assessment of the trauma pt

Question 1

what is true about neck/C spine injuries

Accepted Answer

Penetrating trauma through the platysma should NOT be explored in the ED, Any/all helmets must be removed while maintaining C-Spine immobilization, blunt injury to maxillofacial area are C-Spine injury until proven otherwis, absence of neurological deficit or pain does NOT rule-out C-Spine injury

Question 2

cross table lateral C spine film needs to see all 7 cervical vertebrae and?

Accepted Answer

C7-T1 interspace

Question 3

what is done for the eyes in the secondary survey?

Accepted Answer

check pupil size and reactivity, fundi for hemorrhage, evidence of conjunctival lacerations or penetrating trauma, lens for dislocation, remove contact lenses

Question 4

if pts skin is ashen, grey, white, drained extremities atleast ? % of blood is lost

Accepted Answer

30

Question 5

extension to pain

Accepted Answer

2

Question 6

car accident with frontal impact, bent steering column and starred windshield. think?

Accepted Answer

c spine injury, cnetral flail chest, myocardial contusion, fractured spleen/liver

Question 7

what is the definitive care phase?

Accepted Answer

Operative intervention is done as needed, Comprehensive management is accomplished, Fracture stabilization is obtained, Stabilization and arrangements made for transfer to tertiary center

Question 8

inappropriate verbal response GCS

Accepted Answer

3

Question 9

withdraws from pain

Accepted Answer

4

Question 10

localizes to pain GCS

Accepted Answer

5

Question 11

which is not one of the three conditions that most often compromise ventilation?

Accepted Answer

head injury

Question 12

hypovolemic shock is never treated with vasopressors

Accepted Answer

True

Question 13

eye opening of 3 on glasgow coma scale

Accepted Answer

to speech

Question 14

max score on GCS

Accepted Answer

15

Question 15

which is NOT important history for tauma management

Accepted Answer

family history

Question 16

which is not in the 1:1:1 when resuscitating

Accepted Answer

WBC

Question 17

patent airway ensures adequate ventilation

Accepted Answer

False

Question 18

if no aiway obstruction maxillofacial injuries can wait ? days for treatment

Accepted Answer

7-10

Question 19

hypotension mus be assumed to be hypovolemic until proven otherwise. when >?% of blood volume is gone pt is unconsious

Accepted Answer

50

Question 20

consider TXA (tranexamic acid) an antifibrinolytic drug for?

Accepted Answer

severe hemorrhagic shock

Question 21

why is a rectal exam essential in all secondary surveys

Accepted Answer

presence of pelvic fractures, quality of sphincter tone, integrity of rectal wall, assess for presence of blood in bowel lumen

Question 22

glasgow coma scale is for ? survey

Accepted Answer

secondary

Question 23

what is done in the resuscitation phase

Accepted Answer

foley cath and NG tube, manage life threatening injuries, airway/ventilate/oxygenate, IV lines/warm fluids/blood

Question 24

? episode of hypotension doubles the risk of mortality

Accepted Answer

1

Question 25

side impact in car accident think?

Accepted Answer

lateral flail chest, pheumothorax, fractured pelvis or acetabulum, contralateral neck sprain or cervical fracture, acceleration injury to aorta

Question 26

flexion to pain

Accepted Answer

3

Question 27

which is more important

Accepted Answer

airway management

Question 28

carotid and femoral pulse present <?% loss of blood

Accepted Answer

50

assessment of the trauma pt

Questions 28

assessment of the trauma pt

Questions 28