Paramedic FISDAP Trauma V2 exam with correct answers
1.Subcutaneous emphysema: A physical finding of air within the
subcutaneous tissue, described as a crackling or popping feeling under
the skin
2.Disseminating Intravascular Coagulation: A pathological process
character- ized by the widespread activation of the clotting cascade
that results in the formation of blood clots in the small vessels
throughout the body. Interferes with the body's ability to use fibrin for
clotting when its actually needed thus increasing the chances of severe
hemorrhage
3.Disseminating intravascular coagulation is most commonly caused by?: -
Sepsis, tumors, and trauma
4.Also referred to as a traumatic dissection or rupture of the aorta:
Transected aorta
5.Transected aorta: Shear forces cause the layers of the aorta to
separate allowing blood to enter, this increases the pressure within the
artery causing it to begin to dissect
6.Signs and symptoms of a transected aorta: Severe
hypotension Severe tearing chest pain that may radiate to
the back
Difference in pulses in the left/ right upper extremities or weak pulses in
the lower extremities
7.Rhabdomyolysis: Acute destruction of skeletal muscle
1/
14
, 8.Occurs when crush syndrome causes skeletal muscle to undergo
necrosis and cellular changes causing it to begin degeneration:
Rhabdomyolysis
9.Kehr's sign: Referred pain to the left shoulder caused by a ruptured
spleen
10.Obstructive shock: The heart and vessels are working but
oxygenated blood is not being delivered adequately due to an
obstruction
11.Common causes of obstructive shock: Cardiac tamponade, tension
pneu- mothorax, pulmonary embolism
12.Distributive shock: Lack of vascular tone or major vasodilation
hinders the ability of blood to perfuse through the body (the pipes
are too big)
13.Common causes of distributive shock: Sepsis, anaphylaxis,
neurological/ spinal trauma, toxic exposure
14.Hypovolemic shock: Any significant reduction in the volume of the
cardiovas- cular system
15.Common causes of hypovolemic shock: Hemorrhage, severe burns,
fluid/ electrolyte loss (vomiting, diarrhea, sweating, excessive
urination), and "third spac- ing" of fluid that can occur in severe
pancreatitis or ascites of the liver
16. Neurogenic shock: Due to the loss of sympathetic tone from a spinal
cord injury, the "message" to constrict is no longer being sent to the
smooth muscle in the vascular system
2/
14
1.Subcutaneous emphysema: A physical finding of air within the
subcutaneous tissue, described as a crackling or popping feeling under
the skin
2.Disseminating Intravascular Coagulation: A pathological process
character- ized by the widespread activation of the clotting cascade
that results in the formation of blood clots in the small vessels
throughout the body. Interferes with the body's ability to use fibrin for
clotting when its actually needed thus increasing the chances of severe
hemorrhage
3.Disseminating intravascular coagulation is most commonly caused by?: -
Sepsis, tumors, and trauma
4.Also referred to as a traumatic dissection or rupture of the aorta:
Transected aorta
5.Transected aorta: Shear forces cause the layers of the aorta to
separate allowing blood to enter, this increases the pressure within the
artery causing it to begin to dissect
6.Signs and symptoms of a transected aorta: Severe
hypotension Severe tearing chest pain that may radiate to
the back
Difference in pulses in the left/ right upper extremities or weak pulses in
the lower extremities
7.Rhabdomyolysis: Acute destruction of skeletal muscle
1/
14
, 8.Occurs when crush syndrome causes skeletal muscle to undergo
necrosis and cellular changes causing it to begin degeneration:
Rhabdomyolysis
9.Kehr's sign: Referred pain to the left shoulder caused by a ruptured
spleen
10.Obstructive shock: The heart and vessels are working but
oxygenated blood is not being delivered adequately due to an
obstruction
11.Common causes of obstructive shock: Cardiac tamponade, tension
pneu- mothorax, pulmonary embolism
12.Distributive shock: Lack of vascular tone or major vasodilation
hinders the ability of blood to perfuse through the body (the pipes
are too big)
13.Common causes of distributive shock: Sepsis, anaphylaxis,
neurological/ spinal trauma, toxic exposure
14.Hypovolemic shock: Any significant reduction in the volume of the
cardiovas- cular system
15.Common causes of hypovolemic shock: Hemorrhage, severe burns,
fluid/ electrolyte loss (vomiting, diarrhea, sweating, excessive
urination), and "third spac- ing" of fluid that can occur in severe
pancreatitis or ascites of the liver
16. Neurogenic shock: Due to the loss of sympathetic tone from a spinal
cord injury, the "message" to constrict is no longer being sent to the
smooth muscle in the vascular system
2/
14
