BCEN Trauma and Injury Management

Question 1

A 30-year-old male is brought to the ER after a high-speed motor vehicle collision.
He is unresponsive, with a Glasgow Coma Scale (GCS) score of 8.
Which of the following should be your first priority?

Accepted Answer

Secure the airway and provide oxygenation

Answer

Administer pain relief

Answer

Obtain a full set of vital signs

Answer

Perform a full trauma assessment

Question 2

A 24-year-old female presents with a suspected fractured femur after a fall from a height. She is in severe pain, with visible deformity in the leg. What is the most appropriate intervention?

Accepted Answer

Administer intravenous pain medication and immobilize the limb

Answer

Perform a neurovascular assessment of the extremity

Answer

Apply traction to the fractured leg

Answer

Immediately initiate blood transfusion

Question 3

A 45-year-old male with a history of alcohol use disorder presents with confusion, slurred speech, and weakness on the right side after falling down stairs. He is conscious but disoriented. What is the most appropriate next step in your assessment?

Accepted Answer

Perform a CT scan to rule out a head injury or hemorrhage

Answer

Administer glucose to rule out hypoglycemia

Answer

Check for cervical spine injury

Answer

Obtain an electrocardiogram (ECG) to rule out arrhythmia

Question 4

A 52-year-old male presents with a stab wound to the abdomen. He is conscious but appears pale and diaphoretic. His blood pressure is 90/60, and his heart rate is 120 bpm. What is the most appropriate first intervention?

Accepted Answer

Initiate fluid resuscitation with IV normal saline

Answer

Administer pain medication and prepare for surgery

Answer

Place a chest tube to relieve tension pneumothorax

Answer

Perform a detailed abdominal exam to locate the injury

Question 5

A 65-year-old male presents with a suspected spinal cord injury after a fall. He has no sensation or movement in his legs and is unable to move his arms. His blood pressure is 85/50, heart rate 50 bpm, and his respiratory rate is 8. What is the most appropriate intervention?

Accepted Answer

Administer fluids and atropine to address hypotension and bradycardia

Answer

Administer high-dose corticosteroids to reduce swelling

Answer

Intubate the patient and secure the airway

Answer

Place the patient in a sitting position to facilitate breathing

A 30-year-old male is brought to the ER after a high-speed motor vehicle collision.He is unresponsive, with a Glasgow Coma Scale (GCS) score of 8.Which of the following should be your first priority?

A 30-year-old male is brought to the ER after a high-speed motor vehicle collision.
He is unresponsive, with a Glasgow Coma Scale (GCS) score of 8.
Which of the following should be your first priority?