Questions and Guide Answers
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1. A 27 year old female has multi system trauma. Which life threat is your first
priority?
Answer: Significant external hemorrhage
2. Which type of skull fracture will cause leakage of cerebrospinal fluid from the
ears and nose?
Answer: Basilar
3. A 78 year old female was involved in a minor car crash. She is shivering
and exhibits repetitive questioning. She is a type II diabetic and takes a daily
anticoagulant. What should your initial treatment be?
Answer: Move patient to a warm environment
4. A 14 year old male suffered from helmet-to-helmet contact during a football
game followed by a 30 second period of unconsciousness. Initial exam shows
, that he is awake but slow to respond. He is nauseated and has a headache. He
becomes unresponsive during transport. Examination of the pupils reveals a
left pupil that is dilated and not reactive. What type of hemorrhage should you
suspect?
Answer: Epidural
5. An 80 year old female fell down a flight of stairs 3 days ago. Today the family
reports she has a headache and is "going in and out of consciousness." Vital
signs are BP 170/72, R 26 and irregular, HR 62, BGL 150 mg/dL (8.3 mol/L). What
should you suspect?
Answer: Subdural hematoma
6. An adult patient was involved in a motorcycle accident. Why should you
remove his or her helmet?
Answer: To manage the airway
7. A 28 year old male fell from his motorcycle during a low speed accident. He
removed his own helmet after the accident. He has an open left femur fracture
with severe external bleeding from the wound. What should you do?
Answer: Apply direct pressure to the wound
8. An adult patient has an open angulated injury to the left lower leg. Distal