2016 Trauma Competition Post-Test

1. Which of the following is the most typical of hypovolemic shock in the older adult trauma patient? *This question is required.

• Increased pulse and warm dry skin
• Increased pulse and pale clammy skin
• Decreased pulse and warm dry skin
• Decreased pulse and pale clammy skin

2. Which of the following is your first priority in the management of older adult trauma patient with uncontrolled hemorrhage? *This question is required.

• Open the airway and assess breathing
• Provide assisted ventilation with a bag/mask device
• Control major external bleeding
• IV fluids at a “keep open rate”

3. Narrow pulse pressure is a late sign of hypovolemic shock in the older adult trauma patient. *This question is required.

• True
• False

4. Which of the following physiologic changes makes the older adult trauma patient at a greater risk for aspiration? *This question is required.

• Calcification of the rib cage
• Musculature of the oropharynx becomes more relaxed
• Increased thyroid function
• Hyperactive gag reflex

5. Which of the following would be the most appropriate indication for immediate intubation in the older adult? *This question is required.

• Rapid respiratory rate
• Shock
• Inadequate respirations with stridor
• All of the above

6. Depending on your certification/scope of practice, an inguinal bleed can be controlled by the following means?
  *This question is required.

• Direct pressure
• Packing the wound
• Clamping the artery
• All of the above

7. The General Impression of a trauma patient presents with a massive arterial bleed to the left leg.Your first action is to: *This question is required.

• Apply a tourniquet
• Apply direct pressure
• Open the airway
• Check for a pulse

8. Fluid bolus for blood loss should be treated by: *This question is required.

• 20 ml/kg
• Until the return of a radial pulse
• 4 litres of Normal Saline
• Both A and B

9. Sealing an open chest wound should be completed: *This question is required.

• After lung sounds are examined
• As soon as it is found
• After chest decompression is performed
• Before massive hemorrhage is controlled

10.   A patient with facial burns should be monitored for stridor: *This question is required.

• True
• False

11. Airway management for the head trauma patient includes: *This question is required.

• Elevating the foot of the backboard to increase blood flow to the brain
• Maintaining the ETCO2 level between 30-35 mmHg
• O2 saturation level of 100%
• Hyperventilating the patient with constricted pupils

12.  Stabilization of a suspected pelvic fracture should be accomplished by: *This question is required.

• Securing the patient to a long spine board
• Attaching the cot straps across the pelvis tightly
• Utilizing a pelvic binder or constructing one with sheets
• Placing a pillow between the legs of the patient and securing with a cot strap

13. Management of a flail chest should be accomplished by: *This question is required.

• Application of a NRB at 15L /min of oxygen
• Taping the affected side of the chest
• Placing the patient’s hand on the affected side to stabilize the segment
• BVM ventilation and/or endotracheal intubation

14. The appropriate amount of fluid to be administered to a hypotensive child weighing 28 kg is: *This question is required.

• 560 ml and may be repeated as needed
• 280 ml titrated to peripheral pulses
• 140 ml and may be repeated twice
• 350 ml titrated to peripheral pulses

15. The goal in managing the head trauma patient with herniation syndrome is to: *This question is required.

• Hyperventilate and hyperoxygenate
• Hypoventilate and hyperoxygenate
• Hyperventilate and hypooxygenate
• Hypoventilate and hypooxygenate