MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question.
1) Your patient is a 45
old male with extensive blunt trauma to the face. He has decorticate
posturing in response to pain; weak, irregular respiratory effort at 6 per minute; and a heart rate of
50 with a good radial pulse. The patient appears to have nasal and mandibular fractures, and an
oropharyngeal airway is insufficient to keep the tongue from the posterior pharynx. Which of the
following has the MOST potential to negatively impact the patient?
A) Nasotracheal intubation
B) A nonvisualized dual lumen airway
C) Oral intubation under direct laryngoscopy
D) Retrograde intubation
2) The ________ cranial bone is fractured most often.
3) 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) Indirect, focal
B) Direct, diffuse
C) Direct, focal
D) Indirect, diffuse
4) Your patient has received blunt facial trauma due to an assault. For which of the following injuries
should you maintain a high index of suspicion?
1. Airway obstruction
2. Hypoxia due to aspiration of blood
3. Basilar skull fracture
4. Cervical spine trauma
5) Your patient is a 37
old male unrestrained driver of a vehicle. You find him with his upper
body across the console and his head hanging down into the passenger
s side floor board area. You
note pooled blood from a scalp wound. After immobilizing him and loading him into the
ambulance where you have more light for your examination, you note that he has a large,
thickness avulsion of the scalp. The patient
s heart rate is 112, respirations are 20, and blood
pressure is 82/50. Which of the following statements about this patient is/are TRUE?
1. The scalp wound itself cannot account for the patient
s vital signs.
2. The scalp wound itself may account for the patient
s vital signs.
3. The patient
s vital signs are consistent with increasing intracranial pressure.
4. Nothing about the vital signs indicates increased intracranial pressure.
6) Which of the following are the two most important prehospital considerations for reducing
secondary brain injury?
A) Ventilation and maintaining adequate blood pressure
B) Cervical spine immobilization and ventilation
C) ICP monitoring and administering corticosteroids
D) Ventilation and administering corticosteroids