COMPLETE QUESTIONS AND CORRECT
ANSWERS
◉A: cover the stab wound with an occlusive dressing, support
ventilation as needed, and transport rapidly.. Answer: A 45-year-old
male was stabbed in the left anterior chest. He is conscious, but
restless. His skin is cool and clammy, his blood pressure is 90/60
mm Hg, his respirations are rapid and shallow, and his heart rate is
120 beats/min and weak. Further assessment reveals that his breath
sounds are clear and equal bilaterally and his jugular veins are
distended. In addition to giving him high-flow oxygen, you should:
A: cover the stab wound with an occlusive dressing, support
ventilation as needed, and transport rapidly.
B: suspect that the patient has a tension pneumothorax and notify
the trauma center as soon as possible.
C: perform a detailed physical exam at the scene to ensure that you
locate and treat less obvious injuries.
D: control the bleeding from the stab wound with a sterile porous
dressing and reassess his vital signs.
,◉B: A stable patient involved in a motor-vehicle crash, whose
passenger was killed. Answer: Which of the following mechanisms of
injury would necessitate performing a rapid head-to-toe
assessment?
A: Amputation of three toes from the patient's left foot with
controlled bleeding
B: A stable patient involved in a motor-vehicle crash, whose
passenger was killed
C: A 5 foot, 9 inch tall adult who fell 12 feet from a roof and landed
on his side
D: An impaled object in the patient's lower extremity with minimal
venous bleeding
◉D: ecchymosis.. Answer: Damaged small blood vessels beneath the
skin following blunt trauma causes:
A: cyanosis.
B: hematoma.
C: mottling.
D: ecchymosis.
◉D: Femoral artery laceration, BP of 140/90 mm Hg. Answer: In
which of the following situations would external bleeding be the
MOST difficult to control?
A: Scalp laceration, BP of 130/70 mm Hg
, B: Carotid artery laceration, BP of 70/50 mm Hg
C: Jugular vein laceration, BP of 104/60 mm Hg
D: Femoral artery laceration, BP of 140/90 mm Hg
◉D: Lacerated femoral vein; BP of 70/40 mm Hg. Answer: In which
of the following circumstances would external bleeding be the
LEAST difficult to control?
A: Lacerated jugular vein; BP of 100/60 mm Hg
B: Lacerated brachial artery; BP of 140/90 mm Hg
C: Lacerated carotid artery; BP of 90/50 mm Hg
D: Lacerated femoral vein; BP of 70/40 mm Hg
◉B: ensure that he is sitting up and leaning forward.. Answer: A 40-
year-old man was hit in the nose during a fight. He has bruising
under his left eye and a nosebleed. After taking standard
precautions, you should:
A: determine if he has any visual disturbances.
B: ensure that he is sitting up and leaning forward.
C: apply direct pressure by pinching his nostrils together.
D: place a chemical icepack over his nose.
◉C: look for and control any bleeding.. Answer: A 22-year-old
female woman was shot by her husband. Law enforcement is at the
scene and has the husband in custody. The patient is conscious, but