LATEST TRAUMA FISDAP - QUESTIONS AND ANSWERS LATEST EXAM 290 QUESTIONS AND CORRECT SOLUTIONS 2024

Referred left shoulder pain is caused by A. phrenic nerve inftiammation B. associated thoracic trauma C. vagal nerve stimulation D. diaphrapmatic iritation - ANSWER D. diaphrapmatic iritation A patient has suffered a traumatic amputation of the index finger, what should you do with the amputated body part? A. Rinse vth normal saline solution B. Place directly in a dry plastic bag C. Wrap in moist stenle gauze D. Store it in a bag of ice - ANSWER A. Rinse vth normal saline solution A 29 year old male ho attempted to hang himsel has suffered an obvious cervical injury His legs are extended and his ms are drawn up towards his chest. His posture is best described as? A. Decorticate B. Flaccid C. Decerebrate D. Hypertonic - ANSWER A. Decorticate According to the kinematics of trauma which of the following has the MOST potential for severe damage? A 120-kg male traveling at 40 mph B. 110-kg male traveling at 30 mph C. 120-kg male traveling at 20 mph D. 110-kg male traveling at 50 mph - ANSWER D. 110-kg male traveling at 50 mph Last night a heavily drinking spectator was struck in the head with a hockey puck He is now experiencing difficulty seeing and describes a dark curtain blocking his vision. You shouid suspect A. central retinal artery occlusion. B. concussion C. a hangover D. retinal detachment - ANSWER D. retinal detachment Which of the following is a potential life-threatening complication of a long bone fracture Secondary cellulitis Basal skull fracture Pulmonary embolism LeFort fracture - ANSWER Pulmonary embolism Which condition is a potential complication from crush syndrome Decubitus ulcers Staphylococcus infection Rhabdomyolysis Cellulitis - ANSWER Rhabdomyolysis The pathophysiological cause of Becks triad is Compartment syndrome Compression injury Pericardial tamponade Tension pneumothorax - ANSWER Pericardial tamponade The presence of hypertension in a head injury is Normal if it occurs within 24 hours Usually caused by other injuries Only normal with associated spinal injury Consistent with head injury pathophysiology - ANSWER Consistent with head injury pathophysiology A 26-year-old female has been assaulted during a domestic dispute, she has an open laceration to the right lateral neck. You should? Apply pressure to the jugular sternocleidomastoid pressure point Apply a three sided occlusive dressing Tape a sterile gauze in place See other one with clear plastic and tape all sides - ANSWER Apply a three sided occlusive dressing A 50 year old has been stabbed in the epigastric area. Vital signs are blood pressure 80/60, pulse 130, respirations 24. He is unconscious and lung sounds are present an equal and all fields. He has jugular vein distention. You should suspect? Tension pneumothorax Massive hemothorax Aortic transection Pericardial tamponade - ANSWER Pericardial tamponade A 20 year old male assault victim is lying on his side with blood oozing from the right side of his nose. His right cheek appears flattened with right sided Peri orbital Ekhymosis. He tells you that his cheeks and nose are numb. What type of fracture should you suspect? Zygomatic Temporal bone Parotid Basilar skull - ANSWER Zygomatic An 18-year-old female fell from a set of bleachers. Her only complaint is pain from a fractured forearm. You note a deformed lower leg fracture and the patient says she can't feel it. She has weak pulse and low blood pressure, she exhibits diaphragmatic breathing with warm skin. You should suspect Hypovolemic shock Distributive shock Obstructive shock Hemorrhagic shock - ANSWER Distributive shock 835-year-old male has full and partial thickness burns to 40% of his body following an industrial explosion. You suspect external injuries, but all live threats have been managed. Where should you transport him? Level one trauma center Level 3 Trauma Center Designated burn center Closest hospital - ANSWER Designated burn center A 38-year-old male was struck with a brick on the left side of his head. He mutters inappropriate words and has no eyes opening or motor response. He has unequal pupils, blood draining from his left ear, and bilateral Peri orbital Ekhymosis. Vital signs are blood pressure 178/110 pulse 58, respirations eight, SPO2 90%. His ETCO2 should be maintained at 10-20 30-40 65-75 85-95 - ANSWER 30-40 Your patient has a severe laceration to the neck. After controlling the bleeding the patient developed shortness of breath, Peripheral cyanosis and falling blood pressure. You should suspect