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WhichofthefollowingsignsisLEASTreliablefordiagnosingesophagealintubation?
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Symmetrical chest wall movement b EndtidalC02presenceby f f f f f f f f
colorimetry
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Bilateral breath sounds d Oxygen saturation e ETTabove f f f f f f
carina on chest x-ray
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Whichoneofthefollowingsignsnecessitatesadefinitiveairwayinseveretrauma patients?
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FaciallacerationsbRepeatedvomiting f f f
SeveremaxillofacialfracturesdSternalfracture f f f f f f
GCS score of 12 f f f
Twentysevenpatients areseriouslyinjuredinanaircraftcrashatalocalairport. The principles
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of triage include:
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Establishatriagesitewithintheinternal perimeterof thecrashsiteb Treatonly the f f f f f f f f f f f f f f f
most severely injured patients first
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Immediatelytransryortallpatientstothenearesthospital f f f f f f f
Treatthegreatestnumberofpatientsintheshortestperiodoftime
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Producethegreatestnumberofsurvivors basedonavailableresources f f f f f f f f f
4.Whichoneofthefollowingstatementsis correct? f f f f f f f
CerebralcontusionsmavcoalescetoformanintracerebralhematomabEpidural
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hematornas are usually seen in frontal region
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Subduralhematomas arecausedby injury to themiddle meningeal artery f f f f f f f f f f f
Subdural hematomas typically have a lenticular shape on CT scan f f f f f f f f f
Theassociatedbraindamageismoresevereinepiduralhematomas
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An18yearoldmale is broughtto the emergency department afterhavingbeenshot. He has one
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bullet wound just below the right clavicle and another just below the costal margin in the
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right pyosterior axillary line. His BP is 110/80 mmHg, HR is go bpm, and
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RR is 34bpm. Afterensuring8 patentairway andinserting2 largecaliber iv line,the next
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appropriate step
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Obtaina portablechestx-rayb Administerabolus ofadditionaliv fluid f f f f f f f f f f f f
Perform a laparotomy f f f f f f f
f ObtainanabdominalCTscan f f f f
Performdiagnosticperitoneallavage f f f
An 8 year old bov falls
f meters (IS feet)from a treeand is brought to the emergency
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department by his family. His vital signs are normal, but he complains of left upper
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quadrantpain. AnabdominalCTscanrevealsamoderately severelacerationofthe
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spleen. The receiving institution does not have 24 hour a day operating room
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capabilities. The most appropriate management of this patient would be:
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Type and crossmatch for blood b Requestconsultationofa f f f f f f f f
pediatrician Transfer the patient to a trauma center
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Admitthepatientto theICU f f f f f
Preparethepatientforsurgerythenextday f f f f f f f
A17yearoldhelmetedmotorcyclistisstruckbroadside byan automobileatan
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intersection. He is unconscious at the scene withBP of 140/90 mmHg, HR of 90bpm, and RR f f f f f f f f f f f f f f f f f
of 22 bpm. His respirations are sonorous and deep. His GCS score is S. Immobilization of
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the entire patient may include the use of all the following, except: a Air splints b Bolstering
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A construction worker falls from a scaffold and is transferred to the emergency
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department. His HR is 124 bpm and BP is 85/60 mmHg. He complains of lower abdominal
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ryain. After assessing the airway and chest,
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10.
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14.
immobilizingthec-spineandinitiatingfluidresuscitation,thenextstepistoperform:
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