Mastering Hypotension and Neurological Assessment

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Which of the following is a consideration when assessing trauma in pregnant women during the 1st trimester?

Rapid foetal weight gain

Which of the following is a change in the cardiovascular system during pregnancy?

Increased clotting factors

What is a consideration when assessing trauma in pediatric patients compared to adults?

More significant internal organ damage

Which of the following is a characteristic of children's neck anatomy that makes them more susceptible to cervical spine injury?

All of the above

Which of the following is a common injury in children's limbs?

Greenstick fractures

What is the purpose of capnography in medical assessment?

To analyze and record carbon dioxide concentrations in respiratory gases

Which phase of waveform capnography corresponds to the elimination of CO2 from the alveoli and usually has a slight increase in slope as 'slow' alveoli empty?

Phase III

What can a sudden spike in the waveform of waveform capnography indicate?

ROSC in cardiac arrest

Which condition can cause a sudden decrease in EtCO2 to 0 in waveform capnography?

Dislodged tube

Which of the following is a sign of increased intracranial pressure (ICP)?

Hypertension

What is the primary cause of secondary brain injury?

Hypoxia

Which type of hematoma is characterized by arterial bleeding and can quickly evolve into herniation?

Epidural hematoma

Which of the following is a symptom of cardiac tamponade?

Muffled heart sounds

What is the most common cause of blunt cardiac injury?

Impact with steering wheel

Which of the following is a danger sign of a fracture/dislocation?

Pale skin or poor cap refill

Which type of spinal cord injury is characterized by motor loss on one side of the body and sensory loss on the opposite side?

Brown Sequard Syndrome

Which type of spinal cord injury is characterized by damage to the cervical cord resulting in lower limb function only and altered trunk sensation?

Central Cord Syndrome

Which type of spinal cord injury is characterized by preservation of position, vibration, and touch due to sparing of the posterior column?

Anterior Artery Syndrome

Which one of the following is a common finding in a conscious patient with tension pneumothorax?

Venous distention

What are the indications for immediate chest decompression in the presence of traumatic chest injury?

Decreased GCS on O2

What is the recommended insertion site for chest decompression?

Down the sternum and locate the angle of Louis

Which of the following is the correct management for an amputated body part?

Place the part in a plastic bag and seal it

What is the goal of splinting?

To immobilize the injured body part

In case of a joint injury, when should joint injuries be realigned?

If there is no distal pulse

What should be done with an avulsion injury?

Place the tissue back in its normal location if possible

What is the aim of resuscitation in burns management?

To increase perfusion and prevent irreversible damage

Which burn zone occurs at the point of maximum damage?

Coagulation (necrosis)

What happens in the outermost burn zone?

Tissue perfusion is increased

What is the effect of burn on capillary permeability?

Capillary permeability is increased

When is splinting appropriate for a fracture?

After conducting a neuro and circulatory check

Which trimester of pregnancy is characterized by rapid development of the embryo/foetus and containment in the pelvis?

1st trimester

Which cardiovascular change occurs during pregnancy?

Increased clotting factors

What is the effect of relaxin release during pregnancy?

Increased risk of dislocations and subluxations

Which of the following is a characteristic of pediatric neck anatomy that makes them more susceptible to cervical spine injury?

Larger head size and weight compared to neck and trunk

What is the primary cause of shock?

External/internal blood loss

What is the purpose of capnography in medical assessment?

Continuous analysis and recording of carbon dioxide concentrations in respiratory gases

Which of the following is a sign of increased intracranial pressure (ICP)?

Drowsiness and confusion

What is the primary cause of secondary brain injury?

Hypoxia

Which of the following is a symptom of cardiac tamponade?

Pulsus paradoxus

Which type of capnometry relies on a pH change and changes color from purple to brown to yellow?

Semi-quantitative capnometry

What does the shape of the waveform in waveform capnography provide clues about?

Ventilation

In which phase of waveform capnography does the elimination of CO2 from the alveoli occur?

Phase III

Which of the following is a mechanism of spinal cord injury?

Hyperextension

Which type of spinal cord injury is characterized by no motor or sensory function below the level of injury?

Central Cord Syndrome

What is the primary cause of secondary tissue degeneration in spinal cord injury?

Cell toxicity

Which of the following is a clinical feature of a fracture?

Muffled heart sounds

What is a potential cause of cardiac tamponade?

Fracture of the pelvis

What is the primary goal of splinting a fracture?

To realign the bones

Which of the following is a common finding in an unconscious ventilated patient with tension pneumothorax?

Decreased air entry on affected side

What is the recommended size of a cannula for chest decompression?

16g: 3cm long

What is the primary indication for immediate chest decompression in the presence of traumatic chest injury?

Decreased GCS on O2

Which of the following is the correct management for an amputated body part?

Place the part in a plastic bag and seal it

What is the goal of splinting?

To immobilize the injured body part

What should be done with an avulsion injury?

Leave the tissue in its normal location

What is the aim of resuscitation in burns management?

To increase tissue perfusion and prevent irreversible damage

What happens in the outermost burn zone?

Tissue perfusion is increased

What are the general principles of splinting?

Immobilize dislocations or fractures involving joints in position of comfort

What are the burn types?

Thermal, chemical, and electrical

What occurs at the point of maximum damage in a burn?

Coagulation (necrosis)

What is the effect of burn on capillary permeability?

Capillary permeability is increased

Test your knowledge of hypotension and neurological assessment with this quiz. Learn about different levels of muscle movement, sensory testing, and more. Challenge yourself to identify the correct responses in this quiz!

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