Actual Complete Real Exam Questions And Correct Answers
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When a foreign body is impaled in the globe... you should? -
ANSWER-DO NOT remove it! Stabilize it, cover the eye with a
moist, sterile dressing, place a cup or other protective barrier
over the object & secure it in place with a bulky dressing. Cover
the unaffected eye to prevent movement.
Ear Lacerations - ANSWER-Carefully put the ear back in
anatomical position, place sterile gauze over it and kling wrap
around the head. If the ear has been completely avulsed,
attempt to keep the piece for reattachment at the hospital. If
blood or CSF is leaking, do not stop the flow- apply a loose
dressing.
When an impaled object is in the ear... you should? -
ANSWER-DO NOT
remove the object. Instead, stabilize the object, and cover the
ear to prevent
gross movement and minimize the risk of contamination
of the inner ear.
Open neck wound should be covered with...? - ANSWER-
An occlusive
,dressing. For fear of air entering
the neck.
When an impaled object is in the neck... you should? -
ANSWER-Not remove the object, but try to stabilize it and
control the bleeding from it. The ONLY exception for removing
the object is if it interferes with your ability to manage the
airway. In some cases, an emergency cric may be necessary.
Signs and symptoms of a Pneumothorax - ANSWER-Pt may
only report mild dyspnea, and pleuritic chest pain on one side.
Diminished or unequal breath sounds may be heard on
auscultation. Pt's with larger pneumo's present with severe
respiratory compromise and hypoxia- tachycardia, tachypnea,
AMS.
How to treat a Pneumothorax - ANSWER-If there is an open
wound, cover it
with an occlusive dressing. Provide high flow O2.
*Positive pressure will
aggravate this condition, resulting in a
tension pneumo.
Central Nervous System - ANSWER-Consists of the brain and
spinal cord.
Frontal Lobe - ANSWER-(Forehead) Important for voluntary
motor action and
, personality traits. Injury to the frontal lobe may result in
seizures or placid
reactions (flat
affect).
Parietal Lobe - ANSWER-Controls the somatic or voluntary
sensory and motor functions for the opposite side of the body,
as well as memory and emotions.
Occipital Lobe - ANSWER-(Back of the head) Responsible for
processing visual
information.
Temporal Lobe - ANSWER-(Side of the head) Speech area,
hearing, taste and
smell.
Meningeal Layers - ANSWER-PAD- pia, arachnoid, dura (from
inside to out).
Treating a pt with Head Trauma - ANSWER-Lidocaine to reduce
ICP, maintain O2 sats above 95%, administer high flow O2 if pt
is breathing on their own, avoid hyperventilation, restrict your
use of IV fluids (unless hypotensive, then give fluid to keep
systolic above 110 or 120), and do not give dextrose.
Diaphragm - ANSWER-Phrenic nerve (C3-C5). Injury occurring
at or above C3C4 may cause diaphragmatic paralysis, that is
seen with abdominal breathing and accessory muscle use.