Ch 30-39 Test Review Flashcards

(88 cards)

1
Q

produce oil that coats the hair and skin

A

Sebaceous glands

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2
Q

produce and secrete sweat

A

Sweat glands

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3
Q

Where do you find dead skin cells, keratin, melanin granules?

A

Epidermis

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4
Q

Where do you find nerve endings, blood vessels, sweat glands, hair follicles, and sebaceous glands?

A

Dermis

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5
Q

What is the outer most layer of the skin?

A

Epidermis

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6
Q

What is the layer of the skin under the epidermis?

A

Dermis

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7
Q

What layer of skin is between the muscle and dermis, fatty layer?

A

Subcutaneous

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8
Q

What is the reason systolic increases in pt w/ massive head injury?

A

The production of catacholimines (epi, nor-epi) that results in vasoconstriction

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9
Q

What would you expect to find in pt w/ an injury from a vascular structures within ABD

A

Initially a normal ABD assessment, identified by unexplained shock/ shock that is out of proportion to pt injury’s

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10
Q

absence of breath sounds, unilateral chest rise, pulses paradoxus, tachy- w/ progression into V-tach/v-fib, JVD, Narrow pulse pressure, tracheail deviation
Are S/S of what?

A

tension pneumo

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11
Q

Becks triad, (hypotension, jvd, muffled heart sounds), electrical alterans, narrow pulse pressure, equal breath sounds
Are S/S of what?

A

pericardial tamponade-

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12
Q

open, bubbling wound, tachycardia, tacyphena, restlessness, diminished breath sounds, hyperresonant sounds
Are S/S of what?

A

open pneumo-

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13
Q

decompensated shock, hypoxia, agitation, anxiety, tachypnea, dyspnea, trachea diveation, hemopytisis, dullness upon percussion

A

Hemothorax

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14
Q

How to calculate MAP?

A

(Diastolic x 2) + systolic. THEN divided by 3

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15
Q

How to treat epistaxis?

A

Pinch nose, lean forward, maintain airway

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16
Q

Common cause of shock and death in trauma pt

A

Hypovolemia

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17
Q

Treatment for cornea abrasions & retinal detachments?

A

Supportive Care

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18
Q

Treatment for an Orbital Injury?

A

supportive care, if eyes something, cover one eye and bandage both

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19
Q

Treatment for Chemical eye exposure

A

Flush with a lot of water. Minimum 5 min, remove contacts after initial flush

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20
Q

S/S of basilar skull fx

A

CSF drainage from ears and nose, Raccoon eyes & battle signs

CSF will have elevated reading of glucose

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21
Q

Which of the follow is the most important intervention for the pt with increasing intracranial pressure?

A

Ventilations

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22
Q

Treating pt’s w/ electrical shock from high volt electric line

A

Outside of ABC’s, Most important is fluid resuscitation

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23
Q

Shock that is a widespread dialation of blood vessels

A

Distributive

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24
Q

Shock that is blockage of blood flow

A

Obstructive

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25
Shock that is a blockage in heart
Cardiogenic
26
Shock that is fluid loss
Hypovolemic
27
Shock that is d/t spina cord injury
Neurogenic
28
Shock that is vasodialation from allergic reaction,
Anaphylactic
29
Shock that is sudden nervous system reaction
Psychogenic
30
Shock that is from systemic infection, fever,
Septic
31
You called to the scene of a pt who was thrown from a vehicle and on approach you see has a severely lacerated left arm with moderated venous bleeding, which of the following do you do first.
Ax for life threats
32
Which of the following injures may present w/ dysp, anxiety, jvd, tracheal deviation?
Tension Pneumonia
33
Which of the following has the greatest kinetic energy. 5lbs ball w/ greater speed i think it was at like 20 or 40 mph
Kinetic energy= mass divided by 2 plus velocity
34
What type on injuries accounts for majority of MVC fatalities
Head injuries
35
Patho of Decreasing pulse pressure in hemorrhagic shock is d/t to what?
decreased blood volume, causes a decrease in returning blood to
36
Know to treat conscious pt with pelvis trauma Appropriate ax for type of injury
Application of pelvic binder and IV fluids(NS or LR)
37
Reason for icp from TBI’s?
Tissue edema
38
Which of these best explains the path of physiologic reason of a low systolic b/p with a tension pneumo
Reduction in cardiac output d/t increased intrathoracic pressure causing compression of the heart and inferior vena cava. (Decreased preload)
39
Vasoconstriction
40
How to treat superficial burns
Stop the burning process, relive pain. Careful to cool the burn, but not the whole pt. No ointments/creams/salves. Transport in position of comfort.
41
How to treat partial thickness burns
Cool the burn, do not pop blisters, elevate extremity to prevent edema, pain control.
42
Full thickness burns
Dry dressing, fluid resuscitation, pain management if needed.
43
crush syndrome w/ trapped are, unable to medicate or run fluids
TQ
44
What’s the reason a pt’s b/p increased with a closed head injury.
Vasoconstriction
45
L shoulder pain, Kehr sign, is an indication of what?
spleen, diaphragmatic injuries
46
What would you expect to find for AX findings for pt’s w/ injured kidneys
Pain upon inspiration in the abdomen and flank areas, and hematuria
47
In traumatic asphyxia what causes petechiae
D/t massive increase in the major veins of head,neck , and kidneys, then passes into the capillary beds and causes them to rupture.
48
What do you think would receive the most damage from chemical burns?
The eye
49
What stage of shock is multisystem organ failure?
Irreversible
50
What stage of shock presents with hypotension, ams, Bradycardia, irregular respiration, ashen skin?
Decompensated
51
What stage of shock presents with normal b/p, tachycardia, pale cool clammy, anxiety, sense of impending doom?
Compensated
52
Rule of 9’s for adults. (Remember, they will try and trip you up. By only giving you half a body part, ie chest, but not abdomen, anterior arm, not whole arm)
head 9, trunk 18, upper extremities 9, lower extremities 18 back 18, genitals 1, palms, 1
53
Rule of 9’s for toddlers
head 12, trunk 18, back 18, upper extremities 9, lower extremities 16.5 genitals 1
54
Rule of 9’s for infants
head 18, torso 18, back 18, upper extremities 9, lower extremities 13.5, genitals 1
55
Which sign presents with left shoulder pain when lying with legs elevated indicates ruptures spleen?
Kehr Sign
56
Bradycardia, HTN, abdnormal breathing, widene pulse pressure- indicates ICP.
Cushing Triad
57
hypotension, jvd, muffled heart tones- cardiac tamponade
Beck’s Triad
58
grabbing lower calf- no movement of foot indicates a rupture achilles tendon. Name the test
Thompson
59
pt drops to heels from tiptoes. Pain in the right lower quadrant indicicates acute appendicitis Name the test
Merkle heel drop-
60
resistance to extension while hip is flexed -sign of meningitis Name the sign
kernels signs (kerning)-
61
flexion of hips and knees in response to neck flexion- signs of meningitis Name the sign
Brudzinski
62
toes fan out- normal in pecs under 2, abnormal in anything older, can be a sign of SCI Name the sign
Babinksi
63
which of the following injuries has the highest risk of air embolism involving the heart or lungs.
Lac jugular.
64
Why is reassessment of a pt w/ a spinal cord injury so important?
determine if a pt is stabilizing or deteriorating. Monitoring for signs of shock, specifically neurogenic shock.
65
Which of the following causes decreased in b/p in decompensated shock?
decrease in b/p signifies that a significant amount of blood has been lost. Ie: hypovolemic shock.
66
Bone shapes examples of each Examples of long bones
femur, tibia, radius
67
Bone shapes examples of each Examples of short bones
Tarsals, carpals
68
Examples of flat bones
Sternum, ribs
69
Examples of irregular bones
vertebrae, pelvis, facial bones
70
Which bones is classified as a sesamoid?
Patella
71
Which nerve controls eye movement- have the pt follow an object with eyes in a vertical, horizontal, and diagonal movement?
Nerve 3, Occulomotor
72
Which nerve is responsible for facial sensation and chewing-smile?
Nerve 7-facial nerve-
73
Which nerve movement, sensation, and abd organs.- smile and swallow?
Nerve 10 - Vagus
74
Which nerve is responsible for facial sensation and chewing-smile?
nerve 5- trigeminal-
75
Refer to pic of vertebrae
76
Which vertebrae is called the Atlas
C1
77
Which vertebrae is called the Axis
C-2
78
partial dislocation of a joint. When a joint is moved beyond it’s range of motion.
Subluxation
79
What type of moi could possible cause concussion, subluxation, transactions, and compressions?
Concussion- direct blow to the head, blow to the face, neck, or anywhere else on the body with and impulsive force that is transmitted to the head. MVC’s, Falls, assaults and sports injuries.
80
Destruction of muscle tissue leading to a release of potassium and myoglobin. Can be caused by crush syndrome d/t prolonged compression force that impairs muscle metabolism and circulation. Other causes include: drug abuse, prolonged immobility, dehydration, and muscle disorders.
Rhabdomyolysis
81
What kinds of injury would expect if a person got hit directly by lightning?
Blast like injury patterns: damage to the tympanic membranes, muscle damage, rhabdo, temporary and permanent paralysis, cardiac and respiratory arrest.
82
moi for upper airway burns
super heated gases, high water soluble gases.
83
moi for lower airway burns-
steam, hot particulate matter, low water soluble gases
84
what do you think would most likely cause a lower airway burn?
steam
85
Hyper extension-
when the body is pushed out from a stationary head, causing avulsion fractures at C1 and C2.
86
Hangman’s fracture-
lateral force and snapping the head sideways. Fracture occurs at C1 and C2
87
Rotation-flexion injuries
forward movement of the head with rotation, usually caused but high acceleration forces, C1 and C2 involved
88
flexion injury
forward movement of the head, result from rapid deceleration or direct blow to the occiput. C1 and C2 are involved