A patient with chest trauma develops severe respiratory distress, markedly reduced breath sounds on one side, and worsening circulation. What is the priority?
5 Regional Injury Assessment Online Quiz Questions
Use this free practice quiz with 20 questions to review 5 Regional Injury Assessment, test your knowledge, and prepare for your next test or exam.
An unstable patient with abdominal trauma has a positive FAST. Which response best fits the immediate priority?
- A
Arrange routine outpatient follow-up because FAST identifies the source conclusively.
- B
Make an urgent trauma or surgical decision about suspected intraperitoneal bleeding.
- C
Delay action until contrast-enhanced CT defines every injury.
- D
Treat the FAST result as proof that no other bleeding source is present.
A patient with abdominal trauma is stable or responding to resuscitation. Select all appropriate approaches to assessing possible abdominal injury.
- A
Use contrast-enhanced CT to help define injury.
- B
Consider a negative FAST sufficient to exclude abdominal and retroperitoneal hemorrhage.
- C
Continue serial reassessment if bowel or mesenteric injury remains a concern.
- D
Stop reassessment once the first CT is obtained, regardless of the examination.
When assessing a suspected limb fracture, which examination and documentation steps are appropriate? Select all that apply.
- A
Inspect the entire limb, including the joints above and below the suspected fracture.
- B
Document distal neurovascular findings before and after splinting or reduction.
- C
Assume a palpable pulse rules out vascular injury.
- D
Compare with the opposite limb when useful.
A negative FAST rules out both intraperitoneal and retroperitoneal hemorrhage after trauma.
- A
True
- B
False
If a patient has no weakness, pallor, or absent pulses, compartment syndrome is excluded.
- A
True
- B
False
When pelvic bleeding is suspected, over which anatomical landmark should a purpose-made binder be centered?
What early examination finding, elicited by moving the affected part passively, is concerning for compartment syndrome?
For a penetrating chest wound with air movement, apply an and watch closely for deterioration.
If abdominal organs are exposed through a wound, do not them back into the abdomen; protect the wound and promptly involve the trauma team.
A patient with high-energy blunt trauma has pelvic pain and unexplained shock and remains unstable. Describe the immediate approach to suspected pelvic bleeding, including binder placement, imaging priorities, and ongoing management.
A stable patient has sustained high-energy deceleration with major chest trauma. What is the appropriate approach to possible blunt aortic or other occult injury?
- A
Arrange urgent appropriate imaging and specialist evaluation.
- B
Defer imaging because the patient is stable and has no external bleeding.
- C
Use a negative eFAST to exclude blunt aortic injury.
- D
Wait for shock to develop before considering further evaluation.
An injured limb has an absent pulse, ongoing blood loss, or an expanding hematoma. What clinical term describes these findings that require urgent vascular assessment?
A patient arrives with an open fracture. Which immediate wound-care action is appropriate?
- A
Irrigate the wound in the emergency department before operative evaluation.
- B
Cover the wound with a sterile dressing and arrange prompt definitive care.
- C
Delay antibiotics until the fracture has fully healed.
- D
Close the wound immediately without orthopedic evaluation.
A patient has an open fracture after a limb injury. Which initial approach best matches the recommended care?
- A
Cover it with a sterile dressing, avoid emergency-department irrigation before operative wound excision, and give prompt IV prophylactic antibiotics under local protocol.
- B
Irrigate the wound thoroughly in the emergency department and delay antibiotics until after surgery.
- C
Leave the wound uncovered so it can be inspected frequently, and give antibiotics only if infection develops.
- D
Close the wound immediately and arrange routine follow-up if the limb remains perfused.
A patient with a penetrating chest wound has air moving through the wound but is not yet deteriorating. What is the most appropriate immediate approach?
- A
Delay wound care until imaging confirms a pneumothorax.
- B
Apply an appropriate occlusive dressing and monitor closely for deterioration.
- C
Pack the chest wound deeply with gauze and reassess only after transport.
- D
Rely on a negative eFAST to exclude pneumothorax and stop monitoring.
A soft abdomen shortly after blunt trauma reliably excludes internal bleeding and bowel injury.
- A
True
- B
False
A patient has life-threatening bleeding from a limb wound that continues despite direct pressure. Which action is most appropriate?
- A
Continue observing the wound before applying any further bleeding control.
- B
Transport the patient first and leave the bleeding untreated if a pulse is present.
- C
Apply a tourniquet when life-threatening limb bleeding is not controlled by direct pressure.
- D
Splint the limb and defer bleeding control until imaging is complete.
A patient with a suspected limb fracture is about to be splinted. Which approach best supports recognition of changes in distal neurovascular status?
- A
Record distal pulses, perfusion, sensation, and motor function before and after splinting.
- B
Check the pulse once after splinting; a palpable pulse rules out vascular injury.
- C
Document the appearance of the fracture, but defer neurovascular checks until imaging.
- D
Compare limb sensation before splinting, but do not repeat the examination afterward.
In a patient with a limb injury, what finding during passive movement is an early concern for compartment syndrome?