Chapter 28 Quiz Flashcards
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: Select one: A. hyperflexion. B. axial loading. C. hyperextension. D. distraction.
B. axial loading.
A patient with a head injury presents with abnormal flexion of his extremities. What numeric value should you assign to him for motor response? Select one: A. 2 B. 4 C. 3 D. 5
C. 3
A tight-fitting motorcycle helmet should be left in place unless:
Select one:
A. the patient must be placed onto a long backboard.
B. the patient complains of severe neck or back pain.
C. the helmet is equipped with a full face shield or visor.
D. it interferes with your assessment of the airway.
D. it interferes with your assessment of the airway.
An indicator of an expanding intracranial hematoma or rapidly progressing brain swelling is:
Select one:
A. a rapid deterioration of neurologic signs.
B. an acute increase in the patient’s pulse rate.
C. acute unilateral paralysis following the injury.
D. a progressively lowering blood pressure.
A. a rapid deterioration of neurologic signs.
Common signs and symptoms of a serious head injury include all of the following, EXCEPT: Select one: A. widening pulse pressure. B. a rapid, thready pulse. C. decerebrate posturing. D. CSF leakage from the ears.
B. a rapid, thready pulse.
During your primary assessment of a 19-year-old unconscious male who experienced severe head trauma, you note that his respirations are rapid, irregular, and shallow. He has bloody secretions draining from his mouth and nose. You should:
Select one:
A. assist his ventilations with a BVM.
B. immobilize his spine and transport immediately.
C. pack his nostrils to stop the drainage of blood.
D. suction his oropharynx for up to 15 seconds.
D. suction his oropharynx for up to 15 seconds.
Hyperextension injuries of the spine are MOST commonly the result of: Select one: A. compression. B. falls. C. diving. D. hangings.
D. hangings.
In contrast to a cerebral concussion, a cerebral contusion:
Select one:
A. does not cause pressure within the skull.
B. involves physical injury to the brain tissue.
C. usually does not cause a loss of consciousness.
D. results from a laceration to the brain tissue.
B. involves physical injury to the brain tissue.
Once a cervical collar has been applied to a patient with a possible spinal injury, it should not be removed unless:
Select one:
A. sensory and motor functions remain intact.
B. the patient adamantly denies neck pain.
C. lateral immobilization has been applied.
D. it causes a problem managing the airway.
D. it causes a problem managing the airway.
The central nervous system (CNS) is composed of the: Select one: A. cerebrum and meninges. B. cerebellum and brain. C. brain and spinal cord. D. meninges and spinal cord.
C. brain and spinal cord.
The five sections of the spinal column, in descending order, are the:
Select one:
A. thoracic, cervical, lumbar, coccygeal, and sacral.
B. cervical, coccygeal, thoracic, sacral, and lumbar.
C. cervical, thoracic, lumbar, sacral, and coccygeal.
D. coccygeal, sacral, lumbar, thoracic, and cervical.
C. cervical, thoracic, lumbar, sacral, and coccygeal.
The Glasgow Coma Scale (GCS) is used to assess:
Select one:
A. sensory response, pupil reaction, and heart rate.
B. eye opening, verbal response, and motor response.
C. mental status, eye opening, and respiratory rate.
D. verbal response, eye opening, and mental status.
B. eye opening, verbal response, and motor response.
The ideal procedure for moving an injured patient from the ground to a backboard is: Select one: A. the use of a scoop stretcher. B. the clothes drag. C. the direct patient carry. D. the four-person log roll.
D. the four-person log roll.
What part of the nervous system controls the body's voluntary activities? Select one: A. Central B. Sensory C. Somatic D. Autonomic
C. Somatic
When activated, the sympathetic nervous system produces all of the following effects, EXCEPT:
Select one:
A. dilation of the bronchiole smooth muscle.
B. increase in heart rate.
C. pupillary constriction.
D. shunting of blood to vital organs.
C. pupillary constriction.