SOLVED

11) Which of the following is a special consideration when managing the pregnant trauma patient? A) She is at increased risk for vomiting and aspiration. B) She may have a 30 percent blood volume loss before experiencing signs and symptoms of shock. C) Placing her supine may decrease cardiac output. D) All of the above are special considerations. 12) Your patient is a 17-year-old male driver of a vehicle that received a lateral impact at the driver’s side door. There are no side-impact airbags, and there is about 8 inches of intrusion into the passenger compartment at the left door. Your patient is complaining of left shoulder pain and pain “in his left side.” He has a contusion on the left shoulder and deformity of the left clavicle. He has erythema over the left lateral thorax from ribs 6 through 12 with crepitus on palpation. Which of the following injuries should you suspect? 1. Blunt trauma to the spleen 2. Blunt trauma to the liver 3. Penetrating trauma to the spleen 4. Penetrating trauma to the liver 5. Left pneumothorax 6. Fracture of the left clavicle 7. Soft tissue injury to the left shoulder A) 1, 5, 6 B) 2, 4, 6, 7 C) 1, 3, 5, 6, 7 D) 2, 5, 6 13) Which of the following guidelines applies to prehospital fluid resuscitation of hypotensive patients with intraabdominal hemorrhage? A) In most cases fluid administration should be limited to 3 liters. B) IV access should be obtained using a saline lock, but fluid resuscitation is contraindicated in the prehospital setting. C) Fluid administration rate should be titrated to maintain a systolic blood pressure of 60 mmHg. D) IV access is only necessary if the use of PASG fails to improve the patient’s clinical condition. 14) Which of the following organs is NOT part of the digestive system? A) Liver B) Spleen C) Stomach D) Pancreas 15) Damage to which of the following organs is most likely to induce severe infection in the abdominal cavity? A) Urinary bladder B) Colon C) Stomach D) Ureter 16) Your patient is an 18-year-old male who was slashed across the abdomen with a machete. He has a mass of omentum and small bowel protruding from the wound. Which of the following is your primary concern with this patient? A) Immediately covering the wound with an occlusive dressing, using your gloved hand if nothing else is available B) Irrigating the exposed organs with sterile saline to remove debris and gently tucking them back into the opening to keep them warm and moist and to prevent further contamination C) Covering the wound with a sterile, saline-moistened dressing covered by an occlusive dressing D) Ensuring an open airway by anticipating vomiting, providing oxygen, keeping the patient warm, and monitoring for and treating shock 17) Which of the following may impact the pattern of injury in abdominal trauma? A) Breathing B) A full stomach C) A full bladder D) All of the above 18) Which of the following is TRUE of the epidemiology of abdominal trauma? A) Morbidity and mortality due to blunt trauma is decreasing, but morbidity and mortality due to penetrating trauma is increasing. B) Morbidity and mortality due to blunt trauma is increasing, but morbidity and mortality due to penetrating is decreasing. C) Morbidity and mortality due to blunt and penetrating trauma are both increasing. D) Mortality and morbidity due to blunt and penetrating trauma are both decreasing. 19) Which of the following organs is LEAST likely to be injured in penetrating trauma to the abdomen? A) Spleen B) Kidney C) Pancreas D) Small intestine 20) The injury in which abdominal organs protrude through a large, deep laceration of the abdominal wall is best described as: A) Disimpaction B) A gutting injury C) Herniation D) Evisceration