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During transport of a patient with a head injury, what assessment factor will provide you with the most information regarding the patient's condition? A. Pupil size B. Heart size C. Mental status D. Blood pressure - ANS IS Mental status A young man fell and landed on his outstretched hand, resulting in pain and deformity to the left midshaft forearm. Distal circulation should be assessed at which of the following pulse locations? A. Radial B. Brachial C. Pedal D. Popliteal - ANS IS Radial You are called to a local nightclub for an injured patient. Upon arrival, you see a young man who is lying on the ground screaming in pain, bright red blood is spurting from an apparent stab wound to his groin area. Your first action should be to A. control the bleeding B. apply oxygen C. ensure an open airway D. elevate the patient's legs - ANS IS control the bleeding During a soccer game, a 20 year old man collided shoulder to shoulder with another player. He has pain and a noticeable anterior bulge to the left shoulder. What is the most effective method of immobilizing this injury? A. An air-inflatable splint with the left arm immobilized in the flexed position B. A long board splint with the left arm immobilized in the extended position C. A sling to support the left arm and swathes to secure the arm to the body D. A sling to support the left arm and swathes to maintain downward traction - ANS IS A sling to support the left arm and swathes to secure the arm to the body Which of the following mechanisms of injury would necessitate performing a rapid trauma assessment? A. A 5'8" tall adult who fell 12' from a roof and landed on his side B. A stable patient involved in a car crash, whose passenger was killed C. Amputation of three toes from the patient's left foot with controlled bleeding D. An impaled object in the patient's lower extremity with minimal venous bleeding - ANS IS A stable patient involved in a car crash, whose passenger was killed You are assessing a 33 year old male's Glasgow Coma Scale (GCS) score. The patient opens his eyes in response to pain, is speaking with incomprehensible words, and withdraws from pain by flexing his upper extremities. What is his GCS score? A. 6 B. 7 C. 8 D. 9 - ANS IS 7 The police summon you to a residence for a domestic dispute. When you arrive, you are advised by a police officer that a man, who is now in custody, shot his wife. When you enter the residence, you see a woman lying supine. She is conscious, but very restless, and is in obvious respiratory distress. After ensuring a patent airway, your next course of action should be to A. apply oxygen B. assess respiratory quality C. compare carotid and radial pulses D. check the condition of the patient's skin - ANS IS assess respiratory quality The police summon you to a residence for a domestic dispute. When you arrive, you are advised by a police officer that a man, who is now in custody, shot his wife. When you enter the residence, you see a woman lying supine. She is conscious, but very restless, and is in obvious respiratory distress. During which part of your assessment would you be most likely to discover a small caliber gunshot wound, with minimal bleeding, to the back? A. General impression B. Initial assessment C. Rapid trauma assessment D. Detailed physical examination - ANS IS Rapid trauma assessment The police summon you to a residence for a domestic dispute. When you arrive, you are advised by a police officer that a man, who is now in custody, shot his wife. When you enter the residence, you see a woman lying supine. She is conscious, but very restless, and is in obvious respiratory distress. Upon discovering an open chest wound, your first action should be to A. prevent air from entering the open wound B. begin assisted ventilation and prepare for transport C. immediately reassess the patient's ventilatory status D. cover the wound with a trauma dressing and reassess the patient's ventilatory status - ANS IS prevent air from entering the open wound When applying a vest-style spinal immobilization device to a patient with traumatic neck pain, you should A. immobilize the head prior to securing the torso straps. B. secure the torso section prior to immobilizing the head.
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