4 Traumatic Brain Injury Online Quiz Questions

True

False

Apply it to any patient with a head injury, regardless of stability or eligibility.

Confirm the adult fits the rule’s intended population before using it to support the CT decision.

Use it in place of clinical judgment whenever a patient has a minor head injury.

Use it only after CT imaging has already been completed.

Allow the patient to sleep and repeat the examination at the end of the shift.

Wait for the patient to report another symptom before notifying anyone.

Promptly reassess airway, breathing, circulation, pupils, and GCS, and notify the responsible emergency or trauma team.

Proceed with a detailed examination before checking airway, breathing, and circulation.

Protect the cervical spine.

Address the airway and oxygenation.

Support ventilation as needed.

Assess and support circulation.

Urgently activate the appropriate trauma response.

Begin a detailed neurologic examination before stabilizing breathing.

Delay stabilization while arranging nonurgent imaging.

Worsening headache.

Repeated vomiting.

Increasing confusion.

One pupil becoming larger than the other.

A seizure.

Reduced ability to awaken.

Mild thirst without other changes.

An isolated bruise on an arm.

It is generally safe to ignore the reading unless it exceeds $40\,\text{mm Hg}$.

It warrants prompt clinical attention and management in light of the patient’s condition and the treating team’s protocol.

The reading alone determines treatment, regardless of the examination or imaging.

It rules out the need for further assessment if the patient is awake.

True

False

Base the decision on the pressure reading alone.

Interpret the reading together with the neurologic examination and imaging.

Disregard the examination and imaging if the reading is elevated.

Use the reading only to decide whether the original injury occurred.

Use the rule first and wait for its result before stabilizing the patient.

Prioritize urgent stabilization and evaluation; do not let the rule delay care.

Use the rule in place of clinical judgment because it is validated.

Apply the rule only after the patient has been discharged.

Mild fatigue that is improving and no new symptoms.

A brief, mild headache that is steadily improving.

Repeated vomiting, slurred speech, and difficulty waking.

Temporary soreness at the site of the injury without worsening symptoms.

True

False

Do not give it; high-dose methylprednisolone is contraindicated in severe TBI.

Give it routinely because it reduces ICP and improves outcome.

Give it only when the patient’s GCS is below 9.

Use it instead of urgent evaluation when the patient’s neurologic status worsens.

Arrange a routine appointment and monitor the symptoms at home.

Give reassurance and wait to see whether the headache improves overnight.

Suspect a serious intracranial complication and arrange immediate emergency evaluation and escalation of care.

Recommend gradual return to normal activity and reassess at the next follow-up.