CURRENTLY TESTING EXAM VERSIONS WITH ACTUAL
QUESTIONS AND DETAILED ANSWERS WITH A STUDY
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When testing sensation, what area of the body corresponds to T1? - CORRECT ANSWER
Medial aspect of the forearm
When testing sensation, what area of the body corresponds to L3? - CORRECT ANSWER
Medial aspect of the thigh
When testing sensation, what area of the body corresponds to L4? - CORRECT ANSWER
Medial aspect of the lower leg, especially over the medial malleolus
When testing sensation, what area of the body corresponds to L5? Associated nerve? -
CORRECT ANSWER Dorsum of the foot between the first and second toes (common peroneal)
When testing sensation, what area of the body corresponds to S1? - CORRECT ANSWER
Lateral aspect of the foot
When testing motor function, what motion tests for C5? what is the associated nerve? -
CORRECT ANSWER Shoulder abduction, axillary nerve
When testing motor function, what motion tests for C6? what is the associated nerve? -
CORRECT ANSWER Elbow flexion (C5 and C6), musculocutaneous nerve
Which brachial nerves are tested by assessing a patient's ability to extend their elbow? -
CORRECT ANSWER Radial nerve, C6, C7, C8
,Which nerves are assessed when testing a patient's grip strength? - CORRECT ANSWER
Dorsiflexion of the wrist => radial nerve, C6
Flexion of the fingers => median and ulnar nerves, C7, C8
Which nerves are assessed when testing patient's motor ability with finger add and abduction? -
CORRECT ANSWER Ulnar nerve, C8 and T1
What movement tests a patients deep peroneal and L5 nerve motor function? - CORRECT
ANSWER Dorsiflection of the great toe and ankle
What movements tests a patient' posterior tibial and S1 nerve motor function? - CORRECT
ANSWER Plantar flexion
What is the earliest symptom/sign of compartment ischemia? - CORRECT ANSWER pain,
especially on passive stretch of invovled muscle of the injured extremity.
What is a late sign of inhalation burn injury? - CORRECT ANSWER Stridor => indiation for
immediate endotracheal intubation
Patients with greater than what % of TBSA burn require fluid resuscitation? - CORRECT
ANSWER >20%
What is the prefered solution for resuscitation of burn victims? - CORRECT ANSWER Lactated
ringers.
Why do first degree burns not require IV fluid replacement? - CORRECT ANSWER Because
the epidermis is not compromised in this type of burn
What characterizes a partial thickness burn? - CORRECT ANSWER red or mottled appearance
of the skin associated with swelling and blisher formation. Can have a weeping, wet appearance
and painfully hypersensitive.
, What characterizes a full-thickness burn? How will the surface look? dry or wet? redness?
degree of swelling? - CORRECT ANSWER Appear dark and leathery, or skin can appear
translucent or waxy white.
Surface is usually PAINLESS and generally dry though may be red but does NOT blanch white
with pressure. There is little swelling, though surrounding tissue may have dignificant amount.
What is the distribution of TBSA for the adult body per the rule of 9s? - CORRECT ANSWER
Head = 4.5% front and back => 9% total
Arms = 4.5% each fron and back => total 18%
Chest/ab = 18% front and back => 36%
Genitals = 1%
Legs = 9% each front and back => 36 total
How long does it take for the clinical manifestations of inhalation injury to appear? - CORRECT
ANSWER Frequently do not appear in the first 24hrs
What should the clinician NOT wait for when assessing a patient for airway inhalation injury? -
CORRECT ANSWER Provider should not wait for x-ray evidence of pulmonary injury or
change in blood gas determinations since by that time airway edema can preclude intubation thus
requiring a surgical airway.
What are the three breathing concerns in a burn injury? - CORRECT ANSWER 1. hypoxia
2. CO poisoning
3. smoke inhalation
What should the provider always assume in patient who were burned in enclosed areas? -
CORRECT ANSWER CO exposure => measure HbCO.
Above what percentage of HbCO is a patient likely to have symptoms? What are common
symptoms? - CORRECT ANSWER Patients with levels of CO >20% will have symptoms. At
lower levels usually HA and nausea then confusion and at higer levels ie 40-60%, coma then >
60% death.