Question 1

All of the following are used in the sedation of patients for rapid sequence intubation, EXCEPT:

Accepted Answer

A)   Valium.
B)   Romazicon.
C)   etomidate.
D)   ketamine.

Question 2

Which of the following groups is NOT among those with the highest incidence of serious head trauma?

Accepted Answer

A)   The elderly
B)   Young men
C)   Middle-aged men
D)   Infants

Question 3

Which of the following best describes the percentage of mortality from penetrating gunshot wounds to the cranium?

Accepted Answer

A)   35 to 50
B)   75 to 80
C)   90 to 95
D)   10 to 15

Question 4

Which of the following trauma patients is MOST likely to have SCIWORA when examined in the hospital?

Accepted Answer

A)   5-year-old male
B)   80-year-old female
C)   21-year-old male
D)   45-year-old female

Question 5

The spinal cord is continuous from the brain to the level of:

Accepted Answer

A)   T-12 or T-13.
B)   L-5 or L-6.
C)   the coccyx.
D)   L-1 or L-2.

Question 6

You have intubated a 5-year-old girl with a suspected head injury. You note that the patient is exhibiting signs of herniation. What is the desired range for this patient's end-tidal CO2?

Accepted Answer

A)   35 to 40
B)   30 to 35
C)   25 to 30
D)   40 to 45

Question 7

Which of the following is a common mechanism of injury associated with spinal cord injuries?

Accepted Answer

A)   Falls greater than 20 feet
B)   Bungee jumping
C)   Shallow water diving
D)   All of the above

Question 8

Which of the following best describes consensual reactivity of the pupils?

Accepted Answer

A)   It is a pathological phenomenon. When a penlight is shone into one eye, both pupils constrict.
B)   It is a normal phenomenon. When a penlight is shone into one eye, only that pupil will constrict, while the other pupil is unaffected.
C)   It is a normal phenomenon. When a penlight is shone into one eye, both pupils constrict.
D)   It is a pathological phenomenon. When a penlight is shone into one eye, only that pupil constricts, while the other pupil is unaffected.

Question 9

Intracranial Volume = Brain Volume + CSF Volume + Blood Volume is the basis behind which of the following?

Accepted Answer

A)   Cerebral perfusion pressure
B)   Monroe-Kellie doctrine
C)   Mean arterial pressure
D)   Traumatic brain injury

Question 10

Regarding the primary assessment of the patient with suspected traumatic brain injury, which of the following describes the best approach to assessing the patient's neurological functioning?

Accepted Answer

A)   The use of AVPU
B)   Assessing the patient for level of consciousness and orientation to person, place, and time
C)   Assessing a revised trauma score
D)   Assessing a Champion trauma scale score

Question 11

Your patient is a 17-year-old female who fell from a horse. She is complaining of being unable to move. During your assessment, you have placed her arms at her sides, but her arms keeping returning to a "stick-up" or "hold-up" position. Based on this, which of the following is MOST likely?

Accepted Answer

A)   The patient has a spinal-cord injury at T-1.
B)   The patient has Brown-Séquard syndrome.
C)   The patient is feigning the injury.
D)   The patient has a spinal cord injury in the midcervical region.

Question 12

Your patient is a 22-year-old female assault victim. She has blunt trauma to the face with swelling around the right eye and zygomatic area. Upon assessing her eye movement, you note that the right eye cannot follow your finger and does not move. Which of the following MOST likely explains this finding?

Accepted Answer

A)   She has a fracture of the orbit that has trapped the optic nerve, thereby paralyzing her gaze.
B)   She has direct trauma to the eyeball that has damaged the intrinsic muscles of the eye.
C)   She has a fracture of the orbit that has trapped the extrinsic eye muscles.
D)   She has direct trauma to the eyeball that has damaged the optic nerve, thereby paralyzing her gaze.

Question 13

Which of the cervical vertebrae is quite pronounced and can be felt as the first bony prominence along the spine and just above the shoulders?

Accepted Answer

A)   C3
B)   C1
C)   C6
D)   C7

Question 14

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

Accepted Answer

A)   Maintain an oxygen saturation level of at least 96 percent and a capnography reading between 35 and 40 mmHg.
B)   Maintain an oxygen saturation level of at least 90 percent and a capnography level 
C)   Maintain an oxygen saturation level of at least 98 percent and a capnography reading > 45 mmHg.
D)   Maintain an oxygen saturation level of at least 90 percent and a capnography reading < 35 mmHg.

Question 15

Which of the following features of the cranium exacerbates the severity of intracranial trauma?

Accepted Answer

A)   It is rigid.
B)   It is formed of dense, heavy bone.
C)   It is relatively thin in the frontal region.
D)   The sutures allow for separation of the bones.

Exam 6: Head, Neck, and Spinal Trauma

Regarding the primary assessment of the patient with suspected traumatic brain injury, which of the following describes the best approach to assessing the patient's neurological functioning?

Correct Answer
verified

The spinal cord is continuous from the brain to the level of:

Correct Answer
verified

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

Correct Answer
verified

Which of the following best describes consensual reactivity of the pupils?

Correct Answer
verified

Which of the cervical vertebrae is quite pronounced and can be felt as the first bony prominence along the spine and just above the shoulders?

Correct Answer
verified

Which of the following features of the cranium exacerbates the severity of intracranial trauma?

Correct Answer
verified

Your patient is a 17-year-old female who fell from a horse. She is complaining of being unable to move. During your assessment, you have placed her arms at her sides, but her arms keeping returning to a "stick-up" or "hold-up" position. Based on this, which of the following is MOST likely?

Correct Answer
verified

Which of the following trauma patients is MOST likely to have SCIWORA when examined in the hospital?

Correct Answer
verified

All of the following are used in the sedation of patients for rapid sequence intubation, EXCEPT:

Correct Answer
verified

Which of the following groups is NOT among those with the highest incidence of serious head trauma?

Correct Answer
verified

Which of the following best describes the percentage of mortality from penetrating gunshot wounds to the cranium?

Correct Answer
verified

Which of the following is a common mechanism of injury associated with spinal cord injuries?

Correct Answer
verified

Intracranial Volume = Brain Volume + CSF Volume + Blood Volume is the basis behind which of the following?

Correct Answer
verified

Correct Answer
verified

You have intubated a 5-year-old girl with a suspected head injury. You note that the patient is exhibiting signs of herniation. What is the desired range for this patient's end-tidal CO₂?

Correct Answer
verified

Exam 6: Head, Neck, and Spinal Trauma

Regarding the primary assessment of the patient with suspected traumatic brain injury, which of the following describes the best approach to assessing the patient's neurological functioning?

Correct AnswerverifiedShow Answer

The spinal cord is continuous from the brain to the level of:

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

Which of the following best describes consensual reactivity of the pupils?

Correct AnswerverifiedShow Answer

Which of the cervical vertebrae is quite pronounced and can be felt as the first bony prominence along the spine and just above the shoulders?

Correct AnswerverifiedShow Answer

Which of the following features of the cranium exacerbates the severity of intracranial trauma?

Correct AnswerverifiedShow Answer

Your patient is a 17-year-old female who fell from a horse. She is complaining of being unable to move. During your assessment, you have placed her arms at her sides, but her arms keeping returning to a "stick-up" or "hold-up" position. Based on this, which of the following is MOST likely?

Correct AnswerverifiedShow Answer

Which of the following trauma patients is MOST likely to have SCIWORA when examined in the hospital?

Correct AnswerverifiedShow Answer

All of the following are used in the sedation of patients for rapid sequence intubation, EXCEPT:

Correct AnswerverifiedShow Answer

Which of the following groups is NOT among those with the highest incidence of serious head trauma?

Correct AnswerverifiedShow Answer

Which of the following best describes the percentage of mortality from penetrating gunshot wounds to the cranium?

Correct AnswerverifiedShow Answer

Which of the following is a common mechanism of injury associated with spinal cord injuries?

Correct AnswerverifiedShow Answer

Intracranial Volume = Brain Volume + CSF Volume + Blood Volume is the basis behind which of the following?

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

You have intubated a 5-year-old girl with a suspected head injury. You note that the patient is exhibiting signs of herniation. What is the desired range for this patient's end-tidal CO2?

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
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Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

You have intubated a 5-year-old girl with a suspected head injury. You note that the patient is exhibiting signs of herniation. What is the desired range for this patient's end-tidal CO₂?

Correct Answer
verified