PCP Trauma Care 1 — Questions and Answers
Question 1: What is the correct order of priorities in the primary survey for trauma patients?
- Airway, Breathing, Circulation, Disability, Exposure (Correct answer)
- Circulation, Airway, Breathing, Disability, Exposure
- Breathing, Circulation, Airway, Disability, Exposure
- Disability, Airway, Breathing, Circulation, Exposure
Correct answer: Airway, Breathing, Circulation, Disability, Exposure
The primary survey follows the ABCDE sequence: Airway, Breathing, Circulation, Disability, Exposure.
Question 2: Which of the following best controls severe external hemorrhage from an extremity?
- Elevation alone
- Pressure dressing
- Tourniquet applied proximal to the wound (Correct answer)
- Ice pack application
Correct answer: Tourniquet applied proximal to the wound
A tourniquet applied proximal to a life-threatening extremity hemorrhage is the most effective method of hemorrhage control.
Question 3: A trauma patient presents with absent breath sounds on the left, tracheal deviation to the right, and hypotension. You suspect:
- Hemothorax
- Tension pneumothorax (Correct answer)
- Cardiac tamponade
- Flail chest
Correct answer: Tension pneumothorax
Absent breath sounds, tracheal deviation away from the affected side, and hypotension are classic signs of tension pneumothorax.
Question 4: The Glasgow Coma Scale (GCS) assesses which three components?
- Heart rate, blood pressure, respiratory rate
- Eye opening, verbal response, motor response (Correct answer)
- Pupils, reflexes, level of consciousness
- Orientation, memory, calculation
Correct answer: Eye opening, verbal response, motor response
The GCS evaluates eye opening, verbal response, and motor response, with a maximum score of 15.
Question 5: A patient with a GCS of 8 is considered to have:
- Mild head injury
- Moderate head injury
- Severe head injury (Correct answer)
- No significant injury
Correct answer: Severe head injury
A GCS of 8 or less indicates a severe head injury and typically warrants airway protection.
Question 6: Which of the following is a sign of a tension pneumothorax that distinguishes it from a simple pneumothorax?
- Absent breath sounds
- Pleuritic chest pain
- Hemodynamic instability and tracheal deviation (Correct answer)
- Subcutaneous emphysema
Correct answer: Hemodynamic instability and tracheal deviation
Tension pneumothorax causes hemodynamic compromise and tracheal deviation, unlike simple pneumothorax which does not.
What is the correct order of priorities in the primary survey for trauma patients?