Question 1

An intoxicated patient (GCS 15) arrives via ambulance with a c-collar. EMS states he tripped, falling in front of a bicyclist. He feels no pain and has mild brusing. Can you rule out C-spine injury?

Accepted Answer

No - because he drank alcohol beforehand

Question 2

What part of the primary survey should be conducted first?

Accepted Answer

Treating a Tension Pneumothorax

Question 3

A patient is rushed into the ED screaming loudly with a stab wound to the chest with bright blood spraying in all directions. Their vitals are BP 90/70, temp 99.5, RR 30 HR 110. What should you do 1st

Accepted Answer

Control the bleeding

Question 4

A child weighing 12kg comes to the ED after a MVA and needs bolus fluids. How much should be administered?

Accepted Answer

240ml

Question 5

An unconcious 22 year old female arrives via EMS with a broken clavicle, pelvic fracture and a broken wrist from a ski accident. What action should be done first?

Accepted Answer

Insert an endotracheal tube

Question 6

You check mental status of your pt. They respond to you appropriately, but are confused. Their eyes open in response to speech, and they are extending all extremities to painful stimuli? Whats the GCS

Accepted Answer

9

Question 7

A patient with blunt abdominal trauma is stable and has a positive FAST exam. What action should be taken next if their vitals remain WNL?

Accepted Answer

Take them to CT

Question 8

72 y/o man is brought to the ED via ambulance after falling down stairs. He’s alert and oriented with a GCS of 15, no alcohol use, and no other distracting injuries. Is his C-spine clear?

Accepted Answer

No because of his age

Question 9

treating a patient who arrives in distress. Upon inspection you notice their chest appears unevenly displaced, and auscultation shows decreased breath sounds and percussion is hyperresonate. What Dx?

Accepted Answer

Tension Pneumothorax

Question 10

25 y/o unconscious femalewith no visible injury arrives as a Jane Doe from a hit and run outside of your ED. After her airway is clear, 100% oxygen is given and breathing is WNL. Whats next?

Accepted Answer

Assess blood volume status

Question 11

patient is brought via ambulance after a parachuting accident. His GCS is 15. His vitals are: BP 110/60, HR 90 RR 18 temp 99.2 You notice a large chest contusion and paradoxical movement. treatement?

Accepted Answer

O2 and pain management

Question 12

42 year old male is brought to the ED with a stab wound to the chest from his spouse. You notice he has JVD, his lungs were clear to auscultation and heart sounds were muffled. Temporary treament?

Accepted Answer

Pericardiocentesis

Question 13

What clinical findings would you expect to see in a patient with shock?

Accepted Answer

High HR, High RR, Low BP

Question 14

What is the first step for managing shock as part of your circulation assessment

Accepted Answer

Control bleeding

Question 15

Which of the following is NOT considered CT criteria?

Accepted Answer

Pain with palpation

Question 16

What is considered the ‘lethal triad’ that we aim to avoid during the last step of the primary survey, aka “Exposure”?

Accepted Answer

Acidosis, Hypothermia and Coagulopathy

Question 17

A disoriented patient who recently fell in the shower presents with a widening pulse pressure, high BP, a low heart rate and Cheyenne-Stokes breathing. What condition is most likely?

Accepted Answer

Increased ICP

Emergency Med Test 1

2) What part of the primary survey should be conducted first?

3) A patient is rushed into the ED screaming loudly with a stab wound to the chest with bright blood spraying in all directions. Their vitals are BP 90/70, temp 99.5, RR 30 HR 110. What should you do 1st

4) A child weighing 12kg comes to the ED after a MVA and needs bolus fluids. How much should be administered?

5) An unconcious 22 year old female arrives via EMS with a broken clavicle, pelvic fracture and a broken wrist from a ski accident. What action should be done first?

6) You check mental status of your pt. They respond to you appropriately, but are confused. Their eyes open in response to speech, and they are extending all extremities to painful stimuli? Whats the GCS

7) A patient with blunt abdominal trauma is stable and has a positive FAST exam. What action should be taken next if their vitals remain WNL?

8) 72 y/o man is brought to the ED via ambulance after falling down stairs. He’s alert and oriented with a GCS of 15, no alcohol use, and no other distracting injuries. Is his C-spine clear?

9) treating a patient who arrives in distress. Upon inspection you notice their chest appears unevenly displaced, and auscultation shows decreased breath sounds and percussion is hyperresonate. What Dx?

10) 25 y/o unconscious femalewith no visible injury arrives as a Jane Doe from a hit and run outside of your ED. After her airway is clear, 100% oxygen is given and breathing is WNL. Whats next?

11) patient is brought via ambulance after a parachuting accident. His GCS is 15. His vitals are: BP 110/60, HR 90 RR 18 temp 99.2 You notice a large chest contusion and paradoxical movement. treatement?

12) 42 year old male is brought to the ED with a stab wound to the chest from his spouse. You notice he has JVD, his lungs were clear to auscultation and heart sounds were muffled. Temporary treament?

13) What clinical findings would you expect to see in a patient with shock?

14) What is the first step for managing shock as part of your circulation assessment

15) Which of the following is NOT considered CT criteria?

16) What is considered the ‘lethal triad’ that we aim to avoid during the last step of the primary survey, aka “Exposure”?

17) A disoriented patient who recently fell in the shower presents with a widening pulse pressure, high BP, a low heart rate and Cheyenne-Stokes breathing. What condition is most likely?