Chapter 19 Quiz

Front 1

Which of the following is true of the elderly trauma pt?

Back 1

all of the above.

Front 2

Even with intervention, survival is unlikely with blood loss over ____ percent of the total blood volume.

Back 2

35

Front 3

Which layer of the arteries controls the diameter of the vessel?

Back 3

Tunica media

Front 4

Which of the following vessels has the greatest ability to change diameter?

Back 4

Arterioles

Front 5

Managing a laceration with arterial bleeding most often requires?

Back 5

Direct pressure

Front 6

Which of the following represents the correct sequence for controlling hemorrhage from an extrimity?

Back 6

Direct pressure, elevation, pressure point compression

Front 7

Which of the following early signs of shock is easily missed?

Back 7

Tachycardia

Front 8

Which of the following results from anaerobic metabolism in shock?

Back 8

Metabolic acidosis

Front 9

Anaphylactic shock is a form of __________ shock.

Back 9

Distributive

Front 10

Which of the following is the preferred fluid for resuscitation in hemorrhagic shock?

Back 10

Whole blood

Front 11

Pericardial tamponade would most likely result in which of the following types of shock?

Back 11

Cardiogenic

Front 12

In a previously healthy individual, Which of the following types of shock may NOT result in the typical signs of cool, pale, moist skin, tachycardia and narrowed pulse pressure?

Back 12

Neurogenic

Front 13

Which of the following best describes definitive care for the trauma pt with ongoing, significant hemorrhage?

Back 13

Immediate surgery

Front 14

Which of the following is a manifestation of orthosatic hypotension?

Back 14

Your pt's blood pressure is 142/90 when she is supine, but 116/88 when she sits up.

Front 15

The phase of blood clotting in which the smooth muscle of an injuried blood vessel contracts is know as the ________ phase?

Back 15

Vascular

Front 16

Which of the following statements about the pt in neurogenic shock is NOT true?

Back 16

unopposed sympathetic nervous stimulation results in generalized pallor and diaphoresis

Front 17

A fracture of the femur may result in a hematoma that containsenough blood to make it a stage ___ hemorrhage?

Back 17

2

Front 18

Which of the following does NOT indicate compensated shock?

Back 18

Dropping level of consciousness

Front 19

Which of the following measures effectively controls bleeding in body cavities

Back 19

Surgery

Front 20

Which of the following mechanisms is responsible for accumulating lactic acid in shock?

Back 20

Anaerobic metabolism

Front 21

Which of the following terms is best described as the loss of blood from the vascular space?

Back 21

Hemorrhage

Front 22

In which of the following pt's with hemorrhage shock can you employ aggressive fluid resuscitation?

Back 22

A 26 y/o male with a gunshot wound involving the popliteal artery

Front 23

Which of the following findings indicated a progression from from compensated shock to decompensated shock?

Back 23

dropping level of consciousness

Front 24

Which of the following fluids is appropriate for the prehospital management of the hypovolemic shock?

Back 24

Lactated Ringer's

Front 25

A hematoma resulting from a fracture of the humerus may contain enough blood to make it a stage ___ hemorrhage?

Back 25

1

Front 26

Which of the following indicates that a pt has transitioned from compensated to decompensated shock?

Back 26

Hypotension

Front 27

The increase in myocardial contraction as a result of increased blood return to the heart BEST describes.

Back 27

Starling's law of the heart

Front 28

Which of the following guidelines applies to the prehospital administration of IV fluids in the pt with hemorrhagic shock?

Back 28

Administer isotonic crystalloid fluids only as necessary to maintain perfusion

Front 29

Your pt is a 29 y/o male who works in a meat-processing plant. He recieved a knife wound in the proximal antero-medial thigh, which is continuing to bleed on your arrival. He is restless, thirsty, and has pale, cool skin. He has a weak radial pulse of 130 and a blood pressure of 118/88. This pt is exhibiting signs and symtoms consistent wit a stage ___ hemorrhage.

Back 29

2

Front 30

For which of the following mechanisms of injury should you maintain the highest index of susicion for hemorrhagic shock?

Back 30

Frontal-impact motor vehicle collision at 45 mph.