Comprehensive Questions &
Answers Guide A+ Exam Prep
‣ A construction worker falls two stories from a building and sustains
bilateral calcaneal fractures. In the emergency department, he is alert,
vital signs are normal, and he is complaining of severe pain in both
heels and his lower back. Lower extremity pulses are strong and there
is no other deformity. The suspected diagnosis is most likely to be
confirmed by: -✓✓- complete spine x-ray series
‣ Which of the following is true regarding the initial resuscitation of a
trauma patient? -✓✓- A patient with a torso gunshot wound and
hypotension should receive crystalloid fluid resuscitation until the
blood pressure is normal
-* Evidence of improved perfusion after fluid resuscitation could
include improvement in Glasgow Coma Scale score on reevaluation*
- Massive transfusion is defined as transfusion of more than 10 units of
packed red blood cells and plasma within 24 hours
- When tranexamic acid is administered by pre-hospital providers, a
second dose is required within 24 hours
, - Fluid resuscitation is far more important than bleeding control in
trauma patient
‣ In managing a patient with a severe traumatic brain injury, the most
important initial step is to: -✓✓- Secure the airway
‣ A previously healthy, 70-kg (154-pound) man suffers an estimated
acute blood loss of 2 liters. Which one of the following statements
applies to this patient? -✓✓- His pulse pressure will be widened.
- His urinary output will be at the lower limits of normal. xxx
- He will have tachycardia, but no change in his systolic blood pressure.
- *An ABG would demonstrate a base deficit between -6 and -10
mEq/L.*
- His systolic blood pressure will be maintained with an elevated
diastolic pressure.
‣ The physiological hypervolemia of pregnancy has clinical significance
in the management of the severely injured, gravid woman by: -✓✓-
increasing the volume of blood loss to produce maternal hypotension.
‣ The best assessment of fluid resuscitation of the adult burn patient is:
-✓✓- urinary output of 0.5 mL/kg/hr