IPAP EMED-5 Tintinalli | 100% Correct Answers | Verified | Latest 2024 Version

Which of the following is not part of "the primary survey" in trauma patients? (A) Airway assessment (B) Breathing assessment (C) Circulation assessment (D) Digital rectal examination (E) Exposure - The answer is D (Chapter 250). The goal of the primary survey is to identify immediate life threats and to stabilize them. The airway, breathing, circulation, disability (gross neurologic deficit), and exposure of the patient are the aspects of the physical exam in the primary survey. Which of the following is part of the National Emergency X-ray Utilization Study (NEXUS) criteria for clearing a cervical spine? (A) Able to rotate the neck 45 degrees in either direction without pain (B) Age less than 65 years (C) Ambulatory at the scene (D) No evidence of trauma above the clavicles (E) No midline cervical spine tenderness to palpation - The answer is E (Chapter 250). The National Emergency X-ray Utilization Study investigated criteria for clearing the cervical spine without cervical spine radiography. These criteria are no midline cervical spine tenderness to palpation, no focal neurological deficit, a normal mental status, no intoxication, and no painful distracting injuries. The ability to rotate the neck, being younger than 65 years, and ambulatory at the scene are all parts of the Canadian Cervical Spine Rule. The lack of evidence of trauma above the clavicle is not part of the NEXUS criteria