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Practice EMT Trauma Assessment Knowledge Test

Sharpen Your Trauma Triage and Assessment Skills

Difficulty: Moderate
Questions: 20
Learning OutcomesStudy Material
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Ready to challenge your EMT trauma assessment skills? This EMT Trauma Assessment Knowledge Test offers 15 multiple-choice questions that cover critical evaluation steps and trauma triage scenarios. Ideal for EMT students, paramedics, or anyone seeking to strengthen their trauma care expertise, this practice quiz can be freely modified in our editor to suit your learning needs. Jump into related quizzes like Emergency Airway and Head Trauma Knowledge Test or the comprehensive EMT Basic Knowledge Quiz. Explore more quizzes to keep advancing your EMS proficiency.

In the primary trauma assessment, what does the "C" in ABC stand for?
Circulation
Compression
Critical airway
Circumference
In the ABC sequence, "C" represents circulation, which involves assessing and supporting the patient's blood flow and perfusion. Ensuring adequate circulation is essential to prevent shock and maintain vital organ function.
What is the first step of scene size-up on arrival at a trauma incident?
Performing a primary survey
Assessing patient airway
Ensuring scene safety
Controlling hemorrhage
The first action on arrival is to ensure scene safety for both providers and patients to prevent further injury. Only after confirming a safe environment should providers proceed with patient assessment.
What is the normal adult respiratory rate range assessed during the primary survey?
28 - 36 breaths per minute
8 - 12 breaths per minute
20 - 28 breaths per minute
12 - 20 breaths per minute
A normal adult respiratory rate is between 12 and 20 breaths per minute. Rates outside this range may indicate respiratory distress or inadequate ventilation.
Which three components are assessed by the Glasgow Coma Scale?
Eye opening, verbal response, motor response
Blood pressure, heart rate, respiratory rate
Sensory, reflex, coordination
Pupil size, limb movement, speech clarity
The Glasgow Coma Scale evaluates a patient's level of consciousness using eye opening, verbal response, and motor response. Summing these scores helps determine neurologic status.
What best describes the secondary assessment in trauma evaluation?
A rapid hands-off approach focusing on ABC
Only measuring vital signs
Transporting the patient immediately
A detailed head-to-toe physical examination
The secondary assessment is a systematic, detailed head-to-toe examination conducted after the primary survey. It identifies injuries that may not be immediately life-threatening but still require treatment.
Which technique is recommended for stabilizing the cervical spine in a trauma patient?
Head tilt - chin lift
Neck hyperextension
Jaw-thrust maneuver without head movement
Manual rotation of the neck
The jaw-thrust maneuver without head tilt prevents movement of the cervical spine while opening the airway. It is preferred when spinal injury is suspected.
Which of the following signs is most consistent with a tension pneumothorax?
Bilateral crackles
Tracheal deviation away from injured side
Bradycardia
Equal chest expansion
Tension pneumothorax typically causes air to shift the mediastinum, resulting in tracheal deviation away from the affected side. It is a life-threatening emergency requiring immediate decompression.
In the SAMPLE history mnemonic, what does the "P" represent?
Position change
Past medical history
Pulse
Pupillary response
In SAMPLE, "P" stands for Past medical history, which includes previous illnesses, surgeries, and chronic conditions that may affect current patient care.
Which device is used to measure a patient's oxygen saturation noninvasively?
Blood pressure cuff
Stethoscope
Pulse oximeter
Capnographer
A pulse oximeter uses light absorption through a peripheral site to estimate arterial oxygen saturation. It is vital for assessing respiratory function quickly.
Which of the following best expands the trauma mnemonic DCAP-BTLS?
Distal pulses, Color, Airway, Pressure, Bruising, Temperature, Lacerations, Swelling
Decreased motion, Cold, Air entry, Pulse, Bones, Tenderness, Lacerations, Spasm
Depth, Cut, Abrasion, Pain, Bleeding, Tenderness, Lumps, Sensation
Deformities, Contusions, Abrasions, Punctures, Burns, Tenderness, Lacerations, Swelling
DCAP-BTLS is a mnemonic for identifying key soft-tissue and musculoskeletal injuries during physical examination. This standardized approach ensures comprehensive assessment.
At what systolic blood pressure is an adult generally considered hypotensive?
Below 80 mmHg
Below 90 mmHg
Below 110 mmHg
Below 100 mmHg
A systolic blood pressure below 90 mmHg in adults is typically defined as hypotension. This threshold indicates potential shock and poor organ perfusion.
After completing the SAMPLE history in a secondary assessment, what is the next recommended step?
Secure the airway
Obtain vital signs for the first time
Initiate IV fluids
Perform a detailed head-to-toe examination
Following the SAMPLE history, a detailed head-to-toe examination allows identification of less obvious injuries. Vital signs are usually re-evaluated regularly but the focused physical exam is next in the secondary survey.
Which physical finding indicates poor peripheral perfusion in a trauma patient?
Warm, dry skin
Moist, flushed skin
Cool, clammy skin
Dry, pale skin
Cool, clammy skin is a sign of vasoconstriction and decreased perfusion, often seen in shock. Early recognition helps guide resuscitation efforts.
What is referred to as the "golden hour" in trauma care?
The time to hospital discharge
The first 2 hours after injury
The first 30 minutes after injury
The first 60 minutes after injury
The "golden hour" describes the critical first 60 minutes after a traumatic injury when prompt definitive care significantly improves survival. Rapid assessment and intervention are key during this period.
Which airway maneuver is preferred for a patient with suspected cervical spine injury?
Modified Sellick's maneuver
Head tilt - chin lift
Jaw-thrust maneuver
Neck extension
The jaw-thrust maneuver opens the airway without moving the cervical spine. It is recommended when a spinal injury is suspected to prevent further harm.
Which triad of findings is most consistent with cardiac tamponade in trauma?
Hypotension, flat neck veins, loud heart sounds
Hypotension, distended neck veins, muffled heart sounds
Hypertension, tachycardia, clear lung sounds
Hypertension, jugular venous distension, bradycardia
Beck's triad - hypotension, jugular venous distension, and muffled heart sounds - is a classic indicator of cardiac tamponade. Rapid recognition and intervention are critical to patient survival.
A patient presents with spinal cord injury signs: hypotension, bradycardia, and warm dry skin. Which shock type does this suggest?
Obstructive shock
Cardiogenic shock
Neurogenic shock
Hypovolemic shock
Neurogenic shock arises from loss of sympathetic tone in spinal injuries, leading to hypotension and bradycardia with warm, dry skin. It requires specific management to restore perfusion.
A trauma patient has a heart rate of 130 bpm, respiratory rate of 30 breaths/min, systolic BP of 85 mmHg, and confusion. This presentation best fits which class of hemorrhagic shock?
Class I
Class III
Class IV
Class II
Class III hemorrhagic shock involves a 30 - 40% blood volume loss, tachycardia over 120 bpm, hypotension, tachypnea, and altered mental status. Recognition guides urgent fluid resuscitation.
Calculate the Glasgow Coma Scale score for a patient who opens eyes to pain, makes incomprehensible sounds, and withdraws from pain.
6
10
12
8
Eye opening to pain scores 2, incomprehensible sounds scores 2, and motor withdrawal from pain scores 4, totaling 8. This helps determine severity of brain injury.
During abdominal palpation in secondary assessment, firm rigidity and rebound tenderness most likely indicate which condition?
Muscle spasm
Peritonitis due to internal bleeding
Anxiety response
Superficial bruising
Abdominal rigidity and rebound tenderness are signs of peritoneal irritation, often from internal bleeding or organ injury. This finding necessitates rapid transport and surgical evaluation.
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Learning Outcomes

  1. Identify critical steps in primary and secondary trauma assessment
  2. Apply systematic approaches to trauma patient evaluation
  3. Analyse vital signs to determine patient stability
  4. Demonstrate correct use of assessment tools and techniques
  5. Evaluate potential life-threatening injuries effectively

Cheat Sheet

  1. Master the ABCDE approach - Start your trauma assessment like a pro by following the ABCDE steps: Airway, Breathing, Circulation, Disability, and Exposure. This systematic method ensures you catch life-threatening issues fast, almost like having a superpower for emergencies. Keep your checklist handy and feel confident that no critical step is missed. Explore the ABCDE breakdown
  2. Wikipedia
  3. Use the SAMPLE mnemonic - Gather a top-notch patient history with SAMPLE: Symptoms, Allergies, Medications, Past medical history, Last oral intake, and Events leading to injury. Treat it like solving a mystery - every detail can change your next move. The more clues you collect, the clearer the patient's picture becomes. Unlock SAMPLE tips
  4. Appropedia
  5. Apply DCAP-BTLS - Inspect trauma patients for Deformities, Contusions, Abrasions, Punctures/Penetrations, Burns, Tenderness, Lacerations, and Swelling. This head-to-toe sweep is like detective work - nothing escapes your notice! Spotting hidden injuries early can save precious time and lives. Master DCAP-BTLS
  6. Nurseslabs
  7. Assess consciousness with AVPU - Quickly gauge if a patient is Alert, responds to Verbal stimuli, responds to Painful stimuli, or is Unresponsive. This lightning-fast check helps you decide on urgent interventions, so you're always one step ahead. It's like checking your patient's power status in seconds. Check out AVPU
  8. Nurseslabs
  9. Stabilize the cervical spine - In trauma, assume every patient might have a spinal injury until proven otherwise. Secure that neck like a VIP guest's neck brace, preventing further damage. Early immobilization is your secret weapon against spinal catastrophes. Learn spine safety
  10. Wikipedia
  11. Monitor vital signs - Keep an eagle eye on heart rate, blood pressure, respiratory rate, and oxygen saturation to gauge patient stability. These numbers tell a dramatic story about how well your patient is holding up. Adjust your resuscitation plan based on real-time data - no guessing games! Track vital signs
  12. NCBI
  13. Understand the Revised Trauma Score - Combine Glasgow Coma Scale, systolic blood pressure, and respiratory rate to predict patient outcomes. Think of it as a trauma-scorecard that helps you triage like a champ. The higher the score, the brighter the prognosis! Decode the RTS
  14. NCBI
  15. Know when to RSI - Rapid Sequence Intubation is your go-to when the airway's at risk or ventilation is inadequate. Securing the airway quickly is akin to locking the front door in a storm - no room for disaster. Practice your RSI steps until they're second nature. RSI essentials
  16. Wikipedia
  17. Spot signs of shock - Tachycardia, hypotension, and altered mental status scream "shock!" Learn to recognize these red flags and initiate resuscitation fast. Treating shock early is like putting out a fire at its spark - stop it before it spreads! Identify shock early
  18. NCBI
  19. Perform head-to-toe exam - During the secondary survey, give your patient a thorough once-over from scalp to toes. This methodical exam ensures no injury hides under the radar. Think of it as your grand finale - make every second count! Head-to-toe walkthrough
  20. Appropedia
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