Exam 4: Trauma and Trauma Systems

Your patient is a 60-year-old female restrained driver involved in a moderate-speed frontal impact collision. When you arrive at the scene, she is sitting up in the driver's seat with a chief complaint of a burning sensation in her face. You note abrasions from deployment of the airbag. After immobilizing the patient on a long backboard, you begin transport. As you perform a detailed examination, the patient complains of developing right shoulder pain. Which of the following should you suspect?

Intracranial Volume = Brain Volume + CSF Volume + Blood Volume is the basis behind which of the following?

Which of the following early signs of shock is easily missed?

Which of the following best describes the mechanism of blunt thoracic trauma associated with blast injuries?

A penetrating injury to which of the following organs is LEAST likely to result in severe hemorrhage?

Which of the following best differentiates medical and trauma patient assessment?

Which of the following abdominal organs is the LEAST affected by the pressure wave associated with penetrating trauma?

Rapid volume replacement is best achieved under which of the following conditions?

Which of the following injuries is NOT commonly related to snowmobiling?

To gain an appreciation for the potential for trauma from high-velocity projectiles, it is important to remember that the shock wave produced can exceed atmospheric pressure by up to ________ times.

A partial displacement of a bone end from its position in the joint is called a:

Which of the following represents the correct sequence for controlling hemorrhage from an extremity?

Which level of trauma facility strictly stabilizes trauma patients and prepares to transport, often by helicopter, to a more distant and higher-level trauma center?

The finding of jugular venous distention in the patient with thoracic trauma is LEAST likely to be associated with which of the following?

Bariatric patients are at greater risk for all of the following, EXCEPT:

Which of the following groups has the highest trauma morbidity and mortality rates?

Which of the following statements is NOT true of pericardial tamponade?

Your patient is a 24-year-old man who was struck just below the left scapula with a 3-inch-diameter metal pipe. He is awake but having difficulty breathing. His pulse is 112 at the radial artery, and his respiratory rate is 28 per minute and shallow. His breath sounds are present bilaterally but diminished on the left. He has a blood pressure of 108/68. The patient is coughing up some bloody sputum. He has no other complaints, and a rapid trauma survey reveals no additional life-threatening injuries. Which of the following represents the best sequence of interventions for this patient?

Which of the following may improve breathing in the patient with isolated rib fractures?

Which of the following spinal cord injuries is LEAST likely to result in residual neurologic deficit?