Trauma review - Questions I got wrong Flashcards
You respond to a 49-year-old male who was burned while working under his car. He suffered burns to his face and entire abdomen/chest. What percentage of his body surface area was burned?A.22.5 percent
B. 49 percent
C. 36 percent
D. 10 percent
A.22.5 percent
Explanation:
You can throw the 49 percent answer out right away because the stomach and face do not represent half of the body surface area. Using the rule of nines, you know that the head is 9 percent and we need half of that for just the face. You also know that the anterior and posterior torso are each 18 percent, but we just need the anterior part. 4.5 + 18 = 22.5 percent.
You respond to a drowning victim who is face down in waist-deep, still water. The first thing you should do is?
A. Remove the patient from the water
B. Apply the head-splint technique
C. Ensure airway and breathing
D. Roll the patient over
B. Apply the head-splint technique
Explanation: You should do all of these things, but the first thing to do is apply the head splint. You can then roll the patient over and ensure breathing. The last thing you would do in calm, shallow waters, is remove the patient from the water
You are treating a patient who was rescued from a house fire and sustained multiple burns. Following assessment, you note burns to the anterior torso, back, right leg, and left forearm. By rule of nines, what percentage of the patient’s body surface area is burned?
A. 63%
B. 54%
C. 58.5%
D. 8.5%
C. 58.5%
Explanation:
Anterior torso: 18%, right leg: 18%, back: 18%, left forearm: 4.5%. Expect to see questions concerning the rule of nines for both adults and pediatrics.
Any patient whose injury relates to carbon monoxide poisoning or scuba diving should be sent to a facility with what specialty service?
A. Hyperbaric oxygen chambers
B. Hyper-oxygenation capabilities
C. Level 1 trauma centers
D. Burn centers
A. Hyperbaric oxygen chambers
Your patient struck his head on the ground after falling while skiing. His brother tells you that he appeared to be okay, but wanted to rest. Two hours after the fall his brother called 911 because he could not wake the patient. When you arrive, while assessing the patient you find “Cushing’s Reflex”. This response is characterized by?
A. Decreased BP, increased HR, and decreased respirations
B. Increased BP, increased HR, and increased respirations
C. Increased BP, decreased HR, and erratic respirations
D. Decreased BP, decreased HR and erratic respirations
C. Increased BP, decreased HR, and erratic respirations
Explanation: Cushing’s Reflex is characterized by increased BP, bradycardia, and erratic respirations and indicates increased intracranial pressure. Seen together, it’s indicative of increased intracranial pressure.
You respond to a multi-vehicle accident. On arrival you notice starring to one of the vehicle’s windshield. No airbags were deployed leading you to suspect the starring was caused by?
A. The patient’s head
B. Extrication efforts
C. Another vehicle
D. A foreign object
A. The patient’s head
What color tag should a person with altered mental status receive during triage?
A. Red
B. Yellow
C. Green
D. Black
A. Red
Your 4-year-old patient has sprained her ankle. You should?
A. Immediately transport the patient to the hospital
B. Treat it as a fracture and immobilize accordingly
C. Elevate the injury and administer a mild pain reliever
D. Apply ice and advise her not to apply pressure to the area until it heals
B. Treat it as a fracture and immobilize accordingly
You have been dispatched to a motor vehicle crash involving multiple vehicles on a busy highway with no center median. As you arrive, you notice that traffic in the opposing lanes is still moving. A power pole is leaning after being hit head on by a vehicle. Lines appear to be down near the car, but are not arcing. One vehicle is on its side, but the occupants have crawled out. Another vehicle appears to have at least two entrapped occupants. Which of the following is least important as your assessing your scene safety?
A. Traffic moving past the crash
B. Unstable vehicle on its side
C. Downed power lines
D. Multiple patients entrapped
D. Multiple patients entrapped
You and your partner respond to a 58-year-old female patient who had a coronary artery bypass graft (CABG) surgery three days ago. The patient is anxious and complains of difficulty breathing and weakness. Her blood pressure is 108/89, RR 30, pulse is 120. You notice she has jugular vein distension while sitting upright. Her lung sounds are clear on both sides but heart tones are muffled. What do you suspect is going on with this patient?
A. Cardiac tamponade
B. Sepsis
C. Pericarditis
D. Pneumothorax
A. Cardiac tamponade
What is the most common route of entry for toxic exposure?
A.Ingestion
B. Injection
C. Inhalation
D. Absorption
A.Ingestion
You respond to an ice rink for a 13-year-old male that has fallen down and injured his ankle. When you arrive on scene, you note the patient is still wearing his skates. Your next course of action is to?
A. Remove skates only if patient complains of loss of sensation
B. Leave the skate on the affected side to help immobilize the ankle
C. Remove both skates to assess, and compare
D. Remove the skate from the injured side, to assess
C. Remove both skates to assess, and compare
Which of the following organs is not an intraperitoneal organ?
A. Duodenum
B. Ileum
C. Spleen
D. Liver
A. Duodenum
Which of the following physiological parameters is not considered during a triage assessment?
A. Respiratory rate
B. Pupil size
C. Mental status
D. Pulse
B. Pupil size
Your patient is a 21-year-old male involved in a skiing accident. Bystanders tell you he lost control while skiing and crashed into a ski lift pole. After a thorough physical examination, you determine he is breathing adequately. All of the following are signs of adequate breathing, except?
A. Audible breath sounds on both sides of the chest
B. A regular pattern of inspiration and expiration
C. Normal rate and depth
Asymmetrical rise and fall on both sides of the chest
D. Asymmetrical rise and fall on both sides of the chest
D. Asymmetrical rise and fall on both sides of the chest
You are treating a 68-year-old female with chest pain. The patient says it feels like an “elephant is sitting on her chest” and there is a burning throughout her chest. She cannot locate specifically where the pain is in her chest. What type of pain is the patient experiencing?
A. Visceral
B. Organ
C. Somatic
D. Referred
A. Visceral
All of the following are contraindications for the use of the Combitube except?
A. Patient has severe facial trauma
B. Patient has a strong gag-reflex
C. Patient ingested hydrofluoric acid
D. Patient is 14 years old
A. Patient has severe facial trauma
You are the first unit called to the scene of an MCI from a suspected carbon monoxide poisoning at a school after all the students were gone for the day. You have 2 unresponsive patients that are breathing, with no signs of trauma. Two more patients are ambulatory, conscious and alert, with no injuries. One last patient on the ground is speaking in inappropriate words. The triage tags you should apply are?
A. 3 red, 2 green
B. 3 yellow, 2 green
C. 2 red, 1 yellow, 2 green
D. 2 black, 2 green, 1 yellow
A. 3 red, 2 green
Upon delivery, how do you suction a newborn’s airway?
A. Mouth first, nose second
B. Rub the child’s foot, to stimulate the coughing reflex
C. Nose first, mouth second
D. Using an infant-sized, French catheter, and not more than 5 seconds
A. Mouth first, nose second
Patients suffering from excited delirium syndrome may have which of the following?
A. Bradycardia
B. Hot, dry skin
C. An abnormal tolerance to pain
D. Drowsiness, lethargy
C. An abnormal tolerance to pain
You are the third arriving apparatus to a motor vehicle crash with multiple vehicles involved. It is a Tuesday night with heavy traffic in both directions. Upon your arrival, what is the best safety practice in regards to your apparatus lights?
A. Leave the emergency lights on, but turn off the headlights to avoid blinding oncoming traffic
B. Turn off all of the lights to reduce the possibility that another driver will hit the apparatus
C. Turn off all of the emergency lights, but leave the headlights on
D. Turn on all lights to illuminate the scene and make sure all vehicles see your apparatus
A. Leave the emergency lights on, but turn off the headlights to avoid blinding oncoming traffic
You respond to a 5-year-old female with circumferential burns to both arms. What percentage of her body is burned?
A. 18%
B. 45%
C. 36%
D. 27%
A. 18%
Pleural fluid is found between the: A. Visceral and Parietal Pleurae B. Parietal Pleura and the heart C. Visceral pleura and the lung D. Parietal pleura and the chest wall.
A. Visceral and Parietal Pleurae
Patients with abdominal pain may prefer to:
A. lie on their side with their knees drawn into the abdomen
B. Sit in a semi fowler position with their knees slightly bent
C. Lie in a supine position with their knees in a flexed position
D. Sit fully upright because it helps relax the abdominal muscles
A. lie on their side with their knees drawn into the abdomen
