Bank Exam 2026 -2027 || MOST RECENT EXAM ACTUAL
COMPLETE REAL EXAM QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) ALREADY GRADED A+ |
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Ketamine
- Induction agent of choice with bronchospastic patient
-RSI
- 1 - 2 mg/kg
- 40-60 second onset
- 10 - 20 minute duration
- combative: 5mg/kg IM or IN
- pain: 0.1 - 0.2 mg/kg IV
- increase oral secretions
- caution with HTN
- may cause laryngospasms
Consensus formula
- LR/NS 2-4ml x kg x TBSA%
- give half over the first 8 hours from burn time
- give half over the next 16 hours
,Parkland Formula
- LR/NS 4ml x kg x TBSA%
- give half over the first 8 hours from burn time
- give other half over next 16 hrs
- use for >20% TBSA in adults and >10% in peds
Burn hypotension considerations
-Hypotension is a late sign in burns
-If comes in with hypotension then consider other traumatic causes like
hemothorax, cardiac tamponade, neurogenic shock, internal abdominal or
pelvic bleeding
Adult rule of nines
- Head/neck: 9%
- each arm/hand: 9%
- chest: 9%
- abdomen: 9%
- back: 18%
- each leg: 18%
- genitals: 1%
Pediatric rule of nines
- Head: 18%
- chest/abd: 18%
- Back: 18%
- Full arm: 9%
- Full leg: 14%
,Bowel sounds in chest cavity
-Diaphragmatic rupture
-Most common in the left chest
Dehydration raises serum?
Sodium
Normal sodium; 135-145
Treat HTN if blood pressure is over
- 220 systolic
- MAP over 130
ARDS (acute respiratory distress syndrome)
- PCWP <18
- CXR with bilateral pulmonary infiltrates
- PaCO2:FiO2 ratio <200
- increase PEEP
Normal FHR
120 - 160
Passive Rewarming
- Mild hypothermia only
- Up to 1 degree/ hr with blankets or heater
, Active rewarming
application of an external heat source to rewarm the body of a hypothermic
patient
Warm and dead temp
32 degrees
Heat stroke
over 42 degrees
Grey Turner's sign
- Flank bruising
- Retroperitoneal bleeding
Coopernail's Sign
bruising of the scrotum or labia
-indicating pelvic bleeding/ abdominal bleeding
-pelvic fx
Halstead's Sign
Marbled abdomen- bleeding