Head Trauma

What is the outer most layer of the meninges?
Epidermis
Subdermis
Arachnoid
Dura mater
Following a head injury, elevated blood pressure, slowing, depressed pulse-rate and irregular breathing are common signs of what life threatning condition?
Raccoon eyes
Cushing's triad
Grade 1 (mild) concussion
Battle signs
What are raccoon eyes commonly a sign of?
Whiplash
Skull fracture
The patient was in an altercation.
Fatigue
You respond to an MVA with significant impact. You arrive on location to find a vehicle head-on with a tree. A 32 YOF patient is sitting on the side of the roadway. When you question her she is alert. She reports feeling dizzy and nauseous and asks if you can turn the lights off on the truck. She is unable to remember the crash. You observer a small laseration to the top of her forehead and hair in the windshield. No other obvious injuries are observered. Her vitals signs are the following: BP: 130/98 - PR: 110 - Skin: Warm&Dry - Eyes: sluggish O2: 99%. What condition is she most likely suffering from?
Intoxication
She's high as a kite
Cushing's triad
Moderate concussion.
When assesing a car crash patient it important to look for what in the vehicle?
Money
The patients belongings
Outward starring of the windshield and hair/tissue
Illegal contraband
A subdural hematoma is pooling of the blood between what layers of the meninges?
Dura-mater and Arachnoid
Dura-mater and pia-mater
Arachnoid and pia-mater
Skill and Brain
Subdural Hematomas are usually slow bleeds because:
The heart has to fight gravity to get blood to the brain.
The arteries in the subdural space are small.
Low pressure veins bridge the subdural space.
Becuase the veins are compressed
Which condition is more deadly and time sensitive?
Subdural Hematoma
Epidural Hematoma
Constipation
Abrasion on the forehead.
You have 28 YOM who fell off a motorcycle without a helmet. He has an altered and worsening state of conscientiousness. He is experiencing left sided weakness, intense 10/10 sharp head pain and his pupils are unequal and unresponsive to light. His eyes are visibly swollen. What is he most likely suffering from?
Epidural Hematoma
Subdural Hematoma
Mild Concussion
He is drunk or high on the reefer.
You respond to an 85 YOM sick person. Upon arrival he states he's experiencing numbness in his extremities. He also complains of mild to moderate head pain and dizziness. His wife states he has been in and out of consiness a few times. After further questioning he reveals he fell down the stairs and hit his head a week earlier but didn't think it was serious enough that it needed to be check out.
He's drunk
Epidural
Subdural Hematoma
Sepsis
You respond to Stony Point Elementary school for the 8 YOM who was struck in the head with a baseball. The Gym teacher states the student was unresponsvie for about 5-10 minutes. When you speak to the student he is crying due to a severe headache. He can't remember what happened and has a hard time lifting his right arm. You observe a goose-egg to the left side of his head. His pupils are sluggish and he slowly stops answering your questions. What is this patient more than likely suffering from?
Subdural Heamtoma
Epidural Hematoma
Mild Concussion
Fatigue
You respond to a patient with a nail embeded in his scalp, how should you treat this patient?
Remove the nail and control the bleeding.
Remove the nail and bring it to the hospital with the patient.
Stabalize the nail and control any bleeding.
Advise him to see a doctor.
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