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A c22 cyear cold cmale cis cbrought cby cambulance cto ca csmall ccommunity chospital cafter cfalling
cfrom cthe ctop cof can c8 cfoot cladder. cInitially, che cwas cfound cto chave ca clarge cright
cpneumothorax. cA cchest ctube cwas cinserted cand cconnected cto can cunderwater cseal cdrainage
ccollection csystem cwith cnegative cpressure. cA crepeat cCXR cdemonstrates ca cresidual, clarge
cright cpneumothorax. cAfter ctransferring cthe cpatient cto ca cverified ctrauma ccenter, ca cthird
cchest cx-ray creveals ca cpersistent cright
pneumothorax. cThe cchest ctube cappears cto cbe cfunctioning cand cin cgood cposition. cHe
cremains chemodynamically cnormal cwith cno csigns cof crespiratory cdistress. cThe cmost
clikely ccause cfor cthe cpersistent cright cpneumothorax cis:
A. Flail cchest
B. Diaphragmatic cinjury
,C. Pulmonary ccontusion
D. Esophageal cperforation
E. Tracheobronchial cinjury c- cANSWER cE. cTracheobronchial cinjury
Which cof cthe cfollowing cis cLEAST creliable cfor cdiagnosing cESOPHAGEAL cintubation?
A. symmetrical cchest cwall cmovement
B. end-tidal cCO2
C. bilateral cbreath csounds
D. oxygen csaturation c>92%
E. ETT cabove ccarina con cchest cx-ray c- cANSWER cD. coxygen csaturation c>92%
-> cif cit csays cESOPHAGEAL, cgo cwith cthis canswer
Which cof cthe cfollowing csigns cnecessitates cthe cneed cfor ca cdefinitive cairway cin csevere
ctrauma cpatient?
,A. facial clacerations
B. repeated cvomiting
C. severe cmaxillofacial ctrauma
D. sternal cfracture
E. GCS c12 c- cANSWER cC. cSevere cmaxillofacial ctrauma
Twenty cseven cpeople care cseverely cinjured cin can caircraft ccrash cat ca clocal cairport. cThe
cprinciples cof ctriage cinclude:
A. establish ca ctriage csite cwithin cthe cinternal cperimeter cof cthe ccrash csite
B. treat conly cthe cmost cseverely cinjured cpatients cfirst
C. immediately ctransport call cpatients cto cthe cnearest chospital
D. treat cthe cgreatest cnumber cof cpatients cin cthe cshortest cperiod cof ctime
E. produce cthe cgreatest cnumber cof csurvivors cbased con cavailable cresources c- cANSWER cE.
cProduce cthe cgreatest cnumber cof csurvivors cbased con cavailable cresources
Which cof cthe cfollowing cstatements care ccorrect?
A. Cerebral ccontusions cmay ccoalesce cto cform can cintracerebral chematoma
B. Epidural chematomas care cusually cseen cin cthe cfrontal cregion
C. Subdural chematomas care ccaused cby cinjury cto cthe cmiddle cmeningeal cartery
D. Subdural chematomas ctypically chave ca clenticular cshape con cCT
E. The cassociated cbrain cdamage cis cmore csevere cin cepidural chematomas c- cANSWER cA.
cCerebral ccontusions cmay ccoalesce cto cform can cintracerebral chematoma
EM: cEpidural, cmiddle cmeningeal
cSuB: cSubdural, cBridging cveins
An c18 cyear cold cmale cis cbrought cto cthe cED cafter cbeing cshot. cHe chas cone cbullet cwound
cjust cbelow cthe cright cclavicle cand canother cjust cbelow cthe ccostal cmargin cin cthe cright
cposterior caxillary cline. cHis
, blood cpressure cis c110/60, cheart crate cof c90, cand crespiratory crate cof c34. cAfter censuring ca
cpatent cairway cand cinserting c2 clarge ccaliber cIV clines, cthe cnext cmost cappropriate cstep cis
cto:
A. Obtain ca cportable cchest cx-ray
B. Administer ca cbolus cof cadditional cIV cfluid
C. Perform ca claparatomy
D. Obtain can cabdominal cCT cscan
E. Perform cdiagnostic cperitoneal clavage c- cANSWER cA. cObtain ca cportable cchest
cx-ray cneed cmore cinfo con cchest, cnot cabdomen
Which cof cthe cfollowing cshould cbe cperformed cFIRST cin cany cpatient cwhose cinjuries cmay
cinclude cmultiple cclosed cextremity cfractures?
A. A cthorough cassessment cof cfour climb cperfusion
B. Manuevers cto cprevent cnecrosis cof cthe cskin
C. Extremity ccompartment csyndrome crelease
D. Ensuring cadequate coxygenation cand cventilation
E. Evaluation cfor coccult ccrush csyndrome c- cANSWER cD. cEnsuring cadequate
coxygenation cand cventilation
(ABC's)
A c22 cyear cold cmale csustains ca cshotgun cwound cto cthe cshoulder cand cchest cat cclose crange.
cHis cBP cis c80/40 cand cHR c130. cAfter c2 cL cof ccrystalloid csolution care crapidly cinfused, chis cBP
cincreases cto
122/84 cand cHR cdecreases cto c100. cHe cis ctachypneic cwith cRR cof c28. cOn cPE, chis cbreath
csounds care cdecreased cat cthe cleft cupper cchest cwith cdullness con cpercussion. cA clarge ccaliber
ctube
thoracostomy cis cinserted cinto cthe cfifth cintercostal cspace cwith cthe creturn cof c200 cmL cof
cblood cand cno cair cleak. cThe cmost cappropriate cnext cstep cis:
A. Insert ca cfoley ccatheter
B. Begin cto ctransfuse cO cnegative cblood
C. Perform cthoracotomy