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A 28 y/o woman sustains multiple injuries in a car crash and is
brought by ambulance to a small hospital in full spinal protection.
GCS of 4 and is being mechanically ventilated. Intravenous access
is established and warmed crystalloid is infused. She remains
hemodynamically normal and full spinal protection is maintained.
Preparations are made to transfer her to another facility for
definitive neurosurgical care. Prior to transport, which of the
following tests or treatments is mandatory?:
FAST exam.
Chest xray.
,Lateral cervical spine xray.
Administration of methylprednisolone.
Computerized tomography of the abdomen. - ✔✔✔ANSWER-
Chest xray.
A 23 year-old male is stabbed below the right nipple. He is
alert, and his oxygen saturation is 98%. Chest tube was placed
for treatment of a hemopneumothorax. Blood pressure is 90/60
mm Hg after administration of 1 L of crystalloid solution. What
is the next step in treatment?:
Place a left sided chest tube.
Reexamine the chest.
Insert central venous catheter.
Perform CT scan of the abdomen and pelvis.
Prepare for urgent thoracotomy. - ✔✔✔ANSWER-Reexamine
the chest.
Regarding airway compromise, which of the following is
NOT a sign/symptom of this emergency?:
, Change in voice tone.
Stridor.
Decreased pulse pressure.
Dyspnea and agitation.
Tachypnea. - ✔✔✔ANSWER-Decreased pulse pressure.
A 26 year • old woman is brought to the Emergency
Department after being involved in a motor vehicle crash.
She is 30 weeks pregnant. She was restrained with a lap
and shoulder belt, and an airbag deployed. Which one of
the following statements best describes the risk of injury?:
The deployment of the airbag increases the risk of fetal loss.
The use of seatbelts is associated with increased risk of
maternal death.
The mechanism of injury suggests the need for emergency
caesarean section due to the risk of impending abruptio placentae.
The risk of premature fetal delivery and death is reduced by
the use of restraints.