Bleeding
Which of the following fractures has the greatest potential for internal blood loss and shock?
A.Pelvis
B.Femur
C.Hip
D.Humerus
pelvis
Name the 3 classic signs of a tension pnuemothroax.
JVD, tracheal deviation, hypotention
additional signs: respiratory distress; absent lung sounds on one side
An unresponsive trauma patient has a large open abdominal wound with massive external bleeding. You should first:
apply direct pressure to the wound
XABC in cases of severe external hemorrhage
Which airway technique is most appropriate for opening the airway of a patient with a suspected spinal injury?
jaw thrust manevuer
A partial-thickness burn involves the outer layer of skin and a portion of the:
dermal layer
You arrive at the home of a 50-year-old female with severe epistaxis. As you are treating her, it is most important to recall that:
A.a detailed exam is needed to determine the cause.
B.many medications interfere with blood clotting.
C.the patient might be significantly hypertensive.
D.the patient is at risk for vomiting and aspiration.
the patient is at risk for vomiting and aspiration
During your assessment of a patient with blunt chest trauma, you note that the patient has shallow breathing and paradoxical movement of the left chest wall. You should:
assist ventilation with a BVM
Which organ is at most risk for injury as the result of a pelvic fracture?
bladder
You should be most suspicious that a patient has experienced a significant head injury if his or her pulse is:
slow
The mastoid process is located where?
1 inch posterior to the external opening of the ear.
the liver
Subcutaneous emphysema occurs when:
air is escaping into the chest wall from a damaged lung
A 33-year-old male sustained an abdominal evisceration to the left lower quadrant of his abdomen after he was cut with a large knife. After appropriately managing his ABCs and assessing him for other life-threatening injuries, how should you care for his wound?
Cover it with moist, sterile gauze and secure with an occlusive dressing.
A patient with a head injury presents with abnormal flexion of his extremities. What numeric value should you assign to him for motor response?
3
Coordination of balance and body movement is controlled by:
A. brain stem.
B. medulla.
C. cerebrum.
D. cerebellum.
cerebellum
1 L
A 19-year-old male is unresponsive, apneic, and pulseless after being struck in the center of the chest with a softball. Based on the mechanism of injury, what most likely occurred?
A. Collapse of both lungs due to fractured ribs that perforated the lung tissue and caused cardiac arrest
B. Ventricular fibrillation when the impact occurred during a critical portion of the cardiac cycle
C. Fracture of the sternum that caused a rupture of the myocardium and led to a cardiac dysrhythmia
D. Asystole secondary to massive intrathoracic hemorrhage due to traumatic rupture of the aorta
Ventricular fibrillation when the impact occurred during a critical portion of the cardiac cycle
Commotio cordis
Which of the following statements regarding rebound tenderness is correct?
A.It should be assessed for by vigorously palpating the abdomen.
B.The absence of rebound tenderness rules out intra-abdominal injury.
C.It is often discovered when the patient is jarred or moved suddenly.
D.Rebound tenderness is a specific sign found with a spleen injury.
It is often discovered when the patient is jarred or moved suddenly.
The term "hyphema" means what?
blood in the anterior chamber of the eye
A fracture caused by minimal force that is associated with diseases such as cancer and osteoporosis is called a __________ fracture.
A.comminuted
B.pathologic
C.transverse
D.greenstick
pathologic
A patient is bleeding severely from a severed femoral artery high in the groin region. Which of the following would most likely control the bleeding?
A.Position the patient with his injured side down.
B.Apply chemical ice packs to the wound and transport.
C.Apply a pelvic binder device to stabilize the pelvis.
D.Apply a topical hemostatic agent with direct pressure.
apply a topical hemostatic agent with direct pressure
Which nerves supply the diaphragm?
phrenic nerves
In what case or type of injury is peritonitis likely to occur?
hollow abdominal organs are damaged and spill their contents
In the setting of a head injury, hypertension, bradycardia, and Biot respirations indicate:
A. an underlying skull fracture.
B. decreased cerebral blood flow.
C. herniation of the brain stem.
D. internal bleeding in the chest.
herniation of the brain stem (Cushings Triad = increased ICP)
A man jumped from the roof of his house and landed on his feet. He complains of pain to his heels, knees, and lower back. This mechanism of injury is an example of:
A. hyperextension.
B. distraction.
C. axial loading.
D. hyperflexion.
axial loading