A 22 yo male is brought to the ED after being assaulted in a bar. On intial exam, his vital
signs are normal and his Glasgow Coma scale is V5E4M6. A definite indication for a head
CT is
a. prescence of hemotympanum
b. complains of headache
c. prescense of 10cm scapl laceration
d. prescence of mandibular fracture
e. history of assault
Give this one a try later!
a. prescence of hemotympanum
an 18yo male is brought to the emergency department after being dumped by a large
wave while surfing. He landed head first on the firm beach sand. His vital signs are blood
,pressure 85/60 mmHg, heart rate 60, and respiratory rate 18; he is unable to move his
lower extremities. He appears calm and asks if he will ever walk again. The most
appropriate next step is to:
a. reassure patient that he will walk again
b. proceed to a more detailed neuro exam
c. obtain c spin xrays
d. begin infusion of vasopressors
e. begin bolus of warm IV crystalloid
Give this one a try later!
e. begin bolus of warm IV crystalloid
a 40 yo obese patient with a GCD of V2E2M4 requires a CT scan. Before transfer to the
scanner, you should
a. give more sedative drugs
b. insert a multi lumen esophageal airway
c. obtain a definitive airway
d. request cervical spine film
e. insert a NG tube
Give this one a try later!
c. obtain a definitive airway
A 15 year old is brought to the ED after being involved in a MVA. He was intubated by
emergency medical personnal with subsequent bilateral breath sounds per their report.
Upon arrival to the ED the patients O2 saat is 92%, heart 96, and blood pressure 150/85.
Breath sounds are decreased in the left side of the thorax. The next step is
a. immediate needle cricothyroidotomy
, b. immediate needle thoracentesis
c. chest tube insertion
d. reassess the position of the endotracheal tube
e. obtain a chest CT
Give this one a try later!
d. reassess the position of the endotracheal tube
A 28 year olf male is brought to the ED. He was involved in a fight, during which he was
beaten with a wooden stick. His chest shows multiple severe bruises. His arway is clear,
resp rate is 22, hear rate 126, and systolic blood pressure is 90 mmHG. Which of the
following should be performed during the primary survey
a. glasgow coma
b. tetanus status
c. cervical spine xray
d. blood alcohol level
e. rectal exam
Give this one a try later!
a. glasgow coma
A 22 year old male present following a motorcycle crash. He complains of the inability to
move his legs. His BP is 80/50, HR 70, RR 18 and GCS 15. Oxygen saturation is 99% on 21
nasal prongs. Chest x-ray, pelvic x-ray and FAST are normal. Extremities are normal. His
management should be:
A: 1L of iv . crystalloid and two units of pRBCs
B. 1L of iv. crystalloid, mannitol and iv steroids
C. 1 unit of albumin and compression stockings
signs are normal and his Glasgow Coma scale is V5E4M6. A definite indication for a head
CT is
a. prescence of hemotympanum
b. complains of headache
c. prescense of 10cm scapl laceration
d. prescence of mandibular fracture
e. history of assault
Give this one a try later!
a. prescence of hemotympanum
an 18yo male is brought to the emergency department after being dumped by a large
wave while surfing. He landed head first on the firm beach sand. His vital signs are blood
,pressure 85/60 mmHg, heart rate 60, and respiratory rate 18; he is unable to move his
lower extremities. He appears calm and asks if he will ever walk again. The most
appropriate next step is to:
a. reassure patient that he will walk again
b. proceed to a more detailed neuro exam
c. obtain c spin xrays
d. begin infusion of vasopressors
e. begin bolus of warm IV crystalloid
Give this one a try later!
e. begin bolus of warm IV crystalloid
a 40 yo obese patient with a GCD of V2E2M4 requires a CT scan. Before transfer to the
scanner, you should
a. give more sedative drugs
b. insert a multi lumen esophageal airway
c. obtain a definitive airway
d. request cervical spine film
e. insert a NG tube
Give this one a try later!
c. obtain a definitive airway
A 15 year old is brought to the ED after being involved in a MVA. He was intubated by
emergency medical personnal with subsequent bilateral breath sounds per their report.
Upon arrival to the ED the patients O2 saat is 92%, heart 96, and blood pressure 150/85.
Breath sounds are decreased in the left side of the thorax. The next step is
a. immediate needle cricothyroidotomy
, b. immediate needle thoracentesis
c. chest tube insertion
d. reassess the position of the endotracheal tube
e. obtain a chest CT
Give this one a try later!
d. reassess the position of the endotracheal tube
A 28 year olf male is brought to the ED. He was involved in a fight, during which he was
beaten with a wooden stick. His chest shows multiple severe bruises. His arway is clear,
resp rate is 22, hear rate 126, and systolic blood pressure is 90 mmHG. Which of the
following should be performed during the primary survey
a. glasgow coma
b. tetanus status
c. cervical spine xray
d. blood alcohol level
e. rectal exam
Give this one a try later!
a. glasgow coma
A 22 year old male present following a motorcycle crash. He complains of the inability to
move his legs. His BP is 80/50, HR 70, RR 18 and GCS 15. Oxygen saturation is 99% on 21
nasal prongs. Chest x-ray, pelvic x-ray and FAST are normal. Extremities are normal. His
management should be:
A: 1L of iv . crystalloid and two units of pRBCs
B. 1L of iv. crystalloid, mannitol and iv steroids
C. 1 unit of albumin and compression stockings
