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Anesthesia Principles 3 Exam 2: Trauma Questions With Complete Solutions
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Anesthesia Principles 3 Exam 2: Trauma Questions With Complete Solutions
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Anesthesia Principles 3 Exam 2: Trauma Questions WithComplete Solutions
___________ FiO2 with ARDS has toxic effects over time,
worsening gas exchange Correct Answer high
____________ trauma often results when patients are not
wearing safety belts in cars --> impact on steering wheel
Correct Answer blunt chest
______________ is alveolar injury w/ out gross disruption of
the pulmonary architecture Correct Answer Pulmonary
contusion
______________ is avoided intraoperatively on any patient with
suspected thoracic trauma Correct Answer N2O
_______________ can occur as a result of traumatic injury,
resuscitation, or a combination Correct Answer ARDS
_______________ velocity wounds inflict injury by lacerating
and cutting trauma Correct Answer lower
_______________ with blunt abdominal injury is often
misdiagnosed Correct Answer occult bleeding
________________ = period of time (60 min) in which selected
pts will likely survive hemorrhagic shock if perfusion restored
Correct Answer golden hour
,________________ is a result of an external force that disrupts
normal structure and function of the body Correct Answer
trauma
_________________ is a vitamin K dependent serine protease
that induces anticoagulation by inhibiting factors V and VIII
Correct Answer activated protein C (APC) pathway
_________________ is complication of SCI above T6 that is
characterized by a sudden activation of SNS response as a result
of noxious stimuli like colorectal or bladder distension Correct
Answer autonomic dysreflexia
_________________ is potentially fatal condition that is found
in patients who suffer from SCI above T6 Correct Answer
autonomic dysreflexia
_________________ is when lung is punctured within the
thoracic cavity creating a one-way valve trappin air btwn the
layers of the pleura Correct Answer tension pneumothorax
__________________ alters plt fx and reduces fibrin enzyme
kinetics Correct Answer hypothermia
__________________ can reduce the 1st peak of deaths Correct
Answer prevention ONLY
__________________ is the most common lung injury with
trauma Correct Answer pulmonary contusion
,__________________ is the standard method for traumatic
airway management Correct Answer RSI
__________________ Law can explain how most traumatic
injuries occur Correct Answer newtons first law: object in
motion will stay in motion until affected by outside source
__________________ of the projectile is the most significant
determinant of wound potential Correct Answer velocity
__________________ worsens outcomes of trauma patients
with TBI Correct Answer hypo/hyperglycemia
___________________ may present with a variety of sx
dependent to the extent of the cardiac injury Correct Answer
cardiac rupture
____________________ velocity injuries occur as a result of the
deceleration of the object as it passes through tissue --> kinetic
energy to transfer to the surrounding tissues Correct Answer
moderate - to - high
_____________________ is who developed standards to which
all trauma systems must adhere to become accredited Correct
Answer American College of Surgeons Comittee on Trauma
________% of pneumothorax are NOT detected on initial CXR
Correct Answer 50
, "Golden Hour" Correct Answer the 60-minute period after a
severe injury in which selected patients will likely survive
hemorrhagic shock if perfusion is restored
2 categories of SCI Correct Answer 1. complete
2. non-complete
2nd peak in the trimodal death distribution occurs
______________ to ___________ post injury Correct Answer
minutes; hours
3rd peak of the trimodal death distrubtion occurs ___________
to ____________ post injury Correct Answer days; weeks
5 Indications for airway management with trauma Correct
Answer 1. inadequate oxygenation/ventilation
2. Loss of airway reflexes
3. GCS < 8
4. Need for pain management & ability to safely provide
anesthesia during painful procedures
5. RSI
80% of trauma deaths occur in the ___________________
Correct Answer golden hour (1st hour after injury)
a patient experiencing an intimal tear with aortic dissection can
be saved with what? Correct Answer rapid diagnosis and repair
with well managed fluid resuscitation and anesthetic care
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