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WhichnofnthenfollowingnisnthenrecommendednMethodnforntreatmentnfrostbite?
A. Vasodilators
B. Anticigulants
C. Warmn(40ndegrees)nwater
D. Paddingnandnelevation
E. Applicationnofnheatnfromnanhairdryer
Whichnofnthenfollowingnphysicalnfindingsnsuggestnancausenofnhypotensionnothernthan
nspinalncordninjury?
A. Priapism
B. Bradycardia
C. Diaphragmaticnbreathing
D. Presencenofndeepntendonnreflexes
E. Abilityntonflexnforearmsnbutnnotnextendnthem
- D..nSpinalnshocknrefersntonlossnofnmusclentoen(flaccidity)nandnlossnofnreflexes.
ThenprimarynindicationnforntransferringnAnpatientntonanhigher-levelntraumancenternis:
A. Unavailabilitynofnsurgeonnornoperatingnstaff
B. Multiplensystemninjuries,nincludingnseverenheadninjury
C. Resourcenlimitationsnasndeterminednbynthentransferringndoctor
D. ResourcenlimitationsnasndeterminednbynthenhospitalnadministrationnE.
nWidenednmediastinumnonnchestnx-raynfollowingnbluntntrauma
- C.nResourcenlimitationsnasndeterminednbynthentransferringndoctorn(MÅnSJEKKES)
Anyoungnmannsustainsnanriflenwoundntonthenmid-
abdomen.nHenisnbroughtnpromptlyntonthenEDnbynprehospitalnpersonnel.nHisnskinnisncoolnan
,dndiaphoretic,nandnhisnsystolicnblood
,pressurenisn58mmHg.nWarmedncrystalloidnfluidsnareninitiatednwithoutnimprovementninnhis
nvitalnsigns.nThennext,nmostnappropriate,nstepnisntonperform:nA.nanlaparotomy
B. AnnabdominalnCT-scan
C. Diagnosticnlaparoscopy
D. Abdominalnultrasonography
E. Andiagnosticnperitonealnlavage
- A.nLaparotomynbecausenofnhemodynamicnabnormality
An42-year-
oldnmannisntrappednfromnthenwaistndownnbeneathnhisnoverturnedntractornfornseveralnhoursnbe
forenmedicalnassistancenarrives.nHenisnawakenandnalertnuntilnjustnbeforenarrivingninnthenED.nH
enisnnownunconsciousnandnrespondsnonlyntonpainfulnstimulinbynmoaning.nHisnpupilsnaren3mm
ninndiameternandnsymmetricallynreactiventonlight.
Prehospitalnpersonnelnindicatenthatntheynhavennotnseennthenpatientnmoveneithernofnhisnlow
ernextremities.nOnnexaminationninnthenED,nnonmovementnofnhisnlowernextremitiesnarendetec
ted,nevenninnresponsentonpainfulnstimuli.nThenmostnlikelyncausenfornthisnfindingnis:
A. Annepiduralnhematoma
, B. Anpelvicnfracture