JB Learning - Trauma Exam Questions
& Answers (Grade A+)
A 21-year-old male was bitten on the left forearm by a dog. He is
conscious and alert and denies any other injuries. An animal control
officer is at the scene and has restrained the dog. Your assessment
of the patient's arm reveals a large avulsion with a peeled-back flap
of skin. Distal circulation is adequate and the patient is able to feel
and move his fingers. In addition to bleeding control, you should: -
correct answer ✅replace the avulsed flap to its original position.
Following blunt force trauma to the anterior chest, a man presents
with difficulty breathing, distended jugular veins, absent breath
sounds over the left side of the chest, and hypotension. Which of
the following BEST describes the pathophysiology of this patient's
injury? -
correct answer ✅Increased pressure in the pleural space is
compressing the great vessels
The patient is experiencing a tension pneumothorax. This type of
injury occurs when air fills the pleural space and progressively
collapses the lung.
An adult patient opens his eyes in response to a painful stimulus,
moans when you ask him questions, and pulls his arm away when
you palpate it. What is his Glasgow Coma Scale (GCS) score? -
correct answer ✅8
,JB Learning - Trauma Exam Questions
& Answers (Grade A+)
For eye opening, he receives 2 points for opening his eyes in
response to pain. For verbal response, he receives 2 points for
moaning or making unintelligible sounds. For motor response, he
receives 4 points for withdrawing to pain.
During your assessment of a patient who experienced blunt facial
trauma, you note the presence of a hyphema. This indicates: -
correct answer ✅Direct trauma to the eyeball
Some patients with blunt trauma to the eyeball (globe) may present
with a hyphema, or bleeding into the anterior chamber of the eye,
that obscures a portion of or the entire iris.
A 40-year-old man was hit in the nose during a fight. He has
bruising under his left eye and a nosebleed. After taking standard
precautions, you should: -
correct answer ✅ensure that he is sitting up and leaning forward.
A football player complains of severe neck pain and tingling in his
arms and legs after being tackled. He is conscious and alert, has a
patent airway, and is breathing adequately. He is in a supine
position and is still wearing his helmet, which is tight-fitting. The
, JB Learning - Trauma Exam Questions
& Answers (Grade A+)
MOST appropriate treatment for this patient includes: -
correct answer ✅manually stabilizing his head with his helmet still
on, removing the face mask, securing him onto a long backboard,
and restricting spinal motion with a lateral head stabilizer.
Patients with significant closed head injuries often have pupillary
abnormalities and: -
correct answer ✅hypertension.
Closed head injuries can cause a variety of signs and symptoms. In
addition to pupillary abnormalities (ie, unequal pupils, sluggishly
reactive pupils), a classic finding that indicates a significant increase
in intracranial pressure is Cushing's triad. This trio of findings
includes hypertension; bradycardia; and abnormal breathing, which
can vary from slow and irregular to rapid and deep.
Which of the following is an example of a primary blast injury? -
correct answer ✅Ruptured tympanic membrane
Hollow organs are the most susceptible to the primary blast wave,
and ruptured tympanic membranes (eardrums) are a common
injury
& Answers (Grade A+)
A 21-year-old male was bitten on the left forearm by a dog. He is
conscious and alert and denies any other injuries. An animal control
officer is at the scene and has restrained the dog. Your assessment
of the patient's arm reveals a large avulsion with a peeled-back flap
of skin. Distal circulation is adequate and the patient is able to feel
and move his fingers. In addition to bleeding control, you should: -
correct answer ✅replace the avulsed flap to its original position.
Following blunt force trauma to the anterior chest, a man presents
with difficulty breathing, distended jugular veins, absent breath
sounds over the left side of the chest, and hypotension. Which of
the following BEST describes the pathophysiology of this patient's
injury? -
correct answer ✅Increased pressure in the pleural space is
compressing the great vessels
The patient is experiencing a tension pneumothorax. This type of
injury occurs when air fills the pleural space and progressively
collapses the lung.
An adult patient opens his eyes in response to a painful stimulus,
moans when you ask him questions, and pulls his arm away when
you palpate it. What is his Glasgow Coma Scale (GCS) score? -
correct answer ✅8
,JB Learning - Trauma Exam Questions
& Answers (Grade A+)
For eye opening, he receives 2 points for opening his eyes in
response to pain. For verbal response, he receives 2 points for
moaning or making unintelligible sounds. For motor response, he
receives 4 points for withdrawing to pain.
During your assessment of a patient who experienced blunt facial
trauma, you note the presence of a hyphema. This indicates: -
correct answer ✅Direct trauma to the eyeball
Some patients with blunt trauma to the eyeball (globe) may present
with a hyphema, or bleeding into the anterior chamber of the eye,
that obscures a portion of or the entire iris.
A 40-year-old man was hit in the nose during a fight. He has
bruising under his left eye and a nosebleed. After taking standard
precautions, you should: -
correct answer ✅ensure that he is sitting up and leaning forward.
A football player complains of severe neck pain and tingling in his
arms and legs after being tackled. He is conscious and alert, has a
patent airway, and is breathing adequately. He is in a supine
position and is still wearing his helmet, which is tight-fitting. The
, JB Learning - Trauma Exam Questions
& Answers (Grade A+)
MOST appropriate treatment for this patient includes: -
correct answer ✅manually stabilizing his head with his helmet still
on, removing the face mask, securing him onto a long backboard,
and restricting spinal motion with a lateral head stabilizer.
Patients with significant closed head injuries often have pupillary
abnormalities and: -
correct answer ✅hypertension.
Closed head injuries can cause a variety of signs and symptoms. In
addition to pupillary abnormalities (ie, unequal pupils, sluggishly
reactive pupils), a classic finding that indicates a significant increase
in intracranial pressure is Cushing's triad. This trio of findings
includes hypertension; bradycardia; and abnormal breathing, which
can vary from slow and irregular to rapid and deep.
Which of the following is an example of a primary blast injury? -
correct answer ✅Ruptured tympanic membrane
Hollow organs are the most susceptible to the primary blast wave,
and ruptured tympanic membranes (eardrums) are a common
injury
