Vol%204%20Ch%208%20Brady - Exam Name_

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Exam Name___________________________________ MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question. 1) Your patient is a 45 - year - 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 1) 2) The ________ cranial bone is fractured most often. A) ethmoid B) parietal C) temporal D) occipital 2) 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 3) 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 A) 1, 2B ) 1 , 2, 3, 4C ) 1 , 4D ) 1 , 2, 3 4) 5) Your patient is a 37 - year - 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 ʹ 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, full - thickness avulsion of the scalp. The patient ʹ 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 ʹ s vital signs. 2. The scalp wound itself may account for the patient ʹ s vital signs. 3. The patient ʹ s vital signs are consistent with increasing intracranial pressure. 4. Nothing about the vital signs indicates increased intracranial pressure. A) 2, 3B ) 1 , 3C ) 1 , ) 2 , 4 5) 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 6) 1
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7) Which of the following best describes the percentage of mortality from penetrating trauma to the cranium? A) 90 to 95 B) 10 to 15 C) 75 to 80 D) 35 to 50 7) 8) Which of the following is NOT a component of the Glasgow Coma Scale?
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This note was uploaded on 05/09/2011 for the course PARAMEDIC 100 taught by Professor Warafal during the Spring '11 term at SUNY Stony Brook.

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Vol%204%20Ch%208%20Brady - Exam Name_

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