Emergency Med Test 1

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?

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?