3 review - wahid

Question 1

after applying direct pressure to a wound and applying the tape, what is next

Answer 1

checking distal pulse

Question 2

patient with epistaxis, requires backboarding. what is your greatest concern?

Answer 2

airway management

Question 3

ptnt with tension pneumothorax progressing. still getting air into unaffected lung. why is it critical to reverse this?

hypovolemic chock
cardiogenicshock
respiratory shock
obstructive shock

Answer 3

obstructive shock

Question 4

16 yo ptnt, was skateboarding and pain in rt forearm after hitting mailbox.
arms swollen, bruised, no deformity or open injury.
which best describes this injury?

open forearm may need surg

ptnt has closed humerus fracture that is stable (incorrect)

this is a crush type inj that will have complications

Question 5

ptnt with jaw and back pain and new onset of irreg HR. which best describes ur findings:

irreg HR indicates resp issues

back and jaw pain with irreg HR indicates high BP issues

ptnt is at risk of going into cardiac arrest and may need CPR

Answer 5

ptnt is at risk of going into cardiac arrest and may need CPR

Question 6

earliest signs of inadequate ventilations:

anxiety/decreased LOC

poor skin color

increased RR

increased capillary refill time (incorrect)

Answer 6

A.

Question 7

U trauma ptnt. head on MVC that took place 20 mins ago. multiple deep lacerations starting to bleed less, likely why?

clots starting to form (incorrect)

bodys finally able to compensate

ptnt in end stages of shock

wounds most likely venous injuries

Answer 7

ptnt in end stages of shock

Question 8

ptnt with suspect Heart attack denies dyspnea . no med history. SAO2 89%. howshould u admin O2?

6L nasal cann

dont give o2

12-15L non rebreather (incorrect

4L nasal

Question 9

ptnt vomiting lots of bl.
first vitals are pulse 100 RR24 , BP 150/64.
second vitals pulse 122, RR 28, BP 150/64.

this trend is consistent with:

irreversible shock

decompensated shck

early obstructive shck (incorrect)

compensated shock

Question 10

which has highest risk of air embolism:

lacerated carotid artery (incorrect

lacerated jug vein

lacerated femoral artery

lacerated popliteral vein

Question 11

5yo ptns fell off roof, struck his head on the way down. which treatment most useful:

A. put ptnt on side until transport arrives to prevent complictns from vomit

B. use padding along the side of the ptnt when immobilizing to a blackboard

C. elevate the feet of the pt to reduce brain swell

Answer 11

B

Question 12

earliest signs of inadeq ventilation:

A. increased capillary refill time

B. poor skin color

C. anxiety or decreased LOC

Answer 12

C.

Question 13

ptnt with rotated leg laterally after a fall, most likely indicates what inj:

Answer 13

hip fracture

Question 14

allows you to differentiate betwn pneumothorax and hemothorax:

BP

chest percussion

lung sounds

Answer 14

chest percussion

Question 15

suspected heart attack, ptnt denies dyspnea, healty no med history. SAO2 is 89%. how should u admin O2:

12-15L Non rebreather
4L nasal cannula
6L nasal cannula

Answer 15

4L nasal cannula

Question 16

burn ptnt with full thickness to chest and abd, diff breathing, burning process stopped. which treatment best after giving o2?

Answer 16

covering w/a dry, sterile burn sheet.
(instructor says burn sheet is the answer for the written tests, but not ideal in the field they tend to fall apart/be expired so MD doesn’t use them)

Question 17

ptnt jogging, burning and pain at bottom of foot. has been ongoing 4 weeks. can’t put weight on it, likely:

arthritis

stress fracture

chronic sprain

non traumatic inflammation

Answer 17

non traumatic inflammation
(burning is the key here)