Salman Bin Abdulaziz University College of Applied Medical Sciences 1st MID Exam Medical Care for Emergency (CAMS 234)

Student Name: Student:

1. Choose the best answer (10 Mark)

1. Neurogenic Shock can best be described as a: a. physiologic state resulting in hypotension and tachycardia. b. generalized systemic response to inadequate tissue perfusion. c. The failure of nervous system to control the diameter of blood vessels leading to decreased arterial resistance and Peripheral vasodilatation. d. A sudden dilation of the blood vessels takes place in response to an emotional or traumatic situation causing the patient to faint.

2. Cutting or tearing off of a body part such as a finger, toe, hand, foot, arm, or leg is called? a. abrasion. b. laceration. c. avulsion. d. amputation.

1 3. With anaphylactic shock, which mechanism results in a decreased cardiac output? a. Peripheral vasodilation b. Histamine release c. Decreased alveolar ventilation d. Fluid retention resulting in congestive heart failure

4. Which of the following factors that increase the risk of wound infection? a. Diabetes mellitus b. Hypertension c. Obesity d. closed wound

5. The patients at highest risk for neurogenic shock are those who have had: a. heart failure b. a spinal cord injury. c. cancer. d. septicemia.

6. Which of the following is the pathophysiologic mechanism that results in septic shock? a. Bacterial toxins lead to vasodilation. b. Increased white blood cells are released to fight invading bacteria. c. Microorganisms invade organs such as the kidneys and heart. d. Increase of white blood cells leads to decreased red blood cell production and anemia.

7. Sprains can best be defined as? a. A torn or over stretched muscle. b. A torn ligament at a joint or ligament twisting or tearing. c. Muscle cramp. d. Muscle contusion.

2 8. If we took the BP for an elderly patient and his BP was 120/80 mmHg then the patient has? a. hypotension b. hypertension c. normal BP d. orthostatic hypotension.

9. A 38-year old patient’s vital signs at 8 a.m. are axillary temperature 99.6 F (37.8 C); pulse rate, 110; respiratory rate, 18, and BP is 120/80. Which abnormal findings that should be reported? a. Respiratory rate only b. Temperature only c. Pulse rate and temperature d. Temperature and respiratory rate

10. Tissue damage and charred white skin are possible sings and symptoms of: a. 1st degree burn. b. 2nd degree burn. c. 3rd degree burn. d. 4th degree burn. .

I I. Mark each sentence by (True) if the statement is true or (False) if the statement is false: (5 Mark)

11- First Aid is the initial assistance or treatment given to a casualty for any injury or sudden illness ( T ). 12- From the Common causes of shock is Long exposure to extreme heat or cold ( T ). 13- In irreversible shock Body works to overcome developing hypotension and hypoperfusion.

3 ( F ) 14- If there are suspected spinal injuries, you should not move the victim ( T ). 15- Puncture is a deep, narrow wound such as a stab wound from a nail or a knife in the skin and underlying organs. ( T ). 16- Wound is a break in the continuity of skin. ( T ) 17- Bad news such as death is one of the conditions that may possibly cause psychogenic shock ( T ).

18- Diastolic is known as the force exerted by the heart to overcome the resistance in the blood vessels during contraction ( F ). 19- Most cases of closed wound care require application of dressing and bandage ( T ).

20- Muscle Injuries usually are less serious than fractures and joint injuries ( T ).

Extra Mark Question: (1 Mark) Bones play a crucial role within our bodies, could you mention some of the bones functions?

Bones help protect our soft organs such as heart, lungs, and kidney. In addition, bones help our bodies move around.

GOOD LUCK

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