STUVIA 2024/2025
Medictests trauma
Correct Answer: 15 lbs.
Explanation: As a rule of thumb, the max amount of traction applied shouldn't exceed 15 lbs. -
✔✔Your patient has sustained a possible femur fracture. Fearing the possibility of a muscle spasm,
you begin manual traction while your partner prepares and applies a Sager traction splint. As a
general rule, what is the maximum amount of traction you would want to apply to the injured leg?
Correct Answer: 18%
Explanation: An adults back is considered 18% of the total body surface area. - ✔✔If a 48-year-old
male sustains a burn to his entire back, what percentage of body surface area has been injured?
Correct Answer: 3
%
Explanation: If the entire right lung is involved, a patient may lose 3 lobes. The right lung has 3 lobes
and the left has 2. Remember the left side has less room for a 3rd lobe due to the presence of the
heart on the left side. - ✔✔Your MVA patient has sustained several rib fractures. During assessment,
it is discovered he has no breath sounds or air exchange on the right side of his chest, indicating a
possible pneumothorax. If so, how many lobes may possibly be injured?
Correct Answer: 30-60 breaths per minute
Explanation: Adult rate is 12-20brpm, Peds rate is 15-30 brpm, infant rate is 30-60 brpm! - ✔✔Whats
the normal respiration rate of an infant?
Correct Answer: 37%
Explanation: The rule of 9s state that the front and back of 1 leg is 18% and the groin is 1%, so if you
count the front and back of 2 legs and the groin, you end up with 37% TBSA. - ✔✔What is the
percentage of body surface area burned in a patient with bilateral circumferential leg burns from the
groin down?
stuvia
, STUVIA 2024/2025
Correct Answer: A 20 year old that was involved in a MVA with stable vitals but someone in the
vehicle was killed
Explanation: The impact from the MVA was great enough to cause to death to at least one of the
occupants. This should alert you that enough force was involved to cause significant injury to other
occupants. - ✔✔Which of the following mechanisms of injury would necessitate performing a rapid
trauma assessment?
Correct Answer: A diaphragmatic rupture
Explanation: A patient with a diaphragmatic rupture is likely to present with shortness of breath,
tracheal deviation, as well as diminished breath sounds on the affected side. The difference in
diagnosing a pneumothorax and a diaphragmatic rupture is the presence of bowel sounds within the
chest cavity. - ✔✔You are assessing an adult male that sustained a severe blunt force injury to his
anterior chest wall. Which of the following injuries should be suspected if the patient presents with
shortness of breath, JVD, early tracheal shift, and bowel sounds heard within the chest cavity?
%
Correct Answer: A flail chest/rib fracture
Explanation: A patient that has suspected trauma and paradoxical chest wall movements is likely
suffering from a rib section fracture that causes the broken section to move in the opposite direction
than normal during respiration. - ✔✔While assessing a trauma patient you note the presence of
paradoxical motion of the chest during exhalation. Which of the following injuries should you suspect?
Correct Answer: A simple pneumothorax
Explanation: The decreased breath sounds with pain and bruising should lead you to suspect a
simple pneumothorax until it is proven otherwise. - ✔✔A 14 year old football player collided with the
goal post during a tackle. His only complaint is pain to the left side of his chest. Inspection reveals a
large bruise to the left lateral chest wall. You note reduced breath sounds on the left side, however he
denies shortness of breath. He does report it hurts a little more when he breathes in. Which of the
following should you suspect?
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Medictests trauma
Correct Answer: 15 lbs.
Explanation: As a rule of thumb, the max amount of traction applied shouldn't exceed 15 lbs. -
✔✔Your patient has sustained a possible femur fracture. Fearing the possibility of a muscle spasm,
you begin manual traction while your partner prepares and applies a Sager traction splint. As a
general rule, what is the maximum amount of traction you would want to apply to the injured leg?
Correct Answer: 18%
Explanation: An adults back is considered 18% of the total body surface area. - ✔✔If a 48-year-old
male sustains a burn to his entire back, what percentage of body surface area has been injured?
Correct Answer: 3
%
Explanation: If the entire right lung is involved, a patient may lose 3 lobes. The right lung has 3 lobes
and the left has 2. Remember the left side has less room for a 3rd lobe due to the presence of the
heart on the left side. - ✔✔Your MVA patient has sustained several rib fractures. During assessment,
it is discovered he has no breath sounds or air exchange on the right side of his chest, indicating a
possible pneumothorax. If so, how many lobes may possibly be injured?
Correct Answer: 30-60 breaths per minute
Explanation: Adult rate is 12-20brpm, Peds rate is 15-30 brpm, infant rate is 30-60 brpm! - ✔✔Whats
the normal respiration rate of an infant?
Correct Answer: 37%
Explanation: The rule of 9s state that the front and back of 1 leg is 18% and the groin is 1%, so if you
count the front and back of 2 legs and the groin, you end up with 37% TBSA. - ✔✔What is the
percentage of body surface area burned in a patient with bilateral circumferential leg burns from the
groin down?
stuvia
, STUVIA 2024/2025
Correct Answer: A 20 year old that was involved in a MVA with stable vitals but someone in the
vehicle was killed
Explanation: The impact from the MVA was great enough to cause to death to at least one of the
occupants. This should alert you that enough force was involved to cause significant injury to other
occupants. - ✔✔Which of the following mechanisms of injury would necessitate performing a rapid
trauma assessment?
Correct Answer: A diaphragmatic rupture
Explanation: A patient with a diaphragmatic rupture is likely to present with shortness of breath,
tracheal deviation, as well as diminished breath sounds on the affected side. The difference in
diagnosing a pneumothorax and a diaphragmatic rupture is the presence of bowel sounds within the
chest cavity. - ✔✔You are assessing an adult male that sustained a severe blunt force injury to his
anterior chest wall. Which of the following injuries should be suspected if the patient presents with
shortness of breath, JVD, early tracheal shift, and bowel sounds heard within the chest cavity?
%
Correct Answer: A flail chest/rib fracture
Explanation: A patient that has suspected trauma and paradoxical chest wall movements is likely
suffering from a rib section fracture that causes the broken section to move in the opposite direction
than normal during respiration. - ✔✔While assessing a trauma patient you note the presence of
paradoxical motion of the chest during exhalation. Which of the following injuries should you suspect?
Correct Answer: A simple pneumothorax
Explanation: The decreased breath sounds with pain and bruising should lead you to suspect a
simple pneumothorax until it is proven otherwise. - ✔✔A 14 year old football player collided with the
goal post during a tackle. His only complaint is pain to the left side of his chest. Inspection reveals a
large bruise to the left lateral chest wall. You note reduced breath sounds on the left side, however he
denies shortness of breath. He does report it hurts a little more when he breathes in. Which of the
following should you suspect?
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