QUESTIONS AND VERIFIED ANSWERS
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A young man sustains a gunshot wound to the abdomen and is brought
promptly to the ED by prehospital personnel. His skin is cool and
diaphoretic, and he is confused. His pulse is thready and his femoral
pulse is only weakly palpable. The definitive treatment in managing this
patient is to:
A. Administer O-negative blood
B. Apply external warming devices
C. Control internal hemorrhage operatively
D. Apply a pneumatic antishock garment (PASG)
E. Infuse large volumes of intravenous crystalloid solutions. - ✔✔✔
Correct Answer > C. Control internal hemorrhage operatively
A 17-year-old helmeted motorcyclist is struck broadside by an
automobile at an intersection. He is unconscious at the scene with a
blood pressure of 140/90mmHg, heart rate of 90 beats per minute, and
respiratory rate of 22 breaths per minute. His respirations are sonorous
and deep. His GCS score is 6. Immobilization of the entire patient may
include the use of all the following EXCEPT:
A. Air splints
B. Bolstering devices
,C. A long spine board
D. A scoop-style stretcher
E. A semi-rigid cervical collar - ✔✔✔ Correct Answer > Air splints???
A 23 year old construction worker is brought toe the ED after falling
more than 9 meters from scaffolding. He is complaining bitterly of
lower abdominal and lower limb pain, and has obvious deformity of
both lower legs with bilateral open tibial fractures. Which one of the
following statement concerning this patient is true?
A. Pelvic injury can be ruled out based on the mechanism of injury
B. Blood loss from the lower limb is most likely cause of his hypotension
C. Spinal cord injury is the most likely cause of his hypotension
D. X-ray of the chest and pelvis are important adjuncts in his
assessment
E. Aortic injury is the most likely cause of his tachycardia. - ✔✔✔
Correct Answer > D. X-ray, the chest and holes are important at
junction his assessment.
During an altercation, a 36-year-old man sustains a gunshot wound
above the nipple line on the right, with an exit wound posteriorly above
the scapula on the right. He is transported by ambulance to a
community hospital. He is endotracheally intubated, close tube
thoracostomy is performed, and 2 liters Ringers lactate solution are
infused via 2 large-caliber IV´s. His blood pressure now is 60/0mmHg,
heart rate is 160 beats per minute, and respiratory rate is 14 breaths
, per minute (ventilated with 100% O2). The most appropriate next step
in managin this patient is:
A. Laparotomy
B. Diagnostic peritoneal lavage
C. Arterial blood gas determination
D. Administer packed red blood cells
E. Chest X-ray to confirm tube placement - ✔✔✔ Correct Answer > D.
Administered packed red blood cells
A teenaged bicycle rider is hit by a truck traveling at high speed. In the
emergency department, she is actively bleeding from open fractures of
her legs, and has abrasions on her chest and abdominal wall. Her blood
pressure is 80/50 mm Hg, heart rate is 140 beats per minute,
respiratory rate is 8 breaths per minute, and GCS score is 6. The first
step in managing this patient is to:
a) obtain a lateral cervical spine xray.
b) administer 2 liters of crystalloid solution.
c) insert a central venous pressure line.
d) perform endotracheal intubation and ventilation. - ✔✔✔ Correct
Answer > D. Perform endotracheal intubation and ventilation
An electrician is eletrocuted by a downed power line after a
thunderstorm. He apparently made contact with the wire at the level of
the right mid thigh. In the ED, his vital signs are normal and no