Trauma Study Center > Diagnostic Tests > Trauma Step 1 of 35 2% A boiling pot of water was knocked over spilling on to a 4-year-old male. He has blistering burns to his left arm, anterior trunk, and the half of his left leg that was exposed. The burn percentage is* 34%. 29.5%. 36%. 27%. A 3-year-old male was in a rear-facing child seat in the back seat of a vehicle in a lateral impact collision. Your biggest concern would be* a fractured arm. a ruptured spleen. the possibility of neck trauma. a fractured leg. A 12-year-old female fell off of a riding lawn mower that was moving. She landed on an outstretched left arm and the forearm is now angulated. She is in extreme pain with no other apparent injuries. She has cold skin that is blue, and she can feel and move her fingers, but with difficulty. You should* splint the arm in the position found. put the hand in a position of function. place her in a sling and swathe. attempt realignment one time. Your patient is a 37-year-old male that was trapped in a house fire. He presents with burns to all of his extremities that are covered in blisters, singed nose hairs, and reddened burns to most of the rest of his body. You are most concerned with* hypovolemic shock. hypothermia setting in. respiratory compromise. the high risk of infection. A 16-year-old was stabbed in the left lower quadrant of his abdomen. He is comfortable but upset about the incident. His vitals are blood pressure of 128/82, pulse is 94, respirations are 14, and SpO2 is 96% on room air. You should* administer oxygen by non-rebreather. provide supportive care and transport. cover the wound with an occlusive dressing. place him in a lateral recumbent position. Your patient is a 33-year-old male complaining of acute dyspnea after tripping on the sidewalk and falling onto the curb. Lung sounds are clear at the bases and right apex, but diminished in the left apex with unequal rise and fall of the chest. His vital signs are pulse of 112 and strong, respiratory rate of 22 and unlabored, blood pressure is 142/88, and the SpO2 is 94%. You should* secure the patient onto a spine board. use a non-rebreather mask at 15 LPM. assist ventilations with a bag-valve mask.. ensure he is in a position of comfort. A 15-year-old male injured his right ankle during a soccer game. He is unable to bear weight on it and it is disfigured. The patient complains of significant pain. The skin is pink, warm, and dry. You should* wrap a pillow around the back of the foot and tape in place. attempt once to realign the bones into normal position. use a one-person assist to get to the ambulance. pull longitudinal traction at the heel and top of foot. A 22-year-old male struck by a motor vehicle is lying supine and moaning in pain. He has abdominal bruising, an angulated left lower leg, and labored breathing. Your main concern is* the concern of cervical or spinal trauma. the possibility of exsanguination. neurovascular compromise of the leg. the respiratory compromise. In which patient are you most concerned about shock?* 35-year-old female with a heart rate of 120, respiratory rate of 24, and BP of 140/80 28-year-old male with a heart rate of 106, respiratory rate of 20, and BP of 138/86 7-year-old male with a heart rate of 116, respiratory rate of 30, and BP of 100/70 14-year-old female with a heart rate of 114, respiratory rate of 20, and BP of 120/80 You are off duty getting ready to go out in a canoe at a lake when you hear that someone is struggling in the water about 40 feet from shore. You were trained in water rescue as a lifeguard. You should* throw a life preserver. swim out to the patient. paddle over to the victim. reach out towards him. A 26-year-old female was struck by lightning while playing golf. When you arrive she has pale, cool, and clammy skin, a weak irregular pulse, and retrograde amnesia. As you prepare to transport her, you should* immobilize her to a long spine board. immediately treat entry and exit wounds. ventilate with a bag-valve mask. use an AED to monitor the heart. A 52-year-old female lives in a home without air conditioning. It has been hot for the past 6 days. She is hot and dry to the touch and babbles when she speaks. Prior to transporting her you should:* cover her face with towels soaked in cold water. have her drink a mixture of water and sports drink. fan her and transport with your air conditioning on. make every effort to rapidly cool her temperature. A 22-year-old male vomited while running a 10 kilometer race and dropped out after the halfway point. He says, “I shouldn’t have run today because I had the flu yesterday.” He has a blood pressure of 108/78, a pulse of 118, respirations of 20, and his SpO2 is 92% on room air. The type of shock you suspect is* distributive. cardiogenic obstructive hypovolemic. A 37-year-old female was kicked in the chest by a horse. She complains of chest pain with breathing and fatigue. Examination reveals a section of the rib cage moving opposite of the rest. You should* auscultate lung sounds in all of the lobes. apply bulky dressings to the patient’s chest. assist the patient’s breathing with ventilations. log roll her onto a long spine board and transport rapidly. A 19-year-old male was stabbed with a knife into the left side of his chest. He has cool and clammy skin and clear lung sounds. His vital signs are a blood pressure of 104/84, a pulse rate of 118, a respiratory rate of 26, and Sp02 is 94% on room air. The type of shock seems to be* obstructive. distributive. hypovolemic. cardiogenic. A 2-year-old boy fell off of a swing that was 1 foot off the ground. He complains of pain to his right arm. If fractured, the most likely kind would be a/an* comminuted. epiphyseal. greenstick. pathologic. A 34-year-old woman suffered blunt trauma to the chest from a carnival ride swing. She is having difficulty breathing, but says it is easier when she sits up or stands. Upon examination you hear nothing in the lower right lobes and find she is tender to palpation in the same area. The chest wall is not moving equally on both sides. She is most likely suffering from a* hemothorax. pneumothorax. flail segment. fractured rib. A 67-year-old male was shot in the forearm by a paintball. It has created a 2-inch laceration with significant bleeding. The bleeding is likely significant due to* the likelihood of dehydration. decreased clotting capabilities. anticoagulant medications. beta blockers for hypertension. During the summer months, you should be most concerned with patients that have been outside and active that* are hot to the touch. have poor skin turgor. have dry skin. are confused. A 21-year-old male is pulled from the ocean by some bystanders and is lying supine on the shore when you arrive. He is not responsive, is coughing weakly, and appears to be drooling. You should* begin compressions. roll him onto his side. use a jaw thrust maneuver. suction the airway until clear. A 28-year-old male is lying in a pool of vomit, breathing at about 16 breaths per minute with adequate depth, with a small laceration on his forehead. He does not respond to questions, but with a sternal rub his eyes pop open and then close again and he tries to pull away. He has a GCS score of* 4 6 5 7 Your patient is a 38-year-old male that was pitching when he was struck in the chest by a batted ball. He immediately fell to the ground and hasn’t regained consciousness since. The patient is pulseless and apneic. Bystander CPR is in progress. You should* only do CPR since it was traumatic. check to see if there is a pulse. perform 5 cycles of CPR. attach an AED to the patient. Your patient was assaulted outside of a restaurant by an assailant with a bat. When asked what is bothering him the most, he mumbles something about groceries. He takes in a deep breath as directed when you assess his lung sounds. What is the GCS score?* 15 14 12 13 A 21-year-old female was the driver of a vehicle that spun out and struck a telephone pole. She is not responding, has multiple deformities throughout her body, and some bruising and rigidity developing in the lower left quadrant of her abdomen. Her blood pressure is elevated when taken in the left arm, but her pulse is weak in the right arm. The single injury that is the biggest life threat at this point seems to be* neurogenic shock. intra-abdominal bleeding. external hemorrhaging. an aortic tear. Which of the following would cause a patient to lose heat the most rapidly?* Being locked in a freezer Passing out drunk outside overnight Falling into icy water Not wearing much on a windy day A 20-year-old female patient was rescued from the woods after being outdoors for three days and isn’t sure what is going on. Her vital signs are a blood pressure of 100/68, a respiratory rate of 10 per minute, a weak pulse of 68 beats per minute, her SpO2 is 93%, and her core temperature is reading at 88° F. The best way to return her to a normal body temperature is to* put heat pads in her armpits. wrap her in a wool blanket. give her a warmed drink. assist her breathing. A 29-year-old female was shot in the chest and has no exit wound. She is unresponsive, has no other signs of trauma, and is lying supine. Examination reveals distended neck veins, clear lung sounds, and no other signs of trauma from inspection or palpation. You suspect* cardiac tamponade. a hemothorax. a pneumothorax. tension pneumothorax. A 44-year-old male was struck in the head yesterday and felt dizzy for a short time. Now he has an altered mental status and is vomiting. You suspect a/an* herniation syndrome. concussion. subdural hematoma. epidural hematoma. A 32-year-old male was shot at while driving his car. He is alert and oriented, but the only injuries sustained are numerous shards of glass impaled in his cheek. You should* use tweezers to pull the thin slivers through. pull out larger pieces the way they went in. have him hold gauze inside his cheek. apply pressure to minimize the bleeding. An 18-year-old male was hit by a car. He opens his eyes when you ask him questions, but replies with things like “I was out walking my fish”. During the physical examination you note he has a lower left arm injury because he withdraws and has facial grimace when you assess it. His GCS score is* 10 9 8 11 Your patient is a 9-year-old female that fell off of a fence onto the pavement. This caused a complete avulsion to her left forearm, an avulsed flap on the right upper arm, and multiple abrasions to both arms. Her vital signs are a pulse rate of 112, a respiratory rate of 32, and a blood pressure of 116/82. You should* place the part in a bucket of ice to keep cool. assist her breathing with a bag-valve mask. use cold packs to keep the partial cool, but not frozen. replace the flap back and then cover with a dressing. A 37-year-old male is unresponsive after a motorcycle crash. During examination you find that his pupils are sluggish but reactive, his pelvis is deformed, and he has bilateral retroauricular ecchymosis. His respirations are 22/minute, irregular, and shallow. He has a blood pressure of 186/98, and his heart rate is 56/minute. Your biggest concern is* basilar skull fracture. neurogenic shock. hypovolemia. herniation syndrome. A 44-year-old female was the driver in a motor vehicle collision. You find ecchymosis to the left flank during the examination. The patient is most likely to also present with* melena. hematuria. a rigid abdomen. hematemesis. A 20-year-old male is pulled from a vehicle fire. He has partial thickness burns to both of his legs, perineum, and abdomen. The body surface percentage burned was* 54%. 38%. 46%. 28%. After falling from a two-story roof, your 34-year-old male patient is saying he does not feel right. His pulse is 72, respiratory rate is 18, and BP is 86/58. The underlying problem is likely* exsanguination. psychogenic shock. an aortic dissection. spinal cord damage.