EMT Domain 3: Trauma Welcome to your EMT Domain 3: Trauma 1. EMT: Trauma During the primary assessment of a trauma patient, you note paradoxical motion of the left chest wall. What is the most likely cause? A. Pneumothorax B. Hemothorax C. Flail chest D. Pulmonary contusion None 2. EMT: Trauma In a patient with a suspected pelvic fracture, which of the following interventions should be avoided? A. Application of a pelvic binder B. Log roll maneuver for spinal precautions C. Palpation of the pelvis to assess stability D. Use of the Trendelenburg position None 3. EMT: Trauma A patient presents with a penetrating injury to the chest. Upon assessment, you note the presence of a sucking chest wound. Which of the following is the most appropriate initial management? A. Immediate needle decompression B. High-flow oxygen via a non-rebreather mask C. Application of an occlusive dressing taped on three sides D. Rapid transport without intervention None 4. EMT: Trauma In a trauma patient with signs of shock and a suspected spinal injury, which method of fluid resuscitation is preferred? A. Rapid infusion of hypertonic saline B. Slow infusion of isotonic crystalloid solutions C. Administration of colloids D. Aggressive fluid resuscitation with isotonic crystalloid solutions None 5. EMT: Trauma Which of the following is the most significant complication associated with long bone fractures? A. Compartment syndrome B. Fat embolism syndrome C. Hemarthrosis D. Delayed union None 6. EMT: Trauma When assessing a patient with a traumatic amputation of the arm, what is the highest priority? A. Tourniquet application above the amputation site B. Immediate search for the amputated part C. Application of a sterile dressing to the stump D. Assessment of airway and breathing None 7. EMT: Trauma When assessing a patient with blunt abdominal trauma, which of the following signs is most indicative of intra-abdominal hemorrhage? A. Localized tenderness on palpation B. Cullen's sign C. Hematuria D. Distended abdomen None 8. EMT: Trauma What is the primary reason for splinting a lower extremity fracture in a trauma patient? A. To reduce pain and prevent further injury B. To facilitate transportation of the patient C. To realign the fractured bone segments D. To stop bleeding associated with the fracture None 9. EMT: Trauma In a patient with a chest trauma who is exhibiting signs of tension pneumothorax, what is the most immediate intervention? A. Administer high-flow oxygen B. Perform needle decompression C. Apply a chest seal D. Initiate rapid sequence intubation None 10. EMT: Trauma In the pre-hospital management of a patient with an open pneumothorax, what is the initial step? A. Administer intravenous fluids B. Apply a vented chest seal C. Immediate intubation D. High-flow oxygen via non-rebreather mask None 11. EMT: Trauma Which of the following is the most critical consideration when managing a patient with a traumatic amputation of a limb and severe bleeding? A. Immediate reattachment of the amputated part B. Application of direct pressure above the amputation site C. Tourniquet application proximal to the injury D. Immediate administration of antibiotics None 12. EMT: Trauma For a patient experiencing traumatic cardiac arrest following blunt chest trauma, which intervention is most likely to improve outcomes? A. Rapid administration of aspirin B. Immediate thoracotomy on scene C. Aggressive fluid resuscitation D. Application of an Automated External Defibrillator (AED) None 13. EMT: Trauma What is the most appropriate management strategy for a patient with a penetrating neck injury and signs of airway compromise? A. Wait for advanced life support for airway management B. Immediate needle decompression of the chest C. Apply direct pressure to the wound D. Prepare for immediate surgical airway intervention None 14. EMT: Trauma When assessing a patient with multiple trauma injuries, which of the following signs would most strongly suggest the presence of a tension pneumothorax? A. Bilateral wheezing B. Tracheal deviation away from the injured side C. Presence of a distended jugular vein on the uninjured side D. Rapid, shallow breathing None 15. EMT: Trauma What is the priority intervention for a patient with suspected spinal injury and respiratory distress? A. Full spinal immobilization before airway management B. Administer supplemental oxygen and monitor for hypoxia C. Immediate rapid sequence intubation D. Manual inline stabilization and airway management None 16. EMT: Trauma In trauma patients, the 'lethal triad' consists of hypothermia, acidosis, and what third component? A. Hyperglycemia B. Coagulopathy C. Hypokalemia D. Tachycardia None 17. EMT: Trauma For a patient with severe maxillofacial injuries and significant oral bleeding, what is the best position to minimize the risk of aspiration? A. Supine position B. Recovery (lateral) position C. Sitting position D. Trendelenburg position None 18. EMT: Trauma Which of the following is the most appropriate action when managing a patient with a severe crush injury to the lower extremities trapped under debris? A. Administer high-flow oxygen and prepare for rapid extrication B. Perform immediate amputation at the scene to facilitate extrication C. Initiate IV fluids to prevent crush syndrome D. Apply cold packs to the crushed area to reduce swelling None 19. EMT: Trauma When evaluating a patient with burns from an explosion, which of the following assessment findings would most urgently suggest the need for intubation? A. Singed nasal hairs B. Superficial burns on the hands and face C. Hoarseness and stridor D. Tachypnea with normal oxygen saturation None 20. EMT: Trauma In the pre-hospital management of a patient with an open pneumothorax, what is the initial step? A. Administer intravenous fluids B. Apply a vented chest seal C. Immediate intubation D. High-flow oxygen via non-rebreather mask None 1 out of 20 Time is Up! Time's up