240 Questions And Correct Detailed
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What are the definitive options for pelvic fracture stabilization
and hemorrhage control? - correct answer..External Fixation
Interventional Radiology
Open reduction & Internal fixation
How are closed mid-shaft femur fractures managed? - correct
answer..Intramedullary nail fixation
What makes a fracture comminuted? - correct answer..The bone
is in multiple pieces
Physiologic criteria for trauma center care? - correct
answer..SBP<90
Resp rate <10 or >29
GCS <14
What is Kinematics? - correct answer..The process of predicting
potential injuries based on analysis of the forces involved
,Dose of energy is? - correct answer..The nature and amount of
force
Characteristic of wounding agent? - correct answer..Type of
energy and how it was applied
Force - correct answer..The dose of energy involved
Which gender is the majority of trauma? - correct answer..Male
Incidence of trauma peaks at what age? - correct answer..Teens
and young adult
Blunt trauma Classifications include? - correct answer..MVA
Auto vs. pedestrian
Falls
Struck by or against an object
Trauma mortality based on organ system failure? - correct
answer..1 organ system failure=4%
2 organ system failures=32%
3 organ system failures=67%
4 organ system failures=90%
What are the four collisions? - correct answer..1. The vehicle
2. The occupants
3. The internal organs
4. The secondary impacts
Energy transmission in a rollover depends on? - correct
answer..Deceleration distance
,Energy is dissipated over the distance of the roll and whether or
not the occupants are restrained
Car vs pedestrian injuries depend on? - correct answer..Point of
contact with the care
Height of hood & bumper
Size & weight of vehicle
Height of patient
Direction patient was facing when struck
What is the most common mechanism of injury in all age
groups? - correct answer..Falls
Factors predicting fall injuries are? - correct answer..Fall height
(velocity)
Landing surface (deceleration distance)
Point of impact on the body
Wound ballistics- permanent cavity - correct answer..Cavity is
the a function of the size, shape, and characteristic of the missile
(mass)
For every second of fall time, speed increases by? - correct
answer..Speed increases by approximately 20 MPH
Define Shock? - correct answer..A state in which cellular
oxygen demand exceeds supply
When the cost of tissue oxygen is higher than the body can pay,
an oxygen debt develops.
, Types of shock per TCAR? - correct answer..Pumps-Site of
defect heart
Pipes- site of defect is artery, veins or capillaries
Fluid-intravascular, interstitial or intracellular
VS in shock? - correct answer..Narrow pulse pressure
Tachycardia
Low CO
How many ATP molecules are produced with oxygen &
glucose? - correct answer..32 ATP molecules
How many ATP molecules are produced without oxygen? -
correct answer..2 ATP molecules
Normal pH? - correct answer..Refernce range is 7.35-7.45, but
actual normal range is 7.38-7.42
What is the footprint of shock? - correct answer..Lactic
Acidosis
What 2 things affect the amount of oxygen availalbe to the
cells? - correct answer..Temperature & pH, which is the
oxyhemoglobin dissociation curve
Oxyhemoglobin dissociation shift to the right? - correct
answer..Acidosis, elevated temp
More oxygen available to the cells
Oxyhemoglobin dissociation curve shift to the left? - correct
answer..Hypothermia, alkalosis