Trauma Emergencies (CSI, MT, STI)

Question 1

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.

Answer 1

False; positive

Question 2

If respirations are shallow, assist with a _____

Answer 2

bag valve mask

Question 3

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

Answer 3

True

Question 4

Pharmacologic interventions for soft tissue injury

Answer 4

Antibiotics
Tetanus prophylaxis
Pain medications

Question 5

Loading dose of Methylprednisolone

Answer 5

30mg/kg IV over 15 minutes

Question 6

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

Answer 6

heart

Question 7

Rhinorrhea and otorrhea are indicative of _____

Answer 7

CSF leak

Question 8

It indicates maxilla or mandible fracture

Answer 8

Malocclusion of teeth

Question 9

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

Answer 9

distal pulse

Question 10

It is the paralysis of all four limbs

Answer 10

Quadriplegia

Question 11

Weakness or paralysis of the diaphragm may occur with lesion ______

Answer 11

at or above C4

Question 12

Facial bones

Answer 12

Nasal
Orbital
Maxillary
Mandibular

Question 13

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

Answer 13

Blunt trauma

Question 14

Three layers of wound dressing:

Answer 14

Contact Layer
Absorbent layer
Outer Wrap

Question 15

Pressure points to control hemorrhage are:

Answer 15

Temporal
Facial
Carotid
Subclavian
Brachial
Radial
Ulnar
Femoral

Question 16

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

Answer 16

zygomatic (cheekbone) fracture

Question 17

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

Answer 17

Laceration

Question 18

Rhinorrhea and otorrhea are indicative of _____

Answer 18

CSF leak

Question 19

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

Answer 19

nasally

Question 20

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

Answer 20

shock; activate EMS

Question 21

Assessment of soft tissue injury

Answer 21

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

Question 22

Wound is allowed to granulate on its own without surgical closure

Answer 22

Closure by Secondary Intent

Question 23

Maintenance dose of Methylprednisolone

Answer 23

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

Question 24

As a general rule, irrigate with __________.

Answer 24

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

Question 25

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

Answer 25

Amputation

Question 26

Hoffman's sign sensitivity: _____ specificity: _____

Answer 26

59% 49%

Question 27

In MFT, examine mouth for ______

Answer 27

broken or missing teeth

Question 28

Bleeding beneath the skin into the soft tissue

Answer 28

Contusion

Question 29

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

Answer 29

Puncture

Question 30

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

Answer 30

Maxillofacial trauma

Question 31

Trismus and mobility of the jaw are indicative of _____

Answer 31

maxillary fracture

Question 32

A high dose steroid for CSI

Answer 32

Methylprednisolone

Question 33

Patient returns in 3 to 4 days for definitive closure.

Answer 33

Closure by Secondary Intent with Delayed Closure

Question 34

In MFT, assess eye for _____

Answer 34

Potential injury Vision loss Diplopia Pain

Question 35

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

Answer 35

Closed wound Open wound

Question 36

Crepitus on palpation around nose is indicative of _____

Answer 36

nasal fracture

Question 37

Rhinorrhea and otorrhea are indicative of _____

Answer 37

CSF leak

Question 38

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

Answer 38

Pressure points

Question 39

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.

Answer 39

Cervical spine injury

Question 40

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

Answer 40

Avulsion

Question 41

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

Answer 41

Abrasion

Question 42

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

Answer 42

intradermally

Question 43

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

Answer 43

spinal shock

Question 44

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

Answer 44

True

Question 45

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

Answer 45

Hypothermia

Question 46

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

Answer 46

Edema; cord swelling

Question 47

It yields the fastest healing

Answer 47

Closure by Primary Intent

Question 48

Well-defined pocket of blood and fluid beneath the skin

Answer 48

Hematoma

Question 49

Paralysis of the upward gaze is indicative of _____

Answer 49

inferior orbit fracture (blowout fracture)

Question 50

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

Answer 50

Hoffman's sign

Question 51

Persistent erection of the penis

Answer 51

Priapism

Question 52

Do not raise a limb if:

Answer 52

Fracture is suspected Pain Discomfort

Question 53

Primary closure may be done with:

Answer 53

Sutures Skin tapes Staples Tissue adhesive

Question 54

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

Answer 54

Nonabsorbent hydrophilic dressing Surgical dressing pads Rolled gauze and tape