Terms in this set (274)
A pulmonary contusion may be present in the absence of rib fractures.
A 6-year-old boy walking across the street
is struck by the front bumper of a sports
utility vehicle traveling at 32 kph (20
mph). Which one of the following
statements is TRUE about this patient?
direct pressure on the wound
A 7-year-old boy is brought to the
emergency department by his parents
several minutes after he fell through a
window. He is bleeding profusely from a
6-cm wound of his medial right thigh.
Immediate management of the wound
should consist of:
, A. Cervical spine films and CT of the head
7-year-old girl is found at the bottom of a
swimming pool. Initially she was in full
arrest but after 5 minutes she showed
sinus tachycardia but no respiratory effort.
Intubation was done in the field and
cervical collar placed. After transport to
the emergency department she was
unresponsive with a blood pressure of
100/60 mmHg, pulse 105, temperature
34.3C, and oxygen saturation 100%. The
pupils were 3 mm and sluggishly
responsive to light. There is no response
to pain. The lungs show wheezing on the
left and coarse breath sounds bilaterally.
The monitor shows sinus tachycardia.
There is no rectal tone. Which of the
following should be the next step in
management?
A. Cervical spine films and CT of the head
B. Portable chest radiograph
C. Arterial blood gas
D. Right and left decubitus chest
radiographs
, B. CT abdomen
An 8-year old child is brought to the ER
after being struck by a car while crossing
the street. He is not alert and required
immediate intubation at the scene by
EMS. His GCS is 8 T. He appears to have
a significant laceration of his scalp on the
left side but there are no skeletal
fractures. The initial chest x-ray revealed
a right sided pneumothorax and a chest
tube was inserted. His hematocrit is 23.5
and hemoglobin is 7.6. The next thing you
would do is:
A. CT head
B. CT abdomen
C. Repeat blood work
D. Observe patient
, B. CT of the head
A 13 year old boy fell while riding his
bicycle and hit his head. He was
unconscious for 4 or 5 minutes. He
vomited twice. He has no memory of the
event or a headache. His exam is entirely
normal. Glasgow coma score is 15.
Select the next step in management.
A. Discharge home with concussion
instructions
B. CT of the head
C. Skull films
D. Admit for observation
8
A 17-year-old male is hit on the head with
a baseball bat. He withdraws and opens
his eyes in response to deep painful
stimuli. He also mumbles
incomprehensibly. What is his Glasgow
coma scale score?
A pulmonary contusion may be present in the absence of rib fractures.
A 6-year-old boy walking across the street
is struck by the front bumper of a sports
utility vehicle traveling at 32 kph (20
mph). Which one of the following
statements is TRUE about this patient?
direct pressure on the wound
A 7-year-old boy is brought to the
emergency department by his parents
several minutes after he fell through a
window. He is bleeding profusely from a
6-cm wound of his medial right thigh.
Immediate management of the wound
should consist of:
, A. Cervical spine films and CT of the head
7-year-old girl is found at the bottom of a
swimming pool. Initially she was in full
arrest but after 5 minutes she showed
sinus tachycardia but no respiratory effort.
Intubation was done in the field and
cervical collar placed. After transport to
the emergency department she was
unresponsive with a blood pressure of
100/60 mmHg, pulse 105, temperature
34.3C, and oxygen saturation 100%. The
pupils were 3 mm and sluggishly
responsive to light. There is no response
to pain. The lungs show wheezing on the
left and coarse breath sounds bilaterally.
The monitor shows sinus tachycardia.
There is no rectal tone. Which of the
following should be the next step in
management?
A. Cervical spine films and CT of the head
B. Portable chest radiograph
C. Arterial blood gas
D. Right and left decubitus chest
radiographs
, B. CT abdomen
An 8-year old child is brought to the ER
after being struck by a car while crossing
the street. He is not alert and required
immediate intubation at the scene by
EMS. His GCS is 8 T. He appears to have
a significant laceration of his scalp on the
left side but there are no skeletal
fractures. The initial chest x-ray revealed
a right sided pneumothorax and a chest
tube was inserted. His hematocrit is 23.5
and hemoglobin is 7.6. The next thing you
would do is:
A. CT head
B. CT abdomen
C. Repeat blood work
D. Observe patient
, B. CT of the head
A 13 year old boy fell while riding his
bicycle and hit his head. He was
unconscious for 4 or 5 minutes. He
vomited twice. He has no memory of the
event or a headache. His exam is entirely
normal. Glasgow coma score is 15.
Select the next step in management.
A. Discharge home with concussion
instructions
B. CT of the head
C. Skull films
D. Admit for observation
8
A 17-year-old male is hit on the head with
a baseball bat. He withdraws and opens
his eyes in response to deep painful
stimuli. He also mumbles
incomprehensibly. What is his Glasgow
coma scale score?
