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25 Cards in this Set
- Front
- Back
The term head injury refers to which of the following?
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All the above
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Which of the following parameters should be used to guide the oxygenation and ventilation of the patient with a traumatic brain injury?
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Maintain oxygen saturation greater then 95% and capnography between 35-45
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Which of the following Glasgow Coma Scale scores indicates serious brain injury?
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<8
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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?
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Retinal detachment
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The ___ cranial bone is fractured most often?
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Temporal
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Which of the following best describes the percentage of mortality from penetrating trauma to the cranium?
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75-80
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Based on your knowledge of anatomy of the head, which of the following statements is true?
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Epidural bleeding is more likely arterial than venous
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Which of the following skull fractures are most common?
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Linear
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Which of the following is true of the basilar skull?
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All the above
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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?
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Increasing respirations
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Which of the following features of the cranium exacerbates the severity of intracranial trauma?
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It is rigid and unyielding
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Which of the following best describes the effect of hyperventilation in the brain injured patient?
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It is detrimental due to vasoconstriction, resulting in decreased cerebral perfusion.
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Which of the following medications may be indicated in the prehospital management of the patient with traumatic brain injury?
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Mannitol
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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?
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Increased cerebral edema due to carbon dioxide retention
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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?
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The scalp wound itself may account for pt vital signs and Nothing about the vital signs indicates increased intracranial pressure.
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Which of the following groups is NOT among those with the highest incidence of serious head trauma?
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Middle aged males
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Which of the follwoing may result from seizure, worsening the condition of the pt with a traumatic brain injury?
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All the above
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For the pt with suspected traumatic brain injury, the ideal positioning for transport is?
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On a long backboard with the head of the backboard elevated 30 degrees
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Your pt is 22 yof. Blunt trauma around eye. Assesing eye movement the right eye cannot follow.your finger. Which is true
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She has a fracture of the orbit that has trapped the extrinsic eye muscles.
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Which of the following best describes the role of RSI. in the prehospital setting of pt's with traumatic brain injury?
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Controversial due to conflicting studies
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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?
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direct diffuse
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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?
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Anterograde amnesia
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A growing lesion in the right cranial hemispere will most likely result in which of the following?
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Normal left pupil;dilated, nonreactive right pupil
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For the head injury pt without signs of herniation, adjust ventilation rates to maintain an end-tidal CO2 reading between:
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35-40 mmHg
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A concussion is best described as which of the following types of brain injuries?
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Direct, diffuse
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