KIN 2236 FINAL EXAM LATEST 2025 ACTUAL EXAM WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS (100% VERIFIED
ANSWERS) |ALREADY GRADED A+| ||PROFESSOR VERIFIED||
||BRANDNEW!!!||
What are other options besides stitches? - ANSWER-- Steri-strips
- Butterfly bandage
-- these promote healing by approximating sides of the wound
together
What is the order of structures of the scalp? - ANSWER-- scalp
- cranium
- dura mater
- arachnoid
- subarachnoid space
- pia mater
- cerebral cortex
Head Injuries - ANSWER-- Brain injuries occur as a result of
direct blow causing:
1. Compressive force
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2. Tensile (negative pressure) force
3. Shearing
Cerebrospinal fluid (CSF) - ANSWER-- acts to convert focal force
into compressive stress dissipated over the brains full surface
- has minimal impact on shearing force, especially when
combined with rotation
Battle sign - Periauricular Ecchymosis - ANSWER-- a sign of brain
injury like bleeding or skull fracture
- periauricular -- around the external ear
- ecchymosis -- bleeding under the skin
- late finding (24-48hrs)
-- this is because the bruising needs to progress to this area
Racoon Eyes (Periorbital Ecchymosis) - ANSWER-- Periorbital:
around the eye
- Ecchymosis: Bleeding under the skin
- Late finding (24-48 hrs)
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- this is also a sign of brain bleeding or skull fracture
- look for MOI of trauma to skull and not trauma to eye
- this is bruising around eyes
Halo Sign - ANSWER-- Clear drainage that separates from bloody
drainage suggests the presence of cerebrospinal fluid
-- is there any leakage?
--- Out of ear or out of nose: Get gauze, dip in blood and see if its
red or green/yellow drainage in a halo around it
---- If there is, it's probably a skull fracture
Pupil Reactions and Possible Causes - ANSWER-- Pupils equal
and reactive to light -- normal (PEARL -- normal!!)
-- equal but dilated/unresponsive
-- Cardiac arrest, CNS injury
- Equal bu constricted/unresponsive
- CNS injury or disease
- Unequal, one dilated/unresponsive -- cerebrovascular accident
(CVA), head injury, direct trauma to the eye
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Epidural Hematoma - ANSWER-- Bruise/hematoma on the other
side (tear, bruise forms, takes no time)
-- as it grows, it puts pressure on brain
- Cause of Injury
-- blow to head or a skull fracture which tears meningeal arteries
-- blood accumulation and creation of hematoma and pressure
occur rapidly (minutes to hours)
Signs of injury of an Epidural Hematoma - ANSWER-- May or
may not have brief loss of conciousness followed by a period of
lucidity. During this period, they may not display clear signs +
symptoms of serious head injury
- Gradual progression of signs and symptoms
- Severe head pain, dizziness, nausea, dilation of one pupil
(anisocoria), occurring on same side as injury, deterioration of
consciousness, depression of pulse and respiration and
convulsion