Trauma fisdap Exam Questions With Correct Answers

Trauma fisdap Exam Questions With Correct Answers pt was involved in a MVA,bp was normal initially but while your transporting it drops respirations increasing,pulse is increasing and gasping for air. breath sounds are diminished and she has a contusion on the left chest.You should ? - CORRECT ANSWERS assist ventilations with a BVM patient has Eviscerated organs are sticking out what kind of dressing do you apply? - CORRECT ANSWERS Moist dressing Pt was hit in the chest with a baseball bat. he has jvd muffled heart tones. What should you suspect - CORRECT ANSWERS Cardiac tamponade who would benefit from pericardial synthesis - CORRECT ANSWERS Cardiac tamponade a tiny neck wound,you should? - CORRECT ANSWERS place gloved hand on the neck wound Pt got shot,you see bubbles on exhalation you should? - CORRECT ANSWERS cover with gloved hand Sombody was impaled in the right thigh, you should ? - CORRECT ANSWERS Stabilize it BP 70/40 pulse 80 respirations 16 - CORRECT ANSWERS neurogenic shock Pt was hit with a bat on the left flank area what should you suspect? - CORRECT ANSWERS ruptured kidney swelling in the left lower leg after a surgery, pt was going to rehab and they have really bad pain in their calf. What should you do? - CORRECT ANSWERS splint it/stabilize it Someone has 40% burns 3rd and 2nd degree where should you transport them ? - CORRECT ANSWERS burn center teenage girl was in a wreck 6 hours ago wearing her seatbelt she didn't hurt her head but is nauseous looks pale and her BP is 80/40 - CORRECT ANSWERS hemorrhagic shock what is your most important concern when some one is confused or combative ? - CORRECT ANSWERS Head injury your pt has metal shavings in one eye what should you do ? - CORRECT ANSWERS cover both eyes how should you transport an amputated body part? - CORRECT ANSWERS 2x2 or 4x4, moisten it,squeeze it, an put in a bag on ice blistered skin what type of burn - CORRECT ANSWERS Partial thickness(second degree) some one gets hit in the abdomen with a pipe wrench they are rigid and have pain and their BP is boarderline,pulse is fast and weak at the radial,skin is pale cool and clammy what type of shock - CORRECT ANSWERS Hemorrhagic Shock what kinetics of trauma are most severe ? - CORRECT ANSWERS 50mph your patient has pain in their throat and subcutaneous emphysema, you should suspect ? - CORRECT ANSWERS Hole in the trachea somewhere head injury pt where should you maintain their capnography at ? - CORRECT ANSWERS 30-35 what is becks triad an indicative of? - CORRECT ANSWERS cardiac tamponade pt responds to jaw thrust by moving head away,they are yelling at you,and they repeat over and over where they are at and their eyes are closed. What is their GCS? - CORRECT ANSWERS 8 stabbed in the abdomen you can't feel a radial pulse you should ? - CORRECT ANSWERS Fluid bolus till you reach peripheral perfusion your pets arms are clenched and legs are straight what does this indicate ? - CORRECT ANSWERS decorticate postering how does anaerobic metabolism occur during shock ? - CORRECT ANSWERS lack of oxygen in the cells which is called cellular hypoxia purple discoloration to the face and neck JVD and you have conjunctival hemorrhage, you should suspect ? - CORRECT ANSWERS Traumatic asphyxia During a interfaculty transport your multi system trauma pt starts oozing blood from all venipuncture sites, you should suspect ? - CORRECT ANSWERS Disseminated Intravascular Coagulation (DIC) Late sign of shock ? - CORRECT ANSWERS low Blood pressure car accident male supine on the roadway deformity to the right femur,abrasions to the forehead not responding to you verbally,skin is pale cool and clammy and moist, what should you do ? - CORRECT ANSWERS maintain in line cervical stabilization ? Goal of administering fluids in penetrating trauma should be to maintain a ? - CORRECT ANSWERS Peripheral Perfusion Pt hit by a baseball bat in the lower abdomen 3 days ago, he now has abdominal pain and child, his abdomen is distended and tender. What should u suspect ? - CORRECT ANSWERS Perforated bowel pt falls 15 steps to a concrete floor complaining of knee pain, denies everything else. what should you do ? - CORRECT ANSWERS immobilize him on a spine board motorcycle crash at 25mph abrasions and severe pain on left side. what should you do? - CORRECT ANSWERS Apply C-collar and fully immobilize if you have hypotension in a head injury pt what is causing the hypotension - CORRECT ANSWERS internal injury that is being missed Rapid pulse,cool clammy skin, shallow breathing slow cap refill but you can't see one injury on your pt.Where should you suspect hemorrhage at? - CORRECT ANSWERS abdominal cavity stabbed women in the chest, neck veins are distended,lung sounds are clear. You should suspect - CORRECT ANSWERS Cardiac tamponade which person would you give the iv to before you transport ? - CORRECT ANSWERS legs entangled in farm equipment chest and abdomen and both arms are burned. What is the percentage ? - CORRECT ANSWERS 36% What causes a disruption in the balance of your thrombus formation procoagulant inhibitors following a trauma injury ? - CORRECT ANSWERS Disseminated Intravascular Coagulation (DIC) what is the treatment for open pneumothorax? - CORRECT ANSWERS Occlusive dressing Laceration to the head,dilated pupils and a deformity to the lower leg,they are pale cool clammy,bp is low pulse is 140 respirations are 30. Bleeding fro, what location would explain this pt condition? - CORRECT ANSWERS abdominal area Neck veins are flat,hypotension, shortness of breath, what should you suspect ? - CORRECT ANSWERS hemothorax Chest wall move inward during inspiration what do you suspect ? - CORRECT ANSWERS Flail chest guy is washing windows and he fails upside down and is there for 3 hours what is secondary complication of his injury ? - CORRECT ANSWERS Rapidmilicis,skeleton muscle breakdown 4 pt which one would you give an occlusive dressing ? - CORRECT ANSWERS non bleeding laceration to the neck Your Pt crashed on their bike flew over the handle bars URQ pain what should you suspect ? - CORRECT ANSWERS liver laceration baroreceptors maintain blood pressure what do these initially cause in trauma - CORRECT ANSWERS increases cardiac output guy cuts his finger off on a table saw how do you stop the bleeding? - CORRECT ANSWERS direct pressure