A patient involved in a high-speed rollover is complaining of increased difficulty breathing. There is a
small penetrating wound to the sixth intercostal space in the left lateral chest. Which finding is most
consistent with an injury to the diaphragm?
A.Severe left-sided abdominal pain
B.Bowel sounds heard in the left lower chest
C.Pain radiating to the left shoulder.
D.Decreased breath sounds on the left side - <
chest
A patient has been in the emergency department for several hours waiting to be admitted. They
sustained multiple rib fractures and a femur fracture after a fall. The patient has been awake, alert,
and complaining of leg pain. Their spouse reported that the patient suddenly became anxious and
confused. Upon reassessment, the patient is restless, with respiratory distress and petechiae to his
neck. The patient is exhibiting signs and symptoms most commonly associated with which of the
following conditions?
A.Acute lung injury
B.Fat embolism
C.Pneumothorax
D.Pulmonary contusion - <
Three adults present at different times during a one-hour period with a high fever, fatigue, and
headache. All three patients have a rash which started on their mouth, face, and arms with
progression to the chest and abdomen. They all visited the same grocery store within the last week.
What is the most appropriate intervention from triage for these patients?
A.Move them to a decontamination area
B.Mask the patients and send them to the waiting room
C.Immediately initiate isolation precautions
D.Send them to the waiting room without a mask - <
precautions
A 35-year-old male presents with facial trauma after being struck in the face with a baseball. A
teardrop-shaped left pupil is noted on exam. What type of injury is suspected?
A.Oculomotor nerve palsy
B.Globe rupture
C.Retrobulbar hematoma
D.Retinal detachment - <
A patient has been diagnosed with an incomplete spinal cord injury at L1. Which finding would
indicate sacral sparing?
A.Involuntary flexion of the great toe
B.Priapism
C.Voluntary anal sphincter tone
D.Numbness to the perianal area - <
While caring for a trauma patient in the emergency department, what finding raises suspicion of a
complete spinal cord injury?
A.Weakness in the lower extremitie
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