Ch21 Practice Questions Flashcards
You are notified that a patient is coming to the first-aid room with bruising to the lumbar area of the back. Based on this statement, you would expect to find bruising in which area?
A) The upper back
B) The neck
C) The lower back
D) The buttocks
You are notified that a patient is coming to the first-aid room with bruising to the lumbar area of the back. Based on this statement, you would expect to find bruising in which area? A) The upper back B) The neck C) The lower back D) The buttocks
Ans: C
Complexity: Easy Ahead: Anatomy and Physiology Subject: Chapter 21 Title: Spine, Brain, and Nervous System Injuries Feedback: 511-512 Objective: 21-3
You respond to an accident at which a male patient is complaining of severe back pain. He informs you that his back pain is coming from a recent fracture of his coccyx. Based on this information, what area of the back would the pain be emanating from?
A) The neck
B) The upper back
C) The lowest part of the spine
D) The lower back
You respond to an accident at which a male patient is complaining of severe back pain. He informs you that his back pain is coming from a recent fracture of his coccyx. Based on this information, what area of the back would the pain be emanating from? A) The neck B) The upper back C) The lowest part of the spine D) The lower back
Ans: C
Complexity: Easy Ahead: Anatomy and Physiology Subject: Chapter 21 Title: Spine, Brain, and Nervous System Injuries Feedback: 511-512 Objective: 21-3
Which of the following signs or symptoms might be evident for an injury to the autonomic nervous system?
A) Vomiting
B) Elevated heart rate
C) Inability to move facial muscles
D) Trouble remembering one’s own name
Which of the following signs or symptoms might be evident for an injury to the autonomic nervous system? A) Vomiting B) Elevated heart rate C) Inability to move facial muscles D) Trouble remembering one’s own name
Ans: B
Complexity: Moderate Ahead: Anatomy and Physiology Subject: Chapter 21 Title: Spine, Brain, and Nervous System Injuries Feedback: 512 Objective: 21-3
A patient was killed immediately following a self-inflicted gunshot wound to the head. Which portion of the central nervous system was most likely damaged in order to cause the rapid death of the patient?
A) The cerebrum
B) The brainstem
C) The cerebellum
D) The meninges
A patient was killed immediately following a self-inflicted gunshot wound to the head. Which portion of the central nervous system was most likely damaged in order to cause the rapid death of the patient? A) The cerebrum B) The brainstem C) The cerebellum D) The meninges
Ans: B
Complexity: Moderate Ahead: Anatomy and Physiology Subject: Chapter 21 Title: Spine, Brain, and Nervous System Injuries Feedback: 512 Objective: 21-1
For a person to make a fist, which of the following must occur?
A) The central nervous system must send a message through the spinal cord and then through the peripheral nerves.
B) The central nervous system must send a message through the spinal cord and then through the autonomic nervous system.
C) The peripheral nervous system must send a message to the brain and then back through the peripheral nervous system.
D) The muscles must signal the brain to send a message through the autonomic nervous system.
For a person to make a fist, which of the following must occur?
A) The central nervous system must send a message through the spinal cord and then through the peripheral nerves.
B) The central nervous system must send a message through the spinal cord and then through the autonomic nervous system.
C) The peripheral nervous system must send a message to the brain and then back through the peripheral nervous system.
D) The muscles must signal the brain to send a message through the autonomic nervous system.
Ans: A
Complexity: Moderate Ahead: Anatomy and Physiology Subject: Chapter 21 Title: Spine, Brain, and Nervous System Injuries Feedback: 512-513 Objective: 21-1
A 68-year-old female patient is complaining of a headache and generalized weakness. Her husband informs you that she was with a friend yesterday and struck her face on the dashboard during a motor vehicle collision. Her past medical history includes a stroke that caused right arm weakness and high blood pressure. When assessing this patient, which of the following findings should concern you the most?
A) A contusion to her left cheek
B) Weakness in the grip of the right hand
C) Bruising behind her left ear
D) A complaint of pain when she moves her jaw
A 68-year-old female patient is complaining of a headache and generalized weakness. Her husband informs you that she was with a friend yesterday and struck her face on the dashboard during a motor vehicle collision. Her past medical history includes a stroke that caused right arm weakness and high blood pressure. When assessing this patient, which of the following findings should concern you the most?
A) A contusion to her left cheek
B) Weakness in the grip of the right hand
C) Bruising behind her left ear
D) A complaint of pain when she moves her jaw
Ans: C
Complexity: Moderate Ahead: Head Soft-Tissue Injuries Subject: Chapter 21 Title: Spine, Brain, and Nervous System Injuries Feedback: 514 Objective: 21-5
Which of the following findings is most consistent with a skull fracture?
A) Bruising behind the ear that develops several hours after the injury
B) Bilateral dilated pupils that do not respond to light
C) A hematoma in the occipital area of the head
D) Altered mental status
Which of the following findings is most consistent with a skull fracture?
A) Bruising behind the ear that develops several hours after the injury
B) Bilateral dilated pupils that do not respond to light
C) A hematoma in the occipital area of the head
D) Altered mental status
Ans: A
Complexity: Moderate Ahead: Head Soft-Tissue Injuries Subject: Chapter 21 Title: Spine, Brain, and Nervous System Injuries Feedback: 514 Objective: 21-6
A mechanical injury to the brain that results in a short-term and/or a long-term neurologic deficit is:
A) a repetitive head injury.
B) a subdural hematoma.
C) neural ischemia.
D) a traumatic brain injury.
A mechanical injury to the brain that results in a short-term and/or a long-term neurologic deficit is: A) a repetitive head injury. B) a subdural hematoma. C) neural ischemia. D) a traumatic brain injury.
Ans: D
Complexity: Moderate Ahead: Brain Injuries Subject: Chapter 21 Title: Spine, Brain, and Nervous System Injuries Feedback: 515 Objective: 21-2
A male soccer player was struck in the head with a soccer ball. Players state that he was dazed for several seconds following the impact and then asked the same questions over and over. He is currently conscious and oriented to person but is confused as to place and time. He also has a reddened area on the side of his head and face. As you proceed with your assessment, his memory continues to improve. Based on these findings, you would suspect which of the following injuries?
A) A concussion/TBI
B) An open head injury
C) An epidural hematoma
D) A cerebral contusion
A male soccer player was struck in the head with a soccer ball. Players state that he was dazed for several seconds following the impact and then asked the same questions over and over. He is currently conscious and oriented to person but is confused as to place and time. He also has a reddened area on the side of his head and face. As you proceed with your assessment, his memory continues to improve. Based on these findings, you would suspect which of the following injuries? A) A concussion/TBI B) An open head injury C) An epidural hematoma D) A cerebral contusion
Ans: A
Complexity: Moderate Ahead: Brain Injuries Subject: Chapter 21 Title: Spine, Brain, and Nervous System Injuries Feedback: 515-516 Objective: 21-6
Your patient is a young female who was thrown from her mountain bike and is now confused. Assessment findings include an open airway, adequate breathing, and a strong radial pulse. Which of the following questions would be the most important to ask her friends who were with her?
A) “Has she ever needed to be hospitalized before?”
B) “Are all of her immunizations up to date?”
C) “Is she allergic to anything?”
D) “Did she lose responsiveness?”
Your patient is a young female who was thrown from her mountain bike and is now confused. Assessment findings include an open airway, adequate breathing, and a strong radial pulse. Which of the following questions would be the most important to ask her friends who were with her?
A) “Has she ever needed to be hospitalized before?”
B) “Are all of her immunizations up to date?”
C) “Is she allergic to anything?”
D) “Did she lose responsiveness?”
Ans: D
Complexity: Easy Ahead: Brain Injuries Subject: Chapter 21 Title: Spine, Brain, and Nervous System Injuries Feedback: 516 Objective: 21-6
You are participating in training OEC candidates and are asked about cerebral contusions. You would explain to the class that a cerebral contusion is:
A) an open skull fracture with increased pressure within the skull.
B) the formation of a pocket of blood within the brain tissue.
C) bruising and swelling of the brain tissue.
D) active bleeding between the brain and the skull.
You are participating in training OEC candidates and are asked about cerebral contusions. You would explain to the class that a cerebral contusion is:
A) an open skull fracture with increased pressure within the skull.
B) the formation of a pocket of blood within the brain tissue.
C) bruising and swelling of the brain tissue.
D) active bleeding between the brain and the skull.
Ans: C
Complexity: Easy Ahead: Brain Injuries Subject: Chapter 21 Title: Spine, Brain, and Nervous System Injuries Feedback: 517 Objective: 21-5
A patient involved in a motor-vehicle collision has suffered the separation of a rib from a spinal vertebra. Based on the anatomy of the spine, where has this injury occurred?
A) The lumbar spine
B) The cervical spine
C) The middle spine
D) The thoracic spine
A patient involved in a motor-vehicle collision has suffered the separation of a rib from a spinal vertebra. Based on the anatomy of the spine, where has this injury occurred? A) The lumbar spine B) The cervical spine C) The middle spine D) The thoracic spine
Ans: D
Complexity: Moderate Ahead: Spine Injuries Subject: Chapter 21 Title: Spine, Brain, and Nervous System Injuries Feedback: 518 Objective: 21-3
A young intoxicated male patient cannot move his lower extremities after diving into the shallow end of a pool and hitting the bottom with his head. Which of the following mechanisms is most likely to be responsible for this injury?
A) Compression
B) Rotation
C) Distraction
D) Penetration
A young intoxicated male patient cannot move his lower extremities after diving into the shallow end of a pool and hitting the bottom with his head. Which of the following mechanisms is most likely to be responsible for this injury? A) Compression B) Rotation C) Distraction D) Penetration
Ans: A
Complexity: Easy Ahead: Spine Injuries Subject: Chapter 21 Title: Spine, Brain, and Nervous System Injuries Feedback: 518 Objective: 21-3
While performing a primary assessment on a patient who has an isolated spinal cord injury, you note that he is in severe respiratory distress and struggling to breathe. Where should you suspect that the spinal cord injury has occurred?
A) The diaphragm
B) The cervical spine
C) The thoracic spine
D) The lumbar spine
While performing a primary assessment on a patient who has an isolated spinal cord injury, you note that he is in severe respiratory distress and struggling to breathe. Where should you suspect that the spinal cord injury has occurred? A) The diaphragm B) The cervical spine C) The thoracic spine D) The lumbar spine
Ans: B
Complexity: Moderate Ahead: Spine Injuries Subject: Chapter 21 Title: Spine, Brain, and Nervous System Injuries Feedback: 518 Objective: 21-3
A primary injury to the central nervous system would be caused by:
A) drowning.
B) a hematoma.
C) a brachial plexus injury.
D) a laceration of the spinal cord.
A primary injury to the central nervous system would be caused by: A) drowning. B) a hematoma. C) a brachial plexus injury. D) a laceration of the spinal cord.
Ans: D
Complexity: Moderate Ahead: Spine Injuries Subject: Chapter 21 Title: Spine, Brain, and Nervous System Injuries Feedback: 518 Objective: 21-3
