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1. A 26-year-old male is resuscitated with blood transfusion after a motor vehicle
collision that was complicated by a fractured pelvis. A few hours later, the
patient becomes febrile, hypotensive with a normal CVP, and oliguric. Upon
examination, the patient is found to be bleeding from the NG tube and IV sites.
Which of the following is the most likely diagnosis?
A. Hemorrhagic shock
B. Acute adrenal insufficiency
C. Fat embolism syndrome
D. Transfusion reaction
Ans>> D. Transfusion reaction
,2. Which of the following patients is most likely going to have a difficult
intubation?
A. A patient with a previous tracheostomy
B. A patient with COPD
C. An obese patient
D. A patient with a huge goiter
Ans>> D. A patient with a huge goiter
3. 37-year-old man is struck on the side of the head but is conscious and
talkative after the injury. No evidence of skull fracture. Several days later, he
becomes increasingly lethargic, somewhat confused, and unable to move his
right side. Which type of event has most likely occurred?
A. Subdural hematoma
B. Epidural hematoma
C. Carotid dissection
D. Brain contusion
Ans>> A. Subdural hematoma
4. An investigational drug is being tried on health volunteers for its safety and
pharmacokinetic properties. Which of the following stages in the drug
development process does this scenario most closely describe?
A. Phase I
B. Phase II
,C. Phase III
D. Phase IV
Ans>> A. Phase I
5. What intravenous fluid is to be given with blood products?
A. Normal saline
B. Ringers lactate
C. 5% dextrose in water
D. Half normal saline with 20 mEq/L of KCl
Ans>> A. Normal saline
6. If a trauma patient has clear fluid draining from the nose the provider
should do which of the following?
A. Tilt the head back
B. Apply pressure
C. Collect the fluid
D. Insert nasal tampons
Ans>> C. Collect the fluid
7. What is the estimated time a person's brain can be anoxic from cardiopul-
monary failure and not develop permanent brain damage?
A. 10 minutes
B. 5 minutes
C. 2 minutes
, D. 20 minutes
Ans>> B. 5 minutes
8. The laryngeal mask airway is contraindicated in patients with what condi-
tion?
A. Spine injury
B. Head trauma
C. Giving birth
D. Propensity to aspirate
Ans>> D. Propensity to aspirate
9. A patient sustains blunt trauma to the back and left leg. Vital signs in the
emergency department show temperature 36 degrees C, BP 120/80 mm Hg,
heart rate 92, respirations 19, GCS 15. There is bilateral lower extremity
paraplegia, T12 sensory level, and decreased rectal tone. Hemoglobin is 14.2
and the same in one hour. Which of the following tests is best for diagnosing an
intraperitoneal bleed?
A. Abdominal ultrasound
B. Laparotomy
C. KUB
D. Diagnostic peritoneal lavage
Ans>> A. Abdominal ultrasound