AEMT Domain 3: Trauma Welcome to your AEMT Domain 3: Trauma 1. AEMT: Trauma When assessing a patient with a suspected pelvic fracture, which of the following signs would be the most indicative of a severe hemorrhage and potential internal organ injury? Localized bruising on the pelvis Crepitus on palpation of the pelvic region Hematuria Pain on palpation at the iliac crests None 2. AEMT: Trauma In the context of spinal injuries, which of the following assessment findings is most predictive of a spinal cord injury? Tenderness along the spine Priapism in male patients Deformity of the vertebral column Paradoxical breathing None 3. AEMT: Trauma A patient with a flail chest will most likely exhibit which of the following respiratory patterns? Rapid, shallow respirations Slow, deep respirations Unilateral chest movement Paradoxical chest movement None 4. AEMT: Trauma During the secondary assessment of a trauma patient, you notice a 'seat belt sign' across the abdomen. What complication should be most concerning for this patient? Abdominal aortic aneurysm Hollow organ perforation Myocardial contusion Diaphragmatic rupture None 5. AEMT: Trauma In the management of an open chest wound, why is it recommended to apply an occlusive dressing that is secured on three sides? To allow air to escape during exhalation To prevent the development of a pneumothorax To facilitate negative pressure ventilation To reduce the risk of infection None 6. AEMT: Trauma When assessing a patient with blunt abdominal trauma, which of the following findings would most likely suggest a diaphragmatic rupture? Absence of bowel sounds in the abdomen Presence of bowel sounds in the chest Guarding and rigidity of the abdominal wall Ecchymosis around the umbilicus None 7. AEMT: Trauma What is the primary concern when managing a patient with a suspected tension pneumothorax? Rapid fluid resuscitation Immediate needle decompression High-flow oxygen administration Stabilization of the chest wall None 8. AEMT: Trauma Which of the following is the most appropriate initial step when treating a patient with a penetrating injury to the abdomen and signs of shock? Perform a detailed secondary assessment Administer high-flow oxygen and initiate rapid transport Apply direct pressure over the wound Administer oral fluids to maintain blood pressure None 9. AEMT: Trauma When treating a patient with burns from a lightning strike, what unique complication should the AEMT be most alert for? Myocardial infarction Compartment syndrome Anaphylactic shock Rhabdomyolysis None 10. AEMT: Trauma In the case of a traumatic amputation of a limb, which of the following is the most critical initial action? Applying a tourniquet to the stump Searching for the amputated part Administering pain medication Checking for a distal pulse None 11. AEMT: Trauma When evaluating a patient with a facial injury, which symptom would most strongly suggest a basilar skull fracture? Periorbital ecchymosis Subconjunctival hemorrhage Hemotympanum Jaw clenching None 12. AEMT: Trauma In a patient with a suspected pelvic fracture, which of the following interventions should be avoided to prevent exacerbating the injury? Pelvic binding Log roll Application of a traction splint Supine positioning None 13. AEMT: Trauma For a patient with a suspected cervical spine injury, which of the following airway management techniques is most appropriate? Head tilt-chin lift maneuver Jaw-thrust maneuver without head extension Blind finger sweep Rapid sequence intubation with cervical hyperextension None 14. AEMT: Trauma Which of the following is the most likely cause of hypotension in a trauma patient with no external bleeding, periorbital ecchymosis, and Battle's sign? Tension pneumothorax Intracranial hemorrhage Cardiac tamponade Spinal shock None 15. AEMT: Trauma What is the primary concern when managing a patient with a penetrating neck injury at the level of the cricoid cartilage? Air embolism Esophageal perforation Spinal cord injury Laryngeal disruption None 16. AEMT: Trauma In the prehospital management of a patient with an evisceration, what is the most appropriate initial step? Applying direct pressure to the wound Replacing the protruding organs Covering the wound with a saline-moistened sterile dressing Administering a broad-spectrum antibiotic None 17. AEMT: Trauma When managing a patient with a high-velocity gunshot wound to the chest, which of the following findings would most urgently indicate the need for immediate surgical intervention? Subcutaneous emphysema Muffled heart sounds Unilateral absence of breath sounds Sternal tenderness None 18. AEMT: Trauma In a patient with multiple trauma injuries, which of the following symptoms would most strongly suggest the presence of a traumatic aortic dissection? Difference in blood pressure between arms Bilateral periorbital hematoma Pronounced abdominal distension Crepitus in the chest wall None 19. AEMT: Trauma For a trauma patient with a suspected liver laceration following blunt abdominal trauma, which of the following signs would most likely be observed? Grey Turner's sign Kehr's sign Murphy's sign Cullen's sign None 20. AEMT: Trauma In the assessment of a patient with a crush injury to the lower extremities, what symptom would indicate the development of crush syndrome? Localized edema and bruising Hyperkalemia Decreased sensation below the injury site Cold, clammy skin None 1 out of 20 Time is Up! Time's up
