Module Exam 3

Front 1

Cool-water immersion of a burned part effectively reduces burning only when done within which of the following time frames?

Back 1

The first 1-2 minutes

Front 2

An area of burned tissue that is not painful is most likely a ______ burn injury.

Back 2

full-thickness

Front 3

You are caring for a patient with 30 percent full- and partial-thickness burns. He is an 80kg male. According to the Parkland formula, he should receive _________ liters of fluid over 24 hours, with _______ liters infused in the first 8 hours.

Back 3

9.6, 4.8

Front 4

According to Jackson's theory of thermal wounds, which of the following zones has suffered the greatest damage?

Back 4

Coagulation

Front 5

Patients who survive the first several days of a moderate to critical burn are most likely to die from which of the following complications?

Back 5

Infection

Front 6

Your patient has circumferential full-thickness burns of the thorax. He is intubated, and you have noticed an increase in resistance as you bag him. His skin is very tight and inflexible as you try to ventilate. Which of the following is required to improve this patient's ventilatory status?

Back 6

An escharotomy

Front 7

Based on the total body surface area and burn depth, you have determined that an 88-year-old female has a moderate burn. Considering the age of the patient, you should consider this burn

Back 7

critical

Front 8

Paralysis of the muscles of respiration may occur when there is body contact with electrical currents as low as ____ mA.

Back 8

20

Front 9

Which of the following has contributed most significantly to the decline in U.S. burn mortality?

Back 9

Improved building codes and construction and sprinkler and smoke detector use.

Front 10

When caring for an amputated part, which of the following principals apply?

Back 10

Place the part in a dry plastic bag and seal it.
Keep the part dry and place it in a container of cold water.

Front 11

The first stage of healing is

Back 11

hemostasis

Front 12

Your patient is a 3-year-old male who has struck his head on a concrete patio. He has a wound that penetrates the dermis ans is approximately 2 cm long. This wound would be best described as a

Back 12

laceration

Front 13

You are called to a commercial creamery where an employee got his arm trapped in the ice-cream-mixing machinery. You note that the skin has been pulled off his hand and arm from the midforearm down. The patient's muscles, tendons, and bones are exposed. This type of injury is a(n)

Back 13

degloving injury

Front 14

Which of the following best describes the skeletal degeneration secondary to crushing trauma that causes the release of metabolic by-products?

Back 14

Rhabdomyolysis

Front 15

You have responded to an injured person at a motorcycle clubhouse. Your patient was attacked by a perpetrator w/ a broken bottle. Your patient has a large laceration on her neck with moderate bleeding. Which which property of your dressing material is most important in caring for this patient?

Back 15

Occlusive

Front 16

Which of the following patients has an increased chance of wound infection?

Back 16

29 y/o m, one pack-per-day smoker
65 y/o f taking ibuprofen for arthritis
40 y/o m who has AIDS
all of the above.

Front 17

Pt is 30 y/o machinist who had his rt hand caught in a press.Upon extrication, there is no evidence of significant trauma. Which of the following best describes the index of suspicion you should have for this patient?

Back 17

There may be extensive soft tissue injury, fractures, and damage due to crush syndrome.

Front 18

The tough fibrous sheaths that bundle skeletal muscle are called

Back 18

fascia

Front 19

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

Back 19

35

Front 20

Managing a laceration w/ arterial bleeding often requires

Back 20

direct pressure

Front 21

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

Back 21

anaerobic metabolism

Front 22

Which of the following is NOT a characteristic of arterial bleeding?

Back 22

clots quickly on its own

Front 23

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

Back 23

Cardiogenic

Front 24

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

Back 24

Hemorrhage

Front 25

Which of the following is most important when assessing the damage done by a gunshot?

Back 25

The distance from the shooter

Front 26

Which of the following is most likey to occur when military ammunition is used?

Back 26

It will remain intact

Front 27

Which of the following is true of the shock wave that accompanies high velocity penetrating trauma?

Back 27

The shock wave may be transmitted through blood, resulting in damage to blood vessels some distance from the primary wound.

Front 28

Which of the following is NOT considered penetrating trauma?

Back 28

Laceration on forehead as a result of being struck w/ metal pipe

Front 29

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

Back 29

Arterioles

Front 30

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

Back 30

Dropping level of consciousness

Front 31

Which of the following is NOT a benefit of the PASG?

Back 31

An autotransfusion of up to 2000mL of blood from the lower extremities

Front 32

Which of the following is most likely to be fractured due to a fall onto outstretched hands?

Back 32

Clavicle

Front 33

Which of the following contributes to a greater degree of injury than anticipated from vehicle damage alone in a lateral-impact motor vehicle collision?

Back 33

Lack of a crumple zone

Front 34

Frontal impacts in which the patient takes a 'down-and-under' pathway typically result in which of the following injury patterns?

Back 34

Hip and femur fractures