Emergency Medicine Chapter 29 Post Test
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Questions and Answers

Given the mechanism of injury and presentation, should the 22-year-old male patient involved in a bar altercation be immobilized?

  • Probably so, since he was at a bar and was likely drinking
  • Probably not, since evidence of spinal injury would be obvious
  • Probably not, since he does not have the mechanism of injury or the symptoms to suggest the need (correct)
  • Probably so, since he has pain in his chest
  • The bradycardia and hypotension that accompany spinal shock are due to the inability of which nervous system to innervate certain organs?

  • Parasympathetic
  • Sympathetic (correct)
  • Cholinergic
  • Voluntary
  • What is an important part of the treatment for a 22-year-old male who was stabbed in the neck?

  • Listening to the lung sounds right away
  • Laying the patient down
  • Checking for subcutaneous emphysema
  • Sealing the wound with an occlusive dressing (correct)
  • For which of the following additional injuries should you have a high level of suspicion after treating a victim with a penetrating injury to the occipital area from shrapnel?

    <p>Spinal injury</p> Signup and view all the answers

    Manual cervical stabilization should be provided to all patients with a significant mechanism of injury until:

    <p>Completion of the spinal clearance protocol</p> Signup and view all the answers

    In treating a patient with suspected head or spine injury, when can manual stabilization of the head and neck be released?

    <p>After the patient has been secured to a backboard</p> Signup and view all the answers

    Why is it important to avoid compressing both carotid arteries at the same time in caring for an open neck wound?

    <p>To prevent a dangerous reduction of blood flow to the brain</p> Signup and view all the answers

    When can you release manual in-line cervical spine stabilization of an unconscious trauma patient?

    <p>When immobilization has been completed</p> Signup and view all the answers

    Which of the following findings MOST strongly suggests a fractured mandible in a patient involved in a motor vehicle crash?

    <p>Lower teeth that are out of alignment in the front</p> Signup and view all the answers

    A brain injury is classified as nontraumatic if it is:

    <p>Not attributable to an external cause</p> Signup and view all the answers

    Study Notes

    Gunshot Wound Assessment

    • Patient with gunshot wound shows no eye tracking or blink, fixed and dilated pupils.
    • Eye-opening score is a 1, indicating a significant level of unresponsiveness.

    Chest Pain Assessment in Bar Fight Victim

    • A 22-year-old male has pain during deep inspiration but no head trauma or loss of consciousness.
    • Immobilization not necessary due to the absence of mechanism of injury and lack of related symptoms.

    Spinal Shock Symptoms

    • Bradycardia and hypotension in spinal shock result from lack of sympathetic nervous system innervation to vital organs.

    Treatment of Neck Injury

    • In a stabbing incident, sealing the neck wound with an occlusive dressing is crucial for treatment.

    Suspected Additional Injuries in Penetrating Blunt Force

    • High suspicion for spinal injury in victims with penetrating occipital injuries due to potential impact on the spine.

    Cervical Stabilization Procedure

    • Manual cervical stabilization is required for patients with significant injury until spinal clearance protocol is completed.

    Head and Neck Injury Management

    • Manual head and neck stabilization can be released once the patient is secured on a backboard, ensuring proper immobilization.

    Open Neck Wound Care

    • Avoid simultaneous compression of both carotid arteries to maintain adequate blood flow to the brain and prevent ischemic risks.

    In-line Cervical Spine Stabilization Procedure

    • Manual stabilization can be released after immobilization of the unconscious trauma patient is fully completed.

    Fractured Mandible Indicators

    • Misalignment of lower teeth in the front strongly suggests a fractured mandible, a critical diagnostic indicator following facial trauma.

    Brain Injury Classification

    • Nontraumatic brain injuries are classified as such when they are not attributable to an external cause, indicating underlying medical issues.

    Complications Post-Car Accident

    • Awareness of possible intracranial bleeding is vital when assessing patients after traumatic events like car accidents.

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    Description

    This quiz focuses on assessing patients with critical injuries, specifically those related to gunshot wounds and physical altercations. Test your knowledge on scoring eye-opening responses and other vital signs in emergency situations. It's essential for healthcare professionals to understand these assessments for effective patient care.

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