Quiz: Head trauma

Which of the following indications for immediate CT brain imaging after head injury is wrong?

A A Glasgow Coma Scale (GCS) score <13 B B Focal neurological signs C C Post-traumatic fit D D Ejection from motor vehicle.

Which of the following indications for urgent review of an admitted head-injured patient is WRONG?

A A- Persisting severe headache B B- Drop of 1 point in GCS score of >60 min duration C C- Development of agitation D D- Persistent vomiting.

Hypotension and bradycardia occur in patients with spinal cord injury. Which of the following statements is FALSE?

A A. The bradycardia is associated with damage to descending sympathetic pathways. B B. Lower blood pressure will impair perfusion of partially injured cord. C C. Treatment by vasopressors is indicated. D D. The bradycardia will not respond to atropine.

The recommended range for PCO2 in a patient with a severe traumatic brain injury is

A A. 10-15mmHg B B. 30-40 mmHg C C. 30-35mmHg D D. 35-45mmHg

A patient presents s/p fall with a head injury. On arrival his eyes open to painful stimuli, he is confused and withdraws to pain. What is the GCS for the patient

A A. 7 B B. 9 C C. 10 D D. 11

Hyperventilation in severe TBI patients causes

A A. Increase in delivery of oxygen to damaged brain tissue B B. Manages metabolic acidosis thus assisting with oxygen delivery C C. Cerebral vasodilation and increases cerebral perfusion D D. Cerebral vasoconstriction and reduced cerebral perfusion.

Which of the following memory aids may be used when evaluating a patient’s level of responsiveness

A A. CAB B B. AVPU C C. ABCDE D D. OPQRST.

If no head or neck trauma is suspected, which of the following techniques should health care professionals use to open the airway

A A. Tongue–jaw lift B B. Head tilt–chin lift C C. Head tilt–neck lift D D. Jaw thrust without neck extension

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