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Which of the following is the recommended Method for
treatment frostbite?
A. Vasodilators
B. Anticigulants
C. Warm (40 degrees) water
D. Padding and elevation
E. Application of heat from a hairdryer - ANSWER-C.
Warm (40 degrees) water
,Which of the following physical findings suggest a cause
of hypotension other than spinal cord injury?
A. Priapism
B. Bradycardia
C. Diaphragmatic breathing
D. Presence of deep tendon reflexes
E. Ability to flex forearms but not extend them - ANSWER-
D. Presence of deep tendon reflexes. Spinal shock refers
to loss of muscle toe (flaccidty) and loss of reflexes.
The primary indication for transferring A patient to a higher
level trauma center is:
A. Unavailibility of surgeon or operating staff
B. Multiple system injuries, including severe head injury
,C. Resource limitations as determined by the transferring
doctor
D. Resource limitations as determined by the hospital
administration
E. Widened mediastinum on chest x-ray following blunt
trauma - ANSWER-C. Resource limitations as determined
by the transferring doctor
A young man sustains a rifle wound to the mid-abdomen.
He is brought promptly to the ED by prehospital personnel.
His skin is cool and diaphoretic, and his systolic blood
pressure is 58mmHg. Warmed crystalloid fluids are
initiated without improvement in his vital signs. The next,
most appropriate, step is to perform:
A. a laparotomy
, B. An abdominal CT-scan
C. Diagnostic laparoscopy
D. Abdominal ultrasonography
E. A diagnostic peritoneal lavage - ANSWER-A.
Laparotomy because of hemodynamic abnormality
A 42-year-old man is trapped from the waist down beneath
his overturned tractor for several hours before medical
assistance arrives. He is awake and alert until just before
arriving in the ED. He is now unconscious and responds
only to painful stimuli by moaning. His pupils are 3mm in
diameter and symmetrically reactive to light. Prehospital
personnel indicate that they have not seen the patient
move either of his lower extremities. On examination in the
ED, no movement of his lower extremities are detected,