Final Update, Real Exam with 160 Questions and
Correct Answers, Fully Verified and Graded A,
Complete Study Guide and Exam Preparation Material
A 22-year-old man is hypotensive and tachycardic after a
shotgun wound to the left shoulder. His blood pressure is
initially 80/40 mm Hg. After initial fluid resuscitation his blood
pressure increases to 122/84 mm Hg. His heart rate is now 100
beats per minute and his respiratory rate is 28 breaths per
minute. A tube thoracostomy is performed for decreased left
chest breath sounds with the return of a small amount of blood
and no air leak. After chest tube insertion, the most
appropriate next step is: - ✔✔✔ANSWER-re-examine the chest
A construction worker falls two stories from a building and sustains
bilateral calcaneal fractures. In the emergency department, he is
, alert, vital signs are normal, and he is complaining of severe
pain in both heels and his lower back. Lower extremity pulses
are strong and there is no other deformity. The suspected
diagnosis is most likely to be confirmed by: - ✔✔✔ANSWER-
complete spine x-ray series
Which of the following is true regarding the initial
resuscitation of a trauma patient? - ✔✔✔ANSWER-Evidence of
improved perfusion after fluid resuscitation could include
improvement in Glasgow Coma Scale score on reevaluation.
In managing a patient with a severe traumatic brain injury, the
most important initial step is to: - ✔✔✔ANSWER-secure the airway
A previously healthy, 70-kg (154-pound) man suffers an estimated
acute blood loss of 2 liters. Which one of the following
statements applies to this patient? - ✔✔✔ANSWER-An ABG would
demonstrate a base deficit between -6 and -10 mEq/L.
The physiological hypervolemia of pregnancy has clinical
significance in the management of the severely injured,
gravid woman by: - ✔✔✔ANSWER-increasing the volume of
blood loss to produce maternal hypotension
The best assessment of fluid resuscitation of the adult burn
patient is: - ✔✔✔ANSWER-urinary output of 0.5 mL/kg/hr