JB Learning Trauma Exam/ JB Learning Trauma Exam
Preparation /JB Learning Trauma Practice Exam
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Questions And Correct Detailed Answers (Verified
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A 21-year-old male was bitten on the left forearm by a dog.
He is conscious and alert and denies any other injuries. An
animal control officer is at the scene and has restrained
the dog. Your assessment of the patient's arm reveals a
large avulsion with a peeled-back flap of skin. Distal
circulation is adequate and the patient is able to feel and
move his fingers. In addition to bleeding control, you
should: - Answer-replace the avulsed flap to its original
position.
Following blunt force trauma to the anterior chest, a man
presents with difficulty breathing, distended jugular veins,
absent breath sounds over the left side of the chest, and
hypotension. Which of the following BEST describes the
pathophysiology of this patient's injury? - Answer-
Increased pressure in the pleural space is compressing
the great vessels
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The patient is experiencing a tension pneumothorax. This
type of injury occurs when air fills the pleural space and
progressively collapses the lung.
An adult patient opens his eyes in response to a painful
stimulus, moans when you ask him questions, and pulls
his arm away when you palpate it. What is his Glasgow
Coma Scale (GCS) score? - Answer-8
For eye opening, he receives 2 points for opening his eyes
in response to pain. For verbal response, he receives 2
points for moaning or making unintelligible sounds. For
motor response, he receives 4 points for withdrawing to
pain.
During your assessment of a patient who experienced
blunt facial trauma, you note the presence of a hyphema.
This indicates: - Answer-Direct trauma to the eyeball
Some patients with blunt trauma to the eyeball (globe)
may present with a hyphema, or bleeding into the anterior
chamber of the eye, that obscures a portion of or the
entire iris.
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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: - Answer-ensure
that he is sitting up and leaning forward.
A football player complains of severe neck pain and
tingling in his arms and legs after being tackled. He is
conscious and alert, has a patent airway, and is breathing
adequately. He is in a supine position and is still wearing
his helmet, which is tight-fitting. The MOST appropriate
treatment for this patient includes: - Answer-manually
stabilizing his head with his helmet still on, removing the
face mask, securing him onto a long backboard, and
restricting spinal motion with a lateral head stabilizer.
Patients with significant closed head injuries often have
pupillary abnormalities and: - Answer-hypertension.
Closed head injuries can cause a variety of signs and
symptoms. In addition to pupillary abnormalities (ie,
unequal pupils, sluggishly reactive pupils), a classic
finding that indicates a significant increase in intracranial
pressure is Cushing's triad. This trio of findings includes
hypertension; bradycardia; and abnormal breathing, which
can vary from slow and irregular to rapid and deep.