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fisdap trauma Flashcards

1
Q

53 yo F hit by car. Unresponsive w/ deformity to the left femur and pelvic instability. Diminished lung sounds on L side. You should?

A

Immobilize long backboard

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2
Q

28 yo M, blunt trauma to R anterior chest. Pale, cool, diaphoretic and responsive to verbal. R 38 and shallow with paradoxical movement. What should you do?

A

02 with positive pressure ventilations

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3
Q

What is the most likely cause of periorbital ecchymosis?

A

Basilar skull fracture

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4
Q

30 yo M shot in mid thigh. Bleeding continues after partner applies direct pressure. You should?

A

Tourniquet

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5
Q

28 yo PT driver motorcycle traveling 45 mph hit parked car. Not wearing a helmet. Supine with copious amount of blood around face. Gurgling and R 4 per min. Most appropriate?

A

Jaw thrust without head tilt

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6
Q

M fell while water skiing. Unconscious. Suspect?

A

Head and spine injury

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7
Q

Appropriate care for amputated extremity?

A

Wrap in dry gauze, seal in plastic bag, and place in cool water

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8
Q

28 yo pt driving motorcycle traveling 45 mph hit parked car. Not wearing a helmet. Supine with copious amount of blood around face. Gurgling and R 4 per min. Most appropriate?

A

Control bleeding

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9
Q

18 yo M holding right shin after sports related injury. Deformity and swelling; pedal pulse present. You should?

A

Apply board splint in position found

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10
Q

Pedestrian hit by car. Pale, cool, and diaphoretic. Oriented to name only and has difficulty breathing. BP 80/40, P 120, R 28 and shallow. 90% SP02. You should?

A

BVM

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11
Q

81 yo F healthcare facility fell out of bed. Nurse suspects hip fracture. Which medication should concern you the most?

A

Coumadin

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12
Q

You are treating a patient with agonal respirations and gunshot wound to the chest. You notice an open skull fracture leaking brain matter. There is no radial pulse, you should?

A

Asses a carotid pulse and assist ventilations

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13
Q

a 45 year old male fell asleep outside while doing yard work. His face and lower legs are bright red with blisters and painful on examination. You should suspect

A

Both superficial and partial thickness burns

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14
Q

a 35 year old patient has fallen and has a deformed right lower leg. The distal extremity is pulseless and the skin is cool and cyanotic. You should

A

Realign the injured extremity

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15
Q

You arrive on scene of a car crash. The driver is alert and complaining of severe chest and abdominal pain. His radial is weak and rapid. Skin is cool, pale, and moist. The patient has a history of cardiac problems. You should?

A

Rapidly extricate onto a long spinal board and transport

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16
Q

47 male shot in back has cool and clammy skin with arm weakness. BP 130/90, P 76, R 24. You should suspect

A

Spinal cord injury

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17
Q

Injury that is most likely to require routine assessment and transport

A

Deformed Wrist Injury

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18
Q

After securing pt on long board, you should immediately assess

A

PMS

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19
Q

23 yo soccer player was kicked in the chest. He is alert with rapid, shallow R and complains of chest pain. Pale, cool, and wet. You should?

A

Non Rebreather

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20
Q

25 yo in R distress after being stabbed in the chest. Blood is bubbling from 2 cm laceration to L chest wall. Lung sounds diminished on L side. You should?

A

Apply occlusive dressing

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21
Q

Early signs of decompensated shock?

A

Low blood pressure

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22
Q

Pt stabbed in RUQ. What organ is injured?

A

Liver

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23
Q

Pt with chemical burn on eye and is wearing contact lenses. You should?

A

Remove contact lenses and administer irrigation solutions

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24
Q

A baseball player was hit by a baseball in the left eye and complains for double vision. What should you do?

A

Restrict spinal movement

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25
Q

First concern with conscious pt who received partial thick burns to the face is treating?

A

airway problems

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26
Q

22 yo F had an accident on moped. She is lying on ground; breathing well. Still wearing helmet. You should?

A

Leave helmet in place while she is stabilized

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27
Q

32 yo M is unconscious after being struck in the head by a baseball bat. Has pulse but breathing is slow. Minor bleeding from a laceration at the left temple. Partner is maintaining manual C-spine stabilization. You should?

A

Measure and apply a rigid c collar

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28
Q

28 yo M is fleeing from police and sustained 1 cm laceration shallow on forearm while climbing a rusted chain link fence. Refusing transport. What should you be concerned with?

A

Infection

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29
Q

Which is an open wound?

A

abrasion

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30
Q

Woman struck in face with softball bat. Unconscious. BP 74/50, P 60, R 8. What do you do?

A

Insert an oral airway and admin 02 via BVM

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31
Q

21 yo football player hit from the side and landed head first onto the ground. Was ambulatory on scene and oriented to name only. Refusing transport and care. What should you do?

A

Ask the team coach for assistance

32
Q

Pt is bruising around the eyes and behind ears. What should you suspect?

A

Basilar skull fracture

33
Q

Pt cut wrist. Wound is bleeding rapidly and is spurting with each heartbeat. Pt most likely severed?

A

Artery

34
Q

Pt presents with pain and bruising to RUQ following motor vehicle collision. You should suspect injury to the?

A

Liver

35
Q

50 yo M has obvious deformed right lower leg after falling from the roof. You notice a tear in the skin over the deformity. What should you do?

A

Realign and splint the leg

36
Q

35 yo driver collided into telephone pole and is unconscious and unresponsive with severe bleeding in the mouth. You should?

A

rapid extrication to long spine board

37
Q

Most important factor with person struck in chest with baseball

A

Speed of the ball

38
Q

75 yo is involved in motor vehicle collision and can’t feel legs. BP is 80/40, P 60, R 24, you should suspect?

A

Neurogenic Shock

39
Q

Pt was stabbed in chest and knife was removed prior to arrival. You notice blood and bubbles leaking from the wound. You cannot find occlusive dressing. You should?

A

Cover wound with plastic wrapper sealed on 3 sides

40
Q

Chest wound, crackling sensation produced by air blowing into surrounding tissues is called subcutaneous ______?

A

Emphysema

41
Q

40 yo M crashed snowmobile, skin cold and pale, BP 198/96, P 48, respiration is slow and irregular. What should you suspect?

A

Traumatic Brain Injury

42
Q

Arrive at motor vehicle collision, pt extricated herself from vehicle and is walking around complaining of neck pain. You should?

A

Immobilize on a backboard

43
Q

42 yo M has metal impaled in lower right leg. Obvious open fracture and no pulse in R foot, what should you do?

A

Stabilize with bulky dressing prior to transport

44
Q

16 yo M complains of extreme pain to chest. You notice his shirt is splashed with battery acid. BP 150/100, P weak, R 24. You should?

A

Remove shirt and flush with saline water

45
Q

38 yo M large bruise LUQ, following motorcycle collision. What should you suspect?

A

Injury to spleen

46
Q

Unresponsive 18 yo F supine, bleeding in mouth from the nose, R20. What should you do?

A

Suction oropharynx

47
Q

Snowmobile rider is thrown 15 ft from vehicle. His finger is deformed and sternum is tender to palpation. Pt states “I think I’ll be okay” and refuses trans. What should you do?

A

Ask if you’re able to assess the pt

48
Q

Treating abdominal evisceration

A

Cover with moist sterile dressing

49
Q

30 yo F was in minor motor vehicle accident. She is standing outside of the vehicle and complains of lower back pain. You should immobilize her using a?

A

Long spine board

50
Q

23 yo M received burns to feet while stomping fire. He is still wearing the shoes. The rubber soles and laces melted together. What do you do?

A

Cut shoe laces and remove shoes

51
Q

40 yo M fell off ladder has a broken leg, and the left knee now bends the wrong way. You should?

A

Check for PMS in the leg

52
Q

24 yo F is unconscious after being struck by a car. She has ineffective breathing and bloody secretions in mouth. You should?

A

Immediate suction oropharynx

53
Q

24 yo M has burns to the eyes, nose and mouth when the radiator cap on his car blew off. Treat for?

A

Respiratory swelling

54
Q

Patient was found dead at the scene. GCS scale?

A

3

55
Q

22 yo M is ejected from the vehicle. He complains of numbness and tingling in his extremities. What should you do?

A

Stabilize cervical spine

56
Q

Appropriate management for an avulsion of the ear

A

Bandage in correct anatomical position

57
Q

32 yo M has sustained facial trauma after falling off the roof. He has snoring respirations. What should you do?

A

Modified jaw thrust

58
Q

4 yo M, arm amputated from farming accident, how should you manage the amputated limb?

A

Seal in plastic bag and place in container of cool water

59
Q

Adult was pinned between 2 vehicles. Pt is conscious but confused and unable to follow directions. Has bruising on both sides of anterior chest, weak carotid pulse, no peripheral pulse, clear breath sounds, distended neck vein. What should you suspect?

A

Pericardial tamponade

60
Q

59 yo M is trapped in the car by broken gas pedal through his foot. He’s gone into cardiac arrest. You should

A

Pull out of car

61
Q

Knife impaled at 4th intercostal space, left sternal border, pulseless and not breathing. You should?

A

Remove knife from chest

62
Q

Pt is bleeding profusely from scalp. You should?

A

apply direct pressure with sterile gauze

63
Q

Pt with JVD, muffled heart sounds, clear breath sounds. You should suspect:

A

Pericardial tamponade

64
Q

Pt suffering from most severe brain injury

A

Unconscious 34 yo with decerebrate posture

65
Q

Cause of bilateral periorbital ecchymosis

A

Basilar skull fracture

66
Q

Pt with 4in stick in their eye. You should?

A

Stabilize with gauze, place paper cup over affected eye, put dressing over the unaffected eye

67
Q

Pt with severe steam burns to the hand and wrist. You should?

A

Remove the watch

68
Q

62 yo M is unresponsive next to a ladder. BP 80/48, P 60, R 24. What should you suspect?

A

Neurogenic shock

69
Q

Pt with several wounds oozing blood. After scene size up, you should?

A

Ensure adequate airway

70
Q

Pt with diminished breath sounds on one side. Chest rise is unequal. You should suspect?

A

Pneumothorax

71
Q

18 yo M fell off skateboard. He struck his head on the concrete and immediately started screaming. Alert and oriented to name only. You should?

A

Immobilize and expedited transport

72
Q

25 yo assault victim is spitting up light pink sputum. Has bright red blood spurting from 2in laceration to L forearm. What should you do?

A

Apply direct pressure to wound

73
Q

An early indicator of shock includes:

A

Tachycardia

74
Q

Patient has a 3 cm laceration above his left eye. It is bleeding profusely you should?

A

Apply several 4x4 dressing to the wound using pressure to hold

75
Q

An altered 24 yr M. stabbed in the abdomen. Sitting, holding contents and complaining of dizziness. He does not want to be touched. Vitals BP 70/40, P 120, R 20 you should?

A

Lay him down and apply a moist dressing

fisdap trauma (5 decks)

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