EXAM 1
QUESTIONS AND VERIFIED
ANSWERS |
100% CORRECT | GRADED A+ 2025
2026
,1. Which of the following is the recommended Method for trestemt frostbite?
A. Vasodilators
B. Anticigulants
C. Warm (40 degrees) water
D. Padding and elevation
E. Application of heat from a hairdryer:
Answer> C. Warm (40 degrees) water
2. Which of the following physical findings suggest a cause of hypotension other 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 muscle toe (flac
cidty) and loss of reflexes.
3. The primary indication for transferring A patient to a higher level trauma center 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 SJEKKES)
4. A young man sustains a rifle wound to the mid-
abdomen. He is brought promptly to the ED by prehospital personnel. His skin is cool and diapho
retic, and his systolic blood pressure is 58mmHg. Warmed crystalloid fluids are initiated without
mprovement in his vital signs. The next, most appropriate, step is to perform:
A. a laparotomy
B. An abdominal CT-scan
C. Diagnostic laparoscopy
D. Abdominal ultrasonography
E. A diagnostic peritoneal lavage:
Answer> A. Laparotomy because of hemodynamic ab- normality
5. A 42-year-
old man is trapped from the waist down beneath his overturned tractor for several hours before
medical assistance arrives. He is awake and alert until just before arriving in the ED. He is now
unconscious and responds only to painful stimuli by moaning. His pupils are 3mm in diameter
and symmetrically reactive to light. Prehospital personnel indicate that they have
not seen the patient move either of his lower extremities. On examination in the ED, no moveme
, nt of his lower extremities are detected, even in response to painful stimuli. The most likely cause
for this finding is:
A. An epidural hematoma
B. A pelvic fracture
C. Central cord syndrome
D. Intracerebral hemorrhage
E. Bilateral compartment syndrome:
Answer> D MÅ SJEKKES
6. A 6-year-
o boy is struck by an automobile and brought to the ED. He is lethargic, but withdraws
purposefully from painful stimuli. His blood pressure is 90mmHg systolic, heart rate 140
beats per minute and his respiratory rate is 36 breaths per minute. 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
E. Central venous access via the subclavian or internal jugular vein:
Answer> D. Percu- taneous peripheral veins in the upper extremities
7. A young man sustains a gunshot wound to the abdomen and is brought promptly to t
he ED by prehospital personnel. His skin is cool and diaphoretic, and he is confused. His