FREE CFRN Flight and Transport Questions and Answers

Question 1

Which cranial nerves on the list below control eye movement?

Accepted Answer

III, IV, VI

Answer

II, IV, V

Answer

I, III, V

Answer

II, III, VI

Question 2

A patient with a history of chronic alcohol misuse who complains of continual, severe upper left quadrant discomfort that gets worse as the patient rolls to the left lateral recumbent posture is reported to have a positive Cullen's sign. Which of the following pathologic diseases accounts for the positive Cullen's sign most frequently?

Accepted Answer

Acute pancreatitis

Answer

Intestinal obstruction

Answer

Extravasation due to nephrolithiasis

Answer

Acute cholecystitis

Question 3

A 15-year-old male high school sophomore who played football for his school suffered a spinal cord injury (SCI) after unintentionally lowering his head while sprinting and striking the ball carrier's shoulder with the crown of his head during a tackle. The field crew has placed the patient on a backboard, and he is already intubated due to his inability to breathe on his own when the medical transport arrives. The patient was awake, trying to communicate when the ground team arrived, and could turn his head, according to the ground team. According to the initial evaluation by the air transport crew, upper and lower extremity motor, and sensory functions are entirely lost. Based on the information provided in this scenario, which of the following levels of SCI is this patient most likely to have experienced?

Accepted Answer

C3-C4 SCI

Answer

C1-C2 SCI

Answer

C7-C8 SCI

Answer

C5-C6 SCI

Question 4

The insertion of an endotracheal tube has just been verified by a chest radiograph (x-ray) (ETT). Except for one, every x-ray finding after that indicates a successful ETT placement:

Accepted Answer

Murphy's eye can be seen in the upright position

Answer

Murphy's eye can be visualized where the clavicles meet

Answer

The distal tip of the ETT can be seen at the level of the T3 to T4 vertebrae

Answer

The distal tip of the ETT is located 4 to 5 cm above the carina

Question 5

A 10-year-old girl who lived in a gated neighborhood was driving a golf cart when she lost control of it, was ran over by the automobile, and had a serious open tibia/fibula fracture. The youngster had many "road rash" wounds and contusions to her face and torso when emergency medical services (EMS) arrived. She also seemed to be in shock and was bleeding from her damaged leg. Which of the following assertions about compressible limb hemorrhage treatment is accurate?

Accepted Answer

Bulky dressings applied to treat hemorrhage may be ineffective at controlling bleeding

Answer

Commercial tourniquet application should take place early in management of limb hemorrhage

Answer

Direct pressure should be applied on the site of the wound hemorrhage

Answer

A commercial tourniquet should be applied to the injured extremity distal to the site of the bleeding

Question 6

Two HEMS teams are to be dispatched to the scene of a home fire where there are several victims, per a request made to a helicopter emergency medical services (HEMS) program. A three-year-old girl with several mild burns to her trunk and limbs is being transported by one team, while her seven-year-old brother is being transported by the other team due to serious burns to his face and neck as well as an inhalation injury. Which of the following statements regarding inhalation injuries is most accurate?

Accepted Answer

Inhalation injury may not become apparent until after fluid resuscitation has occurred

Answer

Asphyxia of burn victims typically results from hypercapnia

Answer

Injury to the supraglottic region primarily results from inhalation of the chemical by-products of combustion

Answer

Injury to the infraglottic region primarily results from inhalation of the heated air in the burning environment

Question 7

You are using medical air transport to deliver a really ill patient, however due to storm activity, there is substantial turbulence throughout the flight, therefore you must leave your patient lying down. Which of the following issues could be brought on by carrying the patient supine?

Accepted Answer

Decrease in functional reserve capacity

Answer

Increase in after load

Answer

Decrease in central circulation

Answer

Increase in preload