Upon arrival at a trauma scene, you should complete a(n) - ANSWERScene Size-up
Prolonged scene times may reflect: - ANSWERIneffective team collaboration
Which of the following indicates a state of hyperventilation? - ANSWERAn end tidal CO2 level less than 30 mmHG
A 23 year old female fell ...
Upon arrival at a trauma scene, you should complete a(n) - ANSWERScene Size-up
Prolonged scene times may reflect: - ANSWERIneffective team collaboration
Which of the following indicates a state of hyperventilation? - ANSWERAn end tidal CO2 level less
than 30 mmHG
A 23 year old female fell from a 2nd floor balcony. Upon arrival, you find her lying in the grass. She
responds to verbal commands and your assessment reveals flat neck veins, & normal
chest/abdomen/pelvic examinations. Vital signs are: BP 74/40, P 54 & Weak, and R 16. You should
suspect: - ANSWERRelative hypovolemic (high-space) shock
Rationale: The condition causing the vascular space to be too large for a normal amount of blood has
been called "shock", or relative hypovolemia. Neurogenic shock, commonly called spinal shock, is a
form of relative hypovolemia. The clinical presentation of neurogenic shock differs from hemorrhagic
shock in that there is no catecholamine release and this no pallor (vasoconstriction), tachycardia, or
sweating. The patient will have a decreased BP but the HR will be normal or slow, and the skin is
usually warm, dry and pink
An unresponsive 34 y/o female was struck by a vehicle. You observe Asymmetrical chest wall
movement with a flail segment on the right. Following delegation of c-spine control and opening the
airway, you should? - ANSWERStabilize the chest wall
Which of the following regarding PT positioning for external jugular cannulation is Incorrect? -
ANSWERElevate the head to distend the vein and prevent air embolism.
Rationale: The PT must be in the supine position, preferably head down, to distend the vein and
prevent air embolism.
Which of the following set of vital signs is most compatible with a diagnosis of isolated traumatic
brain injury with increasing ICP? - ANSWERBP 170/100, P 50
, Rationale: When the ICP increases, the systemic BP increases to try to preserve blood flow to the
brain. The body senses the rise in systemic BP, and this triggers a drop in the pulse rate as the body
tries to lower the systemic BP
Which of the following statements is incorrect regarding spinal motion restriction? - ANSWERNeck
traction should be applied to extend the neck upward during cervical collar application
A 15 y/o male was stabbed and has an abdominal evisceration. The PT is A/O, BP 112/68, P 94, R18.
You should? - ANSWERPrepare PT for transport & establish vascular access during transport.
A 33yo female's leg was trapped in a piece of industrial equipment and has been extricated. She is
now complaining of secure lower leg pain. PT is A/O with no signs of external hemorrhage. Vital signs
are:
BP 132/78, P 96, R 20. Which of the following is indicated? - ANSWERAdminister pain medication
Establishing vascular access on scene is indicated: - ANSWERTo administer medication
Which of the following changes is most useful to monitor in the child with head injury? -
ANSWERLevel of consciousness
Rationale: changing of LOC is the best indicator of traumatic brain injury
In the geriatric PT, which of the following findings is most likely caused by an acute injury? -
ANSWERHypotension
A 31yo female was the restrained driver of a vehicle that hit a utility pole at moderate speed. The
drivers side airbag deployed. She is A/O & anxious. She reports that she is 8mo pregnant and
complain of abdominal, chest and lower extremity pain. Her vital signs are BP 100/60, P 90, R 20.
Your impression and interventions are: - ANSWEREarly signs of shock. Treat with O2, fluid
administration, at "keep open" rate.
Rationale: Do not mistake normal vital signs in pregnant PTs. The pregnant PT has a normal resting
pulse that is 10-15 beats faster than usual, and the BP is 10-15mmHG lower than usual. However, it is
also important to realize that a BP loss of 30% can occur in these PTs before there is a significant
change in BP
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