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,Table of Contents
Complete 870 Questions......................................................................................................................... 2
Answers To All Questions ................................................................................................................... 268
Complete 870 Questions
1. Test 01
Q:1-Which one of the following statements is true regarding a pregnant patient
who presents following blunt trauma?
Select the correct answer.
Early gastric decompression is important
A Hb level of 10g/dl indicates recent blood loss
The CVP response to volume resuscitation is blunted in pregant patients
A lap belt is the best form of restraint due to the size of the gravid uterus
A PaCO2 of 40mmHg provides reassurance about the adequacy of respiratory
function
Q:2-A 70 year old suffers blunt chest traume after bein struck by a car. On
presentation, his GCS is 15, BP is 145/90, HR is 72. RR is 24 and O2-sat on 5L is
91%. Chest x-ray demonstrates multiple right sided rib fractures. ECG
demonstrates normal sinus rythm with no conduction abnormalities.
Management should include:
Select the correct answer.
Placement of a 22Fr right sided chest tube
Serial troponins and cardiac monitoring
Monitoried i.v analgesia
Thoracic splinting, taping and immobilization
Bronchoscopy to exclude tracheobronchial injury
,Q:3-A 15 year old male present following a motorcycle crash. INitial
examinations reveals normal vital signs. There is a large bruise over his
epigastrium that extends to the left flank. He has no other apparent injuries. A
CT-scan of the abdomen demonstrate a ruptured spleen surrounded by a large
hematoma and fluid in the pelvis. The next step in the patients management is:
Select the correct answer.
Splenic artery embolization
Pneumococcal vaccine
Urgent laparotomy
Surgical consult
Transfer to a pediatrician
Q:4-A 30 year old male present with a stab wound to the abdomen BP is 85/60,
HR 130, RR 26 and GCS 14. Neck veins are flat and chest examination is clear
with bilateral breath sounds. Optimal resusciation should include:
Select the correct answer.
Transfusion of FFP and platelts
500ml of hypertonic saline and transfusion of pRBCs
Resuscitation with crystalloid and pRBC until base excess is normal
Fluid resuscitation and angioembolization
Preparation for laparotomy while initiating fluid resuscitation
Q:5-Initial resuscitation in adult patient should:
Select the correct answer.
Be with 1-2L of crystalloid, monitorin the patients response
Use crystalloid to normalize BP
Use permissive hypotension in patients with head injury
Be with a non blood colloid solution
Be a minimum of 2L Crystalloid in all trauma patient prior to adminstering blood
, Q:6-Compared with adults, children have:
Select the correct answer.
A longer, wide, funnel shaped airway
A less pliable, calcified skeleton
Lower incidence of bony injury with neurogenic shock
A relatively smaller head and larger jaw
Anterior displacement of C5 and C6
Q:7-A 30 year old male presents after a motor vehicle crash. Vital signs are RR
18, HR 88, BP 130/72, GCS 13. Laparotomy is indicated when
Select the correct answer.
There is distinct seat belt sign over the abdomen
The CT-scan demonstrates a grade 4 hepatic injury
There is evidence of extraperitoneal bladder injury
CT demonstrates retroperitoneal air
The abdomen is distended with localized right upper quadrant tenderness
Q:8-A 20 year old male is brought to the hospital approximately 30 minutes
after being stabbed in the chest. There is 3cm wound just medial to the left
nipple. His BP is 70/33 and HR is 140. Neck and arm veins are distended. Breath
sounds are normal. Heart sounds are diminshed, iv access has been established
and warm crystalloid is infusing. The next most important aspect of immediate
management is:
Select the correct answer.
CT scan of the chest
12 lead ECG
Left tube thoracostomy
Begin infusion of RBCs
FAST exam
Q:9-A 47 year old house painter is brought to the hospital after falling 6 meters
from a ladder and landing straddled on a fence. Examination of his perineum
reveals extensive ecchymosis. There is blood in the external urethreal meatus.
The initial diagnostic study for evaluation of the urinary tract in this patient