saem m4 curriculum 2 EXAM || Most Recent Exam 2026-2027
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post cpr patient on PPV begins to decompensate think -
ANSWER -tension
pneumo
3 kinds of forces in blunt abd trauma. define - ANSWER --
shearing forces that occur due to rapid deeleration causing
tearing at fixed pots of attachment
-crushing forces
-external compression: sudden and rapid rise in intraabd
pressure leading to rupture of visocus organs
why gunshot more mortality than stab - ANSWER --hgiher
energy of transfer -missile trajectory
-bullet fragments
most common blunt trauma injury? 2nd? - ANSWER -
splenic rupture
-second most:
liver lac
_____can occur with lbunt abd trauma? side? timeline -
ANSWER -diaphragm
,rupture on left . can present
weeks later
gunshot wound where in abd - ANSWER -intestine
stabwound where in abd - ANSWER -liver
diagnostic peritoneal lavage when pos. what do if pos? -
ANSWER -d positive if
there is aspiration of 10 mL of gross blood or gastrointestinal
contents, or the
presence >100,000 RBC/mm3, >500 WBC/mm3, or vegetable
matter in the liter
of saline
infused.
-
surgery
2 downsides of lavage - ANSWER --does not eval
retroperitoneum
-can result in many unneeded
lapraopotmies
why need ua in trauma - ANSWER --blood as sign of urogenital
system injury
permissive hypotension. goal? - ANSWER -favor of blood
product resuscitation
,to a specific defined Mean Arterial Pressure
(MAP) of 65.
blunt abd trauma needs - ANSWER -abx
why avoid tm fluids - ANSWER --exacerbates lethal
trauma tirad:
coagulatopathy, acidosis,
hypothermia
whay lac grade needs surg - ANSWER -grade IV and above
pelivc fracture with vessel injury needs - ANSWER -IR
consult for emergent
arterial
embolization
traumatic arrest due to penetration managed - ANSWER -
ED thoracomoy
followed by
surg
blunt injuries do NOT get - ANSWER -thoracotomy
blunt trauma - ANSWER -refers to mechanisms casuing
inc intrathoracic
pressure
, who gets thoractomy - ANSWER --thoraco-abd
penetrating trauma who
experience a traumatic
arrest
manage tension pneumo in 3 steps -
ANSWER –us
-needle
decomrpession
-
tube
what is open ptx - ANSWER --sucking chest wall wound from
penetrating injury
presentation of open ptx - ANSWER --present with chest pain,
sob, sonorous
breath
sounds
-sucking air from
wound
-shallow
respirators
tx open ptx - ANSWER -placement of a square dressing tape on
three sides to create an escape valve
-ultimately need a chest tube on same side as wound but at diff
site of wound
Actual Complete Real Exam Questions And Correct Answers
(Verified Answers) Already Graded A+ | Guaranteed
Success!! Newest Exam | Just Released!!
post cpr patient on PPV begins to decompensate think -
ANSWER -tension
pneumo
3 kinds of forces in blunt abd trauma. define - ANSWER --
shearing forces that occur due to rapid deeleration causing
tearing at fixed pots of attachment
-crushing forces
-external compression: sudden and rapid rise in intraabd
pressure leading to rupture of visocus organs
why gunshot more mortality than stab - ANSWER --hgiher
energy of transfer -missile trajectory
-bullet fragments
most common blunt trauma injury? 2nd? - ANSWER -
splenic rupture
-second most:
liver lac
_____can occur with lbunt abd trauma? side? timeline -
ANSWER -diaphragm
,rupture on left . can present
weeks later
gunshot wound where in abd - ANSWER -intestine
stabwound where in abd - ANSWER -liver
diagnostic peritoneal lavage when pos. what do if pos? -
ANSWER -d positive if
there is aspiration of 10 mL of gross blood or gastrointestinal
contents, or the
presence >100,000 RBC/mm3, >500 WBC/mm3, or vegetable
matter in the liter
of saline
infused.
-
surgery
2 downsides of lavage - ANSWER --does not eval
retroperitoneum
-can result in many unneeded
lapraopotmies
why need ua in trauma - ANSWER --blood as sign of urogenital
system injury
permissive hypotension. goal? - ANSWER -favor of blood
product resuscitation
,to a specific defined Mean Arterial Pressure
(MAP) of 65.
blunt abd trauma needs - ANSWER -abx
why avoid tm fluids - ANSWER --exacerbates lethal
trauma tirad:
coagulatopathy, acidosis,
hypothermia
whay lac grade needs surg - ANSWER -grade IV and above
pelivc fracture with vessel injury needs - ANSWER -IR
consult for emergent
arterial
embolization
traumatic arrest due to penetration managed - ANSWER -
ED thoracomoy
followed by
surg
blunt injuries do NOT get - ANSWER -thoracotomy
blunt trauma - ANSWER -refers to mechanisms casuing
inc intrathoracic
pressure
, who gets thoractomy - ANSWER --thoraco-abd
penetrating trauma who
experience a traumatic
arrest
manage tension pneumo in 3 steps -
ANSWER –us
-needle
decomrpession
-
tube
what is open ptx - ANSWER --sucking chest wall wound from
penetrating injury
presentation of open ptx - ANSWER --present with chest pain,
sob, sonorous
breath
sounds
-sucking air from
wound
-shallow
respirators
tx open ptx - ANSWER -placement of a square dressing tape on
three sides to create an escape valve
-ultimately need a chest tube on same side as wound but at diff
site of wound
