CORRECT ANSWERS
|AGRADE
,Which of the following is the recommended Method for C. Warm (40 degrees) water
trestemt frostbite?
A. Vasodilators
B.Anticigulants
C. Warm (40 degrees) water
D.Padding and elevation
E.Application of heat from a hairdryer
Which of the following physical findings suggest a cause D. Presence of deep tendon reflexes. Spinal shock refers to loss of muscle toe
of hypotension other than spinal cord injury? (flaccidty) and loss of reflexes.
A. Prispism
B.Bradycardia
C. Diaphragmatic breathing
D. Presence of deep tendon reflexes
E.Ability to flex forearms but not extend them
The primary indication for transferring A patient to C. Resource limitations as determined by the transferring doctor (MÅ SJEKKES)
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
,A young man sustains a rifle wound to the mid-abdomen. A. Laparotomy because of hemodynamic abnormality
He is brought promptly to the ED by prehospital
personnel. His skin is cool and diaphoretic, and his
systolic blood pressure is 58mmHg. Warmed crystalloid
fluids are initiated without improvement 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
A 42-year-old man is trapped from the waist down MÅ SJEKKES
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 movement 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
, A 6-year-o boy is struck by an automobile and brought to D. Percutaneous peripheral veins in the upper extremities
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
A young man sustains a gunshot wound to the abdomen C. Control internal hemorrhage operatively
and is brought promptly to the ED by prehospital
personnel. His skin is cool and diaphoretic, and he is
confused. His pulse is thready and his femoral pulse is
only weakly palpable. The definitive treatment in
managing this patient is to:
A. Administer O-negative blood
B.Apply external warming devices
C. Control internal hemorrhage operatively
D.Apply a pneumatic antishock garment (PASG)
E. Infuse large volumes of intravenous
crystalloid solutions.