BOOK4-CH8Head,Facial,NeckTrauma - Volume 4 Chapter 8 Head...

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Volume 4 Chapter 8 Head, Facial, Neck Trauma 1. Which of the following best describes the percentage of mortality from penetrating trauma to the cranium? a. 60 to 70% b. 75 to 80% c. 80 to 85% d. 50 to 60% 2. Which of the following groups is not among those with the highest incidence of serious head trauma? a. The elderly b. Infants c. Young male d. Middle aged males 3. Which of the following features of the cranium exacerbates the severity of intracranial trauma? a. It is relatively thin in the frontal region b. The sutures allow for separation of the bones c. It is rigid and unyielding d. It is formed of dense, heavy bone 4. Based on your knowledge of anatomy of the head, which of the following statements is true? a. Subdural bleeding is more likely arterial than venous b. Epidural bleeding is more venous than arterial c. Epidural bleeding is more likely arterial than venous d. Subdural and epidural bleeding are identical in their causative mechanisms and pathophysiology 5. Which of the following is true of the basilar skull? a. It is relatively weaker than other portions of the skull b. It provides a rough surface that may lacerate the brain in acceleration / deceleration mechanisms c. The foramen magnum is part of the basilar skull d. All of these are true 6. Which of the following is the largest element of the nervous system? a. Pons b. Cerebrum c. Medulla oblingata d. Cerebellum
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7. Your pt states that he had a traumatic brain injury from a motorcycle collision 3 years ago. You notice that his gait is unsteady and his movements are a bit jerky. You suspect that he has damage to which of the following structures? a. Cerebellum 8. The term head injury refers to which of the following? a. Skull fracture b. Soft tissue injuries to the scalp c. Trauma to the brain d. All of these 9. When caring for a pt with a basilar skull fracture in the prehospital setting, which of the following would be an unexpected finding? a. Blood mixed with cerebral spinal fluid flowing from the mouth b. Periorbital ecchymoses or “Racoon eyes” c. CSF otorrhea d. CSF rhinorrhea 10. The shearing, stretching, and tearing associated with rapid acceleration/deceleration forces acting on the brain result in which of the following types of brain injury? a. Direct, diffuse 11. Which of the following mechanisms causes indirect brain injury? a. Acceleration / deceleration forces without a direct blow to the cranium b. Cushing’s reflex c. Coup / contrecoup injuries d. Systemic hypotension combined with increasing intracrainial pressure 12. Which of the following are the two most important prehospital considerations for reducing secondary brain injury? a.
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BOOK4-CH8Head,Facial,NeckTrauma - Volume 4 Chapter 8 Head...

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