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1g/g101
,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 and elevation g g
E. Application of heat from a hairdryer: g g g g g
gAnswer> C. Warm (40 degrees) water
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2. Which of the following physical findings suggest a cause of hypotension other than s
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pinal cord injury?
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A. Prispism
B. Bradycardia
C. Diaphragmatic breathing g
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. Spinal shock refers to loss of muscle toe (fla
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ccidty) and loss of reflexes.
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2g/g101
,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 g g g g g
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. Widened mediastinum on chest x-ray following blunt trauma:
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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 prehospital personnel. His skin is cool and
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diaphoretic, and his systolic blood pressure is 58mmHg. Warmed crystalloid fluids are i
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nitiated without improvement in his vital signs. The next, most appropriate, step is to pe
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rform:
A. a laparotomy
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B. An abdominal CT-scan
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C. Diagnostic laparoscopy g
D. Abdominal ultrasonography g
E. A diagnostic peritoneal lavage:
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gAnswer> A. Laparotomy because of hemodynamic ab- normality
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3g/g101
, 5. A 42-year- g
old man is trapped from the waist down beneath his overturned tractor for several hour
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s before medical assistance arrives. He is awake and alert until just before arriving in the
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ED. He is now unconscious and responds only to painful stimuli by moaning. His pupils a
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re 3mm in diameter and symmetrically reactive to light. Prehospital personnel indicate t
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hat they have g g
not seen the patient move either of his lower extremities. On examination in the ED, no m
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ovement of his lower extremities are detected, even in response to painful stimuli. The mo
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t likely cause for this finding is:
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A. An epidural hematoma g g
B. A pelvic fracture g g
C. Central cord syndrome g g
D. Intracerebral hemorrhage g
E. Bilateral compartment syndrome: g g
gAnswer> D MÅ SJEKKES g g g
6. A 6-year- g
o boy is struck by an automobile and brought to the ED. He is lethargic, but withdraws p
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urposefully from painful stimuli. His blood pressure is 90mmHg systolic, heart rate 140 b
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4g/g101