Question 1

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.

Accepted Answer

B. axial loading.

Question 2

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

Accepted Answer

C. 3

Question 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.

Accepted Answer

D. it interferes with your assessment of the airway.

Question 4

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.

Accepted Answer

A. a rapid deterioration of neurologic signs.

Question 5

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.

Accepted Answer

B. a rapid, thready pulse.

Question 6

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.

Accepted Answer

D. suction his oropharynx for up to 15 seconds.

Question 7

Hyperextension injuries of the spine are MOST commonly the result of: Select one: A. compression. B. falls. C. diving. D. hangings.

Accepted Answer

D. hangings.

Question 8

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.

Accepted Answer

B. involves physical injury to the brain tissue.

Question 9

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.

Accepted Answer

D. it causes a problem managing the airway.

Question 10

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.

Accepted Answer

C. brain and spinal cord.

Question 11

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.

Accepted Answer

C. cervical, thoracic, lumbar, sacral, and coccygeal.

Question 12

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.

Accepted Answer

B. eye opening, verbal response, and motor response.

Question 13

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.

Accepted Answer

D. the four-person log roll.

Question 14

What part of the nervous system controls the body's voluntary activities? Select one: A. Central B. Sensory C. Somatic D. Autonomic

Accepted Answer

C. Somatic

Question 15

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.

Accepted Answer

C. pupillary constriction.

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Chapter 29 - Head & Spine Injuries Flashcards

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