QUESTIONS WITH 100% ACCURATE ANSWERS
v v v v v v
(MULTIPLECHOICES) v
1. A 22 year old male is brought by ambulance to a small community hospital after falling from the top of an
v v v v v v v v v v v v v v v v v v v v
8 foot ladder. Initially, he was found to have
v v v v v v v v v
a large right pneumothorax. A chest tube was inserted and connected to an underwater seal drainage
v v v v v v v v v v v v v v v
v collection system with negative pressure.A repeat v v v v v v
v CXRdemonstratesaresidual,largerightpneumothorax.Aftertransferringthe
ix ix
patienttoa verified trauma center,athird chestx-rayreveals a persistent right pneumothorax. The chesttube
v ix ix ix ix ix ix ix v ix ix
appears tobefunctioning andingood position. He remains hemodynamically normal with no signs of
v ix ix ix v v v v v v v v
v respiratory distress. v
The most likely cause for the persistent right pneumothorax is:
v v v v v v v v v
A. Flail chest v
B. Diaphragmatic injury v
C. Pulmonary contusion v
D. Esophageal perforation v
E. Tracheobronchial injury v
..ANS>> E.Tracheobronchial injury ix v
1|Page
v v v v v
,2. Which of the following is LEAST reliable for diagnosing ESOPHAGEAL
v v v v v v v v v v intubation?
A. symmetrical chest wall movement v v v
B. end-tidal CO2 v
C. bilateral breath sounds v v
D. oxygen saturation >92% v v
E. ETT above carina on chest x-ray
v v v v v
..ANS>> D.oxygen saturation >92%
ix v v
-> if it says ESOPHAGEAL, go with this answer
v v v v v v v v
3. Whichofthefollowing signsnecessitates the needforadefinitive airwayin ix ix ix ix v severe trauma patient?
v v
A. facial lacerations v
B. repeated vomiting v
C. severe maxillofacial trauma v v
D. sternal fracture v
E. GCS 12 v
..ANS>> C.Severe maxillofacial trauma
ix v v
4. Twenty seven people are severely injured in an aircraft crash at a local airport.The principles of
v v v v v v v v v v v v v v v
triage include:
v v
A. establish a triage site within the internal perimeter of the crash site
v v v v v v v v v v v
B. treat only the most severely injured patients first
v v v v v v v
C. immediately transport all patients to the nearest hospital v v v v v v v
2|Page
v v v v v
,D. treat the greatest number of patients in the shortest period of time
v v v v v v v v v v v
E. produce thegreatestnumber ofsurvivors based on available resources
v v v ix v
..ANS>> E. Produce the greatest number of survivors based on available resources
i x v v v v v v v v v v
5. Which of the following statements are correct?
v v v v v v
A. Cerebral contusions may coalesce to form an intracerebral hematoma
v v v v v v v v
3|Page
v v v v v
, B. Epidural hematomas are usually seen in the frontal region
v v v v v v v v
C. Subdural hematomas are caused by injury to the middle meningeal artery
v v v v v v v v v v
D. Subdural hematomas typically have a lenticular shape on CT
v v v v v v v v
E. The associated brain damage is more severe in epidural hematomas
v v v v v v v v v
..ANS>>A. Cerebral contusions may coalesce to form an intracerebral hematoma
ix v v v v v v v v v
v EM:Epidural,middlemeningeal SuB: Subdural, v v
Bridging veins v
6. An 18 year old male is broughtto the ED after being shot.He has one bullet wound just below the right
ix v v v v v v v v v v v v v v v v v v v
v clavicle and another just below the costal margin in the right posterior axillary line. His blood pressure is
v v v v v v v v v v v v v v v v v
110/60, heart rate of 90, and respiratory rate of 34. After ensuring a patent airway and inserting 2 large caliber
v v v v v v v v v v v v v v v v v v v
v IV lines, the next most appropriate step is to:
v v v v v v v v
A. Obtain a portable chest x-ray v v v v
B. Administer a bolus of additional IV fluid v v v v v v
C. Perform a laparatomy v v
D. Obtain an abdominal CT scan v v v v
E. Perform diagnostic peritoneal lavage ix v v
..ANS>> A.Obtain a portable chest x-ray need more info on chest, not abdomen
i x v v v v v v v v v v v
7. Which of the following should be performed FIRST in any patient whose injuries may include
v v v v v v v v v v v v v v
v multiple closed extremity fractures?
v v v
4|Page
v v v v v