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EDN LECTURE FINALS > Trauma Emergencies (CSI, MT, STI) > Flashcards

Trauma Emergencies (CSI, MT, STI) Flashcards

1
Q

True or False: In Hoffman, the test is negative if you’re able to observe quick adduction of the thumb and flexion of the index finger.

A

False; positive

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2
Q

If respirations are shallow, assist with a _____

A

bag valve mask

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3
Q

True or False: Punctures do not cause serious external bleeding but significant internal bleeding.

A

True

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4
Q

Pharmacologic interventions for soft tissue injury

A

Antibiotics
Tetanus prophylaxis
Pain medications

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5
Q

Loading dose of Methylprednisolone

A

30mg/kg IV over 15 minutes

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6
Q

If possible, the injured area should be elevated above the level of the _____

A

heart

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7
Q

Rhinorrhea and otorrhea are indicative of _____

A

CSF leak

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8
Q

It indicates maxilla or mandible fracture

A

Malocclusion of teeth

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9
Q

Always ensure that the patient has a ______ to the dressing.

A

distal pulse

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10
Q

It is the paralysis of all four limbs

A

Quadriplegia

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11
Q

Weakness or paralysis of the diaphragm may occur with lesion ______

A

at or above C4

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12
Q

Facial bones

A

Nasal
Orbital
Maxillary
Mandibular

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13
Q

Caused by a sudden force over the chest and abdomen; there is possible internal bleeding

A

Blunt trauma

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14
Q

Three layers of wound dressing:

A

Contact Layer
Absorbent layer
Outer Wrap

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15
Q

Pressure points to control hemorrhage are:

A

Temporal
Facial
Carotid
Subclavian
Brachial
Radial
Ulnar
Femoral

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16
Q

Palpable flattening of the cheek and loss of sensation below the orbit is indicative of _____

A

zygomatic (cheekbone) fracture

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17
Q

Tear in the skin; can be partial or full-thickness cut. Can be defined as incisional or jagged.

A

Laceration

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18
Q

Rhinorrhea and otorrhea are indicative of _____

A

CSF leak

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19
Q

If the patient needs to be intubated, it may be done _____

A

nasally

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20
Q

STI pts has a potential to develop _____, and may also present with other medical emergencies, so _____.

A

shock; activate EMS

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21
Q

Assessment of soft tissue injury

A

Visible open wounds
May show signs of shock due to blood loss

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22
Q

Wound is allowed to granulate on its own without surgical closure

A

Closure by Secondary Intent

23
Q

Maintenance dose of Methylprednisolone

A

5.4mg/kg/hour infusion to be initiated 45 minutes later; continue infusion for 23 hours

24
Q

As a general rule, irrigate with __________.

A

50ml/inch of wound/hour of age of wound

25
Q

Traumatic cutting or tearing off of a finger, toe, arm or leg

A

Amputation

26
Q

Hoffman’s sign
sensitivity: _____
specificity: _____

A

59%
49%

27
Q

In MFT, examine mouth for ______

A

broken or missing teeth

28
Q

Bleeding beneath the skin into the soft tissue

A

Contusion

29
Q

Occurs when the skin is penetrated by a pointed object; can be penetrating or perforating

A

Puncture

30
Q

These are injuries to the head frequently result in facial lacerations and fractures to the facial bones

A

Maxillofacial trauma

31
Q

Trismus and mobility of the jaw are indicative of _____

A

maxillary fracture

32
Q

A high dose steroid for CSI

A

Methylprednisolone

33
Q

Patient returns in 3 to 4 days for definitive closure.

A

Closure by Secondary Intent with Delayed Closure

34
Q

In MFT, assess eye for _____

A

Potential injury
Vision loss
Diplopia
Pain

35
Q

Injury to the soft tissue
without a break in the skin: _____
with a break in the skin: _____

A

Closed wound
Open wound

36
Q

Crepitus on palpation around nose is
indicative of _____

A

nasal fracture

37
Q

Rhinorrhea and otorrhea are indicative of _____

A

CSF leak

38
Q

Located between the site of injury and the heart where a main artery passes over a bone or underlying muscle.

A

Pressure points

39
Q

These are injuries to the cervical spine due to crushing, stretching, and rotational shear forces exerted on the cord at the time of trauma that can produce severe neurologic deficits.

A

Cervical spine injury

40
Q

Involves a tearing off or loss of a flap of the skin

A

Avulsion

41
Q

Superficial loss of skin resulting from rubbing or scraping the skin over a rough or uneven surface

A

Abrasion

42
Q

The wound is infiltrated with local anesthetic _____ through the wound margins or by regional nerve block.

A

intradermally

43
Q

Hypotension and bradycardia accompanied by warm, dry skin are suggestive of

A

spinal shock

44
Q

True or False: If there is CSF leak, instruct patient not to blow the nose, cough, or sneeze.

A

True

45
Q

Due to inability to constrict peripheral blood vessels and conserve body heat

A

Hypothermia

46
Q

_____ and _____ contribute
further to the loss of spinal cord function

A

Edema; cord swelling

47
Q

It yields the fastest healing

A

Closure by Primary Intent

48
Q

Well-defined pocket of blood and fluid beneath the skin

A

Hematoma

49
Q

Paralysis of the upward gaze is indicative
of _____

A

inferior orbit fracture (blowout fracture)

50
Q

Flicking of the middle finger induces the flexion of the ipsilateral thumb and index finger

A

Hoffman’s sign

51
Q

Persistent erection of the penis

A

Priapism

52
Q

Do not raise a limb if:

A

Fracture is suspected
Pain
Discomfort

53
Q

Primary closure may be done with:

A

Sutures
Skin tapes
Staples
Tissue adhesive

54
Q

Wound dressing
Contact layer: _____
Absorbent layer: _____
Outer wrap: _____

A

Nonabsorbent hydrophilic dressing
Surgical dressing pads
Rolled gauze and tape

EDN LECTURE FINALS (11 decks)

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