2025/2026 | ACTUAL COMPLETE ALL REAL EXAM
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What are the routes of medicine administration? - ANSWER-
Oral (PO): slow onset of action, safe but unpredictable
absorption.
-Aspirin, activated charcoal, oral glucose
Intramuscular (IM): rapid absorption, but less reliable.
-EpiPen
Inhalation: rapid onset
-Albuterol
Sublingual: faster onset than oral
-Nitroglycerin
,What are the six "rights" of drug administration? - ANSWER-
Right patient, right drug, right route, right dose, right time, right
documentation.
What is an intracerebral hemorrhage? - ANSWER-Bleeding
within the brain tissues.
Patients can deterioriate rapidly.
High mortality (risk of death) rate.
What is herniation syndrome? - ANSWER-The pressure within
the skull is called intracranial pressure (ICP). Herniation is
when the brain is compressed due to extensive ICP.
Remember, the brain is in an enclosed space. There is little
extra space to accommodate swelling, bleeding, etc.
Severe herniation will force the brain down toward the foramen
magnum.
Signs of increased ICP are called *Cushing's reflex*:
-Hypertension
-Bradycardia
-Altered respiratory pattern
,Mortality rates are high for ICP patients. In an attempt to
temporarily reduce dangerously high ICP, higher ventilation
rates may be indicated. Consult local protocol and medical
direction.
How can the spine be immobilized? - ANSWER-1. Manual
immobilization -Manual c-spine precautions must be taken
immediately if spinal injury is suspected.
-Manual c-spine cannot be released until the patient's head is
completely immobilized by other means.
-A cervical collar is not a substitute for manual immobilization.
2. Spinal immobilization techniques
-Long spine board: can be use for supine or standing patients,
often used if rapid extrication is needed.
-Half spine board: can be used for seated patients, use of these
devices may require additional time to apply.
What are the types of chest injuries? - ANSWER-1.
Pneumothorax
2. Tension pneumothorax
3. Sucking chest wound
4. Hemothorax
5. Cardiac tamponade
, 6. Clavicle and rib fractures
7. Flail chest
What is pneumothorax? - ANSWER-Pneumothorax is the
accumulation of air in the pleural space. This can compress
lung space, prevent gas exchange, and lead to hypoxia.
Can be due to trauma or nontraumatic injury to lung tissue.
Lung sounds may be diminished or absent over injured area.
What is tension pneumothorax? - ANSWER-A tension
pneumothorax causes a progressive collapsing of lung tissue.
The entire lung and great vessels can be compressed to the
other side of the chest. Lung sounds will be absent over the
affected area.
The patient will develop severe respiratory distress and
eventually respiratory failure. Compression of the great vessels
can restrict blood flow, leading to shock and death.
Tracheal deviation toward the unaffected side is a late and
ominous sign.