WFR

Question 1

Unusable athletic injuries are treated with:

Answer 1

immobilization and evacuation

Question 2

Certification as a wilderness medicine provider:

Answer 2

indicates you have completed training

Question 3

Wilderness medicine is different from urban medicine because wilderness medicine has:

Answer 3

extended patient contact time, environmental challenges and improvised gear

Question 4

The most common injuries consistently reported on wilderness expeditions are

Answer 4

soft tissue wounds

Question 5

A patient in compensatory shock:

Answer 5

maintains adequate perfusion with vasoconstriction, increased HR and RR

Question 6

Compartment syndrome is

Answer 6

pressure in a muscle secondary to an injury

Question 7

A hypothermic patient

Answer 7

can be treated with a hypothermia wrap

Question 8

Your tent mate has accidentally swallowed a small amount of white gas. You recommend that she:

Answer 8

call poison control

Question 9

We guard against an allergic response to a medication by

Answer 9

asking the patient if they have taken a medication previously

Question 10

Treatment principles for snowblindness include

Answer 10

cool compresses over the eyes

Question 11

A pneumothorax is

Answer 11

air in the chest

Question 12

Sunscreens

Answer 12

should be applied several times a day

Question 13

Rapidly evacuate a patient with a headache if the headache

Answer 13

is sudden, severe or is associated with altered mental status

Question 14

Urinary tract infections

Answer 14

can be accompanied by fever and blood in the urine

Question 15

Your 54 year old co-instructor wakes up with chest pain and a sensation of tightness in his chest, shortness of breath, anxiety, nausea and pale cool, clammy skin. Your treatment plan includes

Answer 15

suggesting he take one adult aspirin

Question 16

Which of the following statements about exercise in hot conditions is false?

Answer 16

over hydration can prevent heat illness

Question 17

The head-to-toe physical exam

Answer 17

is done on all patients

Question 18

In the wilderness we can stop CPR if:

Answer 18

the patient’s pulse returns

Question 19

Abandonment occurs when:

Answer 19

you turn over patient care to a person unable to manage the patient

Question 20

To effectively make water safe to drink it needs to

Answer 20

be hot enough for a rolling boil

Question 21

In a hydrated person urine is commonly

Answer 21

light yellow or clear

Question 22

Recommended treatments for pit viper bites include:

Answer 22

Transporting the victim to the hospital for antivenom.

Question 23

A patient with a fever that is greater than 102F (39C) or that persists for 48 hours should be

Answer 23

evacuated to definitive care

Question 24

When we check the pelvis in the head-to-toe exam we

Answer 24

press in on the iliac crests.

Question 25

Which of the following patients is the best candidate to be given a Focused Spine Assessment performed by a WFR?

Answer 25

A 23 year old female who fell approximately 15 feet onto hard ground, landing on her back, with no midline pain or CSM deficit found during the head to toe exam.

Question 26

High risk wounds

Answer 26

open a joint space

Question 27

Gastroenteritis is

Answer 27

an inflammation of the gastrointestinal tract

Question 28

Open chest wounds should be covered with:

Answer 28

an occlusive dressing taped on all four sides

Question 29

Common early signs and symptoms of non-freezing cold injury are

Answer 29

numbness, itching or pain.

Question 30

Oral fluids should not be given to a patient in a wilderness context if

Answer 30

the patient has an altered mental status

Question 31

Itchy skin, watery eyes, runny nose, puffy eyelids, hives and/or welts on the skin are signs or symptoms of

Answer 31

an allergic response

Question 32

Hay fever is treated by

Answer 32

antihistamines

Question 33

An avulsed (knocked-out) tooth

Answer 33

may be saved if re-implanted promptly

Question 34

Proper wound cleaning includes

Answer 34

irrigation with clean water

Question 35

Which of the following descriptions of a transient ischemia attack (TIA) are correct?

Answer 35

a TIA is a temporary interruption in the blood supply to a part of the brain.

Question 36

Which of the following would be an evacuation criteria for an abdominal complaint?

Answer 36

Blood in urine, feces or vomit.

Question 37

Signs and symptoms of severe hypothermia are

Answer 37

no shivering, inability to walk.

Question 38

Acclimatization to altitude can be enhanced by

Answer 38

ascending slowly

Question 39

Which of the following statements on dislocations in a wilderness context is correct?

Answer 39

A WFR is trained to reduce shoulder, jaw, fingers/toe and patella dislocations.

Question 40

High Altitude Cerebral Edema (HACE)

Answer 40

can present with ataxia.

Question 41

You are walking through a pine forest as pollen cascades from the trees and one of your companions develops tightness in his chest and has a history of asthma. Your treatment is:

Answer 41

leave the forest.

Question 42

One of your clients fell while hiking earlier in the day. You learn this when they ask for aspirin for a headache. You should:

Answer 42

do a complete patient assessment

Question 43

An important clue that your patient may have hyponatremia is

Answer 43

a history of excessive fluid intake.

Question 44

An evacuation guideline for a patient with mental health concerns is

Answer 44

the condition is beyond our ability to manage in the field.

Question 45

Treatment of seizures involves

Answer 45

protecting the patients airway, head and dignity.

Question 46

Which of the following is a treatment principle for frostbite?

Answer 46

rapid warming in warm water.

Question 47

A brain injury can cause:

Answer 47

swelling and increased intracranial pressure.

Question 48

What are the most common vectors for diarrhea and flu-like illness on a wilderness expedition?

Answer 48

our hands.

Question 49

Hot spots are

Answer 49

already a sign of injury.

Question 50

You find a patient with a history of insulin dependent diabetes in a remote wilderness camp. The patient is awake but not responding appropriately. He is able to swallow. Your treatment includes

Answer 50

administering oral sugar.