A 17 year old female has a second degree circumferential burn on her left lower leg and foot.
What percentage of body surface area is burned?
a)9
b)21
c)4
d)18 - ANS-a)9
anterior lower leg - 4.5
posterior lower leg - 4.5
A 19 year old male falls out of a tree and is now presenting with cool, pale, clammy skin,
difficulty breathing, decreased breath sounds on the right side, distended neck veins, a deviated
trachea, and shallow radial pulses of 120. The condition this patient is most likely suffering from
is:
a)Pericardial tamponade
b)Flail chest
c)Hemothorax
d)Pneumothorax - ANS-d)Pneumothorax
A 19-year-old male was struck in the lower right quadrant with a baseball bat. Upon assessment
you find him to be alert and oriented with pale, cool, clammy skin. Which of the following oxygen
treatments should be performed on this patient?
a)15 LPM via bag-valve-mask
b)10 LPM via simple face mask
c)15 LPM via non-rebreather
d)6LPM via nasal cannula - ANS-c)15 LPM via non-rebreather
A 2 year old female has a second degree burns on both palms and third degree burns on her
chest and abdomen. What percentage of her body is burned?
a)29
b)36
c)20
d)18 - ANS-c)20
chest - 9
abdomen - 9
hands - 2
A 20 year old male was the unrestrained driver in a car crash. He is anxious, pale and has
absent lung sounds on the left side. Vital signs are BP 80/48, P 132, R 31 and shallow. What
should you suspect?
a)Tension pneumothorax
b)Pulmonary contusions
c)Pericardial tamponade
d)Flail chest - ANS-a)Tension pneumothorax
,A 21 year old female has an open femur fracture after falling off a horse. What should you do?
a)Check for a distal circulation
b)Apply manual stabilization to her femur
c)Apply a traction splint
d)Immobilize her on a long back board - ANS-b)Apply manual stabilization to her femur
A 21 year old male fell asleep by the pool for 5 hours. He has bright red burns on his neck and
down to his ankles. What percentage of his body is burned?
a)27
b)45
c)50
d)36 - ANS-b)45
chest - 18
anterior legs - 18
anterior arms - 9
A 21 year old male has a large piece of glass impaled in his eye. What should you do?
a)Pull the glass from his eyes
b)Stabilize the glass with a paper cup
c)Stabilize the glass with sterile dressing
d)Leave the glass and transport promptly - ANS-b)Stabilize the glass with a paper cup
A 21 year old male is semi-conscious and lying kiddywampus at the bottom of 2 flights of stairs.
What should you do?
a)Perform a sternal rub
b)Assess for distal pulses
c)Open the airway with jaw thrust maneuver
d)Manually stabilize c-spine - ANS-d)Manually stabilize c-spine
A 21 year old male tripped and fell into a small camp fire. he has burns to his hands, anterior
forearms and upper chest. What percentage of his body has been burned?
a)27
b)9
c)15
d)21 - ANS-c)15
hands - 2
anterior forearms - 4 (approximately 2 per arm)
upper chest - 9
A 22 year old male has a knife impaled in the upper right quadrant of his abdomen. He
complains of pain when he inhales and shortness of breathing. What should you suspect?
a)Spontaneous pneumothorax
b)Diaphragmatic tear
c)Abdominal evisceration
d)Splenic rupture - ANS-b)Diaphragmatic tear
A 22 year old male has isolated and patchy third degree burns. Which classification method
should you use to determine the percentage of body area burned?
a)Rule of Palm
b)Lund and Browder Chart
, c)Rule of Nines
c)Broselow tape - ANS-a)Rule of Palm
A 23 year old male has a partial thickness burns to his anterior thighs and full thickness burns to
his perineum. What percent of his body surface area is burned?
a)11
b)8
c)13
d)19 - ANS-a)11
upper legs - 10
genitals - 1
A 23 year old male was just assaulted and sustained massive blunt trauma to his abdomen.
Upon assessment, you discover that the patient has a rigid and tender abdomen, blood
pressure of 98/60, a heart rate of 124, and pale, cool, clammy skin. For what condition should
you treat this patient?
a)Aortic rupture
b)Hypovolemic shock
c)Neurogenic shock
d)Ruptured spleen - ANS-b)Hypovolemic shock
Although conditions such as a ruptured spleen could be possible for this patient, always focus
on the bigger picture being the loss of blood, internal or external, that occurs with hypovolemic
shock.
A 23 year old male was stabbed in the lower left quadrant. He has minor bleeding from the
wound. What should you do?
a)Attempt to locate the weapon
b)Perform a secondary assessment
c)Apply an occlusive dressing
d)Immobilize him on a long back board - ANS-c)Apply an occlusive dressing
A 23 year old male was stabbed in the shoulder and blood is spurting from the wound. What
should you do?
a)Manually stabilize c-spine
b)Expedite transport
c)Administer oxygen
d)Apply direct pressure - ANS-d)Apply direct pressure
A 25 year old male has a deep laceration on his right forearm. You are applying direct pressure
with a trauma dressing. But the wound continues to bleed. What should you do?
a)Tension pneumothorax
b)Apply a tourniquet proximal the laceration
c)Align with gentle traction until resistance is met
d)Transporting rapidly - ANS-b)Apply a tourniquet proximal the laceration
A 27 year old male has burns on his entire anterior chest and to the left upper extremity,
circumferentially. What percentage of burns did he receive?
a)48
b)13.5
c)27
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