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100% Correct | Grade A+ g g g g v
2
1. Which of the following is the recommended Method for trestemt frostbite?
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A. Vasodilators
B. Anticigulants
C. Warm (40 degrees) water
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D. Padding andelevation
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E. Applicationof heat from a hairdryer:
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g Answer>C.Warm (40 degrees) water
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2. Which of the following physical findings suggest a cause of hypotension other than s pi
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nal cord injury?
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A. Prispism
B. Bradycardia
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,C. Diaphragmatic breathing v
D. Presence of deep tendon reflexes
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E. Ability to flex forearms but not extend them
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Answer>: D.Presence of deep tendon reflexes.Spinalshock refers to loss of muscletoe (fla
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ccidty)and loss of reflexes.
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3. The primary indication for transferring A patient to a higher level trauma center is
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:
A. Unavailibility of surgeon or operating staff v v v v v
B. Multiple system injuries,including severe head injury
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C. Resource limitations as determined by the transferring doctor
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D. Resource limitations as determined by the hospital administration
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E. Widenedmediastinumon chest x-ray following blunt trauma: v v v v v g
Answer> C.Resource limitations as determined by the transferring doctor (MÅ SJEKKES)
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4. A young man sustains a rifle wound to the mid-
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abdomen. He is brought promptly to the ED by prehospitalpersonnel.Hisskiniscooland dia
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phoretic, and his systolic blood pressure is 58mmHg.Warmed crystalloid fluids are i nitiate
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d without improvement in his vital signs.The next, most appropriate, step is to pe rform:
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A. a laparotomy
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,B. AnabdominalCT-scan v v
C. Diagnostic laparoscopy v
D. Abdominal ultrasonography v
E. A diagnostic peritoneal lavage:
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Answer> A.Laparotomybecause of hemodynamic ab- normality
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5. A 42-year- v
old man is trapped from the waist down beneath his overturned tractor for several hour s b
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efore medical assistance arrives. He is awake and alertuntiljustbeforearrivinginthe ED.
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He isnowunconsciousandresponds only to painful stimuli by moaning. His pupils a re 3m
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m in diameter and symmetrically reactive to light. Prehospital personnel indicate t hat they
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have
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not seen the patient move either of his lower extremities. On examination in the ED, no m ove
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ment of his lower extremities aredetected,evenin response to painful stimuli.The mos t likely
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cause for this finding is:
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A. An epidural hematoma v v
B. A pelvic fracturev v
C. Central cord syndrome v v
D. Intracerebral hemorrhage v
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, E. Bilateral compartment syndrome: v v
Answer>D MÅ SJEKKES
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6. A 6-year- v
o boy is struck by an automobile and brought to the ED. He is lethargic,butwithdrawsp urpo
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sefullyfrompainfulstimuli.His bloodpressure is 90mmHg systolic, heart rate 140 b eats per v g v v v v v v v v v v v
minute and his respiratory rate is 36 breaths per minute.The preferred route of venous acces
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s in this patient is:
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A. Percutaneous femoral veincannulation v v
B. Cutdown on the saphenous vein at the ankle v v v v v v v
C. Intraosseous catheter placement in the proximal tibia v v v v v v
D. Percutaneous peripheral veins in the upper extremities v v v v v v
E. Centralvenousaccessvia the subclavian or internaljugular vein: v v v v v
g Answer> D.Percu- taneous peripheral veins in the upper extremities
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7. A young man sustains a gunshot wound to the abdomen and is brought promptlytoth e E
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D by prehospitalpersonnel. Hisskiniscoolanddiaphoretic, and he is confused. His pu lse is
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thready and his femoral pulse is only weakly palpable.The definitive treatment in manag
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ing this patient is to:v v v v
A. Administer O-negative blood v g
B. Apply external warming devices v v v
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