TL;DR
Learn wound assessment, burn classification, and appropriate management techniques. Wound care requires understanding of healing physiology and is commonly tested.
Free Burns & Crush Syndrome Practice Questions
NREMT Paramedic Certification · Trauma (Advanced)
This module covers Burns & Crush Syndrome as part of the Trauma (Advanced) section, testing your understanding of core concepts and their practical application.
| Exam | NREMT Paramedic Certification |
| Pass Rate | 67% |
| Duration | 150 minutes |
| Module | Burns & Crush Syndrome |
Why Burns & Crush Syndrome matters
Burns & Crush Syndrome is tested because wound assessment and management skills are used across all clinical settings.
Sample Practice Questions (5)
1. A victim of a structure fire has circumferential full-thickness burns to the entire chest. During positive pressure ventilation, you notice progressively increasing peak airway pressures and decreasing tidal volumes. SpO2 drops to 80%. What is the cause, and what would the definitive hospital treatment be?
- Circumferential chest eschar is restricting chest wall expansion — definitive treatment is bilateral escharotomy
- Bronchospasm from inhalation injury — administer albuterol
- Tension pneumothorax — perform needle decompression
- ET tube obstruction — suction and replace the tube
2. A patient rescued from a house fire has no visible burns but was found in an enclosed space filled with smoke. SpO2 reads 100%, but the patient is confused and has a cherry-red skin color. What should you suspect, and why is the SpO2 reading misleading?
- Carbon monoxide poisoning — pulse oximetry cannot distinguish carboxyhemoglobin (COHb) from oxyhemoglobin, giving falsely normal readings
- Cyanide poisoning only — SpO2 is accurate in this scenario
- Heat stroke — the cherry-red color is from vasodilation
- Hypoxia — the SpO2 reading is accurate and the patient is well-oxygenated
3. A chemical burn from hydrofluoric acid (HF) to the hand causes severe pain out of proportion to the visible injury. The patient becomes increasingly agitated and develops QT prolongation on the cardiac monitor. What is the mechanism of systemic toxicity and the specific treatment?
- Fluoride ions bind serum calcium and magnesium, causing hypocalcemia — treat with topical and IV calcium gluconate
- HF causes acidosis requiring sodium bicarbonate administration
- HF releases hydrogen gas requiring decontamination only
- HF causes hyperkalemia requiring calcium chloride
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Start practicing free →4. An 80 kg patient has full-thickness burns covering both anterior legs (18% each anterior = 9% × 2 = 18% total) and the anterior trunk (18%). Using the Parkland formula, what is the total 24-hour fluid requirement and the rate for the first 8 hours?
- 11,520 mL total; 720 mL/hr for the first 8 hours
- 5,760 mL total; 360 mL/hr for the first 8 hours
- 11,520 mL total; 480 mL/hr for the first 8 hours
- 23,040 mL total; 1,440 mL/hr for the first 8 hours
5. In managing a crush syndrome patient who is about to be extricated, what PRETREATMENT should be initiated BEFORE the compressive force is released?
- Aggressive IV normal saline infusion (1-2 L/hr) and cardiac monitoring for hyperkalemia
- Tourniquet application proximal to the crush site
- Administer oral activated charcoal
- Apply ice packs to the affected extremities
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