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Actual Questions with Verified Answers
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1. Which of the following is the recommended Method for trestemt frostbite?
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A. Vasodilators
B. Anticigulants
C. Warm (40 degrees) water
D. Padding and elevation
E. Application of heat from a hairdryer:
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gAnswer> C.Warm (40 degrees) water
2. Which of the following physical findings suggest a cause of hypotension o
ther 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 musc
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le toe (flaccidty) and loss of reflexes.
3. The primary indication for transferring A patient to a higher level trauma c
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enter 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 SJ
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EKKES)
4. A young man sustains a rifle wound to the mid-
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abdomen. He is brought promptly to the ED by prehospital personnel. His skin i
s cool and diaphoretic, and his systolic blood pressure is 58mmHg. Warmed cr
ystalloid fluids are initiated without improvement in his vital signs.The next, m
ost appropriate, step is to perform
A. a laparotomy
,B. An abdominal CT-scan
C. Diagnostic laparoscopy
D. Abdominal ultrasonography
E. A diagnostic peritoneal lavage
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Answer>: A. Laparotomy because of hemodynamic ab- normality
5. A 42-year-
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old man is trapped from the waist down beneath his overturned tractor for sev
eral hours before medical assistance arrives. He is awake and alert until just be
fore arriving in the ED. He is now unconscious and responds only to painful sti
muli by moaning. His pupils are 3mm in diameter and symmetrically reactive t
o 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 pai
nful stimuli.The most likely cause for this finding is
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A. An epidural hematoma
B. A pelvic fracture
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C. Central cord syndrome
D. Intracerebral hemorrhage
E. Bilateral compartment syndrome:
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Answer> D MÅ SJEKKES
6. A 6-year-g
o boy is struck by an automobile and brought to the ED. He is lethargic, but wit
hdraws purposefully from painful stimuli. His blood pressure is 90mmHg systol
ic, heart rate 140 beats per minute and his respiratory rate is 36 breaths per min
ute.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
Actual Questions with Verified Answers
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1. Which of the following is the recommended Method for trestemt frostbite?
g
A. Vasodilators
B. Anticigulants
C. Warm (40 degrees) water
D. Padding and elevation
E. Application of heat from a hairdryer:
g
gAnswer> C.Warm (40 degrees) water
2. Which of the following physical findings suggest a cause of hypotension o
ther 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 musc
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le toe (flaccidty) and loss of reflexes.
3. The primary indication for transferring A patient to a higher level trauma c
g
enter 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 SJ
g g
EKKES)
4. A young man sustains a rifle wound to the mid-
g
abdomen. He is brought promptly to the ED by prehospital personnel. His skin i
s cool and diaphoretic, and his systolic blood pressure is 58mmHg. Warmed cr
ystalloid fluids are initiated without improvement in his vital signs.The next, m
ost appropriate, step is to perform
A. a laparotomy
,B. An abdominal CT-scan
C. Diagnostic laparoscopy
D. Abdominal ultrasonography
E. A diagnostic peritoneal lavage
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Answer>: A. Laparotomy because of hemodynamic ab- normality
5. A 42-year-
g
old man is trapped from the waist down beneath his overturned tractor for sev
eral hours before medical assistance arrives. He is awake and alert until just be
fore arriving in the ED. He is now unconscious and responds only to painful sti
muli by moaning. His pupils are 3mm in diameter and symmetrically reactive t
o 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 pai
nful stimuli.The most likely cause for this finding is
g
A. An epidural hematoma
B. A pelvic fracture
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C. Central cord syndrome
D. Intracerebral hemorrhage
E. Bilateral compartment syndrome:
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Answer> D MÅ SJEKKES
6. A 6-year-g
o boy is struck by an automobile and brought to the ED. He is lethargic, but wit
hdraws purposefully from painful stimuli. His blood pressure is 90mmHg systol
ic, heart rate 140 beats per minute and his respiratory rate is 36 breaths per min
ute.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
