Shock exam questions with correct answers
Patients with a GCS of less than __ usually require intubation. - verified answers; 8
The "A" in ABCDE stands for __ - verified answers; Airway with C-SPINE PROTECTION
You should assume any patient in a multisystem trauma with an altered level of consciousness
or blunt injury above the clavicle has what type of injury? - verified answers; Cervical spine
injury
Flail chest is invariably accompanied by ___ which can interfere with blood oxygenation. -
verified answers; Pulmonary contusion - do not over fluid resuscitate these patients!
Hypotension is caused be ___ until proven otherwise. - verified answers; Hypovolemia
When you don't have/can't get a BP, what 3 things should you look for when evaluating
perfusion? - verified answers; 1. LOC (brain perfusion)
2. Skin color (ashen/grey)
3. Pulse (bilateral femoral - thready/tachy)
Elderly patients have a limited ability to __ to compensate for blood loss. - verified answers;
Increase HR
Resuscitation fluids should be warmed to 39 degrees C (102.2F) - can you use a microwave to
do this? - verified answers; YES for crystalloids, NO for blood products
, List 5 signs of urethral injury that may prevent you from inserting urinary catheter. - verified
answers; 1. Blood at urethral meatus
2. Perineal ecchymosis
3. Blood in scrotum
4. High-riding/non-palpable prostate
5. Pelvic fracture
Which arm should you NOT put a pulse ox on - verified answers; The arm with BP cuff
Name 2 anatomical things that can interfere with FAST exam. - verified answers; Obesity,
intraluminal bowel gas
When should radiographs be obtained? - verified answers; During secondary sruvery
AMPLE patients history - verified answers; Allergies
Medications
PMH/Pregnancy
Last oral intake
Events/environment of injury
Why might you want a Bair Hugger for a patient who smells of alcohol? - verified answers;
Vasodilation can lead to hypothermia
What things are you looking for when you do a DRE in trauma? - verified answers; Blood,
high-riding prostate, sphincter tone