TRMA810 QUIZ TRAUMA TREATMENT AND
INTERVENTIONS ADULT AND FAMILIAL
TRAUMA LIBERTY UNIVERSITY STUDY
GUIDE QUESTIONS AND SOLUTIONS 2026
CORRECT ANSWERS GRADED A+
⩥ Your patient is a 45-year-old man with extensive blunt trauma to the
face. He has decorticate posturing in response to pain; weak, irregular
respiratory effort at 6 per minute; and a heart rate of 50 with a good
radial pulse. The patient appears to have nasal and mandibular fractures,
and an oropharyngeal airway is insufficient to keep the tongue from the
posterior pharynx. Which of the following has the most potential to
negatively impact the patient?
Select one:
a. Retrograde intubation
b. Oral intubation under direct laryngoscopy
c. Nasotracheal intubation
d. A non-visualized dual-lumen airway. Answer: c. nasotracheal
intubation
⩥ Which of the following medications may be indicated in the
prehospital management of the patient with traumatic brain injury?
,Select one:
a. Methylprednisolone
b. Diazoxide
c. Mannitol
d. Furosemide. Answer: c. mannitol
⩥ Which of the following correctly describes the impact of motorcycle
helmet use?
Select one:
a. Helmet usage is associated with a 10 percent reduction in serious head
injuries.
b. There have been no reported fatalities from motorcycle collisions in
which the riders were wearing helmets.
c. Helmet usage decreases the risk of serious head injuries but increases
the risk of cervical-spine injuries.
d. Helmet usage results in a more than 50 percent reduction in serious
head injuries.. Answer: d. Helmet usage results in a more than 50 percent
reduction in serious head injuries.
⩥ Which of the following parameters should be used to guide the
oxygenation and ventilation of the patient with a traumatic brain injury?
Select one:
,a. Maintain an oxygen saturation level of at least 96 percent and a
capnography reading between 35 and 40 mmHg.
b. Maintain an oxygen saturation level of at least 90 percent and a
capnography level < 45 mmHg.
c. Maintain an oxygen saturation level of at least 98 percent and a
capnography reading > 45 mmHg.
d. Maintain an oxygen saturation level of at least 90 percent and a
capnography reading < 35 mmHg.. Answer: a. Maintain an oxygen
saturation level of at least 96 percent and a capnography reading
between 35 and 40 mmHg.
⩥ You are caring for a 22-year-old amateur boxer who complained of a
sudden obstruction of part of his visual field. This complaint is most
consistent with which of the following conditions?
a. Extrusion of the eyeball
b. Subconjunctival hemorrhage
c. Hyphema
d. Retinal detachment. Answer: d. Retinal detachment
⩥ Regarding the primary assessment of the patient with suspected
traumatic brain injury, which of the following describes the best
approach to assessing the patient's neurological functioning?
a. The use of AVPU
, b. Assessing the patient for level of consciousness and orientation to
person, place, and time
c. Assessing a revised trauma score
d. Assessing a Champion trauma scale score. Answer: b. Assessing the
patient for level of consciousness and orientation to person, place, and
time
⩥ Your patient has received blunt facial trauma due to an assault. For
which of the following injuries should you maintain a high index of
suspicion?
a. Airway obstruction
b. Hypoxia due to aspiration of blood
c. Basilar skull fracture
d. Lumbar spine trauma. Answer: c. Basilar skull fracture
⩥ The ________ is one of the thinnest and most frequently fractured
cranial bones.
a. temporal
b. ethmoid
c. parietal
d. occipital. Answer: a. temporal
INTERVENTIONS ADULT AND FAMILIAL
TRAUMA LIBERTY UNIVERSITY STUDY
GUIDE QUESTIONS AND SOLUTIONS 2026
CORRECT ANSWERS GRADED A+
⩥ Your patient is a 45-year-old man with extensive blunt trauma to the
face. He has decorticate posturing in response to pain; weak, irregular
respiratory effort at 6 per minute; and a heart rate of 50 with a good
radial pulse. The patient appears to have nasal and mandibular fractures,
and an oropharyngeal airway is insufficient to keep the tongue from the
posterior pharynx. Which of the following has the most potential to
negatively impact the patient?
Select one:
a. Retrograde intubation
b. Oral intubation under direct laryngoscopy
c. Nasotracheal intubation
d. A non-visualized dual-lumen airway. Answer: c. nasotracheal
intubation
⩥ Which of the following medications may be indicated in the
prehospital management of the patient with traumatic brain injury?
,Select one:
a. Methylprednisolone
b. Diazoxide
c. Mannitol
d. Furosemide. Answer: c. mannitol
⩥ Which of the following correctly describes the impact of motorcycle
helmet use?
Select one:
a. Helmet usage is associated with a 10 percent reduction in serious head
injuries.
b. There have been no reported fatalities from motorcycle collisions in
which the riders were wearing helmets.
c. Helmet usage decreases the risk of serious head injuries but increases
the risk of cervical-spine injuries.
d. Helmet usage results in a more than 50 percent reduction in serious
head injuries.. Answer: d. Helmet usage results in a more than 50 percent
reduction in serious head injuries.
⩥ Which of the following parameters should be used to guide the
oxygenation and ventilation of the patient with a traumatic brain injury?
Select one:
,a. Maintain an oxygen saturation level of at least 96 percent and a
capnography reading between 35 and 40 mmHg.
b. Maintain an oxygen saturation level of at least 90 percent and a
capnography level < 45 mmHg.
c. Maintain an oxygen saturation level of at least 98 percent and a
capnography reading > 45 mmHg.
d. Maintain an oxygen saturation level of at least 90 percent and a
capnography reading < 35 mmHg.. Answer: a. Maintain an oxygen
saturation level of at least 96 percent and a capnography reading
between 35 and 40 mmHg.
⩥ You are caring for a 22-year-old amateur boxer who complained of a
sudden obstruction of part of his visual field. This complaint is most
consistent with which of the following conditions?
a. Extrusion of the eyeball
b. Subconjunctival hemorrhage
c. Hyphema
d. Retinal detachment. Answer: d. Retinal detachment
⩥ Regarding the primary assessment of the patient with suspected
traumatic brain injury, which of the following describes the best
approach to assessing the patient's neurological functioning?
a. The use of AVPU
, b. Assessing the patient for level of consciousness and orientation to
person, place, and time
c. Assessing a revised trauma score
d. Assessing a Champion trauma scale score. Answer: b. Assessing the
patient for level of consciousness and orientation to person, place, and
time
⩥ Your patient has received blunt facial trauma due to an assault. For
which of the following injuries should you maintain a high index of
suspicion?
a. Airway obstruction
b. Hypoxia due to aspiration of blood
c. Basilar skull fracture
d. Lumbar spine trauma. Answer: c. Basilar skull fracture
⩥ The ________ is one of the thinnest and most frequently fractured
cranial bones.
a. temporal
b. ethmoid
c. parietal
d. occipital. Answer: a. temporal
