Paramedic Trauma Quiz 6 & 7 Questions And Answers 2022/2023

Which of the following best describes the effect of hyperventilation in the brain-injured patient? Select one: a. It is beneficial, because vasodilation results in increased cerebral blood flow. b. It is detrimental, because vasodilation causes an increase in tissue edema. c. It is beneficial, because vasoconstriction results in decreased tissue edema. d. It is detrimental, because vasoconstriction results in decreased cerebral perfusion. Feedback - Answer - d. It is detrimental, because vasoconstriction results in decreased cerebral perfusion Your patient is a 45-year-old man with extensive blunt trauma to the face. He has decorticate posturing in response to pain; weak, irregular respiratory effort at 6 per minute; and a heart rate of 50 with a good radial pulse. The patient appears to have nasal and mandibular fractures, and an oropharyngeal airway is insufficient to keep the tongue from the posterior pharynx. Which of the following has the most potential to negatively impact the patient? Select one: a. Retrograde intubation b. Oral intubation under direct laryngoscopy c. Nasotracheal intubation d. A non-visualized dual-lumen airway - Answer - c. nasotracheal intubation Which of the following medications may be indicated in the prehospital management of the patient with traumatic brain injury? Select one: a. Methylprednisolone b. Diazoxide c. Mannitol d. Furosemide - Answer - c. mannitol Which of the following correctly describes the impact of motorcycle helmet use? Select one: a. Helmet usage is associated with a 10 percent reduction in serious head injuries. b. There have been no reported fatalities from motorcycle collisions in which the riders were wearing helmets. c. Helmet usage decreases the risk of serious head injuries but increases the risk of cervical-spine injuries. d. Helmet usage results in a more than 50 percent reduction in serious head injuries. - Answer - d. Helmet usage results in a more than 50 percent reduction in serious head injuries. Which of the following parameters should be used to guide the oxygenation and ventilation of the patient with a traumatic brain injury? Select one: a. Maintain an oxygen saturation level of at least 96 percent and a capnography reading between 35 and 40 mmHg. b. Maintain an oxygen saturation level of at least 90 percent and a capnography level < 45 mmHg. c. Maintain an oxygen saturation level of at least 98 percent and a capnography reading > 45 mmHg. d. Maintain an oxygen saturation level of at least 90 percent and a capnography reading < 35 mmHg. - Answer - a. Maintain an oxygen saturation level of at least 96 percent and a capnography reading between 35 and 40 mmHg. You are caring for a 22-year-old amateur boxer who complained of a sudden obstruction of part of his visual field. This complaint is most consistent with which of the following conditions? a. Extrusion of the eyeball b. Subconjunctival hemorrhage c. Hyphema d. Retinal detachment - Answer - d. Retinal detachment Regarding the primary assessment of the patient with suspected traumatic brain injury, which of the following des