Chapter 22 - Trauma Overview

Question 1

A young male sustained a gunshot wound to the abdomen during an altercation with a rival gang member. As your partner is assessing and managing his airway, you should control the obvious bleeding and then:
Select one:
A. auscultate bowel sounds.
B. apply a cervical collar.
C. assess for an exit wound.
D. obtain baseline vital signs.

Answer 1

C. assess for an exit wound.

Question 2

During your assessment of a patient with a head injury, you note that he opens his eyes when you pinch his trapezius muscle, is mumbling, and has his arms curled in toward his chest. You should assign him a GCS score of:
Select one:
A. 7.
B. 8.
C. 9.
D. 10.

Answer 2

A. 7.

Question 3

The driver of a sport utility vehicle lost control and struck a utility pole head-on. The driver was killed instantly. The passenger, a young female, is conscious and alert and has several small abrasions and lacerations to her left forearm. Treatment for the passenger should include:
Select one:
A. a focused exam of her forearm.
B. a secondary assessment at the scene.
C. transport to a trauma center.
D. transport to a community hospital.

Answer 3

C. transport to a trauma center.

Question 4

When assessing an elderly patient who fell, it is important to remember that:
Select one:
A. elderly patients who fall usually have a secondary head injury.
B. osteoporosis can cause a fracture that may have resulted in the fall.
C. bilateral hip fractures usually occur when an elderly person falls.
D. any fall in the elderly is considered to be high-energy trauma.

Answer 4

B. osteoporosis can cause a fracture that may have resulted in the fall.

Question 5

When assessing the interior of a crashed motor vehicle for damage, you are gathering information regarding the:
Select one:
A. kinetic energy.
B. mechanism of injury.
C. index of suspicion.
D. potential energy.

Answer 5

B. mechanism of injury.

Question 6

When the speed of a motor vehicle doubles, the amount of kinetic energy:
Select one:
A. quadruples.
B. is not affected.
C. doubles.
D. triples.

Answer 6

A. quadruples.

Question 7

Which of the following injuries would MOST likely occur as a direct result of the third collision in a motor vehicle crash?
Select one:
A. flail chest
B. extremity fractures
C. forehead lacerations
D. aortic rupture

Answer 7

D. aortic rupture

Question 8

While assessing a young male who was struck in the chest with a steel pipe, you note that his pulse is irregular. You should be MOST suspicious for:
Select one:
A. bruising of the heart muscle.
B. underlying cardiac disease.
C. a lacerated coronary artery.
D. traumatic rupture of the aorta.

Answer 8

A. bruising of the heart muscle.