Practice Questions - Trauma

FISDAP Practice Questions - Trauma A 21 year old male fell asleep by the pool for 5 hours. He has bright red burns on his neck and down to his ankles. What percentage of his body is burned? A. 36 B. 27 C. 50 D. 45 - CORRECT ANSWER 45 A 42 year old male has circumferential burns on both legs and his genitals. What percentage of his body is burned? A. 37 B. 45 C. 29 D. 18 - CORRECT ANSWER 37 A 22 year old male has isolated and patchy third degree burns. Which classification method should you use to determine the percentage of body area burned? A. Rule of Nines B. Broselow tape C. Rule of Palm D. Lund and Browder Chart - CORRECT ANSWER Rule of Palm How does a superficial burn present? A. Dark read and sensitive to cold air B. White or waxy without pain C. Pink or red with little or no swelling D. Red with blisters - CORRECT ANSWER Pink or red with little or no swelling A 49 year old male has burns on the front of both arms and his entire chest above the costal margin. What percentage of burns received? A. 13.5 B. 18 C. 9 D. 27 - CORRECT ANSWER 18 A 17 year old female has a second degree circumferential burn on her left lower leg and foot. What percentage of body surface area is burned? A.21 B. 9 C. 18 D. 4 - CORRECT ANSWER 9 A 6 month old male has full thickness burns to his head, right arm, and back. What percentage of his body is burned? A. 36 B. 27 C. 45 D. 65 - CORRECT ANSWER 45 A 2 year old female has second degree burns on both palms and third degree burns on her chest and abdomen. What percentage of her body is burned? A. 29 B. 36 C. 20 D. 18 - CORRECT ANSWER 20 A 60 year old male was burned in a house fire. he has a partial and full thickness burns to the anterior surface of his neck, chest, and abdomen. What percentage of burns did he receive? A. 44 B. 19 C. 14 D. 3 - CORRECT ANSWER 19 A 3 year old male has full thickness burns covering his arms, posterior trunk and right leg. What percentage of burns did he receive? A. 50 B. 36 C. 25 D. 65 - CORRECT ANSWER 50 A 3 year old female has circumferential second degree burns reaching up to her knees on both legs. What percentage of her body is burned ? A. 9 B. 18 C. 27 D. 13 - CORRECT ANSWER 13 A 23 year old male has partial thickness burns to his anterior thighs and full thickness burns to his perineum. What percent of his body surface area is burned? A. 13 B. 11 C. 19 D. 8 - CORRECT ANSWER 11 A 21 year old male tripped and fell into a small camp fire. He has burns to his hands, anterior forearms and upper chest. What percentage of his body has been burned? A. 9 B. 27 C. 15 D. 21 - CORRECT ANSWER 15 How does a full thickness burn present? A. Red, blistered and extremely painful B. Mottled white and red areas that are sensitive to cold C. White, waxy and painless D. Dark red with painful blisters - CORRECT ANSWER White, waxy and painless A 27 year old male has burns on his entire anterior chest and to the left upper extremity, circumferentially. What percentage of burns did he receive? - CORRECT ANSWER 13.5 A 22 year old male has a knife impaled in the upper right quadrant of his abdomen. He complains of painful when he inhales and shortness of breathing. What should you suspect? A. Abdominal evisceration B. Splenic rupture C. Diaphragmatic tear D. Spontaneous pneumothorax - CORRECT ANSWER Diaphragmatic tear An alter 19 year old male was just extricated from a burning building by the fire department. He has soot around his mouth and nose. What should you do? A. Apply a pulse oximeter B. Remove any smoldering clothing C. Inspect his airway for any burns D. Administer high-flow oxygen - CORRECT ANSWER Remove any smoldering clothing Which injury or condition should be managed first in a patient with multi-system trauma? A. Fluid drainage from both ears B. Bleeding within the oral cavity C. A large open abdominal wound D. Bilateral fracture to the femur - CORRECT ANSWER Bleeding within the oral cavity Which injury is most likely to develop compartment syndrome? A. Ankle dislocation B. Closed tibia fracture C. Knee hyperextension D. Open radius fracture - CORRECT ANSWER Closed tibia fracture What type of injury results from prolonged compression forces applied to soft tissue? A. Crush injury B. Avulsion C. Convolution D. Concussion - CORRECT ANSWER Crush injury What is the most life threatening for an adult patient? A. Compound tibia fracture B. Active bleeding from the forehead C. Bubbling wound to the chest D. Bowel evisceration - CORRECT ANSWER Bubbling wound to the chest A 21 year old female has an open femur fracture after falling off a horse. What should you do? A. Apply a traction splint B. Apply manual stabilization to her femur C. Immobilize her on a long back board D. Check for a distal circulation - CORRECT ANSWER Apply manual stabilization to her femur A 41 year old male was kicked in the chest by a horse. He is short of breath and he has a contusion to his sternum. Vital signs are BP 96/78, P 124, R 24 and shallow. What should you suspect? A. Congestive heart failure B. Pulmonary edema C. Cardiac tamponade D. Pulmonary embolism - CORRECT ANSWER Cardiac tamponade An unresponsive 49 year old male is supine on the road next to a crashed motorcycle. What should you do? A. Assist ventilations with a bag-valve mask B. Administer oxygen by non-rebreather mask C. Immobilize him on a long spine backboard D. Manually stabilize c-spine - CORRECT ANSWER Manually stabilize c-spine A 46 year old female was in a car crash at highway speeds. She is unconscious, breathing deep and fast with an abrasion to the lateral aspect of her neck. What should you do? A. Apply an occlusive dressing B. Open the airway C. Perform a rapid extrication D. Take c-spine precautions - CORRECT ANSWER Take c-spine precautions What is the term for the injury in which the epidermis remains intact, but cells and blood vessels in the dermis may be damaged? A. Hematoma B. Avulsion C. Evisceration D. Contusion - CORRECT ANSWER Contusion A 21 year old male has a large piece of glass impaled in his eye. What should you do? A. Flush his eye with sterile water B. Perform a secondary assessment C. Test eye movement D. Stabilize the glass with a paper cup - CORRECT ANSWER Stabilize the glass with a paper cup A 20 year old male was the unrestrained driver in a car crash. He is anxious, pale and has absent lung sounds on the left side. Vital signs are BP 80/48, P 132, R 31 and shallow. What should you suspect? A. Flail chest B. Tension pneumothorax C. Pericardial tamponade D. Pulmonary contusions - CORRECT ANSWER Tension pneumothorax A 25 year old male has a deep laceration on his right forearm. You are applying direct pressure with a trauma dressing, but the wound continues to bleed. What should you do? A. Apply pressure to the brachial artery B. Apply pressure to the radial artery C. Apply a tourniquet proximal the laceration D. Lower the arm and apply cold packs - CORRECT ANSWER Apply a tourniquet proximal the laceration What is the best care for a suspected hemothorax? A. Transporting rapidly B. Stabilizing the chest segment C. Applying an occlusive dressing D. Providing manual ventilations - CORRECT ANSWER Transporting rapidly A 23 year old male was stabbed in the shoulder and blood is spurting from the wound. What should you do? A. Administer oxygen B. Apply direct pressure C. Expedite transport D. Manually stabilize c-spine - CORRECT ANSWER Apply direct pressure A 23 year old male was stabbed in the lower left quadrant. He has minor bleeding from the wound. What should you do? A. Attempt to locate the weapon B. Apply an occlusive dressing C. Perform a secondary assessment D. Immobilize him on a long backboard - CORRECT ANSWER Apply an occlusive dressing A 56 year old male complains of tearing chest pain that radiates to his back. He was the restrained driver involved in a car crash at high-way speeds. What should your secondary assessment include? A. A review of the medication list B. Auscultation for abnormal breath sounds C. Bilateral upper extremity blood pressures D. Deep palpation of the abdomen - CORRECT ANSWER Bilateral upper extremity blood pressures A 343 year old male has a fractured left elbow, and his arm is cyanotic and pulseless. What should you do? A. Align with gentle traction until resistance is met B. Immobilize the arm with a traction splint C. Stabilize the elbow with a sling and swathe D. Immobilize the arm as it was found - CORRECT ANSWER Align with gentle traction until resistance is found A 21 year old male is semi-conscious and lying kiddywampus at the bottom of 2 flights of stairs. What should you do? A. Assess for distal pulses B. Perform a sternal rub C. Manually stabilize c-spine D. Open the airway with a jaw-thrust - CORRECT ANSWER Manually stabilize c-spine A 44 year old female fell off a roof. She answers your commands with incomprehensible sounds. When you pinch her trapezius, her eyes do not open but she moves her legs. What is her Glasgow Coma Score? A. 6 B. 7 C. 8 D. 5 - CORRECT ANSWER 7 A 21 year old male is extremely intoxicated. When you attempt to insert a nasal airway he slaps your hand away, curses at you, and then sits up. When you remove the airway, he lies down on the stretcher. What is his Glasgow Coma Score? A. 11 B. 9 C. 10 D. 8 - CORRECT ANSWER 11 A 37 year old female is intoxicated and fractured her leg. When you apply a splint, she looks at you and withdraws her leg then grunts in pain. What is her Glasgow Coma Score? A. 8 B. 10 C. 6 D. 11 - CORRECT ANSWER 8 An 81 year old male is pulseless and apneic. He is lying supine in bed with dried blood in his nose and ears. What is his Glasgow Coma Score? A. 3 B. 5 C. 4 D. 6 - CORRECT ANSWER 3 A 28 year old female with a closed head injury moans and bends her arms towards her chest. She points her toes when you attempt to splint a extremity fracture. What is her Glasgow Coma Score? A. 7 B. 5 C. 4 D. 6 - CORRECT ANSWER 6 A 6 year old male fell 6 feet from a tree. He is awake and has the ability to move all of his extremities. When you ask what happened, he tells you that he "fell" and then begins to tell you about his pet dog. What is his Glasgow Coma Score? A. 13 B. 9 C. 15 D. 11 - CORRECT ANSWER 15 An 85 year old male in a nursing home is walking around his room and greets you when you enter. He speaks clearly but his answers are confusing and rambling. What is his Glasgow Coma Score? A. 12 B. 14 C. 13 D. 15 - CORRECT ANSWER 14 A 56 year old male rubs his abdomen and tells you, "It really hurts." He tells you that he wants to go to the hospital, and you help him walk to the stretcher. What is his Glasgow Coma Score? A. 15 B. 13 C. 11 D. 9 - CORRECT ANSWER 15 A 64 year old male looks at you when you speak to him. When you ask him the date, he says, "Blue." He has left-sided weakness when he grips your fingers. What is his Glasgow Coma Score? A. 12 B. 15 C. 14 D. 13 - CORRECT ANSWER 13 A 24 year old female overdosed on an unknown substance. She is staring off into space, writhing, and babbling. When you apply painful stimulus, she cries out incomprehensibly but does not pull away. What is her Glasgow Coma Score? A. 7 B. 9 C. 10 D. 8 - CORRECT ANSWER 9 A 20 year old female fell 20 feet while rock climbing. When you apply a sternal rub, she extends her arms and legs, but shows no other response. What is her Glasgow Coma score? A. 4 B. 5 C. 7 D. 6 - CORRECT ANSWER 4 A 17 year old male overdosed on narcotics. He looks around with an unfocused gaze, mumbles when you ask him questions, and pulls away from painful stimulus. What is his Glasgow Coma Score? A. 10 B. 7 C. 8 D. 9 - CORRECT ANSWER 10 A 30 year old male was found on the sidewalk outside a homeless shelter. When you apply painful stimuli, he opens his eyes, tells you to go away, and then he pushes your hand away. What is his Glasgow Coma Score? A. 15 B. 8 C. 10 D. 12 - CORRECT ANSWER 12