2026 KEY CONCEPTS AND REVISION NOTES
◉ What is the next step in the assessment of a traumatic patient
after airway is established.
Answer: Breathing
◉ Blood group that is considered a universal donor.
Answer: O
◉ A provider is examining a patient who sustained a severe
traumatic head injury. He documents no Doll's eyes. What does this
signify?.
Answer: Brainstem injury
◉ Which of the following is the least preferred method of
administering IV fluids?
A. Cubital veins
B. Cephalic veins
C. Subclavian veins
D. Saphenous vein.
Answer: Subclavian veins
,◉ Dermatome level for nipple sensation
Dermatome level for umbilicus.
Answer: T4
T10
◉ At which temperature would a hypothermic patient stop
shivering?.
Answer: 88 degrees F
◉ What is the energy recommendation for the first defibrillation in
an adult (*).
Answer: 300 J
◉ Pharmacologic effects of Morphine.
Answer: Behavioral changes
Analgesia
Respiratory depression
NOT diarrhea
,◉ A patient with which condition should be triaged to receive
medical attention first?
A. Choking
B. Dizziness
C. Leg cramp
D. Vomiting.
Answer: A. Choking
◉ For pediatric patients, what volume of fluid resuscitation should
be given initially in the setting of shock?
A. 750 mL of saline uniformly
B. 1 liter of saline
C. 20 mL/kg of 0.45% NaCl with 5% glucose
D. 10 to 20 mL/kg of Ringers lactate.
Answer: D. 10 to 20 mL/kg of Ringers lactate
◉ A patient is found unconscious after a fire in his bedroom. He is
found to have severe burns around his face. What is the first aspect
of treatment?
A. Tetanus toxoid
B. Cover the wound
C. Airway
, D. Obtain blood work.
Answer: C. Airway
◉ Basilar skull fracture.
Answer: PE: raccoon eyes, battle sign, CSF ottorrhea (rhinorrhea),
loculated pneumoencephalocele
Bone MC involved = Temporal
◉ A patient with von Willebrand disease is bleeding after sustaining
a knife wound. Which of the following is most appropriate for the
treatment of this patient?
A. Vitamin K
B. Cryoprecipitate
C. Protamine
D. DDAVP.
Answer: D. DDAVP
◉ What is the total body surface area involved in a burn to both
lower extremities?.
Answer: 36%