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Which of the following may improve breathing in the patient with isolated rib fractures?


A) Nitrous oxide
B) Taping circumferentially around the chest
C) Morphine sulfate
D) None of the above

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Which of the following early signs of shock is easily missed?


A) Tachycardia
B) Decrease in respiratory rate and volume
C) Decrease in blood pressure
D) Narrowing pulse pressure

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The finding of jugular venous distention in the patient with thoracic trauma is LEAST likely to be associated with which of the following?


A) Traumatic asphyxia
B) Hemothorax
C) Tension pneumothorax
D) Pericardial tamponade

Correct Answer

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Which of the following statements is NOT true of pericardial tamponade?


A) It is most often associated with penetrating trauma.
B) The systolic blood pressure increases significantly on inspiration.
C) As little as 150 mL of blood can cause pericardial tamponade.
D) The pathophysiology results in increased venous pressure and decreased cardiac output.

Correct Answer

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Rapid volume replacement is best achieved under which of the following conditions?


A) Use of a long catheter with a large internal diameter
B) Use of a long catheter with a small internal diameter
C) Use of a short catheter with a small internal diameter
D) Use of a short catheter with a large internal diameter

Correct Answer

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Your patient is a 60-year-old female restrained driver involved in a moderate-speed frontal impact collision. When you arrive at the scene, she is sitting up in the driver's seat with a chief complaint of a burning sensation in her face. You note abrasions from deployment of the airbag. After immobilizing the patient on a long backboard, you begin transport. As you perform a detailed examination, the patient complains of developing right shoulder pain. Which of the following should you suspect?


A) Myocardial contusion
B) Intraabdominal bleeding
C) Exacerbation of the patient's arthritis due to immobilization on the backboard
D) Shoulder contusion or possible clavicle fracture due to restraint by the shoulder harness

Correct Answer

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To gain an appreciation for the potential for trauma from high-velocity projectiles, it is important to remember that the shock wave produced can exceed atmospheric pressure by up to ________ times.


A) 25
B) 100
C) 50
D) 80

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Which of the following spinal cord injuries is LEAST likely to result in residual neurologic deficit?


A) Compression
B) Transection
C) Contusion
D) Laceration

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Which of the following groups has the highest trauma morbidity and mortality rates?


A) Males aged 11 to 35 years
B) Males aged 45 to 70
C) Both genders aged 60 to 75 years
D) Children aged 1 to 12 years

Correct Answer

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A partial displacement of a bone end from its position in the joint is called a:


A) sprain.
B) dislocation.
C) subluxation.
D) contracture.

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Which of the following best describes the mechanism of blunt thoracic trauma associated with blast injuries?


A) Deceleration
B) Acceleration
C) Compression
D) Compression and decompression

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Which of the following represents the correct sequence for controlling hemorrhage from an extremity?


A) Direct pressure on the dressing and wound, finger pressure through the dressing to the leaking vessel, and, if pressure fails, application of a tourniquet
B) Direct pressure on the dressing and wound, elevation, ice
C) Finger pressure through the dressing to the leaking vessel, splinting, ice, elevation
D) Direct pressure on the dressing and wound, elevation, ice, tourniquet as a last resort

Correct Answer

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Your patient is a 24-year-old man who was struck just below the left scapula with a 3-inch-diameter metal pipe. He is awake but having difficulty breathing. His pulse is 112 at the radial artery, and his respiratory rate is 28 per minute and shallow. His breath sounds are present bilaterally but diminished on the left. He has a blood pressure of 108/68. The patient is coughing up some bloody sputum. He has no other complaints, and a rapid trauma survey reveals no additional life-threatening injuries. Which of the following represents the best sequence of interventions for this patient?


A) Begin transport immediately, positive pressure ventilation, a large-bore IV of isotonic solution to maintain a systolic blood pressure of 120 mmHg or greater.
B) High-concentration oxygen by nonrebreather mask, begin transport, a 16-gauge IV at a keep-open rate.
C) Positive-pressure ventilation, a large-bore IV of normal saline solution at a keep-open rate, transport.
D) High-concentration oxygen by nonrebreather mask, begin transport, two 14-gauge IVs of 50 percent dextrose solution wide open.

Correct Answer

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Which of the following abdominal organs is the LEAST affected by the pressure wave associated with penetrating trauma?


A) Spleen
B) Bowel
C) Kidneys
D) Liver

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Which level of trauma facility strictly stabilizes trauma patients and prepares to transport, often by helicopter, to a more distant and higher-level trauma center?


A) I
B) II
C) IV
D) III

Correct Answer

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Which of the following injuries is NOT commonly related to snowmobiling?


A) Ejections
B) Crush injuries
C) Drowning
D) Glancing blows against obstructions in the snow

Correct Answer

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


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

Correct Answer

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A penetrating injury to which of the following organs is LEAST likely to result in severe hemorrhage?


A) Liver
B) Kidney
C) Spleen
D) Ureter

Correct Answer

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Which of the following best differentiates medical and trauma patient assessment?


A) There is no concept for "medical load and go" patients.
B) Trauma triage guidelines are not critical with medical patients.
C) Scene safety is not an issue with the medical patient.
D) Assessing breath sounds is not crucial to trauma assessment.

Correct Answer

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Bariatric patients are at greater risk for all of the following, EXCEPT:


A) Arrhythmias
B) Cardiac failure
C) Systemic hypertension
D) Bradycardia

Correct Answer

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