BCEN CFRN Quiz #2

What is the key consideration when transporting a patient with a head injury at altitude?
A) Avoid excessive oxygen administration
B) Maintain normocapnia
C) Increase IV fluid rates
D) Administer corticosteroids routinely
A patient in flight develops sudden unilateral chest pain and dyspnea. What is the most likely diagnosis?
A) Acute myocardial infarction
B) Pneumothorax
C) Pulmonary embolism
D) Esophageal rupture
Which parameter is critical to monitor during rapid sequence intubation (RSI) in flight?
A) Blood glucose
B) Capnography
C) Heart rate
D) Hemoglobin levels
What is the preferred intervention for a patient experiencing air embolism during transport?
A) Administer oxygen and position in Trendelenburg
B) Initiate CPR
C) Perform needle decompression
D) Administer IV fluids rapidly
What is the most common cause of hypoxia during air medical transport?
A) Altitude-induced hypoxia
B) Ventilator malfunction
C) Hypoventilation
D) Hypercapnia
Which of the following is a contraindication for administering nitroglycerin in a flight setting?
A) Right ventricular infarction
B) Hypertension
C) Atrial fibrillation
D) Tachycardia
During flight, what adjustment should be made for ventilated patients to account for altitude changes?
A) Increase PEEP settings
B) Decrease tidal volume
C) Adjust FiO2 to maintain oxygenation
D) Increase respiratory rate
What is the most effective intervention for a patient experiencing high-altitude pulmonary edema (HAPE)?
A) Rapid descent to a lower altitude
B) Administration of acetazolamide
C) Endotracheal intubation
D) High-flow oxygen therapy
Which of the following medications is commonly used for sedation during air medical transport?
A) Midazolam
B) Fentanyl
C) Ketamine
D) Propofol
A patient has sustained blunt trauma to the chest and exhibits jugular vein distension and hypotension. What is the most likely diagnosis?
A) Tension pneumothorax
B) Cardiac tamponade
C) Hemothorax
D) Pulmonary contusion

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