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When verifying ET tube placement on a perfusing patient, the "gold standard" of monitoring is
considered to be?
a. Colorimetric carbon dioxide detector
b. Pulse oximetry
c. Listening to lung sounds
d. EtCO2 - CORRECT ANSWER-*d. EtCO2*
A patient presents with a blunt trauma injury to the chest. On exam, he has absent breath
sounds on one side of his chest and respiratory distress. Which additional sign would indicate
that the patient has a tension pneumothorax?
a. Hemodynamic compromise
b. Muffled heart sounds
c. Narrowed pulse pressure
d. Tracheal deviation away from the side of injury - CORRECT ANSWER-*d. Tracheal deviation
away from the side of injury*
, Hemostatic agents should be used for excessive bleeding when direct pressure alone does not
work. The proper way to use most hemostatic agents is which of the following?
a. Placing the agent around the edges of the wound
b. Placing the agent properly into the wound and holding direct pressure
c. Only using it after a tourniquet has been applied for 10 minutes
d. Hemostatic agents should never be used unless you have a fall in blood pressure - CORRECT
ANSWER-*b. Placing the agent properly into the wound and holding direct pressure*
Of the following, which is a preventable cause of secondary brain injury?
a. Cerebral edema
b. Systemic hypoxia
c. Intracranial hematomas
d. Herniation syndromes - CORRECT ANSWER-*b. Systemic hypoxia*
You are called to treat a patient who was knocked unconscious when he slipped and fell on a
wet floor, striking his head. It is now several hours later. He is awake but confused, does not
recall the incident and is vomiting with a headache. Which of the following injuries is most
likely?
a. Brain herniation
b. Intracranial hemorrhage
c. Diffuse axonal injury
d. Concussion - CORRECT ANSWER-*d. Concussion*
When using a selective spinal immobilization protocol, which of the following findings indicate
the need for immobilization?
a. Past history of spinal injury
b. Being an unrestrained passenger in a motor vehicle crash