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Prep Material
Which of the following is the recommended Method for
trestemt frostbite?
A. Vasodilators
B. Anticigulants
C. Warm (40 degrees) water
D. Padding and elevation
E. Application of heat from a hairdryer - ✔✔✔ANSWER-C. Warm
(40 degrees) water
,Which of the following physical findings suggest a
cause of hypotension other than spinal cord injury?
A. Prispism
B. Bradycardia
C. Diaphragmatic breathing
D. Presence of deep tendon reflexes
E. Ability to flex forearms but not extend them - ✔✔✔ANSWER-
D. Presence of deep tendon reflexes. Spinal shock refers to
loss of muscle toe (flaccidty) and loss of reflexes.
The primary indication for transferring A patient to a
higher level trauma center is:
A. Unavailibility of surgeon or operating staff
B. Multiple system injuries, including severe head injury
C. Resource limitations as determined by the transferring doctor
D. Resource limitations as determined by the
hospital administration
E. Widened mediastinum on chest x-ray following blunt trauma -
✔✔✔ANSWER-C. Resource limitations as determined by
the transferring doctor (MÅ SJEKKES)
A young man sustains a rifle wound to the mid-abdomen. He is
brought promptly to the ED by prehospital personnel. His skin is
cool and diaphoretic, and his systolic blood pressure is 58mmHg.
,Warmed crystalloid fluids are initiated without improvement in
his vital signs. The next, most appropriate, step is to perform:
A. a laparotomy
B. An abdominal CT-scan
C. Diagnostic laparoscopy
D. Abdominal ultrasonography
E. A diagnostic peritoneal lavage - ✔✔✔ANSWER-A.
Laparotomy because of hemodynamic abnormality
A 42-year-old man is trapped from the waist down beneath his
overturned tractor for several hours before medical assistance
arrives. He is awake and alert until just before arriving in the
ED. He is now unconscious and responds only to painful stimuli
by moaning. His pupils are 3mm in diameter and symmetrically
reactive to light. Prehospital personnel indicate that they have
not seen the patient move either of his lower extremities. On
examination in the ED, no movement of his lower extremities
are detected, even in response to painful stimuli. The most
likely cause for this finding is:
A. An epidural hematoma
B. A pelvic fracture
C. Central cord syndrome
D. Intracerebral hemorrhage
E. Bilateral compartment syndrome - ✔✔✔ANSWER-MÅ SJEKKES
, A 6-year-o boy is struck by an automobile and brought to the
ED. He is lethargic, but withdraws purposefully from painful
stimuli. His blood pressure is 90mmHg systolic, heart rate 140
beats per minute and his respiratory rate is 36 breaths per
minute. The preferred route of venous access in this patient is:
A. Percutaneous femoral vein cannulation
B. Cutdown on the saphenous vein at the ankle
C. Intraosseous catheter placement in the proximal tibia
D. Percutaneous peripheral veins in the upper extremities
E. Central venous access via the subclavian or internal jugular vein -
✔✔✔ANSWER-D. Percutaneous peripheral veins in the
upper extremities
A young man sustains a gunshot wound to the abdomen and is
brought promptly to the ED by prehospital personnel. His skin is
cool and diaphoretic, and he is confused. His pulse is thready
and his femoral pulse is only weakly palpable. The definitive
treatment in managing this patient is to:
A. Administer O-negative blood
B. Apply external warming devices
C. Control internal hemorrhage operatively
D. Apply a pneumatic antishock garment (PASG)
E. Infuse large volumes of intravenous crystalloid solutions. -
✔✔✔ANSWER-C. Control internal hemorrhage operatively