QC

Question 1

Check all that are true about a Vascular Spasm

• It occurs after the formation of a platelet plug
• the smooth muscle in the wall of an injured vessel contracts
• is triggered by several chemicals called endothelins
• causes the vessel to draw back into surrounding tissue making it more difficult for a surgeon to locate, clamp and tie off severed vessel

Answer 1

• the smooth muscle in the wall of an injured vessel contracts
• is triggered by several chemicals called endothelins
• causes the vessel to draw back into surrounding tissue making it more difficult for a surgeon to locate, clamp and tie off severed vessel

Question 2

The formulation of a blood clot as part of the hemostasis is called:

• Activation
• Platelet plug
• Fibrin plug
• Coagulation

Answer 2

• Coagulation

Question 3

The initial coagulation pathway that begins with tissue damage

• Extrinsic pathway
• Intrinsic pathway
• Common pathway
• Final pathway

Answer 3

• Extrinsic pathway

Question 4

Physiological process by which bleeding ceases
* Hemophilia
* Platelet Plug
* Hemostasis
* Hemorrhage

Answer 4

• Hemostasis

Question 5

Accumulation and adhesion of platelets at injury site
* Thrombinogin
* Platelet plug
* Thrombin plug
* Blood clot

Answer 5

• Platelet plug

Question 6

Prothrombin is converted to thrombin during the
* Extrinsic pathway
* Common pathway
* Intrinsic pathway
* Final pathway

Answer 6

• Common pathway

Question 7

Hemostasis in surgery can be facilitated by the following methods (choose all that apply)
* Applying pressure
* Using a thermal-based energy device
* Suturing a bleeding vessel

Answer 7

• Applying pressure
• Using a thermal-based energy device
• Suturing a bleeding vessel

Question 8

What are the 3 groups of hemostatic agents? (choose all that apply)
* Hemostat group
* Sealant group
* Adhesive group
* Regenerative group

Answer 8

• Hemostat group
• Sealant group
• Adhesive group

Question 9

Nephro -

Answer 9

Kidney

Question 10

Thoraco -

Answer 10

Relating to the chest cavity

Question 11

Cysto -

Answer 11

Bladder

Question 12

Laparo -

Answer 12

Relating to the abdomen

Question 13

Itis -

Answer 13

Inflammation of

Question 14

Oscopy -

Answer 14

Examination by visualization

Question 15

Pexy -

Answer 15

Surgical repositioning

Question 16

Otomy -

Answer 16

Cutting into

Question 17

Ectomy -

Answer 17

Surgical removal of

Question 18

Adhesion -

Answer 18

Abnormal fibrous joining of organs or structures to each

Question 19

Anastomosis -

Answer 19

Surgical joining of two hollow organs or structures

Question 20

Specimen -

Answer 20

The portion of a structure or organ that has been surgically removed

Question 21

All Level 1 Trauama centers (check all that apply)

• provides public education to surrounding communities (such as a Stop the Bleed course)
• are capable of providing total care for every aspect of an injury from prevention through rehabilitation.
• incorporates a comprehensive quality assessment program
• have access to 24 hour immediate coverage by general surgeons

Answer 21

• provides public education to surrounding communities (such as a Stop the Bleed course)
• are capable of providing total care for every aspect of an injury from prevention through rehabilitation.
• incorporates a comprehensive quality assessment program
• have access to 24 hour immediate coverage by general surgeons

Question 22

Trauma surgeons are only involved in performing emergency procedures on patients, and never see patients during rehabilitation.
* True
* False

Answer 22

• False

Question 23

Uncontrollable bleeding is the #1 cause of preventable death from trauma
* True
* False

Answer 23

• True

Question 24

What are clinical consequences of blood transfusions? check all that apply
* Immunologic response
* Increased risk of infection
* Increased ICU & Hospital stay

Answer 24

• Immunologic response
• Increased risk of infection
• Increased ICU & Hospital stay

Question 25

The chief focus on a Trauma Laparotomy is to identify the greatest threat to the patient's life and alleviate that threat as quickly as possible. * True * False

Answer 25

* True

Question 26

Check all that are true about Blunt Force Trauma * it can cause concussions, lacerations and or fractures * it occurs when the body is struck with an object or force * an example would be internal bleeding after a car accident * an example would be a gunshot wound to the leg

Answer 26

* it can cause concussions, lacerations and or fractures * it occurs when the body is struck with an object or force * an example would be internal bleeding after a car accident

Question 27

What injury was re-created in the Dr. Koko (Hazelton) study? * Aorta * Superior Vena Cava * Retrohepatic Inferior Vena Cava * Retrohepatic Aorta

Answer 27

* Retrohepatic Inferior Vena Cava

Question 28

A study that was performed ONLY on animals and not on humans is called a Pre-Clinical study. * True * False

Answer 28

* True

Question 29

There WAS a statistically significant difference in blood loss between the group where Control+ was utilized vs standard lap pads. * True * False

Answer 29

* True

Question 30

In the GSW case study, the patient arrived to the trauma bay with NORMAL vital signs * True * False

Answer 30

* True

Question 31

According to data on mortality rates in pelvic fractures what % die of bleeding? * 60% * 20% * 39% * 46%

Answer 31

* 39%

Question 32

According to the "Pelvis Pretzel" idea Martin discusses it's common for the pelvis to break on one place * True * False

Answer 32

* False

Question 33

In an open book pelvic fracture a pelvic binder should REDUCE the amount of bleeding because the area a patient can bleed into is reduced * True * False

Answer 33

* True

Question 34

The patient in the GSW case study when into cardiac arrest..... * Shortly after arriving to the trauma bay * During anesthetic induction for a planned trauma laparotomy * During anesthetic induction for a planned arm/pelvis fixation procedure

Answer 34

* During anesthetic induction for a planned arm/pelvis fixation procedure

Question 35

In the Martin case study - upon removing the 6 standard lap pads and replacing them with Control+ the following were true (choose all that apply) * Immediate hemostasis (no blood soaking through) * The patient rapidly stabilized * The transfusion of blood products was halted

Answer 35

* Immediate hemostasis (no blood soaking through) * The patient rapidly stabilized * The transfusion of blood products was halted

Question 36

The benefits of using Control+ in the case study were the following (choose all that apply) * It was the easiest and fastest maneuver that stabilized the patient and controlled bleeding immediately * It spared further dissection into the pelvis to identify the bleeding source * It prevented the patient from needing to go to IR for angioembolization

Answer 36

* It was the easiest and fastest maneuver that stabilized the patient and controlled bleeding immediately * It spared further dissection into the pelvis to identify the bleeding source * It prevented the patient from needing to go to IR for angioembolization

Question 37

What sizes does QuikClot Non-Interventional Products come in? (Choose all that apply) * QuikClot 3x3 * QuikClot 4x4 * QuikClot Roll (3in x 4yds) * QuikClot Z-Fold (3in x 4yds)

Answer 37

* QuikClot 4x4 * QuikClot Roll (3in x 4yds) * QuikClot Z-Fold (3in x 4yds)

Question 38

According to the QuikClot IFU the dressing needs to applied directly to the source of bleeding and holding manual pressure is not necessary. * True * False

Answer 38

* False

Question 39

According to the QuikClot IFU the dressing must be applied to the actual source of the bleeding AND cannot influence hemostasis by being placed in the proximity of the bleed. * True * False

Answer 39

* True

Question 40

What sizes is QuikClot Control+ offered in? * 5x5 * 2x2 * 8x8 * 12x12 * Z-Fold (3 in x 2 yds)

Answer 40

* 5x5 * 8x8 * 12x12 * Z-Fold (3 in x 2 yds)

Question 41

How long can QuikClot Control+ be left in place at wound site? * 12 hours * 24 hours * 48 hours * 6 hours

Answer 41

* 48 hours

Question 42

The binding agent utilized on the the QuikClot Control+ is DIFFERENT than the binding agent for other QuikClot products. * True * False

Answer 42

* True