Paramedic FISDAP Trauma V2 questions with correct
answers
Subcutaneous emphysema Correct Answer-A physical finding of air
within the subcutaneous tissue, described as a crackling or popping
feeling under the skin
Disseminating Intravascular Coagulation Correct Answer-A pathological
process characterized by the widespread activation of the clotting
cascade that results in the formation of blood clots in the small vessels
throughout the body. Interferes with the body's ability to use fibrin for
clotting when its actually needed thus increasing the chances of severe
hemorrhage
Disseminating intravascular coagulation is most commonly caused by?
Correct Answer-Sepsis, tumors, and trauma
Also referred to as a traumatic dissection or rupture of the aorta Correct
Answer-Transected aorta
Transected aorta Correct Answer-Shear forces cause the layers of the
aorta to separate allowing blood to enter, this increases the pressure
within the artery causing it to begin to dissect
Signs and symptoms of a transected aorta Correct Answer-Severe
hypotension
Severe tearing chest pain that may radiate to the back
,Difference in pulses in the left/ right upper extremities or weak pulses in
the lower extremities
Rhabdomyolysis Correct Answer-Acute destruction of skeletal muscle
Occurs when crush syndrome causes skeletal muscle to undergo necrosis
and cellular changes causing it to begin degeneration Correct Answer-
Rhabdomyolysis
Kehr's sign Correct Answer-Referred pain to the left shoulder caused by
a ruptured spleen
Obstructive shock Correct Answer-The heart and vessels are working
but oxygenated blood is not being delivered adequately due to an
obstruction
Common causes of obstructive shock Correct Answer-Cardiac
tamponade, tension pneumothorax, pulmonary embolism
Distributive shock Correct Answer-Lack of vascular tone or major
vasodilation hinders the ability of blood to perfuse through the body (the
pipes are too big)
Common causes of distributive shock Correct Answer-Sepsis,
anaphylaxis, neurological/ spinal trauma, toxic exposure
, Hypovolemic shock Correct Answer-Any significant reduction in the
volume of the cardiovascular system
Common causes of hypovolemic shock Correct Answer-Hemorrhage,
severe burns, fluid/ electrolyte loss (vomiting, diarrhea, sweating,
excessive urination), and "third spacing" of fluid that can occur in severe
pancreatitis or ascites of the liver
Neurogenic shock Correct Answer-Due to the loss of sympathetic tone
from a spinal cord injury, the "message" to constrict is no longer being
sent to the smooth muscle in the vascular system
Cardiogenic shock Correct Answer-Results from cardiac insufficiency
when cardiac output falls below what the body requires (a pump
problem)
Septic shock Correct Answer-Blood vessels become extremely
permeable as the cells release triggers to cause dilation of vessels to
allow more blood flow aka more infection control cells to mitigate the
"local" infection
Tension pneumothorax Correct Answer-An open or simple
pneumothorax that generates and maintains a pressure greater than
atmospheric pressure
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