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Q.1
What is the first priority in managing a patient with TBI?
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Infection Control
Siezure Prophylaxis / Management
ICP / Sodium management
Management of hemodynamics
Q.2
For the best possible outcome, systolic blood pressure should be maintained above:
*
110mmHg
80mmHg
90mmHg
100mmHg
Q.3
Colloids such as Hextend/Hespan should be avoided in TBI patients.
*
True
False
Q.4
Calculate a GCS of a patient with: Opens eyes to verbal commands, answers questions using inappropriate word, and is able to localize to painful stimuli.
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8
9
11
13
Q.5
Even a single episode of hypotension or hypoxia can double the TBI patients odds of death.
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True
False
Q.6
Prophylactic hyperventilation is an appropriate means to control ICP through hypocapnia and its associated vasoconstrictions.
*
True
False
Q.7
Which of the following would be the best fluid of choice for a TBI patient with a B/P of 68/40?
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Hypertonic Saline
Lactated Ringers
Normal Saline
Permissive Hypotension, do not give them fluid or it will increase their ICP.
Whole Blood
Hextend
Q.8
Which of the following can help you the LEAST when estimating the presence ICP in the TBI patient during PFC?
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Ultrasound of Optic Nerve Diameter
Glasgow Coma Scale and its trending
Palpating the eyes
Opthalmic Exam
Blood Pressure
Q.9
Which of the following vital signs represents Cushings Triad / Reflex?
*
Pulse: 136 Blood Pressure: 122 Respirations: 22, Shallow, Irregular
Pulse: 52 Blood Pressure: 72/40 Respirations: 8, Deep, Regular
Pulse: 126 Blood Pressure: 82/52 Respirations: 32, Shallow, Irregular
Pulse: 52 Blood Pressure: 146/88 Respirations: 14, Deep, Irregular
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