COPR COPR - Canadian Organization of Paramedic Regulators Examination Trauma Assessment and Management Questions and Answers 2

Question 1

Which assessment finding most strongly indicates cardiac tamponade in a trauma patient?

Accepted Answer

Beck's Triad: hypotension, muffled heart sounds, JVD

Answer

Unequal breath sounds

Answer

Tracheal deviation toward the affected side

Answer

Crepitus along the rib cage

Question 2

When applying a tourniquet for extremity hemorrhage, where should it be positioned?

Accepted Answer

2–3 inches proximal to the wound

Answer

Directly over the wound

Answer

As close to the wound as possible distally

Answer

At the mid-shaft of the limb regardless of wound location

Question 3

What is the significance of a 'seat belt sign' (bruising across the abdomen) in trauma assessment?

Accepted Answer

It suggests possible intra-abdominal injury requiring surgical evaluation

Answer

It indicates only superficial abrasion

Answer

It rules out spinal injury

Answer

It is clinically insignificant in alert patients

Question 4

In trauma triage using START (Simple Triage and Rapid Treatment), a patient with a respiratory rate of 8/min would be categorized as:

Accepted Answer

Red (Immediate)

Answer

Green (Minor)

Answer

Yellow (Delayed)

Answer

Black (Expectant/Deceased)

Question 5

What is the recommended approach to spinal motion restriction in a responsive trauma patient with no distracting injuries who denies neck pain?

Accepted Answer

Apply selective spinal precautions based on clinical criteria

Answer

Always apply a cervical collar and long backboard regardless

Answer

No spinal precautions are ever required in responsive patients

Answer

Spinal immobilization is mandatory for all MVC patients

Question 6

A burn patient has circumferential burns to one entire leg. Using the Rule of Nines, what percentage of TBSA is involved?

Accepted Answer

18%

Answer

9%

Answer

13.5%

Answer

27%