Q3 Or Theory Ch 37 Emergency Trauma

Front 1

___________ is/are the leading cause of death between the ages of 1 and 45 and the third leading cause of death in all age groups.

Back 1

Motorcycle accidents

Motor vehicle accidents

Trauma

Boating accidents

Hint 1

Trauma

Front 2

During a true surgical emergency, more so than in any other scenario, ___________ is key to a successful outcome for the patient.

Back 2

counting

preparation

teamwork

instruments

Hint 2

teamwork

Front 3

Although the ability to respond quickly to the demand of surgery is important, so is_______________.

Back 3

preparation

accuracy

teamwork

instruments

Hint 3

accuracy

Front 4

Clear _____________ is the pivot point of team efforts in an emergency.

Back 4

preparation

accuracy

teamwork

communication

Hint 4

communication

Front 5

ATLS is

Back 5

Advance Trauma Limited System

Advance Trauma Life System

Advance Trauma Life Support

Advance Trauma Limited Support

Hint 5

Advance Trauma Life Support

Front 6

____________ is/are treatment pathways in trauma surgery.

Back 6

Signs and symptoms

Hemorrhagic shock

None of the above

Algorithms

Hint 6

Algorithms

Front 7

Subnormal core body temperature for an extended period of time is known as:

Back 7

metabolic acidosis

coagulopathy

hyperthermia

hypothermia

Hint 7

hypothermia

Front 8

Lower-than-normal blood pH is what condition?

Back 8

hyperthermia

metabolic acidosis

coagulopathy

hypothermia

Hint 8

metabolic acidosis

Front 9

Potentially lethal disorder of the normal blood clotting system in patients who survive the first hour after injury are at risk for which of the following of these conditions:

Back 9

hyperthermia

coagulopathy

hypothermia

metabolic acidosis

Hint 9

coagulopathy

Front 10

A vascular failure, caused by prolonged, severe blood loss, is the most common cause of mortality in trauma and is called:

Back 10

metabolic acidosis

hypothermia

hemorrhagic shock

coagulopathy

Hint 10

hemorrhagic shock

Front 11

The compensatory mechanisms in acute injury can lead to the condition called:

Back 11

compartment syndrome

metabolic acidosis

hemorrhagic shock

hypothermia

Hint 11

compartment syndrome

Front 12

____________ is the process of restoring physiological balance in injury.

Back 12

Hyperthermia

Resuscitation

Metabolic acidosis

Hypothermia

Hint 12

Resuscitation

Front 13

The secondary survey is also known as:

Back 13

emergency care

clinical care

occult injury

hospital care

Hint 13

hospital care

Front 14

Consent for invasive procedures, including emergency surgery, is obtained from the patient if he or she is able, or from _____________________, according to hospital policy.

Back 14

another person

responsible individuals

the parents

none of the above

Hint 14

responsible individuals

Front 15

The surgical technologist (ST) working in an urban trauma facility is likely to have some contact with ____________.

Back 15

all the above

accidental stabbing

trauma surgery

forensic evidence

Hint 15

forensic evidence

Front 16

Death from ______ is the second leading cause of mortality in the United States, and approximately 115,000 cases of _______ injury are treated each year.

Back 16

stabbing, stabbing

firearms, firearm

trauma, trauma

motor vehicle accident, motor vehicle accident

Hint 16

firearms, firearm

Front 17

When passing any instrument that will come in contact with a bullet, fragments, shrapnel, or other ballistic item, ensure that the _______ of the instrument are protected with rubber shod or completely covered with a sponge.

Back 17

serrations

ratchets

tips

finger hold

Hint 17

tips

Front 18

One goal of damage control surgery is to focus solely on lifesaving maneuvers, including all of the following EXCEPT:

Back 18

control of fecal spillage

control of feeding

control of hemorrhage

relief of compartment syndrome

Hint 18

control of feeding

Front 19

If the patient is stabilized in 12 to 48 hours, he or she can then be returned to surgery for a ____________ procedure.

Back 19

schedule

follow-up

emergency

definitive

Hint 19

definitive

Front 20

Hospitals should have basic setups for:

Back 20

bowel resection

craniotomy

Hint 20

craniotomy

Front 21

To avoid having instrument sets opened but not used, specialty instruments can be placed ___________ on a cart outside the operating room (OR) in the sterile core.

Back 21

outside

inside

Hint 21

outside

Front 22

Copious amounts of _________ solution are often needed during trauma surgery.

Back 22

drug

irrigation

Hint 22

irrigation

Front 23

____________-based tissue sealants are used only if there is no coagulopathy present because these depend on an intact coagulation response.

Back 23

Lidocaine

Thrombin

Hint 23

Thrombin

Front 24

Postoperative serosanguinous pooling is controlled with wound _________.

Back 24

dressings

drains

Hint 24

drains

Front 25

The real potential for extending the patient’s injuries exists during ___________ and _____________.

Back 25

moving, handling

transferring, moving

Hint 25

moving, handling

Front 26

Normothermia is:

Back 26

maintaining normal body temperature as normal as possible

maintaining normal body temperature at the absolute minimum

Hint 26

maintaining normal body temperature as normal as possible

Front 27

You are called in on a motor vehicle accident, the patient is disoriented and scared. As a health care professional, it is important to provide some measure of _______ comfort for the patient.

Back 27

emotional

understanding

Hint 27

emotional

Front 28

You are scrubbed in on an emergency case when the circulator tells you that all standardized ____________ procedures may be suspended in life-threatening situations.

Back 28

counts

guidelines

Hint 28

counts

Front 29

The term “up” means what during an emergency case?

Back 29

on the Mayo ready for use

items are sterile and ready for use

Hint 29

on the Mayo ready for use

Front 30

Blood loss

Back 30

Circulation

Front 31

Artificial airway

Back 31

Airway

Front 32

TBI

Back 32

Dysfunction

Front 33

Thoracic injury

Back 33

Breathing

Front 34

Vital functions

Back 34

Exposure of injuries

Front 35

Pressure on the heart causing restriction and damage to the conduction system

Back 35

Cardiac Tamponade

Front 36

Injury that results in air in the pleural space causing displacement or collapse of the respiratory structures

Back 36

Pheumothorax

Front 37

Bruising

Back 37

Contusion

Front 38

Trauma that results in deep tissue injury without rupture of the skin

Back 38

Blunt Injury

Front 39

A protocol of ATLS in which ultrasound is used in a focus area to diagnose severe trauma

Back 39

FAST

Front 40

An injury that is not detected in normal assessment procedures

Back 40

Penetrating Injury (may be corrected to Occult)

Front 41

Condition in which the body’s normal blood clotting mechanism ceases to function; characteristic in severe multi trauma

Back 41

Coagulopathy

Front 42

Tearing of the atria or ventricles as a result of trauma

Back 42

Cardiac Rupture

Front 43

Bleeding into the pleural space

Back 43

Hemothorax

Front 44

Evidence-based diagnosis of a medical problem using normal investigative procedures, such as imaging studies

Back 44

Definitive diagnosis

Front 45

A type of shock characterized by vascular failure resulting from severe bleeding

Back 45

Hemorrhagic shock

Front 46

Hemorrhage with the potential to deplete the patient’s total blood volume

Back 46

Exsanguinating

Front 47

Surgery whose objective is to stop hemorrhage and prevent sepsis without attempting reconstruction or anatomical continuity

Back 47

Damage control surgery

Front 48

Increased pressure in any compartment of the body

Back 48

Compartment syndrome

Front 49

A potentially lethal physiological condition occurring in shock, characterized by abnormally low blood pH

Back 49

Metabolic acidosis

Front 50

A planned surgical procedure, usually with specific objectives for reconstruction or restoring continuity of anatomical structures

Back 50

Definitive procedure

Front 51

In blunt injury, the skin is unbroken, and the injuries are internal

Back 51

True

False

Hint 51

True

Front 52

Hemorrhagic shock is vascular failure caused by prolonged, severe blood loss, the most common cause of mortality in trauma

Back 52

True

False

Hint 52

True

Front 53

The golden hour is the process of restoring physiological balance in injury

Back 53

True

False

Hint 53

False

Front 54

Surgical treatment using a planned method and techniques intended to provide lasting repair is called a definitive procedure

Back 54

True

False

Hint 54

True

Front 55

Physician certificate in trauma care is achieved through the American College of Surgeon's Advance Trauma Life Support course

Back 55

True

False

Hint 55

True

Front 56

Compartment syndrome is most commonly seen in the chest

Back 56

True

False

Hint 56

False

Front 57

The goal of damage control surgery is to focus solely on lifesaving maneuvers

Back 57

True

False

Hint 57

True

Front 58

Approximately 90% of spinal injuries are caused by motor vehicle accidents

Back 58

True

False

Hint 58

False

Front 59

The golden hour refers to the first hour following injury

Back 59

True

False

Hint 59

True

Front 60

The lethal triangle includes all of the following conditions components except

Back 60

Hypothermia

hemostasis

metabolic acidosis

coagulopathy

Hint 60

Hemostasis

Front 61

Dysfunction of the normal blood clotting process is called

Back 61

hypothermia

coagulopathy

metabolic acidosis

shock

Hint 61

Coagulopathy