Chapter 21-23 EMR Test

Signs of a serious head injury include all of the following EXCEPT:

• bruising behind the ears.
• clear fluid or blood draining from the ears or nose.
• equal pupils.
• deformity to the skull

A young man has fallen from the roof of a three-story building onto a grassy surface. You should:

• ask him to stand to assess for spinal injury
• call for law enforcement since he is likely intoxicated.
• not consider spinal injury since he fell onto a grassy surface.
• suspect spinal injury because of the mechanism.

All unresponsive trauma patients should be assumed to have which of the following?

• Intoxication
• High blood sugar
• Spinal injury
• Low blood sugar

If the mechanism of injury indicates possible spinal injuries, you should:

• assume spinal injuries are present even if unseen and continue with emergency care.
• withhold any interventions until a higher level of care arrives.
• assume spinal injuries are present only after locating them, then provide emergency care.
• contact medical direction and transport immediately, without providing emergency care.

Which of the following patient presentations is MOST consistent with brain injury?

• Weakness, numbness, and tingling of the hands and feet
• Paranoia, hallucinations, manic behavior
• Shortness of breath, chest pain, left arm pain
• Vomiting, convulsions, abnormal breathing pattern

Which of the following questions would BEST assess for injury to the spine?

• "Is your vision blurry?"
• "What medications do you take?"
• "Can you squeeze my hands?"
• "Are you having trouble breathing?"

A cervical collar is designed to:

• prevent the patient from opening his mouth.
• help maintain stability and alignment of the head and neck.
• completely immobilize the head and neck.
• decrease the pain of a spinal injury.

The most likely complication of broken ribs is:

• bleeding in the chest from a punctured lung.
• damage to the diaphragm.
• painful breathing, which leads to hypoxia.
• spinal cord damage from splintered ribs.

A spontaneous pneumothorax occurs when there is:

• penetrating injury to the chest.
• damage to the pericardium.
• a rupture in a weak area in the lung.
• infection in the chest wall.

All of the following are closed chest injuries EXCEPT:

• broken ribs.
• a flail chest.
• a stab wound to the armpit.
• spontaneous pneumothorax.