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Exam 4: Trauma and Trauma Systems

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Question 221

Multiple Choice

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Which of the following does NOT indicate compensated shock?

A) Anxiety
B) Altered mental status
C) Weakness
D) Thirst

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Question 222

Multiple Choice

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The uncritical use of which of the following when caring for the trauma patient has been questioned by research?

A) PASG
B) Rapid isotonic fluid infusion
C) Capillary refill as an indicator of tissue perfusion
D) All of the above

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Question 223

Multiple Choice

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Which type of radiation particle can travel through 6 to 10 feet of air, penetrate a few layers of clothing, and cause external and internal injuries?

Your patient is a 12-year-old boy who was struck in the right temporal area of the head with a baseball. He had a brief loss of consciousness and is alert on your arrival. You note that he is becoming drowsy and has a strong radial pulse of 60, a blood pressure of 140/70, and a respiratory rate of 12. Which of the following best describes this patient's condition?

When a patient falls, which section of the spinal column is the most prone to compression injury?

The angle of Louis serves as a landmark for performing needle thoracostomy at which of the following locations?

Which of the following best describes the finding of tracheal shift in the trauma patient?

The portion of skin affected by superficial frostbite is the ________ layer.

Your patient is a 15-year-old male who was struck in the chest with a baseball. He is unresponsive, pulseless, and apneic. The monitor shows ventricular fibrillation. This condition is most accurately described as:

The phrenic nerve consists of peripheral nerve roots ________ through ________.

Decompression sickness commonly occurs in divers who are diving below what level?

The suspicion of blunt abdominal trauma should be based primarily on:

Upon arriving at the scene of a single-vehicle collision in which the vehicle struck a utility pole, you note that the windshield is "starred," and that the driver is not restrained. Which of the following injuries is MOST likely?

Which of the following best explains the importance of determining the trauma patient's level of consciousness and orientation in the primary assessment?

Your patient is a 38-year-old man who was pinned beneath the frame of a vehicle when it slipped off the makeshift jacks he was using to elevate it. The patient's brother thinks he may have been trapped for up to 20 minutes. The rescue unit is preparing to use airbags to lift the vehicle off the patient. Which of the following medications could you consider giving this patient?

Your patient is an 18-year-old man who stepped on a nail in the barnyard. The nail penetrated his tennis shoe and punctured his foot. On your arrival, the patient has removed the nail and the shoe. The wound is about 2 mm in diameter with minor bleeding that has been controlled. The skin around the wound is red. The patient does not want to be transported but asks if you can give him "some ointment and a Band-Aid." You should explain to the patient that this type of injury is associated with an increased risk of:

When administering fluid to a multisystem trauma patient with no signs of head injury but with signs of hypoperfusion, the paramedic should administer fluid only to maintain a systolic blood pressure equal to ________ mmHg.

Which of the following parameters should be used to guide the oxygenation and ventilation of the patient with a traumatic brain injury?

Your patient is an 18-year-old man who was slashed across the abdomen with a machete. He has a mass of omentum and small bowel protruding from the wound. Which of the following is your primary concern with this patient?

The substance within the body that is responsible for preventing atelectasis is: