SOLVED

11) Which of the following best describes the percentage of mortality from penetrating gunshot wounds to the cranium? A) 35 to 50 B) 75 to 80 C) 90 to 95 D) 10 to 15 12) Your patient has received blunt facial trauma due to an assault. For which of the following injuries should you maintain a high index of suspicion? 1. Airway obstruction 2. Hypoxia due to aspiration of blood 3. Basilar skull fracture 4. Cervical spine trauma A) 1, 2, 3 B) 1, 2 C) 1, 4 D) 1, 2, 3, 4 13) The ________ is one of the thinnest and most frequently fractured cranial bones. A) Temporal B) Ethmoid C) Parietal D) Occipital 14) Which of the following patients fit the criteria for application of spinal precautions in the prehospital setting? A) An 85-year-old male who has fallen down three steps and has a large laceration to the occipital region of the skull but no complaints of pain B) A 21-year-old male who was diving into a pool and states he hit his head but is out of the pool and ambulatory upon your arrival with no complaint of neck or back pain C) A 36-year-old female who was involved in a minor motor vehicle crash with an obvious closed tibia fracture D) None of the above 15) During the early care for a patient with a basilar skull fracture in the prehospital setting, which of the following would be an unexpected finding? A) Periorbital ecchymoses or “raccoon eyes” B) CSF otorrhea C) Blood mixed with cerebral spinal fluid flowing from the mouth D) CSF rhinorrhea 16) Which of the following skull fractures is most common? A) Linear B) Basilar C) Depressed D) Comminuted 17) All the following are acceptable methods of moving a patient onto a long spine board except: A) Rope-sling slide B) Straddle slide C) Log roll D) Side slide 18) Which of the following features of the cranium exacerbates the severity of intracranial trauma? A) It is rigid and unyielding. B) It is formed of dense, heavy bone. C) It is relatively thin in the frontal region. D) The sutures allow for separation of the bones. 19) Your patient is a seven-year-old male pedestrian who was struck by a vehicle. Your assessment reveals bleeding from the right auditory canal. Which of the following describes the most appropriate way to manage this? A) Determining the presence or absence of cerebrospinal fluid is a low priority. Pack the auditory canal with sterile gauze to control bleeding. B) Use a “halo” test to determine whether cerebrospinal fluid is in the blood. If it is, loosely cover the ear with a sterile dressing to prevent contamination while allowing blood to flow freely from the ear. If cerebrospinal fluid is not present, pack the ear canal with sterile gauze to control bleeding. C) Determining the presence or absence of cerebrospinal fluid in the blood is a low priority. Loosely cover the ear with a sterile dressing to prevent contamination while allowing blood to flow freely from the ear. D) Check the glucose level in the blood draining from the ear. If it is less than the patient’s blood glucose level, there is cerebrospinal fluid present. Cover the ear loosely with a sterile dressing to prevent contamination while allowing blood to flow freely from the ear. If the glucose level of the blood from the ear is the same as the patient’s blood glucose level, pack the auditory canal with sterile gauze to control bleeding. 20) When developing a spinal clearance policy, age _____ A) Should never be considered, as age does not matter B) Should only be considered when the patient is a male between the ages of 21 and 35 C) Should be considered, as the very old may not be able to describe their symptoms accurately D) Should only be considered if the patient is a minor