Paramedic Quiz Chapter 21 And 22
Based off Nancy Caroline's Emergency Care in the streets chapter 21 and 22
- 1.The ______ consists of eight bones that encase and protect the brain
- A.
Skull
- B.
Cerebrum
- C.
Cranial vault
- D.
Cribiform plate
- 2.Which of the following statements regarding thte nasal septum is most correct
- A.
It may be slightly deviated to one side or the other
- B.
The nasal septum is comprised mainly of cartilage
- C.
Inflammation of the nasal septum is common during infection
- D.
The nasal septum separates the oropharynx and nasopharynx
- 3.Cerebrospinal fuild is manufactured in the _______ of the brain and serves to_______
- A.
Subdural space, prevent infection
- B.
Cortex, protect the brain injury
- C.
Ventricles, cushion and protect the bain
- D.
Subarachnoid space, oxygenate the brain
- 4.When assessing a patient with maxillofacial trauma, it is most important to
- A.
Gently palpate the maxilla, mandible, and zygoma to elicit creipitus
- B.
Protect the cervical spine and monitor the patient's neurologic status
- C.
Apply a cervical collar and determine if the patient has visual disturbances
- D.
Have the patient open his of her mouth and assess for dental malocclusion
- 5.If you are unable to orotracheally intubate a patient due to massive maxillofacial trauma and sever oropharyngeal and nasopharyngeal bleeding, you would most likely have to perform
- A.
Nasotracheal intubation
- B.
A needle or surgical cricothyrotomy
- C.
Pharmacologically assisted intubation
- D.
Digital intubation
- 6.General care for an eye injury involves
- A.
Applying direct pressure to the globe
- B.
Irrigating the eye with sterile saline solution
- C.
Covering both eyes to minimize further injury
- D.
Applying a cold compress to the eyeball
- 7.A patient with a dysconjugate gaze following an occular injury
- A.
Most likely has a concomitant basilar skull fracture
- B.
Should have ice applied to the eyes to prevent blindness
- C.
Has discoordination between the movements of both eyes
- D.
Should be treated by irrigating both eyes for 20 minutes
- 8.Alkali or strong acid burns to the eye should be irrigated for an absolute minimum of ______minutes
- A.
10
- B.
15
- C.
20
- D.
30
- 9.A ruptured tympanic membrane
- A.
Commonly results in permanent hearing loss
- B.
Is characterized by CSF leakage from the ears
- C.
Commonly leads to an infection of the middle ear
- D.
Is extremely painful but typically heals spontaneously
- 10.The primary risk associated with oral and dental injuries is
- A.
Malocclusion
- B.
Intraoral infection
- C.
Permanent tooth loss
- D.
Airway compromise
- 11.If a knife is impaled in the neck
- A.
A cricothyrotomy may be required to establish a patent airway
- B.
It should be removed in case the airway becomes compromised
- C.
You should stabilize the object in place, regardless of its location
- D.
It should be shortened to facilitate proper airway management
- 12.When managing the airway of an unresponsive patient with serious anterior neck trauma and inadequate breathing, you should
- A.
Apply a cervical collar and perform intubation immediately
- B.
Ventilate the patient with an oxygen powered ventilation device
- C.
Give oxygen via nonrebreathing mask and apply a pulse oximeter
- D.
Secure manual in-line stabilization of the cspine, assist ventilations with a BVM, and prepare to intubate
- 13.Death following a head injury is almost always the result of
- A.
An epidural hematoma
- B.
Trauma to the brain
- C.
Airway compromise
- D.
Spinal cord transection
- 14.What type of skull fracture is most common following high energy direct trauma to a small surface area of the head with a blunt object
- A.
Depressed fracture
- B.
Open fracture
- C.
Basilar fracture
- D.
Nondisplaced fracture
- 15.When an unrestrained passenger's head strikes the windshield of a motor vehicle following rapid deceleration
- A.
The anterior portion of the brain sustains stretching or tearing injuries and the posterior portion of the brain sustains compression injuries
- B.
The head falls back against the headrest or seat and the brain collides with the rear of the skull, resulting in direct injury to the occipital lobe
- C.
The brain initially strikes the rear of the skull, resulting in direct bruising, and then rebounds and strikes the front part of the skull
- D.
Compression injuries occur to the anterior portion of the brain and stretching or tearing injuries occur to the posterior portion of the brain
- 16.Autoregulation is most accurately defined as
- A.
Reflex bradycardia that occurs secondary to systemic hypertension
- B.
An increase in mean arterial pressure to maintain cerebral blood flow
- C.
The forcing of CSF into the spinal cord as intracranial pressure increases
- D.
A decrease in cerebral perfusion pressure that reduces intracranial pressure
- 17.Decerebrate posturing is characterized by
- A.
Flexion of the arms and extension of the legs
- B.
Inward flexion of the wrists and flexed knees
- C.
Extension of the arms and extension of the legs
- D.
Pulling in of the arms toward the core of the body
- 18.Common clinical findings associated with a subdural hematoma including all of the following, except
- A.
Rapidly increasing ICP
- B.
An underlying skull fracture
- C.
A fluctuating level of consciousness
- D.
Unilateral hemiparesis or slurred speech
- 19.Chronic subdural hematomas are most commonly seen in the patients who
- A.
Are less than 2 years of age
- B.
Have alcoholism
- C.
Are prone to hypoglycemia
- D.
Have high cholesterol
- 20.When assessing the severity of a traumatic brain injury, the single msot important assessment parameter is the patient's
- A.
Initial GSC score
- B.
Blood pressure
- C.
Level of consciousness
- D.
Response to verbal stimuli
- 21.The most effective method for decreasing morbidity and mortality associate dwith spinal cord injury is
- A.
Rapid transportation to a trauma center
- B.
Public education and prevention strategies
- C.
Minimizing scene time to 10 minutes or less
- D.
Routine use of spinal motion restriction precautions
- 22.The spine
- A.
Is the major structural component of the axial skeleton
- B.
Is comprised of irregular bones that are all fused together
- C.
Consists of 23 bones articulating to form the spinal column
- D.
Provides support and strength for the appendicular skeleton
- 23.Because of its weight bearing capacity, the _______ spine is especially susceptible to injury
- A.
Cervical
- B.
Thoracic
- C.
Lumbar
- D.
Coccygeal
- 24.As the body ages, the intervertebral discs
- A.
Calcify and become more rigid
- B.
Enlarge and result in increased height
- C.
Are not able to protect the spinal cord
- D.
Lose water content and become thinner
- 25.The ________ is a continuation of the central nervous system and exits the skull through the ________
- A.
Vagus nerve, spinal cord
- B.
Spinal cord, foramen magnum
- C.
Brain stem, verebral foramen
- D.
Medullar, cauda equina
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