt chest trauma presents with hypotension and tachycardia. Which of the followi gs would most likely indicate a hemothorax?


    reased respiratory rate without distress perresonance on percussion

    ar breath sounds bilaterally

    llness to percussion on the affected side er: D

    nation: Dullness to percussion on the affected side is characteristic of a hemothorax due to fl ulation in the pleural space.


    ion: 693

    Mild swelling of the limb Answ

Expla drome

and in


Quest


A pati ng

findin


  1. Inc

  2. Hy

  3. Cle

  4. Du


Answ


Expla uid

accum


Quest


You are treating a 50-year-old female with a gunshot wound to the abdomen. After applying direct pressure, you notice continued bleeding. What is the most appropriate next step in managing her hemorrhage?


  1. Administer IV fluids immediately

  2. Apply a tourniquet at the proximal arm

  3. Utilize a hemostatic agent within the wound

  4. Perform a rapid assessment for other injuries Answer: C

Explanation: If bleeding continues despite direct pressure, hemostatic agents can be utilized to promote clotting. Tourniquets should be applied only to extremities and not to abdominal wounds.


Question: 694


situation?


ntinuous positive airway pressure (CPAP) sopharyngeal airway placement opharyngeal airway placement

dotracheal intubation er: D

nation: In cases of severe facial trauma with airway compromise, endotracheal intubation is t nd most effective method to secure the airway.


ion: 695

ediatric trauma patient, which of the following is the most reliable indicator of shock?


art rate piratory rate od pressure

vel of consciousness er: C

nation: Blood pressure is the most reliable indicator of shock in pediatric patients, as they m nsate with tachycardia initially.

A patient presents with a severe facial fracture after a fall. She is able to speak but has difficulty breathing due to potential airway compromise. What is the first-line intervention for airway management in this


  1. Co

  2. Na

  3. Or

  4. En


Answ


Expla he

safest a


Quest

In a p


  1. He

  2. Res

  3. Blo

  4. Le


Answ


Expla ay

compe


Question: 696


A firefighter suffers second-degree burns covering 25% of his body after a rescue operation. What is the most appropriate fluid resuscitation formula to use for this patient in the first 24 hours post-injury?


  1. Parkland formula: 4 mL x %TBSA x weight (kg)

  2. Modified Brooke formula: 2 mL x %TBSA x weight (kg)

  3. Consensus formula: 3 mL x %TBSA x weight (kg)

  4. Galveston formula: 4 mL x %TBSA x weight (kg) + maintenance fluids Answer: A

Explanation: The Parkland formula is the most commonly used for fluid resuscitation in burn patients, particularly in the first 24 hours, ensuring adequate hydration and perfusion.


Question: 697


ent is noted to have paradoxical movement of the chest wall after sustaining multiple rib frac the pathophysiological basis for this finding?


Loss of structural integrity of the rib cage

reased intrathoracic pressure during expiration apleural pressure exceeding atmospheric pressure paired diaphragm function


er: A


nation: The loss of structural integrity of the rib cage due to multiple rib fractures causes xical movement during respiration.


ion: 698

ent presents with a laceration to the neck that is actively bleeding. What is the most critical ention?


ply a pressure dressing

pare for immediate surgical airway ition the patient upright

form direct pressure to the wound


er: B

A pati tures.

What is


A.

  1. Inc

  2. Intr

  3. Im

Answ Expla

parado


Quest A pati interv


  1. Ap

  2. Pre

  3. Pos

  4. Per Answ

Explanation: The risk of airway compromise necessitates preparation for a surgical airway due to potential vascular injury.


Question: 699


In a trauma system, what is the primary purpose of a regional trauma center?


  1. To provide basic emergency care

  2. To coordinate trauma care among various facilities

  3. To serve as a research facility for trauma

  4. To manage all types of medical emergencies Answer: B

Explanation: A regional trauma center's primary role is to coordinate trauma care, ensuring that patients receive the most appropriate care based on the severity of their injuries.


ion: 700

ng adult patient presents with tachycardia, hypotension, and altered mental status following a the priority intervention?


minister IV analgesics form a focused ultrasound

ain a complete blood count

ablish IV access and start fluid resuscitation er: D

nation: Establishing IV access and starting fluid resuscitation is critical to address hypovolem n a trauma patient.


ion: 701


the assessment of a patient with a suspected knee dislocation, which of the following findin most indicate the need for immediate reduction?


and swelling

bility to move the knee ising around the joint pliteal pulse absent

Quest

A you fall.

What is


  1. Ad

  2. Per

  3. Obt

  4. Est Answ

Expla ic

shock i


Quest


During gs

would


  1. Pain

  2. Ina

  3. Bru

  4. Po


Answer: D


Explanation: An absent popliteal pulse indicates potential vascular compromise, necessitating immediate reduction to restore circulation.


Question: 702


During a trauma assessment, you note that a patient has significant rib fractures leading to paradoxical

movement of the chest wall. What is this condition known as, and what is the best management approach?


  1. Pulmonary contusion; provide supplemental oxygen

  2. Flail chest; provide positive pressure ventilation and pain management

  3. Hemothorax; perform needle decompression

  4. Tension pneumothorax; monitor closely for respiratory failure Answer: B

ement includes positive pressure ventilation and adequate pain control to enhance respirator nics.


ion: 703


year-old female presents with severe abdominal pain and a history of liver disease. She is nsive, and her abdomen is distended. What should be your immediate intervention?


form a FAST exam and apply a binder minister IV fluids and prepare for surgery minister analgesics

pare for CT imaging er: A

nation: A FAST exam is crucial to assess for internal bleeding, and applying a binder can hel ze the abdomen.


ion: 704


ssessing a patient with a partial-thickness burn, you notice the presence of blisters. How w assify this type of burn?

Explanation: Flail chest is characterized by paradoxical movement of the chest wall, and the best manag y

mecha


Quest


A 31-

hypote


  1. Per

  2. Ad

  3. Ad

  4. Pre Answ

Expla p

stabili


Quest


While a ould

you cl


  1. Deep partial-thickness

  2. Superficial

  3. Full-thickness

  4. Fourth-degree Answer: A

Explanation: The presence of blisters indicates a deep partial-thickness burn.

Question: 705


A patient with a history of blunt abdominal trauma presents with hypotension and tachycardia. Which of the following physical findings would most likely indicate a splenic injury?


  1. Ascites on ultrasound

  2. Rebound tenderness in the right upper quadrant

    dominal tenderness in all quadrants er: C

    nation: Grey Turner's sign indicates retroperitoneal hemorrhage, which can occur with spleni


    ion: 706

    year-old female is involved in a motor vehicle collision and presents with a stable pelvic frac the most appropriate management step to minimize hemorrhage?


    minister IV fluids

    nitor vital signs closely ply a pelvic binder

    pare for surgical intervention er: C

    nation: Applying a pelvic binder helps stabilize the pelvis and can significantly reduce hemor elvic fractures.


    ion: 707

    Grey Turner's sign

  3. Ab


Answ


Expla c

injury.


Quest

A 30- ture.

What is


  1. Ad

  2. Mo

  3. Ap

  4. Pre Answ

Expla rhage

from p


Quest


A 28-year-old female sustains a facial injury during a bar fight. You suspect a fracture of the maxilla. What should be your initial management priority, considering the risk of airway compromise?


  1. Stabilize the cervical spine

  2. Perform rapid sequence intubation

  3. Assess for the presence of a foreign body

  4. Apply a jaw-thrust maneuver Answer: D

Explanation: A jaw-thrust maneuver is essential to maintain airway patency in patients with potential maxillary fractures while assessing for airway compromise.


Question: 708


When assessing a trauma patient with an open fracture, what is the primary concern regarding the wound?


ne healing ection risk ve damage scle necrosis


er: B


nation: Open fractures expose the bone to the external environment, significantly increasing the ction, necessitating prompt surgical intervention.


ion: 709


auma patient with a suspected pelvic fracture, which assessment finding would most strongly the presence of significant hemorrhage?


art rate of 80 bpm

od pressure of 100/60 mmHg Mild abdominal tenderness

ymmetrical limb positioning er: B

nation: A blood pressure of 100/60 mmHg in the context of a pelvic fracture may indicate cant hemorrhage, necessitating immediate intervention.

  • Bo

  • Inf

  • Ner

  • Mu


    • Answ


    Expla risk

    of infe


    Quest


    In a tr suggest


    1. He

    2. Blo C.

    D. As

    Answ Expla

    signifi


    Question: 710


    In managing a patient with suspected spinal cord injury, which of the following is the priority action?


    1. Administration of high-dose steroids

    2. Immobilization of the spine

    3. Assessment of neurological function

    4. Initiation of IV fluids Answer: B

    Explanation: Spinal immobilization is critical to prevent further injury and stabilize the patient before further assessment or intervention.


    Question: 711


    arding. What is the most likely organ affected if the patient has a history of recent abdomin

    ?


    mach

    ge intestine all intestine dder


    er: C


    nation: The small intestine is the most commonly injured hollow organ, particularly after abd y, which can lead to perforation and subsequent peritonitis.


    ion: 712


    ent who fell from a ladder is found unresponsive with a GCS of 7. What is the most critical ment you should conduct immediately?


    eck for spinal injuries

    nduct a full neurological exam aluate circulation and pulse sess the airway and breathing

    During your assessment of a patient with a suspected hollow organ injury, you note signs of peritonitis and gu al

    surgery


    1. Sto

    2. Lar

    3. Sm

    4. Bla Answ

    Expla ominal

    surger


    Quest


    A pati assess


    1. Ch

    2. Co

    3. Ev

    4. As


    Answer: D


    Explanation: With a GCS of 7, the patient is at high risk for airway compromise; therefore, assessing and securing the airway is the top priority.


    Question: 713

    In a case of suspected acute limb ischemia, which intervention should be avoided?


    1. Application of warm compresses

    2. Immediate surgical consultation

    3. Assessment of pulses

    4. Administration of anticoagulants Answer: A

    Explanation: Warm compresses can exacerbate ischemia and are contraindicated in acute limb ischemia management.


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