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TPATC(Latest Exam Question And Answers 2025)
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Which of the following typically is a result of sleep debt? (Transport Physiology) - correct answers ✅Observable decrease in cognitive performance Acute fatigue is commonly manifested by which of the following characteristics? (Transport Physiology) - correct answers ✅Loss of accuracy and control Which of the following gas laws explains why and ET cuff increases tracheal wall pressure and ischemia during ascent to 8,000 feet mean sea level? (Transport Physiology) - correct answers ✅Boyle's law Which of the following sensory inputs is most reliable during flight? (Transport Physiology) - correct answers ✅Visual perception of speed and direction Which of the following features is most important in a successful safety program? (Safety Policies) - correct answers ✅Attitude
Alcohol or dugs must not be consumed for at least how many hours before a shift (Safety Policies) - correct answers ✅ 12 In the early afternoon or before bedtime, typical sleep latency, the time it takes to fall asleep, usually ranges from? (Safety Policies) - correct answers ✅7-8 mins Which of the following is addressed in the 2018 ASTNA position paper Transport Nurse Safety in the Transport Environment? (Safety Policies) - correct answers ✅Creating healthy work environements Which of the following is considered the most common side effects of sleep inertia? (Safety Policies) - correct answers ✅Slows speed of cognitive task performance Which of the following is one of the four key elements of an appropriate transfer as required by EMTALA? (Legal aspects of critical care) - correct answers ✅The sending facility provides treatment within capacity to minimizer patient risk
incidents) - correct answers ✅treatment and transport follow patient triage Heavy rain with potential for flooding is predicted. Evacuation of residents prior to the weather event is an example of: (disaster and mass-casualty incidents) - correct answers ✅mitigation Which of the following is considered a critical activity for disaster preparedness? (disaster and mass-casualty incidents)
answers ✅Identifies and manages immediate life threatening complications Principles of field triage to direct transport to a trauma center includes which of the following? (general principles of trauma transport) - correct answers ✅Patients w/ 2 or more proximal long bone fractures Which of the following patient characteristics is associated w/ difficult bag mask ventilation? (Airway and mechanical ventilation) - correct answers ✅facial hair In the 3-3-2 assessment, the space available for tongue displacement is the distance: (airway and mechanical ventilation) - correct answers ✅from the chin to the hyoid bone An endotracheal tube introducer or bougie placed into the trachea will: (airway and mechanical ventilation) - correct answers ✅"hang up" when the tip reaches the right mainstem bronchus.
Which of the following physiologic changes is associated with aging and may alter the clinical presentation of an elderly patient in shock? (shock) - correct answers ✅Decreased response to beta-adrenergic stimulation A patient who has severe, right sided chest pain and increasing dyspnea after ejection from a motor vehicle is pale, diaphoretic, tachycardic, and hypotensive. Initial intervention should include: (shock) - correct answers ✅Needle decompression on the right side A patient with a chemical burn to the eye has a conjunctival pH of 10.5. The next appropriate step is to: (burns) - correct answers ✅Continue irrigation with normal saline solution After a house fire, a patient awaits transport to a burn center with a carboxyhemoglobin level of 36. After administration of 100% O2 for 45 minutes, what should the patient's carboxyhemoglobin level be? (burns) - correct answers ✅18%
Which of the following is the best way to remove heme pigments out of the urine of a patient who sustained an electrical burn? (burns) - correct answers ✅Ensure lactated ringer's (LR) solution is used for resuscitation fluid Immediate care of a partial-thickness thermal burn >30% of the TBSA consists of: (burns) - correct answers ✅Stopping the burning process Initial management of a pregnant trauma patient should include: (trauma in pregnancy) - correct answers ✅Placing the mother in a lateral recumbent position to prevent supine hypotensive syndrome Which of the following is the most common cause of fetal death following a traumatic injury to the mother? (trauma in pregnancy) - correct answers ✅Maternal shock Which of the following interventions will reduce the incidence of aspiration of stomach contents in a pregnant trauma
Which of the following signs indicates optimal management of a severe brain injury? (neurologic trauma) - correct answers ✅SBP of 92 mm Hg Which of the following is an indication for endotracheal intubation in a patient with a spinal cord injury? (neurologic trauma) - correct answers ✅Acute respiratory failure. An axial loading injury is most likely to be caused by which of the following mechanisms? (neurologic trauma) - correct answers ✅Head-first dive into a shallow pond Seizures occur in up to 25% of patients who have which of the following brain injuries? (neurologic trauma) - correct answers ✅Subarachnoid hemorrhage Severe pain is noted on manual compression of the iliac crest. The most appropriate course of action is to: (thoracic and abdominal trauma) - correct answers ✅Apply a pelvic binder
The best way to treat an open pneumothorax is to: (thoracic and abdominal trauma) - correct answers ✅Apply a 3-sided occlusive dressing A driver is involved in a side-impact motor vehicle collision and is intubated upon the medics' arrival to the scene. The intubated patients vitals are: -BP: 60/40 mmHg -HR: 150 bpm -PIP: 40 cmH -O2 saturation: 75% What is the transport provider's best next step in the management of this patient? (thoracic and abdominal trauma)
b/c its non constricting and is not a source of external compression leave at level of heart so that being in a dependent position does not induce more edema and elevation does not decrease perfusion The best way to improve oxygenation of a patient with a fat embolism who is receiving mechanical ventilation during air transport is to increase: (musculoskeletal and soft tissue trauma) - correct answers ✅PEEP The most appropriate way to preserve an amputated part is to place it: (musculoskeletal and soft tissue trauma) - correct answers ✅In a plastic bag and on ice Match the transducer with its most appropriate and/or primary applications in POCUS: (point of care ultrasound) - correct answers ✅Curvilinear:
-IVC assessment -Cardiac exam -Obstetrical exam -Appendix assessment -Gallbladder assessment Linear-array: -Soft tissue assessment -IV placement -Ocular exam -Pulmonary exam in pediatric or very low body mass adult patients The transport provider arrives on scene to a serious motor vehicle accident where a patient has sustained blunt-force injury to the abdomen. When performing the ultrasound, which of the following actions is most correct in this situation? (point of care ultrasound) - correct answers ✅The provider conducts a FAST exam, beginning in the RUQ to identify any possible free fluid in the abdomen.
Which of the following statements about burn injuries to the lower respiratory tract is true? - correct answers ✅Injuries below the glottis usually are chemical After administration of neuromuscular blockade, it is most important to protect a trauma patient from which of the following? - correct answers ✅Hypothermia Which of the following findings indicates optimal resuscitation and restoration of end organ perfusion? - correct answers ✅Lactate level = 1.0 mmol/L During a disaster response, an incident commander decides to move patients to collection points prior to initiating treatment. For this system to be effective, patients in different triage categories should be: - correct answers ✅separated according to their assigned category A 36 year old woman who 32 weeks' pregnant sustains a fracture of the right tibia and fibula in a MVC. The patient reports pain in the area of the thoracic spine and right chest
wall. Which of the following is the optimal position for transport? - correct answers ✅fully immobilized, supine on a backboard, tilted to one side A 45 year old patient reports taking dabigatran (Pradaxa) for anticoagulation secondary to afib. The transport provider remembers that dabigatran is a direct thrombin inhibitor and therefore, it: - correct answers ✅may require a specialized medication to reverse A patient has a hypoxic encephalopathy due to the unrecognized, incorrect placement of an ETT during transport. The critical care transport medical team admits during deposition that they failed to connect continuous waveform capnography to the intubated patient. This omission constitutes an error in: - correct answers ✅standard of care During an air transport at 4,000 ft, a transport team member feels chilly and fatigued and notes a colleague appears to be sleeping. Which of the following is the most appropriate initial course of action? - correct answers ✅Put on an oxygen mask
The transport team is caring for a pediatric patient with suspected abdominal trauma sustained in an accident involving 4 wheel, all terrain vehicles. Which is the most appropriate next step for the provider to take while noting hemodynamic instability in the patient following volume replacement? - correct answers ✅initiate a FAST assessment A patient who sustained GSWs to the abdomen is intubated and connected to continuous waveform capnography. Following departure from the scene, the patient's vital signs are as follows: BP 86/ HR 40 The transport provider notes a 12-mmHg decrease in ETCO2, confirmed on waveform. Which step will the transport provider take next? - correct answers ✅Assess for a carotid pulse
Which assessment finding reflects effective management of severe traumatic brain injury? - correct answers ✅SBP > mmHg, with a CPP target >60-70 mmHg In a prehospital setting, evidence indicates that when transport times are short, bag mask ventilation in the pediatric population is associated with the following findings?