FISDAP TRAUMA P3
1. Immediate care for a severely burned patient includes:: moving the patient to safety
2. When assessing a patient with a closed head injury, you note the presence
of trismus. This is defined as:: clenching of the teeth.
3. The
condition in which the pupils are unequal is called it is an
omi- nous sign and indicates significantly increased intracranial pressure.:
anisocoria
4. A 40-year-old man fell approximately 20 feet from the roof of his house and
landed on his feet. On the basis of the mechanism of injury, you should
suspect injuries to the:: calcaneus, hips, and lumbar spine.
5. A typical pattern of injury is often
observed when an adult falls and lands on his or her feet. As a result of
, the patient frequently sustains
injury to the calcaneus (heels of the feet) as the initial point of impact. The
force then travels upward, causing injury to the hips. The force can be severe
enough to result in injury to the relatively unprotected lumbar spine.: axial
loading
6. Which of the following sets of vital signs is MOST indicative of neurogenic
shock?: BP, 70/50 mm Hg; pulse rate, 56 beats/min; respirations, 24 breaths/min
7. Results from the loss of normal sympathetic nervous system tone; it is
com- monly caused by a spinal injury.: Neurogenic shock (also called vasomotor shock)
8. In , there is no release of the catecholamines epinephrine
and norepinephrine. This causes widespread vasodilation and hypotension
(relative hypovolemia); pink, dry skin below the level of the injury; and
relative bradycardia: neurogenic shock
9. A 22-year-old male experienced blunt abdominal trauma. He is conscious
and alert, but appears anxious. His blood pressure is 100/62 mm Hg, his pulse
is 118 beats/min, and his respirations are 22 breaths/min. Further assessment
reveals that his radial pulses are easily palpable. What is the MOST
appropriate IV fluid regimen for this patient?: 25 mL/hr
-At present, fluid boluses are not indicated. Set the IV flow rate at 25 mL/hr, which will keep the vein open (KVO) in
case his condition deteriorates to a point where volume replacement is warranted. If needed, boluses of 20 mL/kg should
be given to maintain perfusion (ie, radial pulses, adequate mental status), not to raise blood pressure.
10. After being struck in the head with a baseball bat, a 9-year-old boy
immedi- ately loses consciousness. On your arrival, he is conscious but
, FISDAP TRAUMA P3
confused. Shortly
, FISDAP TRAUMA P3
into your assessment, he becomes unresponsive. Which of the following in-
juries has this child MOST likely sustained?: Epidural hemorrhage
11. An hemorrhage, which is usually the result of damage to the
middle meningeal artery, produces a loss of consciousness immediately after
impact, after which the patient typically has a brief return of consciousness.
As the arterial bleeding begins to increase the pressure within the cranium,
however, the patient's mental status rapidly deteriorates.: epidural
12. A 39-year-old 120-pound woman sustained partial- and full-thickness
burns to her head, face, and anterior chest. She is tachypneic, tachycardic,
and hy- potensive. When caring for her, you should:: suspect that she has internal
hemorrhage from an occult injury.
13. Hypovolemia
typically occurs over the first several following the burn
(burn shock). If the burn patient has signs of shock in the field, you should
suspect internal hemorrhage from an occult injury: hours
14. Because of the risks of infection and hypothermia, partial- and full-
thickness burns should be covered with: dry, sterile dressings
15. During your rapid assessment of a semiconscious man who sustained
blunt trauma to the anterior chest, you note paradoxical movement to the left
hemithorax. You should:: assist the patient's ventilations with a bag-valve-mask deivce.
16. Paradoxical chest wall movement is a classic sign of a: flail chest
17. is the amount of pressure that it takes to push blood through the
cerebral circulation and maintain blood flow and oxygen and glucose
delivery to the cells of the brain.: Cerebral perfusion pressure (CPP)
18. If the CPP drops below , cerebral
perfusion will be compro- mised.: 60 mm Hg
19. CPP decreases when the mean arterial pressure (MAP) and/or the
ICP .: decreases;increases
20. ICP should not exceed: 15 mm Hg
21. CPP calculation:: CPP = MAP - ICP
22. MAP equation: MAP = (SBP + 2 x DBP) / 3
23. You and your partner are standing by at a community softball
tournament when you witness the collapse of a 39-year-old male immediately
after he was
, FISDAP TRAUMA P3
struck in the chest by a softball. You quickly assess him and determine that he
is apneic and pulseless. This patient's cardiac arrest was MOST likely caused
by:: a cardiac dysrhythmia.
24. If the chest receives a direct blow during the critical portion of the
heart's repolarization period (relative refractory period), the result may be
immediate cardiac arrest. This phenomenon is called: Comotio Cordis
25. During an attempted resuscitation of a 78-year-old woman in cardiac
arrest, you apply the defibrillation pads and turn on the cardiac monitor. Her
cardiac rhythm reveals asystole. Suddenly, the machine shuts off and will not
turn back on when you push the power button. You continue resuscitative
efforts and transport the patient to the hospital, where she was pronounced
dead. Upon returning to quarters, you learn that the crew before you also had
a cardiac arrest call, but did not replace the batteries in the
monitor/defibrillator. In this case:: you and your partner may be held legally accountable for her
death.
26. While functioning at a mass-casualty incident, a paramedic falls and
frac- tures his femur. He is conscious and alert, is breathing adequately, and
has no open injuries. Which of the following should occur?: He should be assigned an
immediate triage category and removed from the scene as soon as possible
27. A 17-year-old female was ejected from her car during a motor vehicle
crash. You find her in a supine position lying motionless. She is conscious, but
con- fused, and her skin is warm and dry. Her blood pressure is 76/50 mm Hg,
her pulse rate is 54 beats/min, and her respiratory rate is 26 breaths/min. You
should treat this patient for:: neurogenic shock.
28. Patients with a severe head injury typically present with: hypertension,
bradycardia, and abnormal breathing (Cushing's triad).
29. three classic signs—bradycardia, hypertension, and bradypnea—seen
with pressure on the medulla as a result of brain stem herniation: Cushing's
triad
30. You are transporting a 43-year-old male who experienced partial- and
full-thickness burns to his head, face, anterior torso, and both upper extremi-
ties. When calling your radio report to the hospital, it is MOST important that
you:: relay the anatomic locations of his burns.
1. Immediate care for a severely burned patient includes:: moving the patient to safety
2. When assessing a patient with a closed head injury, you note the presence
of trismus. This is defined as:: clenching of the teeth.
3. The
condition in which the pupils are unequal is called it is an
omi- nous sign and indicates significantly increased intracranial pressure.:
anisocoria
4. A 40-year-old man fell approximately 20 feet from the roof of his house and
landed on his feet. On the basis of the mechanism of injury, you should
suspect injuries to the:: calcaneus, hips, and lumbar spine.
5. A typical pattern of injury is often
observed when an adult falls and lands on his or her feet. As a result of
, the patient frequently sustains
injury to the calcaneus (heels of the feet) as the initial point of impact. The
force then travels upward, causing injury to the hips. The force can be severe
enough to result in injury to the relatively unprotected lumbar spine.: axial
loading
6. Which of the following sets of vital signs is MOST indicative of neurogenic
shock?: BP, 70/50 mm Hg; pulse rate, 56 beats/min; respirations, 24 breaths/min
7. Results from the loss of normal sympathetic nervous system tone; it is
com- monly caused by a spinal injury.: Neurogenic shock (also called vasomotor shock)
8. In , there is no release of the catecholamines epinephrine
and norepinephrine. This causes widespread vasodilation and hypotension
(relative hypovolemia); pink, dry skin below the level of the injury; and
relative bradycardia: neurogenic shock
9. A 22-year-old male experienced blunt abdominal trauma. He is conscious
and alert, but appears anxious. His blood pressure is 100/62 mm Hg, his pulse
is 118 beats/min, and his respirations are 22 breaths/min. Further assessment
reveals that his radial pulses are easily palpable. What is the MOST
appropriate IV fluid regimen for this patient?: 25 mL/hr
-At present, fluid boluses are not indicated. Set the IV flow rate at 25 mL/hr, which will keep the vein open (KVO) in
case his condition deteriorates to a point where volume replacement is warranted. If needed, boluses of 20 mL/kg should
be given to maintain perfusion (ie, radial pulses, adequate mental status), not to raise blood pressure.
10. After being struck in the head with a baseball bat, a 9-year-old boy
immedi- ately loses consciousness. On your arrival, he is conscious but
, FISDAP TRAUMA P3
confused. Shortly
, FISDAP TRAUMA P3
into your assessment, he becomes unresponsive. Which of the following in-
juries has this child MOST likely sustained?: Epidural hemorrhage
11. An hemorrhage, which is usually the result of damage to the
middle meningeal artery, produces a loss of consciousness immediately after
impact, after which the patient typically has a brief return of consciousness.
As the arterial bleeding begins to increase the pressure within the cranium,
however, the patient's mental status rapidly deteriorates.: epidural
12. A 39-year-old 120-pound woman sustained partial- and full-thickness
burns to her head, face, and anterior chest. She is tachypneic, tachycardic,
and hy- potensive. When caring for her, you should:: suspect that she has internal
hemorrhage from an occult injury.
13. Hypovolemia
typically occurs over the first several following the burn
(burn shock). If the burn patient has signs of shock in the field, you should
suspect internal hemorrhage from an occult injury: hours
14. Because of the risks of infection and hypothermia, partial- and full-
thickness burns should be covered with: dry, sterile dressings
15. During your rapid assessment of a semiconscious man who sustained
blunt trauma to the anterior chest, you note paradoxical movement to the left
hemithorax. You should:: assist the patient's ventilations with a bag-valve-mask deivce.
16. Paradoxical chest wall movement is a classic sign of a: flail chest
17. is the amount of pressure that it takes to push blood through the
cerebral circulation and maintain blood flow and oxygen and glucose
delivery to the cells of the brain.: Cerebral perfusion pressure (CPP)
18. If the CPP drops below , cerebral
perfusion will be compro- mised.: 60 mm Hg
19. CPP decreases when the mean arterial pressure (MAP) and/or the
ICP .: decreases;increases
20. ICP should not exceed: 15 mm Hg
21. CPP calculation:: CPP = MAP - ICP
22. MAP equation: MAP = (SBP + 2 x DBP) / 3
23. You and your partner are standing by at a community softball
tournament when you witness the collapse of a 39-year-old male immediately
after he was
, FISDAP TRAUMA P3
struck in the chest by a softball. You quickly assess him and determine that he
is apneic and pulseless. This patient's cardiac arrest was MOST likely caused
by:: a cardiac dysrhythmia.
24. If the chest receives a direct blow during the critical portion of the
heart's repolarization period (relative refractory period), the result may be
immediate cardiac arrest. This phenomenon is called: Comotio Cordis
25. During an attempted resuscitation of a 78-year-old woman in cardiac
arrest, you apply the defibrillation pads and turn on the cardiac monitor. Her
cardiac rhythm reveals asystole. Suddenly, the machine shuts off and will not
turn back on when you push the power button. You continue resuscitative
efforts and transport the patient to the hospital, where she was pronounced
dead. Upon returning to quarters, you learn that the crew before you also had
a cardiac arrest call, but did not replace the batteries in the
monitor/defibrillator. In this case:: you and your partner may be held legally accountable for her
death.
26. While functioning at a mass-casualty incident, a paramedic falls and
frac- tures his femur. He is conscious and alert, is breathing adequately, and
has no open injuries. Which of the following should occur?: He should be assigned an
immediate triage category and removed from the scene as soon as possible
27. A 17-year-old female was ejected from her car during a motor vehicle
crash. You find her in a supine position lying motionless. She is conscious, but
con- fused, and her skin is warm and dry. Her blood pressure is 76/50 mm Hg,
her pulse rate is 54 beats/min, and her respiratory rate is 26 breaths/min. You
should treat this patient for:: neurogenic shock.
28. Patients with a severe head injury typically present with: hypertension,
bradycardia, and abnormal breathing (Cushing's triad).
29. three classic signs—bradycardia, hypertension, and bradypnea—seen
with pressure on the medulla as a result of brain stem herniation: Cushing's
triad
30. You are transporting a 43-year-old male who experienced partial- and
full-thickness burns to his head, face, anterior torso, and both upper extremi-
ties. When calling your radio report to the hospital, it is MOST important that
you:: relay the anatomic locations of his burns.
