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Trauma Review Quiz
| Question | Answer |
|---|---|
| The law which states that an object in motion will stay in motion unless acted upon by an outside source is: | Newton’s First Law |
| An increase in the sympathetic nervous system tone should cause all of the following except: | Miosis |
| During a trauma assessment, when palpating the spine of a patient, you are feeling for the stability of the: | Spinous processes |
| A patient sustained an injury to a bone in which the bone was completely fractured and there were several tiny pieces of bone fragments in the area. You would recognize this as an: | Comminuted fracture |
| At what age would you switch from using START triage to JumpSTART Triage criteria? | Less than eight years of age |
| One of the earliest complaints from a patient who is developing compartment syndrome in an injured extremity is: | Pain that seems disproportionate to the injury |
| Your pt is a 85yo insulin dependent diabetic who has a non-healing wound on his right foot. You note that the pt’s leg is severely discolored, edematous, and is producing a foul odor. Which of the following should you suspect? | Gangrene |
| Which of the following illustrates the appropriate IV fluid therapy regimen for a pt with a suspected internal hemorrhage? | Administer isotonic crystalloid fluids only as necessary to maintain perfusion |
| Which of the following best describes the accumulation of a pocket of blood in the tissues? | Hematoma |
| An elderly pt who has been involved in a traumatic situation may be less likely to exhibit which of the following expected s/s of shock? (Tachycardia, hypothermia, AMS, cardiac arrhythmias) | Tachycardia |
| The most common type of electricity found inside of a family dwelling is: | Alternating current |
| Synarthrosis joints can be found: | In the skull |
| A non-penetrating traumatic injury caused by blunt force that damages capillary blood vessels, causing slight pain and ecchymosis is termed a(n): | Contusion |
| Your patient is a 20yof who is 7 months pregnant. She was the single occupant and was the unrestrained driver of a vehicle that rear ended a parked car. For which of the following injuries should you maintain a high index of suspicion? | Abruptio placentae |
| A critical trauma pt should be reassessed every ____ minutes en route to the trauma center. | Five |
| Which of the following best describes the mechanism of thoracic trauma associated with a patient being in close proximity of the detonation of a bomb? | Compression and decompression of hollow organs inside the body |
| Which of the following receptors are found in the large blood vessels and are critical in maintaining adequate blood perfusion via feedback with the medulla oblongata? | Baroreceptors |
| Which of the following is NOT true regarding pericardial tamponade? | The pt’s systolic blood pressure will increase significantly on inhalation |
| A concussion is best described as which of the following types of brain injuries? | Direct, diffuse |
| Which organs are found in the RUQ? | Liver, large intestine, duodenum, gallbladder |
| The breakdown of severely damaged muscle fibers that releases potential toxins into the blood stream occurring with a crushing injury is termed: | Rhabdomyolysis |
| What is the proper sequence for securing the patient’s body and head to a long backboard? | Secure the body first, then the head |
| For most humans, the spinal cord is continuous from the brain to the level of: | L2 |
| You are treating a patient who is suspected of being severely hypothermic. After the application of the cardiac electrodes to the pt, you find an unusual pattern of a positive deflection at the J point. You quickly recognize this as a(n): | Osborne Wave |
| What classification of burn is characterized by blisters? | Partial-thickness |
| This is defined as a drop in the systolic pressure of at least 15-30mmHg in a pregnant female: | Supine hypotension syndrome |
| Regarding prehospital fluid resuscitation in a patient who is suspected of having a massive TBI, which of the following statements is most correct? | Administer fluids as needed to maintain a systolic BP over 90mmHg |
| As you arrive at the scene of a MVC, you quickly scan the scene for clues to build your index of suspicion. Which would most likely indicate the pt may have sustained a head injury? | Spidering of a windshield |
| As a SCUBA diver descends on a dive, every ______ feet adds another atmosphere of pressure onto their body. | Thirty three |
| What type of blood vessel possess the greatest ability to vasoconstrict? | Arterioles |
| Steady stream of dark blood: | Venous hemorrhage |
| You have a patient who has sustained a gunshot wound to the anterior aspect of the right side of their chest, which has made a sucking chest wound. You would quickly identify this as a(n): | Open pneumothorax |
| What is considered the most common ECG rhythm that a severely hypothermic patient will present with? | Sinus bradycardia |
| What best describes the occurrence and significance of a sternal fracture? | Low incidence, high mortality |
| What is the primary function of the large intestine? | To absorb water |
| The diaphragm receives its nervation from the _____ nerve which branches off the spinal cord between ____ and ____. | Phrenic, C3, C5 |
| A patient has sustained an injury that has caused a spinal cord lesion which has resulted in paralysis of both lower extremities. This condition is known as: | Paraplegia |
| A tool that uses a three by three matrix to help identify risks associated with trauma is the: | Haddon matrix |
| In treating a patient who you suspect is suffering from neurogenic shock, which of the following statements would be FALSE? | Unopposed sympathetic nervous stimulation results in pale, cool, and diaphoretic skin |
| Which of the following are considered par of the appendicular skeleton? (Pick five) Sternum, arm, skull, legs, feet, pelvic girdle, hands, spine, ribs | Arm, legs, feet, pelvic girdle, hands |
| Your patient is a 26YOM who got his right hand caught in a machine press. Upon extrication, there is no evidence of significant trauma. Vital signs are: BP 148/70, P 110, R 18, SPO2 97%. You should: | Splint the hand in the position of function, start an IV of normal saline, consider morphine for analgesia |
| The first phase of a body’s response to a significant burn is known as the _______ phase. This is when there is a release of catecholamines, resulting in tachycardia and tachypnea. | Emergent |
| What gas law is responsible for a SCUBA diver to get the bends if they were to ascend too quickly from a dive? | Henry’s Law |
| The central area of a patient’s thorax that contains the heart, great vessels, trachea, and esophagus is known as the: | Mediastinum |
| What is the primary function of the small intestine? | To absorb nutrients |
| The majority of the blood volume in the human body is contained in the: | Venous system |
| Spinal cord injuries are very rate in the pediatric population, but when they do occur, they happen at: | C2 |
| Which of the following are found in the LLQ? (Select two) Stomach, liver, gallbladder, pancreas, appendix, duodenum, small intestine, large intestine, spleen | Small intestine, large intestine |
| Which of the following soft-tissue injuries would most likely cause a patient to experience a severe hemorrhage? Laceration, complete amputation, avulsion, incision | Avulsion |
| A patient has sustained a nasty burn to his leg and has an area of the burn that he states is painless. This area most likely involves a: | Full-thickness burn |
| You are called to the scene for a 23YO amateur boxer who just finished a sparring event and now is complaining of blurred vision and a reduced field of vision. This pt is most likely suffering from what condition? | Retinal detachment |
| The first process of wound healing is: | Hemostasis |
| Which of the following best explains how a patient with a severe flail segment will rapidly deteriorate? | The ability to generate negative intrathoracic pressure is impaired, leading to hypoventilation |
| Which of the following is the best indicator that a trauma pt has lost the ability to compensate and has now entered into decompensated shock? Hypotension, widening pulse pressure, tachypnea, peripheral vasoconstriction | Hypotension |
| During which phases of a burn injury does extravasation of proteins, water, and electrolytes occur, resulting in edema and potential hypovolemia? | Fluid shift |
| A patient is complaining of a sharp pain in the tip of their left shoulder after being kicked in the abdomen by a horse. You would recognize this as: | Kehr’s sign, and it is indicative of a problem with the patient’s spleen |
| Of the following signs of early shock in a trauma patient, which one is often overlooked and easily missed? | Tachycardia |
| The trachea divides into the right and left mainstem bronchi at the: | Carina |
| Which of the following is more likely to result from anaerobic metabolism secondary to vasoconstriction as a patient attempts to compensate for shock? | Metabolic acidosis |
| Which layer of skin acts as an insulation blanket and protects organs and muscles? | Subcutaneous |
| Which of the following are found in the RLQ? (Pick 3) Pancreas, large intestine, duodenum, small intestine, liver, gallbladder, appendix, stomach, spleen | Large intestine, small intestine, appendix |
| After attempting to defibrillate V-Fib without success in a patient that is severely hypothermic, you would not attempt to defib the patient again until the patient’s core temperate was above: | Eighty six degrees Fahrenheit |
| Which of the following are the two most important prehospital considerations for reducing the possibility of a patient sustaining a secondary brain injury? | Ventilation and maintaining adequate blood pressure |
| Which of the following is a potential complication of overly aggressive positive pressure ventilation in the patient with significant chest trauma? | Reduction of cardiac output |
| What gas law states if a pressure of a gas increases, then the volume of that gas will decrease? | Boyle’s Law |
| The job of tendons in the body is to: | Connect muscles to bone |
| Which of the following would not impair blood clotting in a severely injured trauma patient? Hypothermia, NSAIDs, administration of fluids, administration of TXA | Administration of TXA |
| As a paramedic, which of the following medications would you most likely administer to an adult pt that has sustained a 15%partial-thickness burn to their lower leg? Fentanyl, Tylenol, naproxen, ketorolac | Fentanyl |
| What is the most determining factor that you will assess for when making the decision that this simple pneumothorax has developed into a tension pneumothorax and needs rapid decompression? | The onset of hemodynamic instability |
| The loss of heat that occurs when an object is directly in contact with something that is colder is known as: | Conduction |
| A traction-splint can be utilized for what type of fracture? | Closed, mid-shaft femur fracture |
| A patient has sustained a suspected TBI to the right side of the head. What will most likely result from this injury? | The left pupil will be of normal size, but the right pupil will dilate and become non-reactive |
| What structure in the airway usually takes the brunt of the injury when someone inhales superheated gasses? | Larynx |
| A patient is complaint of pain to the longest bone of his lower leg. You would identify this pt as having a potential fracture to the: | Tibia |
| The part of the CNS that is responsible for temperature regulation is the: | Hypothalamus |
| Which of the following mechanisms is most likely responsible for the accumulation of lactic acid in shock, leading to acidosis? | Anaerobic metabolism |
| Which of the following types of fractures occurs most commonly in pediatric patients? | Greenstick |
| Which of the following are considered part of the axial skeleton? (Pick 5) Legs, xiphoid process, pelvic girdle, mandible, feet, ribs, spine, hands, arm, sternum | Xiphoid process, mandible, ribs, spine, sternum |
Created by:
Stephanie96