This quiz is designed to test your knowledge of Head to Toe Assessment. Read each question fully and make sure you understand what the question is asking before you answer. Some questions are select all that apply, these will be marked by square check boxes. After answering all questions to the best of your ability, click the “Submit” button at the bottom of the page. Your score will be shown at the bottom of the page after submission. You may reset this quiz as many times as you would like.

1 Your patient has clear fluid coming from their ears following significant head trauma. What is this, most likely?

Free water.

2 Your patient struck their head on the bottom of a pool after diving into shallow water. Their GCS is 6 and they have dark bruising around both eyes as well as bruising behind their ears. What are these signs known as? Select all that apply.

Kussmaul's sign.
Battle's Sign.
Raccoon Eyes.
Homan's Sign.

3 Your patient has a trachea that is not midline. Is this normal?

Yes, the trachea and esophagus are found next to each other, with the esophagus commonly found on the left and the trachea on the right.
No, the trachea and esophagus are found next to each other, with the esophagus found posterior to the trachea along the midline.

4 Your patient reports increased pain upon palpation of their left chest and you feel "crunching" or "grinding". What is the medical term that most accurately describes this sensation?


5 Your patient shows accessory muscle use and sternal/intercostal retractions. What is the most likely cause of the aforementioned findings?

Open Globe Injuries.
Respiratory distress

6 Your patient displays pelvic instability after a motorcycle accident. Which injury could pelvic instability be a result of?

Open-book fracture.
Femur fracture.
Greenstick fracture.
Spiral fracture.

7 When performing a head-to-toe assessment, the patient's back should only be observed if they have a complaint relating to the area or had a mechanism of injury that could have injured the area.


8 Your patient's stomach is protruding and looks like the skin is very tight. What is this known as?


9 Which is most worrying?

A slow, venous bleed from a 10 cm laceration to the distal forearm.
A closed humerus fracture with no distal sensation.
An open humerus fracture with hemostasis and intact CSM.
An avulsion of the skin on the back of the patient's hand.

10 You note that your patient has unequal pupils (right 3 mm and reactive, left 7 mm and reactive) but appears to be acting normally. Is this a worrying finding?

No, this is likely a normal condition and does not need further evaluation.
No, the patient's mentation dismisses the possibility of head injury.
Yes, but this could be a normal finding. More information is needed.
Yes, this patient likely has a brain bleed that is pushing on the oculomotor nerve.

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