Chapter 23 Quiz

Front 1

The term head injury refers to which of the following?

Back 1

All the above

Front 2

Which of the following parameters should be used to guide the oxygenation and ventilation of the patient with a traumatic brain injury?

Back 2

Maintain oxygen saturation greater then 95% and capnography between 35-45

Front 3

Which of the following Glasgow Coma Scale scores indicates serious brain injury?

Back 3

<8

Front 4

You are caring for a 22 year old amateur boxer who complained of a sudden obstruction of part of his visual field. This complaint is most consistent with which of the following conditions?

Back 4

Retinal detachment

Front 5

The ___ cranial bone is fractured most often?

Back 5

Temporal

Front 6

Which of the following best describes the percentage of mortality from penetrating trauma to the cranium?

Back 6

75-80

Front 7

Based on your knowledge of anatomy of the head, which of the following statements is true?

Back 7

Epidural bleeding is more likely arterial than venous

Front 8

Which of the following skull fractures are most common?

Back 8

Linear

Front 9

Which of the following is true of the basilar skull?

Back 9

All the above

Front 10

A closed head injury may present with a set of signs known as Cushing's triad, All of the following are part of Cushings triad except?

Back 10

Increasing respirations

Front 11

Which of the following features of the cranium exacerbates the severity of intracranial trauma?

Back 11

It is rigid and unyielding

Front 12

Which of the following best describes the effect of hyperventilation in the brain injured patient?

Back 12

It is detrimental due to vasoconstriction, resulting in decreased cerebral perfusion.

Front 13

Which of the following medications may be indicated in the prehospital management of the patient with traumatic brain injury?

Back 13

Mannitol

Front 14

Which of the following best describes the probable effect of using transtracheal jet insufflation through a needle cricothyrotomy to ventilate the patient with traumatic brain injury?

Back 14

Increased cerebral edema due to carbon dioxide retention

Front 15

Your pt is 37 unrestrained driver. You find him laying head down with pool of blood. You note a scalp wound that is full thickness. HR 112, resp 20 bp 82/50. Which is true?

Back 15

The scalp wound itself may account for pt vital signs and Nothing about the vital signs indicates increased intracranial pressure.

Front 16

Which of the following groups is NOT among those with the highest incidence of serious head trauma?

Back 16

Middle aged males

Front 17

Which of the follwoing may result from seizure, worsening the condition of the pt with a traumatic brain injury?

Back 17

All the above

Front 18

For the pt with suspected traumatic brain injury, the ideal positioning for transport is?

Back 18

On a long backboard with the head of the backboard elevated 30 degrees

Front 19

Your pt is 22 yof. Blunt trauma around eye. Assesing eye movement the right eye cannot follow.your finger. Which is true

Back 19

She has a fracture of the orbit that has trapped the extrinsic eye muscles.

Front 20

Which of the following best describes the role of RSI. in the prehospital setting of pt's with traumatic brain injury?

Back 20

Controversial due to conflicting studies

Front 21

The shearing, stretching and tearing associated with rapid acceleration/deceleration forces acting on the brain result in which of the following types of brain injury?

Back 21

direct diffuse

Front 22

You are caring for a skateboarder who crashed into a brick wall. He has blunt trauma to his face with nose deformity, loose teeth and bleeding from the nose and mouth? You have answered him several times but he keeps repeating? "What happened, it seems like I am having a bad day" This is most indicative of which of the following?

Back 22

Anterograde amnesia

Front 23

A growing lesion in the right cranial hemispere will most likely result in which of the following?

Back 23

Normal left pupil;dilated, nonreactive right pupil

Front 24

For the head injury pt without signs of herniation, adjust ventilation rates to maintain an end-tidal CO2 reading between:

Back 24

35-40 mmHg

Front 25

A concussion is best described as which of the following types of brain injuries?

Back 25

Direct, diffuse