Quiz: Primary & secondary Survay

Which of the following conditions does not require immediate recognition and treatment during the primary survey

A A- Sucking chest wound B B- Massive haemothorax C C- Aortic disruption D D- Cardiac tamponade

Which of the following is an unreliable indicator of organ perfusion

A A- Urinary output B B- Base excess C C- Serum lactate D D- Core/ periphery temperature gradient

In which of the following wound types are prophylactic antibiotics not indicated

A A- Compound limb fracture B B- Stab wounds to the intestine C C- Contaminated perineal lacerations D D- Scalp laceration over skull vault fracture.

A 26-year-old male presents to the trauma bay after being involved in a high-speed motorcycle collision. You note that he is obtunded and has bilateral open lower extremity fractures with exposed bone and muscle. What is the first priority when first assessing this patient

A A. Place tourniquets on both lower extremities to control bleeding. B B. Place two large bore peripheral IV lines. C C. Assess the airway and, if necessary, perform endotracheal intubation. D D. Send the patient to the CT scanner to look for intracranial injury.

You are evaluating a 22-year-old male following blunt trauma. His blood pressure is 84/47 and heart rate is 134. He is alert but anxious, complaining of abdominal pain. You obtain intravenous access and begin transfusion of blood products. What is the next best step

A A. Chest x-ray, pelvis x-ray and FAST exam to look for sources of hemorrhage. B B. Emergent CT scan of the chest, abdomen, and pelvis. C C. Transport the patient to the operating room for exploratory laparotomy. D D. Place a pelvic binder.

You have completed the primary and secondary surveys for a 47-year-old man who was struck by a motor vehicle while riding his bicycle. You found him to be hemodynamically stable with a GCS of 15. His only obvious injury is a deformed right shoulder. The nurse suddenly alerts you that the patient has become unresponsive and his systolic blood pressure has now dropped into the 60’s with a palpable carotid pulse. What is the next best step

A A. Call a code blue. B B. Begin chest compressions. C C. Re-evaluate the patient starting with another primary survey. D D. Perform urgent reduction of his dislocated shoulder.

A 19-year-old male was struck by a truck while crossing the street. Blood pressure is 76/34 and heart rate is 122. You secure the airway and obtain a chest x-ray that suggests pulmonary contusions on the right and a FAST exam showing a black stripe between the liver and right kidney. What is the next best step

A A. Go to the operating room for abdominal exploration. B B. Perform emergency department thoracotomy. C C. Place a central line, arterial line, and Foley catheter. D D. Obtain CT scans of the chest, abdomen, and pelvis.

A 22-year-old male presents to the Emergency Department after being stabbed multiple times in the chest and abdomen. He is hemodynamically stable. During the primary survey, special attention must be given to which of the following

A A. Obtain a detailed history and physical. B B. Assess pelvis for stability to compression. C C. Expose and roll the patient to identify additional wounds. D D. Draw CBC, CMP, and PT/INR.

The purpose of the primary survey is to

A A. Perform a detailed head-to-toe physical examination B B. Determine the number of personnel needed to assist in the patient’s care C C. Focus on the patient’s chief complaint/reason for seeking medical assistance D D. Detect the presence of life-threatening problems that require rapid intervention.

During the primary survey, for what length of time should you assess for the presence of a pulse

A A. Check for a pulse for no more than 3 seconds B B. Check for a pulse for no more than 5 seconds C C. Check for a pulse for at least 5 seconds but no more than 10 seconds D D. Check for a pulse for at least 10 seconds but no more than 30 seconds

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