2015 Trauma Competition Post-Test

1. Which of the following is the most typical of hypovolemic shock? *This question is required.

• Increased pulse and warm dry skin
• Increased pulse and pale clammy skin
• Decreased pulse and warm dry skin
• Decreased pulse and pale clammy skin

2. Which of the following is your first priority in the management of trauma patient with uncontrolled hemorrhage? *This question is required.

• Open the airway and assess breathing
• Provide assisted ventilation with a bag/mask device
• Control major external bleeding
• IV fluids at a “keep open rate”

3. Narrow pulse pressure is a late sign of hypovolemic shock. *This question is required.

• True
• False

4. Which of the following is a reason to interrupt the initial assessment? *This question is required.

• Severe shock
• Scene unsafe
• Multiple open (compound) fractures
• All of the above

5. Which of the following would be the most appropriate indication for immediate intubation? *This question is required.

• Rapid respiratory rate
• Shock
• Inadequate respirations with stridor
• All of the above

6. When ventilating your TBI patient with cerebral herniation syndrome, the ETC02 should be at: *This question is required.

• 10-20 mm Hg
• 20-30 mm Hg
• 30-35 mm Hg
• 35-40 mm Hg

7. The definition of a flail chest is “the fracture of two or more adjacent ribs in two or more places, causing instability of the chest wall and paradoxical movement." *This question is required.

• True
• False

8. The best treatment for a flail chest is: *This question is required.

• Non-rebreather mask
• Sandbags taped to the flail segment
• Positive pressure ventilation
• Decompression of the flail segment

9. Appropriate treatment of a patient with a suspected pelvic fracture includes: *This question is required.

• Traction splint on the side of the fracture
• Application of a pelvic sling device
• Two large bore IVs wide open and TXA
• Logrolling the patient onto a rigid backboard for stabilization

10. Bilateral femur fractures are associated with a blood loss of up to _____ of the circulating blood volume. *This question is required.

• 75%
• 30%
• 50%
• 85%

11. As the team leader, the treatment of major bleeding should be performed: *This question is required.

• By another team member
• After assessing the airway and making sure it is patent
• After C-spine control has been established
• During the Secondary Survey

12. An unconscious trauma patient would require the following: *This question is required.

• Secondary Survey performed on scene
• Blood glucose check
• Splinting all fractures before loading for transport
• None of the above

13. A surgical airway is performed when: *This question is required.

• Bag valve mask ventilation is not effective
• Manipulation of the mandible cannot be performed for intubation
• Blind Insertion Airway Device cannot be safely inserted
• All of the above

14. The treatment for hemorrhagic shock include all of the following except: *This question is required.

• Control bleeding
• Administer high-flow oxygen
• Treat blood lose with IV fluid bolus to maintain a radial pulse
• Transport after all treatment has been completed

15. A chest decompression should be performed in the presence of a tension pneumothorax with decompensation. *This question is required.

• True
• False