Trauma TestPrep

What type of injury occurs when a joint is twisted or stretched beyond its normal range of motion, resulting in swelling but no deformity?

Sprain

A hiker fell 25 feet from a ledge. There is obvious deformity to his thoracic spine and he has a large laceration on his forehead. His BP is 60/40 mm Hg, pulse is 50 beats/min, and respirations are 26 breaths/min. His face and chest are pale and cool, but his abdomen and lower extremities are pink and warm. Which of the following best describes the pathophysiology of these findings?

A) Loss of nervous system control over the systemic vasculature

A man was stabbed two inches to the left of his sternum. He is diaphoretic and tachypneic, his BP is 90/68 mm Hg, and his pulse is rapid and weak. His breath sounds are equal bilaterally. What should you do?

A) Keep him warm and give oxygen

A man has an open abdominal wound through which a small loop of bowel is protruding. There is minimal bleeding. What should you do?

A) Apply a sterile trauma dressing moistened with sterile saline directly to the wound and secure the moist dressing in place with a dry sterile dressing

A 78-year-old woman has pain to her right groin area after she fell. Her right leg is straight but is externally rotated and shorter than the left. What should you suspect?

B) Proximal femur fracture

A man was stabbed in the lower right ribcage. He is diaphoretic; his pulse is rapid and weak; and his respirations are regular and unlabored at 24 breaths/min. What should you suspect?

A) Liver laceration

A woman has an open fracture to her left leg and is in severe pain. She is conscious and alert, has a patent airway, and is breathing adequately. What should you do first?

A) Control any external bleeding

A patient is unresponsive with snoring respirations. His arm is amputated just above the elbow and is bleeding heavily. What should you do?

B) Apply a proximal tourniquet

A man fell and landed on his outstretched hand, resulting in pain and deformity to the left midshaft forearm. At what pulse location should you assess distal circulation?

A) Radial

A man has a traumatic leg amputation just above the knee that is bleeding heavily. What should you do?

B) Apply a proximal tourniquet and cover the wound with a trauma dressing