WFR Recertification Exam (ONLINE)

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After taking a course to recertify your WFR, the following exam is required.

Pass the WFR Recertification Exam with at least a 70% score.

Your score and results will be emailed to you upon completion.

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First and Last Name

1. Shock, or hypoperfusion, describes a state of:

4 points

A. hypotension.

B. hypoxia.

C. inadequate tissue perfusion.

D. irreversible system collapse.

Clear selection

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

4 points

A. Administering oral sugar.

B. Administering epinephrine to mobilize the patient’s glycogen reserves.

C. Administering the patient’s insulin in low doses.

D. Administering nothing to the patient.

Clear selection

3. You are snowshoeing by yourself in a very remote area. You come across an adult patient who is unconscious, breathing adequately, and has a pulse. On your secondary exam you find a large bruise on the right side of his head. You need to go get help. The patient should be positioned

4 points

A. In the shock position.

B. In the supine position.

C. In the prone position.

D. In the recovery position.

Clear selection

4. A suspected Traumatic Brain Injury (TBI) can cause:

4 points

A. Urination to promote fluid loss and reduce swelling.

B. Swelling and increased intracranial pressure.

C. Slowing of the brain metabolism to reduce oxygen need.

D. Shunting of fluid to the chest and abdomen to reduce swelling.

Clear selection

5. You have a patient with superficial and partial thickness burns to their hands and wrists. you use the palm method to estimate the percentage of Total Body Surface Area (TBSA) burned. The palm of the patient’s hand equals about

4 points

A. 1% TBSA

B. 2% TBSA

C. 3% TBSA

D. 4% TBSA

Clear selection

6. Which of the following statements regarding angina are correct?

4 points

A. You should always assume a patient with chest pain is experiencing angina.

B. Angina pain typically lasts at least 30 minutes.

C. Angina usually occurs during physical activity or stress.

D. First responders can administer naloxone to reduce pain from angina.

Clear selection

7. You are hiking in a very cold, wind-driven snow environment. What would be the signs and symptoms that one of the people in your group is experiencing severe hypothermia?

4 points

A. Shivering and stumbling.

B. No shivering, inability to walk.

C. A mumbling fumbling person.

D. Lethargy and apathy.

Clear selection

8. Your patient was trail biking and went off the trail and hit a tree. The patient is experiencing facial trauma and now complains of double vision. On your exam you note deformity around the left eye. You should suspect a(n)

4 points

A. Orbital fracture.

B. Corneal abrasion.

C. Mandibular injury.

D. Mastoid fracture.

Clear selection

9. Common early signs and symptoms of non-freezing cold injury

4 points

A. Paradoxical warm extremities.

B. Numbness and decreased sensation.

C. Cold hard tissue.

D. Blisters.

Clear selection

10. A climber has fallen approximately 50 feet and hit the ground very hard. You have completed the primary assessment on this unresponsive multi-system trauma patient. Which of the following should be done next?

4 points

A. Obtain a patient history.

B. Manage any secondary injuries.

C. Obtain baseline vital signs.

D. Write your SOAP note.

Clear selection

11. If a patient’s blood glucose level exceeds 200 mg/dL, which of the following is most likely to happen?

4 points

A. Increased thirst and urinary output.

B. Vomiting.

C. Sudden loss of consciousness.

D. Decreased respirations.

Clear selection

12. Which of the following statements about exercising in hot and humid conditions is false?

4 points

A. Alcohol, antihistamines, anti-depressants and amphetamines can contribute to heat illness.

B. Heat illness can be the result of cumulative heat exposure over several days if the patient did not to rest, hydrate, or cool off.

C. Acclimation to hot environments is recommended.

D. Overhydration can prevent heat illness.

Clear selection

13. The patients conditioning is worsening with a progressive collapsing of lung tissue due to accumulation of air in the thorax is known as a

4 points

A. Simple pneumothorax.

B. Hemothorax.

C. Pulmonary embolism.

D. Tension pneumothorax.

Clear selection

14. You are assessing a patient who was struck in the head by a falling rock. The patient was not wearing a helmet. Witnesses state the patient experienced a brief loss of consciousness and then woke up. You notice the patient’s LOC is now deteriorating. You should be most concerned about

4 points

A. Increasing intracranial pressure.

B. A concussion.

C. An orbital fracture.

D. Battle’s sign.

Clear selection

15. Your 54-year-old tent companion wakes up in the middle of the night with chest pain, shortness of breath, anxiety, nausea, and pale, cool, skin. Your treatment includes:

4 points

A. Walking the patient to the nearest evacuation point.

B. Withhold any further medication.

C. Suggest the patient take an adult aspirin.

D. Treating the patient with your personal nitroglycerin.

Clear selection

16. A patient in compensatory shock:

4 points

A. Should be treated with epinephrine by auto-injector.

B. Is compensating for the injury and does not need treatment.

C. Maintains adequate perfusion with vasoconstriction, increased HR and RR.

D. Will have a slow HR and RR and altered mental status.

Clear selection

17. You are hiking up a steep trail on a hot humid day. A group of hikers in front of you are gathered around a 17-year-old complaining of a headache. You go to help the patient and you notice their breathing is shallow and weak, and the patient’s skin is hot and dry to the touch. People hiking with this patient state he has been vomiting and could not walk any further. This patient appears to be suffering from

4 points

A. Heat cramps.

B. Heat exhaustion.

C. Heatstroke.

D. Dehydration

Clear selection

18. A climber was reaching for a grab point on a bright sunny day and felt a sharp pain on the hand. As the climber pulled themselves up, they saw a snake pull back into the rocks. You examine the patient’s hand, you see two holes on one side of the hand that resemble a snake bite. Your treatment for this patient would include:

4 points

A. Keeping the patient calm, removing any jewelry, and applying a constricting wrap.

B. Keeping the patient calm, removing any jewelry, and applying a cold compress to the site

C. Keeping the patient calm, applying a cold compress to the bite, and applying a constricting wrap.

D. Keeping the patient calm, removing any jewelry, making an X cut on the wound site, and sucking the venom out.

Clear selection

19. A dirt biker went off the trail and into a bunch of trees. You get to the rider and see bright red blood spurting out of a wound on their wrist. You immediately apply direct pressure to the wound and a pressure dressing. The bleeding is not stopping. What would you do next?

4 points

A. Maintain pressure and elevate the arm above the level of the heart.

B. Continue to apply direct pressure till the bleeding stops.

C. Apply a tourniquet over the wound.

D. Apply a tourniquet 2” to 3” above the laceration.

Clear selection

20. You are treating a patient who has a possible spinal injury after falling approximately 15 feet. The patient is warm and dry to the touch. Vital signs are pulse of 80, respirations of 20 and the patient has bilateral radial pulses. When you reassess the patient’s vital signs five minutes later, the pulse and respirations are the same, but now you do not have bilateral radial pulses and no injuries found on the upper extremities. You now suspect this patient is suffering from

4 points

A. Cardiogenic shock.

B. Psychogenic shock.

C. Neurogenic shock.

D. Hypovolemic shock.

Clear selection

21. The two-person ratio of chest compressions to ventilations for an adult patient is

4 points

A. 4:1

D. 15:2

C. 30:2

D. 5:1

Clear selection

22. Typically, which of the following is NOT one of the first things a WFR should do when on the scene of an incident?

4 points

A. Assess the scene for hazards.

B. Assess the patient’s ABC’s.

C. Note the number of patients.

D. Note the possible mechanism of injury.

Clear selection

23. One of the people on the trip you are leading comes and gets you for a 21-year-old who is having a seizure. You arrive and the patient’s friend tells you this is the third seizure, and the patient has not regained consciousness between the seizures. This is known as

4 points

A. aura.

B. postictal.

C. epilepsy.

D. status epilepticus

Clear selection

24. You are ski patrolling, and you are dispatched for a skier off the trail. You arrive on scene, and you have an approximately 20-year-old patient lying on the ground. Upon examination you noticed blood soaked through the patient’s shirt. When you open the shirt, there is frothy blood at the opening of the wound and you hear a sucking sound. Your initial reaction should be to

4 points

A. place your gloved hand over the wound.

B. put your finger into the wound.

C. to note the injury and continue with your assessment.

D. apply a sterile dressing.

Clear selection

25. The scene of an incident you are working in suddenly becomes dangerous. Your initial reaction should be

4 points

A. to take cover and conceal yourself.

B. to flee the scene to a safe area.

C. take all your medical equipment and slowly back out.

D. none of these are appropriate.

Clear selection

A copy of your responses will be emailed to the address you provided.

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