5 Written Questions

1. Usually for abdominal and chest cases. Divided into three parallels.
   -Parallel to field- instrumentation under skirt.
   -Middle parallel-Front (sharps container) and back (basin with cautery, suction, and basin with sponges, etc).
   -Right parallel- Front (primary tray) and back (additional tray).
   *Drape and gown table-Cover back table drape. After start of case, use for self-retaining retractors and additional trays.
2. _____ of multiple trauma patients have thoracic trauma , often missed within the golden hour unless surgical exporation performed.
3. 15-20 ft are generally injurious to adults, and falls twice the height of a child can have equivalent impact. Skeletal and thoracic organ damage is common in this group.
4. Along the maxillary and lacrimal bones and through orbital rim, around zygoma and orbital floor.
5. Includes Glasgow coma scale (GCS), systolic blood pressure, and respiratory rate.

5 Matching Questions

1. Skills-driven
2. Category 1 level of trauma
3. Second phase
4. Third phase
5. Category 1 (penetrating trauma)

1. a 30% of trauma patients die w/in two hours after injury, depending on the impact of trauma care on primary injury areas. Eg. Spleen, liver, lung, organs with significant blood loss.
2. b Skin is cut, and abdomen, chest or neck anatomy is disrupted or patient has two or more open long bone fractures. (Particularly true with the femur bone).
3. c Sustained hypotension; cavity penetration to the torso or neck.
4. d 20% of trauma patients die w/in days or weeks after injury, based on complication of multiple organ failure. Eg. Infection, pelvic fracture, head and spinal injury.
5. e Able to prioritize and anticipate, efficient, excellent agility and manual dexterity, flexible and adaptable, resourceful and economic, good problem-solving skills.

5 Multiple Choice Questions

1. Time starts ticking once treatment begins at the trauma scene. Continues ticking as case enters trauma center and through the OR.
   1. Third phase
   2. Second phase
   3. Category 1
   4. The golden hour
2. The central focus that sustain momentum and create solid operative strategy.
   1. AMPLE
   2. MVC
   3. Teamwork
   4. Trauma score
3. Isolated injury; no potential for multi-system involvement.
   1. Category 1 level of trauma
   2. Category 1
   3. Category 1 (penetrating trauma)
   4. category 2 level of trauma
4. Evaluate the type of injury force and the traumatic impact or result on human tissue.
   1. Identify MOI
   2. Category 1
   3. Falls
   4. ASMISTER
5. (Blunt trauma) possible body tissue or organ disruption or depression fracture w/out skin cut. Involves head, neck, abdomen, chest or extremities.
   1. category 2 level of trauma
   2. Category 1 level of trauma
   3. Category 11 upgrade to Category 1
   4. Category 1 (penetrating trauma)

5 True/False Questions

1. MVC → Revised trauma score is used to assess patient at the scene of an accident. Combines respiration, systolic blood pressure, and measures the GCS for neurological function assessment of brain injury.

   True        False

2. First phase → 20% of trauma patients die w/in days or weeks after injury, based on complication of multiple organ failure. Eg. Infection, pelvic fracture, head and spinal injury.

   True        False

3. Statement of evidence removal → Sustained hypotension; cavity penetration to the torso or neck.

   True        False

4. ASMISTER → Allergies.
   Medications.
   Past medical history.
   Last meal/menses.
   Environment/event of accident of injury.

   True        False

5. Category 1 → The central focus that sustain momentum and create solid operative strategy.

   True        False