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A comprehensive set of questions and answers related to the management and resuscitation of trauma patients. It addresses a wide range of topics, including airway management, fluid resuscitation, shock assessment and treatment, burn care, and various other critical aspects of trauma care. The level of detail and the breadth of the content suggest that this document could be a valuable resource for healthcare professionals, particularly those working in emergency medicine, critical care, or trauma-related fields. The questions cover both theoretical knowledge and practical application, making it suitable for use in educational settings, such as medical schools, nursing programs, or continuing education courses. Additionally, the document could serve as a reference guide for healthcare providers in clinical practice, helping them to quickly review and refresh their understanding of trauma management principles.
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o A. Administration of 100% oxygen
o B. Fluid resuscitation to a BP of 110-120 systolic if the patient is hypotensive
o C. Hyperventilating to obtain an EtCO2 of less than 30 (Correct Answer)
o D. Stabilization of the cervical spine
o A. BP 170/100, pulse 50/min (Correct Answer)
o B. BP 80/60, pulse 130/min
o C. BP 80/60, pulse 50/min
o D. BP 170/100, pulse 130/min
o A. Cardiac arrest (Correct Answer)
o B. Multiple open (compound) fractures
o C. Severe head injury with brain tissue visible
o D. Severe shock
o A. Proximal tibia (Correct Answer)
o B. Distal humerus
o C. Proximal femur
o D. Distal fibula
o A. Intravenous fluid at a "keep open" rate
o A. Increased pulse, clammy skin
o B. Increased pulse, warm and dry skin (Correct Answer)
o C. Decreased pulse, clammy skin
o D. Decreased pulse, warm and dry skin
o A. Directly under the bottom of the second rib, midclavicular line
o B. Directly under the bottom of the third rib, midclavicular line
o C. Directly over the top of the fourth rib, midaxillary line
o D. Directly over the top of the third rib, midclavicular line (Correct Answer)
o A. Brain injury
o B. Hypoxemia (Correct Answer)
o C. Myocardial contusion
o D. Ventricular arrhythmia
o A. Establish intravenous access and administer a 20mL/kg bolus
o B. Establish intravenous access and administer a 1 liter bolus
o C. Establish intravenous access and administer a 2-4 liter bolus
o D. Resuscitative efforts should not be started and the patient pronounced dead (Correct Answer)
o A. Oxygen should be used sparingly so as to avoid oxygen toxicity to the fetus
o B. Pressor agents such as dopamine should be used to improve circulation to the fetus
o C. Volume replacement should be given earlier and in larger amounts to the pregnant, burn patient (Correct Answer)
o D. Volume replacement should be given more slowly so as to avoid fluid overloading the fetus
o
o A. Size and length of catheter (Correct Answer)
o A. 11 L/min (Correct Answer)
o A. Hypovolemia due to hemorrhage (Correct Answer)
o A. Replace each mL of blood loss with 3 ml of crystalloid solution (Correct Answer)
o A. Metabolic acidosis (Correct Answer)
o A. Secondary via thorough PE, CXR, pulse ox, ECG, and ABG (Correct Answer)
o A. CT (Correct Answer)
o A. Abdominal hemorrhage (Correct Answer)
o A. Fascial penetration with intraperitoneal bleeding or peritonitis (Correct Answer)
o A. The relationship between IC volume and pressure (Correct Answer)
o A. 10 mm Hg (Correct Answer)
o A. Hourly urine output (Goal = 0.5-1.0 ml/kg body weight) (Correct Answer)
o A. 3-4 mL Ringer lactate X weight (kg) X %TBSA burned (second-degree and third degree); half administered over the first 8 hours (from time of injury) , remaining half administered over the next 16 hours (Correct Answer)
o A. Intravenous fluid at a "keep open" rate (Correct Answer)
o B. Intravenous fluid at 20 ml/kg bolus
o C. Fentanyl 100 mcg intravenous
o D. Insert an oropharyngeal airway and assist ventilations
o D. Very weak pulse
o A. Frequency of vomiting
o B. Level of consciousness (Correct Answer)
o C. Reflexes
o D. Sensory exam
o A. Compensated hypovolemic shock (Correct Answer)
o B. Decompensated neurogenic shock
o C. Late burn shock
o D. Late hemorrhagic shock
o A. MMAP
o B. IPPV
o C. RSI
o D. BOOTS (Correct Answer)
o B =Beard
o O =Obese
o O =Old age
o T =Toothless
o S =Snoring
o A. Hypovolemic shock
o B. Relative hypovolemic (high-space) shock (Correct Answer)
o B. Provide ventilator support for your patient
o C. Control major external bleeding (Correct Answer)
o D. Begin chest compressions if pulses are absent
o A. Ventilated at a rate of 8-10 per minute (Correct Answer)
o B. Ventilated at a rate of 12-14 per minute
o C. Ventilated at a rate of 16-18 per minute
o D. Ventilated at a rate of 20 per minute
o A. 1 hour
o B. 2 hours (Correct Answer)
o C. 3 hours
o D. 4 hours
o A. Direct pressure to the wound (Correct Answer)
o B. Tourniquets proximal to the wound
o C. Pressure points to arteries proximal to the wound
o D. Elevation of the wound above the level of the heart
o A. Serum lactate levels
o B. Blood sugar levels
o C. Abdominal ultrasound
o D. A&C (Correct Answer)
o A. Assisting ventilations
o B. Supplemental oxygen
o C. Occlusive dressing
o D. Spinal motion restriction (Correct Answer)
o A. Airway obstruction (Correct Answer)
o B. Gasping respirations
o C. Impaled object in abdomen
o D. Very weak pulse
o A. Frequency of vomiting
o B. Level of consciousness (Correct Answer)
o C. Reflexes
o D. Sensory exam
o A. Compensated hypovolemic shock (Correct Answer)
o B. Decompensated neurogenic shock
o C. Late burn shock
o D. Late hemorrhagic shock
o A. MMAP
o B. IPPV
o C. RSI
o D. BOOTS (Correct Answer)
o A. Hypovolemic shock
o B. Relative hypovolemic (high-space) shock (Correct Answer)
o C. Mechanical (obstructive) shock