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A patient is brought to the hospital with no surgical capabilities following head
trauma. He is intubated due to compromised mental status. His BP on arrival is
155/82, heart rate 100. Shortly after arrival his BP is found to be 220/120 with a
heart rate of 53. Which of the following is TRUE regarding this patient's condition?
a. The bradycardia is a sign of neurogenic shock
b. The change in BP and HR may indicate imminent herniations from critically high
ICP
c. The change in BP is reflective of worsening pre existing HTN
d. The change in vital signs should prompt burr hole drainage of potential
subdural hematoms - Correct Answer -b. The change in BP and HR may indicate
imminent herniations from critically high ICP
Initial treatment of frostbite injuries involve
a. application of dry heat
b. rapid rewarming of body part
c. debridement of hemorrhagic blisters
d. early amputation to prevent septic complications
e. application of bulk dressing to rewarm the part - Correct Answer -b. rapid
rewarming of body part
,Signs and symptoms of airway compromise include all of the following, EXCEPT:
A. change in voice
B. Stridor
C. Tachypnea
D. Dyspnea and agitation
E. Decreased pulse pressure - Correct Answer -E. Decreased pulse pressure
Which of the following statements is TRUE regarding a pregnant patient who
presents following blunt trauma?
a. fetal distress may be an early sign of maternal blood loss
b. a hemoglobin level of 10 indicates blood loss
c. cardiac output will be decreased due to decreased circulating plasma volume
d. wearing lap belt only is the best form of restraint due to the size of the gravid
uterus
e. normal PaCO2 provides reassurance about the adequacy of the resp function -
Correct Answer -a. fetal distress may be an early sign of maternal blood loss
A 30 year old female is brought to the ED after being injured in a motor vehicle
crash. Her initialt BP is 90/60mmHg, and her HR is 122bpm. She responds to rapid
infusion of 1L crystalloid solution with a rise in her BP to 118/88 and decrease in
, her HR to 90bpm. Her pressure suddenly decreased to 96/66. The least likely
cause of her hemodynamic change is:
A. Ongoing blood loss
B. Blunt cardiac injury
C. Traumatic brain injury
D. Inadequate resuscitation.
E. Tension pneumothorax - Correct Answer -C. Traumatic brain injury
Limb threatening extremity injuries
a. require a tourniquet
b. are characterized by the presence of ischemic or crushed tissue
c. should be definitively managed by application of traction splint
d. are rarely present without an open wound
e. indicated a different order of priorities for the patient's initial assessment and
resuscitation - Correct Answer -b. are characterized by the presence of ischemic or
crushed tissue
A 29 year old female arrives in the ED after being involved in a motor vehicle
crash. She is 30 weeks pregnant. She was restrained with a lap and shoulder belt,
and an airbag deployed. Which one of the following statement best decribes the
risk of injury?
A. Deployment of the airbag increased the risk of fetal loss