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

Question 1

In the primary survey using the MARCH algorithm for hemorrhage control, what does 'M' stand for?

Accepted Answer

Massive hemorrhage

Answer

Monitoring

Answer

Medications

Answer

Movement

Question 2

A patient arrives with a penetrating chest wound on the right side with absent breath sounds. After sealing the wound, the patient deteriorates rapidly. What should you suspect?

Accepted Answer

Tension pneumothorax

Answer

Massive hemothorax

Answer

Cardiac tamponade

Answer

Pulmonary contusion

Question 3

Which mechanism of injury is MOST associated with a high index of suspicion for aortic injury?

Accepted Answer

High-speed deceleration (e.g., MVC at highway speed)

Answer

Low-speed rear-end collision

Answer

Fall from standing height

Answer

Direct punch to the abdomen

Question 4

What is the primary goal of the permissive hypotension strategy in penetrating trauma management?

Accepted Answer

Maintain MAP around 50–65 mmHg to limit re-bleeding while preserving perfusion

Answer

Maximize urine output

Answer

Achieve a systolic BP of 120 mmHg rapidly

Answer

Prevent cerebral edema

Question 5

During a trauma assessment, a GCS score is calculated. Which component assesses verbal response?

Accepted Answer

Verbal response

Answer

Eye opening

Answer

Motor response

Answer

Pupillary response

Question 6

A patient has a femur fracture. What estimated blood volume loss should be anticipated?

Accepted Answer

1000–1500 mL

Answer

250–500 mL

Answer

500–1000 mL

Answer

2000–2500 mL