Exam 4: Trauma and Trauma Systems

The pathway of injury left in the wake of a penetrating mechanism of injury is called:

Your patient is a 37-year-old male unrestrained driver of a vehicle. You find him with his upper body across the console and his head hanging down into the passenger's side floorboard area. You note pooled blood from a scalp wound. After immobilizing him and loading him into the ambulance, where you have more light for your examination, you note that he has a large, full-thickness avulsion of the scalp. The patient's heart rate is 112, respirations are 20, and blood pressure is 82/50. Which of the following statements about this patient are TRUE? 1)The scalp wound itself cannot account for the patient's vital signs. 2) The scalp wound itself may account for the patient's vital signs. 3) The patient's vital signs are consistent with increasing intracranial pressure. 4) Nothing about the vital signs indicates increased intracranial pressure.

The injury in which abdominal organs protrude through a large, deep laceration of the abdominal wall is best described as:

When the driver's chest strikes the steering wheel during a motor vehicle collision, what produces the next injury?

In which of the following ways does the integumentary system prevent pathogens from entering the body?

The branch of physics dealing with objects in motion and energy exchanges that occur as these objects collide is called what?

A concussion is best described as which of the following types of brain injuries?

The diaphragm is controlled by peripheral nerve roots ________ through ________.

All of the following are part of the drowning sequence of a conscious person EXCEPT:

Which of the following statements about stab wounds is TRUE?

Your patient is a 22-year-old female assault victim. She has blunt trauma to the face with swelling around the right eye and zygomatic area. Upon assessing her eye movement, you note that the right eye cannot follow your finger and does not move. Which of the following MOST likely explains this finding?

You are on the scene of a domestic assault in which the female victim defended herself against further attack by stabbing her attacker. Your patient is a 36-year-old man who has been stabbed in the posterior thorax about 1 centimeter to the right of the spinous process of T6. Your assessment reveals loss of motor and sensory function on the right side distal to T6 but intact motor function with some loss of sensation on the left side distal to T6. Which of the following best explains this patient's presentation?

You have just inserted a large-bore catheter into the chest of a patient with a tension pneumothorax and received a return of air. Which of the following should NOT be done?

Cool-water immersion of a burned part effectively reduces burning only when done within which of the following time frames?

Not considering other injuries, which of the following musculoskeletal findings warrants immediate transport of your patient?

Which of the following best describes the percentage of mortality from penetrating gunshot wounds to the cranium?

Which of the following has contributed most significantly to the decline in U.S. burn mortality?

The liver is injured ________ percent of the time with penetrating abdominal trauma.

Which of the following body areas warrant special attention when burned?

Which of the following is TRUE of the patient with a suspected penetrating injury to or rupture of the diaphragm?