Trauma practice quiz

What is the term for the injury in which the epidermis remains intact. But cells and blood vessels in the dermis may be damaged

Contusion (bruise)

What is most life threatening for an adult patient

Bubbling wound to the chest (sucking chest wound)

What is the best care for a suspected hemothorax

Transporting rapidly (hemothorax is bleeding in the lung and needs a surgeon to stop the bleeding)

A 20 year old male was the unrestrained driver in a car crash. He is anxious, pale and has absent lung sounds on the left side. Vital signs bp80/40, p132, r31 and shallow. What should u suspect

Tension pneumothorax

A 23 year old male was stabbed in the lower left quadrant. He has minor bleeding from the wound. What should u do

Apply an occlusive dressing (if it was bleeding profusely a sterile dressing would have been appropriate)

An altered 19 year male was just extricated from a burning building by the fire department. He has soot around his mouth and nose. What should you do

Remove any smoldering clothing (removing clothing that is on fire will prevent additional burns)

A 21 year old male has a large piece of glass impaled in his eye. What should you do?

Stabilize the glass with a paper cup

Which injury or condition should be managed first in a patient with multi - system trauma

Bleeding within the oral cavity

A 21 year old male Is semiconscious and lying kiddywampus at the bottom of 2 flights 9f stairs. What should you do

Manually stabilize c spine

A 56 year old male complains of tearing chest pain that radiates to his back. He was the restrained driver involved in a car crash at highway speeds. What should your secondary assessment include

Bilateral upper extremity blood pressure ( obtaining bilateral upper arm blood pressure will help rule in or out a disruption in the aorta. If one arm has a better pulse and higher blood pressure that indicates it is receiving more blood than the arm with a lower blood pressure)

A 25 year old male has a deep laceration on his right forearm. You are applying direct pressure with a trauma dressing , but the wound continues to bleed. What should you do

Apply a tourniquet proximal the laceration

A 22 year old male has a knife in pills in the upper right quadrant of his abdomen. He complains of pain full when he inhales and shortness of breathing what should you suspect

Diaphragmic tear. (Any penetrating injury from the nipple line to the umbilicus (belly button) is able to cause damage to the diaphragm)

Unresponsive 49 year old male is supine on the road next to a crashed motorcycle what should you do

Manually stabilize the cspine

The 41 year old male was kicked in the chest by a horse. He is short of breath and he has a contusion to his sternum. BP 96/78, p124, r24 Qdoba shallow. What should you suspect

Cardiac tamponade (narrowing of bp and systolic and diastolic getting closer is a significant finding. The contusion on the sternum shows that there was a significant amount of blunt traumatic force where the heart is located)

Which injury is most likely to develop compartment syndrom

Closed tibia fracture (most common areas for compartment syndromes to occur are distal, closed extremity fractures)

A 21 year old female has an open femur fracture after falling off a horse. What should u do

Check for distal circulation (first thing)

A 23 year old male was stabbed in the shoulder and blood is spurting from the wound. What should u do

Apply direct pressure

A 34 year old male has a fractured left elbow, and his arm is Cyanotic and pulsless. What should you do

Align with gentle traction until resistance is met. (If cyanotic or pulses are absent)

What type of injury results from prolonged compression forces aplied to soft tissue

Crush injury (compressions or (blunt trauma) can damage tissue from extreme amounts of pressure. This pressure causes organs to rupture. Similar to crushing a grape)