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Exam 29: Trauma to the Head, neck, and Spine

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Question 21

Multiple Choice

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Which of the following pieces of equipment is acceptable for use in the prehospital stabilization of suspected cervical spine injuries?

A) Soft cervical collars
B) Five-pound sand bags
C) Rigid cervical collars
D) 2" × 4" wood cribbing

E) None of the above
F) All of the above

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Question 22

Multiple Choice

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Which of the following systems includes the pairs of nerves that enter and exit the spinal cord between each pair of vertebrae?

A) Peripheral nervous system
B) Central nervous system
C) Autonomic nervous system
D) All of the above

E) C) and D)
F) B) and D)

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Question 23

Multiple Choice

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A young female was injured in an automobile wreck,striking her head on the windshield.She is unconscious and her breathing is irregular.She is bleeding from a scalp wound,but your assessment shows that her cranium is intact.Her vital signs are pulse 68,blood pressure 148/90,and her pupils are unequal.You should suspect a(n) :

Your patient is a 30-year-old construction worker who fell from scaffolding and has been impaled through the right orbit by a 36-inch piece of concrete reinforcement bar.The patient responds to verbal stimuli and appears to have multiple other injuries.Which of the following is the BEST course of action?

What is the first step in a rapid takedown of a standing patient ?

Your patient is pregnant at 20 weeks' gestation and has been thrown from a horse.She is complaining of back pain.Which of the following is the correct procedure for immobilizing her spine?

A 65-year-old man was doing some work on his roof when he lost his footing and fell to the ground,approximately 15 feet.He is unconscious but his respirations are normal.You note an obviously angulated left leg.You are more concerned about a possible head injury.Which of the following would indicate a possible head injury?

Glasgow Coma Scale (GCS) is a neurological assessment that looks at which of the following?

Your patient is a 16-year-old male who ran his truck off of the road and into a ditch.He was driving just fast enough to cause the air bag to deploy when he hit the ditch.He is complaining of some neck and shoulder pain.His vital signs are respirations 20,pulse 110,blood pressure 116/80,and pupils equal and reactive.How should you manage this patient?

Your patient is a 30-year-old female involved in a motorcycle crash.She was not wearing a helmet and struck her head on the pavement.She is unresponsive and has a blood pressure of 152/110 mmHg.Her pulse is 60 beats per minute and respirations are 8 breaths per minute and shallow.Which of the following is an appropriate intervention?

Which of the following causes worsening of the damage in a brain injury?

The maxillae form which of the following structures?

Hyperventilation of a patient with a severe brain injury due to an impaled object means that bag-valve-mask ventilations are provided at a rate of ________ per minute.

When blood accumulates between the brain and the dura mater,what is the result?

When using a short spine immobilization device,which part of the body is secured last?

In which of the following circumstances should a helmet be removed?

Messages from the body to the brain are carried by which of the following types of nerves?

Your patient has been injured by a fall down a flight of steps.He is alert and oriented but complains of back and neck pain.You spinal immobilize him on a long spine board with a cervical collar on his neck as a precaution because you know that the:

You are en route to the trauma center with a patient who was injured when he was thrown from a horse.You suspect multiple trauma injuries including a closed head injury.You will monitor his mental status using the Glasgow Coma Scale (GCS) per your protocols.Which of the following will you check?

The bony bumps you feel along the center of a person's back are known as which of the following?