April 2013 Tqip Educational Experience

5 Questions | Total Attempts: 353

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April 2013 Tqip Educational Experience

Questions and Answers
  • 1. 
    Arriving at your facility on 4/2/13 @ 1200 is a 34 yr. old male motorcyclist that lost control of his bike.  He is AAO x3 with stable vital signs.  He is complaining of pain in his LE.  He sustained a tib/fib fx, concussion with + LOC, occipital fx, and ptx.  There was swelling of the fractured extremity and Ortho arrived in the ED to assess the patient at 1220. The pressures in the lower extremity were noted to be elevated.   Ortho continued to monitor the pressures in the lower extremity and the decision was made to take the patient from the ED to the OR for surgery including a fasciotomy for compartment syndrome of the LE @ 1300.  At 1420 patient received 2 units of FFP and at 1800 patient received 1 unit of PRBC.  3 days post op Ortho notes that there is some erythema at the surgical site but the wound is intact.  Patient’s temperature is 99.8 F and his WBC’s are 9.  The following day Ortho documents cellulitis and starts the patient on Keflex.  The patient was discharged home on 4/6/13. Based on the above information, the null value ‘Not Applicable’ should be submitted for the data field Highest GCS Total.
    • A. 

      True

    • B. 

      False

  • 2. 
    Arriving at your facility on 4/2/13 @ 1200 is a 34 yr. old male motorcyclist that lost control of his bike.  He is AAO x3 with stable vital signs.  He is complaining of pain in his LE.  He sustained a tib/fib fx, concussion with + LOC, occipital fx, and ptx.  There was swelling of the fractured extremity and Ortho arrived in the ED to assess the patient at 1220. The pressures in the lower extremity were noted to be elevated.   Ortho continued to monitor the pressures in the lower extremity and the decision was made to take the patient from the ED to the OR for surgery including a fasciotomy for compartment syndrome of the LE @ 1300.  At 1420 patient received 2 units of FFP and at 1800 patient received 1 unit of PRBC.  3 days post op Ortho notes that there is some erythema at the surgical site but the wound is intact.  Patient’s temperature is 99.8 F and his WBC’s are 9.  The following day Ortho documents cellulitis and starts the patient on Keflex.  The patient was discharged home on 4/6/13. Based on the above information, what value (number of units) would you submit for the data field Transfusion Blood (4 Hours)?
    • A. 

      1

    • B. 

      2

    • C. 

      0

    • D. 

      None of the above

  • 3. 
    Arriving at your facility on 4/2/13 @ 1200 is a 34 yr. old male motorcyclist that lost control of his bike.  He is AAO x3 with stable vital signs.  He is complaining of pain in his LE.  He sustained a tib/fib fx, concussion with + LOC, occipital fx, and ptx.  There was swelling of the fractured extremity and Ortho arrived in the ED to assess the patient at 1220. The pressures in the lower extremity were noted to be elevated.   Ortho continued to monitor the pressures in the lower extremity and the decision was made to take the patient from the ED to the OR for surgery including a fasciotomy for compartment syndrome of the LE @ 1300.  At 1420 patient received 2 units of FFP and at 1800 patient received 1 unit of PRBC.  3 days post op Ortho notes that there is some erythema at the surgical site but the wound is intact.  Patient’s temperature is 99.8 F and his WBC’s are 9.  The following day Ortho documents cellulitis and starts the patient on Keflex.  The patient was discharged home on 4/6/13. Based on the above information, what value (number of units) would you submit for the data field Transfusion Plasma (4 Hours)?
    • A. 

      1

    • B. 

      2

    • C. 

      0

    • D. 

      None the above

  • 4. 
    Your trauma related injured patient arrives in your ED on 4/22/13 at 1252.  At 1345 the patient receives 2 units PRBCs.  The patient is admitted, and later receives 2 more units of PRBCs at 2035.  What value would you submit for the data field Transfusion Blood (24 Hours)?
    • A. 

      2

    • B. 

      0

    • C. 

      Not Applicable

    • D. 

      4

  • 5. 
    When is it appropriate to submit the null value ‘Not Applicable’ for the data field Withdrawal Of Care?
    • A. 

      When the patient lives

    • B. 

      When the patient has a DNR

    • C. 

      When the legal next of kin is absent

    • D. 

      Never

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