trauma 223

Question 1

Hydroflouric Acid Burns are treated with:

Answer 1

Calcium Gluconate

Question 2

What should you suspect with a high temperature steam injury with stridor?

Answer 2

Glottic Injury

Question 3

What type of nerve fibers are stimulated in peridontitis?

Answer 3

somatic nerve fibers

Question 4

What happens with capillary stagnation and hemorragic shock?

Answer 4

precapillary sphincters open and the red blood cells clump together

Question 5

what sign is indicative of a splenic injury?

Answer 5

shoulder pain

Question 6

What is the first treatment for compensated shock?

Answer 6

High flow 02

Question 7

what is the first line treatment after ROSC that has hypotension after a 1 liter bolus of normal saline?

Answer 7

0.1-0.5ug of epinepherine 1-10000

Question 8

What is the most likely injury if you get hit in the face with a baceball bat?

Answer 8

Eyeball injury

Question 9

What decreases pulse pressure in hemorragic shock?

Answer 9

the increase in vascular resistance

Question 10

Patients who have hyporesonance of lungs, JVD, and a scaphoid abdomen are likely to need what as a first line treatment? why?

Answer 10

Assisted ventilations; suspected diaphragmatic injury/herniation

Question 11

Which burn injury zone can have the greatest damage to tissues?

Answer 11

Zone of Coagulation

Question 12

What is NOT a predicatble INITIAL injury of pediatric pedestrian vs. motor vehicle?

Answer 12

Facial Trauma

Question 13

what can you expect of newtons 1st law of physics when it comes to motor vehicle crashes?

Answer 13

there’s at least 3 collisions with a motor vehicle crash

Question 14

whats the map of 160/100?

Answer 14

120

Question 15

whats a formula for MAP?

Answer 15

(2xDiastolic)+Systolic/3

Question 16

Whats the MAP of 120/60?

Answer 16

80

Question 17

Whats the MAP of 146/65

Answer 17

92

Question 18

What diagnosis can be easily missed if you did not do an appropriate scene size up?

Answer 18

Myocardial Contusion

Question 19

When you get a laceration to the soft tissue around the eyes, what is your greatest concern?

Answer 19

lubrication to the cornea

Question 20

what is the treatment that will lead to the GREATEST success with the LEAST amount of damage to the tissues in regards to treating a radial artery lacteration?

Answer 20

Direct pressure to the laceration

Question 21

What is the most appropriate sign you will see in your patient with a total volume loss of 1000ml in a hemmorhage?

Answer 21

decrease in blood pressure

Question 22

when a patient has a blood pressure of 160/100 in a dissecting aortic aneurysm, what is the best explaination for the high blood pressure?

Answer 22

The sympathetic nerve fiber responds to the stretching of the aorta

Question 23

What is the definition of the blood in the anterior portion of the eye in front of the iris?

Answer 23

Hyphema

Question 24

What is the most immediate way to treat the a bleed from a stick impaled in the arm?

Answer 24

direct pressure and manually stabilize the stick

Question 25

What is the first thing to check with an adult unconcious trauma?

Answer 25

Carotid Pulse

Question 26

What is the best explaination for low blood pressure in tension pneumothorax?

Answer 26

the increase in intrathoracic pressure decreases blood return to the heart

Question 27

what are the signs and symptoms of cardiogenic shock?

Answer 27

Hypotension, Hypoxia, Tachycardia, Pulmonary congestion

Question 28

what are some signs and symptoms of an aortic dissection?

Answer 28

tearing pain in the chest, unequal upper extremity pulse

Question 29

What radioactive waves would be most likely to cause damage?

Answer 29

Alpha waves

Question 30

What is the cause of increased heart rate in compensated shock?

Answer 30

decreased pressure sensed by baroreceptors

Question 31

what is the next step in treatment after maintaining C-spine in a spinal injury that results in quadrepelegia?

Answer 31

Assisting ventilations

Question 32

What core temperature will most likely cause VFIB?

Answer 32

89.9 F

Question 33

whats the most frequent injury in explosions?

Answer 33

lung injuries

Question 34

what is a sign and symptom of a laceration to the thoracic aorta?

Answer 34

bilateral shoulder pain

Question 35

what is the most ominous finding associated with abdominal injuries?

Answer 35

firm distended abdomen

Question 36

what is a possible diagnosis of someone with hematuria and abdominal pain?

Answer 36

kidney damage

Question 37

what are you NOT concerned about in regards to the pathophysiology of electrical burns?

Answer 37

that your greatest concern is skin damage

Question 38

What is your principal life threat in an esophageal rupture?

Answer 38

Damage to the mediastinal organs

Question 39

Which major nerve goes from the L4-S4, and runs down the sacral plexus?

Answer 39

Sciatic Nerve

Question 40

signs and symptoms of central cord syndrome?

Answer 40

Paralysis of the arms, sacral sparing (preservation of butthole function)

Question 41

how does central cord syndrome commonly occur?

Answer 41

hyperextension cervical injuries, and less commonly, flexion cervical injuries

Question 42

How is anterior cord syndrome caused?

Answer 42

Injury to anterior aspect of spinal cord by a ruptured intervertebral disk or fragments of the vertebral body forced posteriorly into the spinal canal

Question 43

what are signs and symptoms of anterior cord syndrome?

Answer 43

decreased sensation of pain and temperature below level of lesion, intact light touch and position sensation, paralysis below the level of the lesion

Question 44

what causes a brown-sequard syndrome?

Answer 44

ruptured intervertebral diskor the pushing of a fragment of vertebral body on the spinal cord. also occurs during knife or missile injuries

Question 45

how does brown-sequard syndrom present?

Answer 45

weakness or paralysis of extremities on the ipsilateral (same) side with loss of pain and temperature sensation on the contralateral (opposite) side