EXAM
FISDAP Trauma 2024 (brand new)
questions with 100% verified
answers
Patients with significant closed head injuries often have
pupillary abnormalities and:
A) paralysis.
B) paresthesia.
C) hypertension.
D) tachycardia. - answer-C) hypertension.
Closed head injuries can cause a variety of signs and
symptoms. In addition to pupillary abnormalities (ie,
unequal pupils, sluggishly reactive pupils), a classic
finding that indicates a significant increase in
intracranial pressure is Cushing's triad. This trio of
findings includes hypertension; bradycardia; and
abnormal
breathing, which can vary from slow and irregular to
rapid and deep.
In contrast to an incision, a laceration:
A) is a jagged cut.
B) is a superficial injury.
C) bleeds more severely.
,D) usually involves an artery. - answer-A) is a jagged
cut.
A laceration is a jagged cut caused by a sharp object or
a blunt force that tears the tissue, whereas an incision
is a sharp, smooth cut. The depth of the injury
can vary; it can extend through the skin and
subcutaneous tissue or into the underlying muscles and
adjacent nerves and blood vessels. Lacerations and
incisions can involve arteries, veins, or both, potentially
resulting in severe bleeding.
Which of the following clinical findings is consistent
with decompensated shock?
A) Diaphoresis and pallor
B) Falling blood pressure
C) Restlessness and anxiety
D) Tachycardia and tachypnea - answer-B) Falling
blood pressure
During shock, the compensatory mechanisms of the
body attempt to maintain the blood pressure. This is
accomplished by increasing the heart rate, shunting
blood from the skin to more vital organs, and increasing
the respiratory rate to increase the oxygen content of
the blood. Once these compensatory
mechanisms fail, the blood pressure will fall
(hypotension). Hypotension signifies a state of
decompensated shock. You must not rely on the
patient's blood pressure as an indicator of overall
,perfusion. Restlessness, anxiety, tachycardia,
tachypnea, and cool, clammy skin (diaphoresis) are
earlier signs of shock and do not necessarily indicate a
decompensated state.
Which of the following injury mechanisms involves axial
loading?
A) skater slips and falls, landing on her outstretched
arm.
B) A construction worker falls off a roof and lands feet
first.
C) A woman's knees impact the dash during a frontal
collision.
D) A man's neck is forced laterally during a side impact
collision. - answer-B) A construction worker falls off a
roof and lands feet first.
Axial loading injuries occur when a sudden, excessive
compression force drives the long axis of the body
toward the head, or the head toward the feet.
Common injuries that involve axial loading are heavy
objects falling on a patient's head, diving head first into
shallow water, and falls in which the patient lands
feet first. All of these mechanisms cause compression
of the spine, potentially resulting in serious injury. None
of the other injury mechanisms described are
consistent with axial loading.
, A 40-year-old man was hit in the nose during a fight. He
has bruising under his left eye and a nosebleed. What
should you do?
A) Place a chemical ice pack over his nose.
B) Determine if he has any visual disturbances.
C) Ensure that he is sitting up and leaning forward.
D) Apply direct pressure by pinching his nostrils
together. - answer-C) Ensure that he is sitting up and
leaning forward.
During a nosebleed (epistaxis), much of the blood may
pass down the throat into the stomach as the patient
swallows; this is especially true if the patient is
lying supine. Blood is a gastric irritant; a person who
swallows a large amount of blood may become
nauseated and vomit, which increases the risk of
aspiration. Therefore, your first action should be to
ensure that the patient is sitting up and leaning
forward. This will prevent blood from draining down the
back of the throat. Next, apply direct pressure by
pinching the fleshy part of the nostrils together; you or
the patient may do this. Placing a chemical ice pack
over the nose may further help control the bleeding by
constricting the nasal vasculature. After controlling the
nosebleed, continue your assessment, which
includes assessing for facial deformities and visual
disturbances.
FISDAP Trauma 2024 (brand new)
questions with 100% verified
answers
Patients with significant closed head injuries often have
pupillary abnormalities and:
A) paralysis.
B) paresthesia.
C) hypertension.
D) tachycardia. - answer-C) hypertension.
Closed head injuries can cause a variety of signs and
symptoms. In addition to pupillary abnormalities (ie,
unequal pupils, sluggishly reactive pupils), a classic
finding that indicates a significant increase in
intracranial pressure is Cushing's triad. This trio of
findings includes hypertension; bradycardia; and
abnormal
breathing, which can vary from slow and irregular to
rapid and deep.
In contrast to an incision, a laceration:
A) is a jagged cut.
B) is a superficial injury.
C) bleeds more severely.
,D) usually involves an artery. - answer-A) is a jagged
cut.
A laceration is a jagged cut caused by a sharp object or
a blunt force that tears the tissue, whereas an incision
is a sharp, smooth cut. The depth of the injury
can vary; it can extend through the skin and
subcutaneous tissue or into the underlying muscles and
adjacent nerves and blood vessels. Lacerations and
incisions can involve arteries, veins, or both, potentially
resulting in severe bleeding.
Which of the following clinical findings is consistent
with decompensated shock?
A) Diaphoresis and pallor
B) Falling blood pressure
C) Restlessness and anxiety
D) Tachycardia and tachypnea - answer-B) Falling
blood pressure
During shock, the compensatory mechanisms of the
body attempt to maintain the blood pressure. This is
accomplished by increasing the heart rate, shunting
blood from the skin to more vital organs, and increasing
the respiratory rate to increase the oxygen content of
the blood. Once these compensatory
mechanisms fail, the blood pressure will fall
(hypotension). Hypotension signifies a state of
decompensated shock. You must not rely on the
patient's blood pressure as an indicator of overall
,perfusion. Restlessness, anxiety, tachycardia,
tachypnea, and cool, clammy skin (diaphoresis) are
earlier signs of shock and do not necessarily indicate a
decompensated state.
Which of the following injury mechanisms involves axial
loading?
A) skater slips and falls, landing on her outstretched
arm.
B) A construction worker falls off a roof and lands feet
first.
C) A woman's knees impact the dash during a frontal
collision.
D) A man's neck is forced laterally during a side impact
collision. - answer-B) A construction worker falls off a
roof and lands feet first.
Axial loading injuries occur when a sudden, excessive
compression force drives the long axis of the body
toward the head, or the head toward the feet.
Common injuries that involve axial loading are heavy
objects falling on a patient's head, diving head first into
shallow water, and falls in which the patient lands
feet first. All of these mechanisms cause compression
of the spine, potentially resulting in serious injury. None
of the other injury mechanisms described are
consistent with axial loading.
, A 40-year-old man was hit in the nose during a fight. He
has bruising under his left eye and a nosebleed. What
should you do?
A) Place a chemical ice pack over his nose.
B) Determine if he has any visual disturbances.
C) Ensure that he is sitting up and leaning forward.
D) Apply direct pressure by pinching his nostrils
together. - answer-C) Ensure that he is sitting up and
leaning forward.
During a nosebleed (epistaxis), much of the blood may
pass down the throat into the stomach as the patient
swallows; this is especially true if the patient is
lying supine. Blood is a gastric irritant; a person who
swallows a large amount of blood may become
nauseated and vomit, which increases the risk of
aspiration. Therefore, your first action should be to
ensure that the patient is sitting up and leaning
forward. This will prevent blood from draining down the
back of the throat. Next, apply direct pressure by
pinching the fleshy part of the nostrils together; you or
the patient may do this. Placing a chemical ice pack
over the nose may further help control the bleeding by
constricting the nasal vasculature. After controlling the
nosebleed, continue your assessment, which
includes assessing for facial deformities and visual
disturbances.
