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1. Which of the following signs is LEAST reliable for diagnosing esophageal
intubation?
a. symmetrical chest wall movement
b. end-tidal CO2 presence by colorimetry
c. bilateral breath sounds
d. oxygen saturation >92%
e. ETT above carina on chest x-ray
2. Which of the following signs the necessitates a definitive airway in severe trauma
patients?
a. fascial lacerations
b. repeated vomiting
c.severe maxillofacial fractures
d. sternal fracture
e. Glasgow Coma Scale score of 12
3. Twenty-seven patients are seriously injured in an aircraft crash at a local
airport. The principles of triage include:
a. establish a triage site within the internal perimeter of the crash site
b. treat only the most severely injured patients first
c. immediately transport all patients to the nearest hospital
d. treat the greatest number of patients in the shortest period of time
e. produce the greatest number of survivors based on available resources
, 4. Which of the following statements is correct?
a. Cerebral contusions may coalesce to form an intracerebral hematoma.
b. Epidural hematomas are usually seen in the frontal region.
c. Subdural hematomas are caused by injury to the middle meningeal artery.
d. Subdural hematomas typically have a lenticular shape on CT scan.
e. The associated brain damage is more severe in epidural hematomas.
5. An 18-ycar-old male is brought to the emergency department after having been
shot.
He has one bullet wound just below the right clavicle and another just
below the costal margin in the right posterior axillary line. His blood
pressure is110/60 mm Hg.
heart rate is 90 beats per minute, and respiratory rate is 34 breaths per minute.
After ensuring a patent airway and inserting 2 large caliber IV lines., the next
appropriate step is to:
a. obtain a portable chest x-ray
b. administer a bolus of additional IV fluid
c. perform a laparotomy
d. obtain an abdominal CT scan
e. perform diagnostic peritoneal lavage
6. A 47-year-old house painter is brought to the hospital after falling 6 meters (20
feet) from a ladder and landing straddled on a fence. Examination of his perineum
reveals extensive ecchymosis. There is a blood in the external urethral meatus. The
initial diagnostic study for the evaluation of the urinary tract in this patient should
be:
a. cystoscopy
b. cystography
c. intravenous pyelography
d. CT scan
e. retrograde urethrography
7. Neurogenic shock has all of the following classic characteristics except which one?
a. hypotension
b. vasodilation
c. bradycardia
d. neurologic deficit
e. narrowed pulse pressure