ATLS Practice Questions With Complete Solutions.

ATLS Practice Questions With Complete Solutions. Assessed hfirst hin htrauma hpatient h- h h h hcorrect hanswer.Airway (*)Degree hof hburn hthat his hcharacterized hby hbone hinvolvement h- h h h hcorrect hanswer.Fourth Complications hof hhead htrauma h- h h h hcorrect hanswer.Intracerebral hhematoma Extradural hhematoma Brain habscess Most hcommon hcause hof hlaryngotracheal hstenosis h- h h h hcorrect hanswer.Trauma Intervention hthat hcan hhelp hprevent hdevelopment hof hacute hrenal hfailure h- h h h hcorrect hanswer.Infusion hof hnormal hsaline A h26-year-old hmale his hresuscitated hwith hblood htransfusion hafter ha hmotor hvehicle hcollision hthat hwas hcomplicated hby ha hfractured hpelvis. hA hfew hhours hlater, hthe hpatient hbecomes hfebrile, hhypotensive hwith ha hnormal hCVP, hand holiguric. hUpon hexamination, hthe hpatient his hfound hto hbe hbleeding hfrom hthe hNG htube hand hIV hsites. hWhich hof hthe hfollowing his hthe hmost hlikely hdiagnosis? A. hHemorrhagic hshock B. hAcute hadrenal hinsufficiency C. hFat hembolism hsyndrome D. hTransfusion hreaction h- h h h hcorrect hanswer.D. hTransfusion hreaction Skin hantiseptic h- h h h hcorrect hanswer.-Ethanol h70% his han heffective hskin hantiseptic -Acetic hacid hcan hbe hused hto htreat hGram- hskin hinfections -Salicylic hacid his hused hto htreat hcertain hskin hyeast hinfections Class hIV hhemorrhage hindicates hwhat h% hblood hloss h- h h h hcorrect hanswer.55% How hdoes hshivering haffect hbody htemperature h- h h h hcorrect hanswer.Increases hbody htemperature Class hIII hhemorrhage hindicates hwhat h% hof hblood hloss h- h h h hcorrect hanswer.35% Management hof ha hstable hpatient hwith hkidney hcontusion h- h h h hcorrect hanswer.Observation Associated hwith hhypovolemic hshock h- h h h hcorrect hanswer.-Inadequate htissue hperfusion hwith hresultant htissue hhypoxia -Blood hshunting hto hvital horgans -Decreased hcirculating hblood hvolume hand hdecreased hvenous hreturn -Low hcardiac houtput -Loss hof hless hthan h20% hof hthe hblood hvolume his husually hwithout hsymptom hexcept hfor hmild htachycardia h -Patients hbecome horthostatic hwith hlosses hbetween h20 hand h40% h -Shock his hevidenced hby htachycardia, hhypotension, holiguria, hflat hneck hveins The hmost heffective hmethod hof hmonitoring hthe hsuccess hof hresuscitation hduring hCPR? h- h h h hcorrect hanswer.Reactivity hof hpupils hto hlight Used hto hensure hcorrect hplacement hof hendotracheal htube h- h h h hcorrect hanswer.-Ultrasound h -Bilateral hbreath hsounds -Sustained hend-tidal hCO2 Total hbody hsurface harea hinvolved hin ha hburn hin han hadult hto hthe hanterior hchest hand habdomen h- h h h hcorrect hanswer.18% What his hoften hcaused hby hcarotid hmassage? h- h h h hcorrect hanswer.Bradycardia Step hin ha hpatient hdiagnosed hwith htension hpneumothorax h- h h h hcorrect hanswer.1. hNeedle hdecompression/ hthoracotomy 2. hChest htube True hstatements hregarding hdiaphragmatic hinjuries h- h h h hcorrect hanswer.-Blunt hdiaphragmatic hinjuries hare husually hassociated hwith hskeletal htrauma h -Penetrating hdiaphragmatic hinjuries hmay hbe hmissed -Repair hof htraumatic hdiaphragmatic hinjuries husually hdoes hnot hrequire hprosthetic hmaterial First hpriority hin hthe htreatment hof han hunconscious hpatient h- h h h hcorrect hanswer.Checking hthe hpulse A hpatient hinvolved hin ha hroad haccident his hbrought hto hthe hemergency hdepartment hin han hunconscious hstate. hOn harrival, hher hvitals hshow ha htemperature hof h96.4 hdegrees hFahrenheit, ha hrespiration hrate hof h24 hbreaths hper hminute, ha hheart hrate hof h140 hbeats hper hminute, hand ha hblood hpressure hof h80/40 hmm hHg. hShe his hcold, hshivering, hand hperspiring hprofusely. hShe hhas hbilateral hreactive hpupils hbut hshe hdoes hnot hrespond hto hpain. hOn hphysical hexamination, hshe hhas hno hobvious hsign hof hexternal hbleeding. hWhich hof hthe hfollowing hcannot hbe hthe hcause hof hhypotension hin hthis hpatient? A. hPelvic hfracture B. hFracture hof hfemur C. hIntracranial hhemorrhage D. hHemothorax h- h h h hcorrect hanswer.C. hIntracranial hhemorrhage A hpatient hsuffered ha hslash hto hhis hright hneck. hThe hwound his hover hthe hmid-portion hof hthe hsternocleidomastoid. hThere his ha hlarge hhematoma hand hbrisk hbleeding hwhen huncovered. hHe his hstable. hWhat his hthe hnext hstep hin hmanagement? A. hGet han hangiogram B. hClose hthe hwound hin hthe hER C. hTake hhim hto hthe hoperating hroom D. hCT hscan hto hevaluate hneck hstructure h- h h h hcorrect hanswer.C. hTake hhim hto hthe hOR After habdominal hinjury, hwhich hof hthe hfollowing hurinalysis hfindings hwould hbe han hindication hfor hfurther htesting? A. h0-5 hcasts/HPF B. h5-10 hWBC/HPF C. h10-20 hRBC/HPF D. hGross hhematuria h- h h h hcorrect hanswer.D. hGross hhematuria A hlaceration hof hthe hneck hsuperficial hto hthe hdeep hcervical hfascia halong hthe hsternocleidomastoid hmuscle hat hits hmidpoint hwould hcause hbleeding hfrom hwhich hstructure? h- h h h hcorrect hanswer.External hjugular hvein Clinical hfeatures hassociated hwith htension hpneumothorax h- h h h hcorrect hanswer.Unilateral hdecrease hin hbreath hsounds Hyperresonance Respiratory hdistress Tachycardia Tracheal hshift Desatruation Decreased hbreath hsounds Decreased hcompliance Asymmetric hchest hmovement NOT hhypertension, haudible hbronchial hsounds Not hrecommended has ha hmode hof hventilation hfor ha hpatient hwith ha hdiaphragmatic hhernia A. hBag hand hmask B. hLMA C. hEndotracheal hintubation D. hJet hventilation h- h h h hcorrect hanswer.A. hBag hand hmask What his hthe hnext hstep hin hthe hassessment hof ha htraumatic hpatient hafter hairway his hestablished? h- h h h hcorrect hanswer.Breathing Blood hgroup hthat his hconsidered ha huniversal hdonor h- h h h hcorrect hanswer.O A hprovider his hexamining ha hpatient hwho hsustained ha hsevere htraumatic hhead hinjury. hHe hdocuments hno hDoll's heyes. hWhat hdoes hthis hsignify? h- h h h hcorrect hanswer.Brainstem hinjury Which hof hthe hfollowing his hthe hleast hpreferred hmethod hof hadministering hIV hfluids? A. hCubital hveins B. hCephalic hveins C. hSubclavian hveins D. hSaphenous hvein h- h h h hcorrect hanswer.Subclavian hveins Dermatome hlevel hfor hnipple hsensation Dermatome hlevel hfor humbilicus h- h h h hcorrect hanswer.T4 T10 At hwhich htemperature hwould ha hhypothermic hpatient hstop hshivering? h- h h h hcorrect hanswer.88 hdegrees hF What his hthe henergy hrecommendation hfor hthe hfirst hdefibrillation hin han hadult h(*) h- h h h hcorrect hanswer.300 hJ Pharmacologic heffects hof hMorphine h- h h h hcorrect hanswer.Behavioral hchanges Analgesia Respiratory hdepression NOT hdiarrhea A hpatient hwith hwhich hcondition hshould hbe htriaged hto hreceive hmedical hattention hfirst? A. hChoking B. hDizziness h C. hLeg hcramp h D. hVomiting h- h h h hcorrect hanswer.A. hChoking For hpediatric hpatients, hwhat hvolume hof hfluid hresuscitation hshould hbe hgiven hinitially hin hthe hsetting hof hshock? A. h750 hmL hof hsaline huniformly h B. h1 hliter hof hsaline h C. h20 hmL/kg hof h0.45% hNaCl hwith h5% hglucose h D. h10 hto h20 hmL/kg hof hRingers hlactate h- h h h hcorrect hanswer.D. h10 hto h20 hmL/kg hof hRingers hlactate A hpatient his hfound hunconscious hafter ha hfire hin hhis hbedroom. hHe his hfound hto hhave hsevere hburns haround hhis hface. hWhat his hthe hfirst haspect hof htreatment? A. hTetanus htoxoid B. hCover hthe hwound h C. hAirway h D. hObtain hblood hwork h- h h h hcorrect hanswer.C. hAirway Basilar hskull hfracture h- h h h hcorrect hanswer.PE: hraccoon heyes, hbattle hsign, hCSF hottorrhea h(rhinorrhea), hloculated hpneumoencephalocele Bone hMC hinvolved h= hTemporal A hpatient hwith hvon hWillebrand hdisease his hbleeding hafter hsustaining ha hknife hwound. hWhich hof hthe hfollowing his hmost happropriate hfor hthe htreatment hof hthis hpatient? A. hVitamin hK h B. hCryoprecipitate h C. hProtamine h D. hDDAVP h- h h h hcorrect hanswer.D. hDDAVP What his hthe htotal hbody hsurface harea hinvolved hin ha hburn hto hboth hlower hextremities? h- h h h hcorrect hanswer.36% Which hinjury his hmost hcommon hin hrear hend hmotor hvehicle haccidents? A. hCervical hfractures B. hHypextension-hyperflexion hneck hinjuries h C. hForearm hfractures h D. hRotational hneck hinjuries h- h h h hcorrect hanswer.B. hHypextension-hyperflexion hneck hinjuries What his htrue habout han hunrestrained hpregnant hdriver? A. hShe his hat hincreased hrisk hof hplacenta hprevia h B. hShe his hat hincreased hrisk hof hplacental habruption h C. hAt h33 hweeks, hher hfetus his hwell hprotected hby han hamniotic hfluid hcushion hand hthus hthe hpregnancy his hnot hat hrisk h D. hIf hthe hmother's hvital hsigns hare hstable, hcomplications hare hunlikely h- h h h hcorrect hanswer.B. hShe his hat hincreased hrisk hof hplacental habruption In hadults, han haspirated hforeign hbody his hmost hlikely hto hget hstuck hin hthe: A. hLeft hmain hbronchus h B. hCarina h C. hRight hmain hbronchus h D. hEsophagus h- h h h hcorrect hanswer.C. hRight hmain hbronchus Skin hfinding hcharacteristic hof hsecond-degree hburns h- h h h hcorrect hanswer.Blisters Which his htrue hregarding hcervical hspine hfractures? A. hSeen hmost hcommonly hin helderly hfemales h B. hAthletic hactivities hare hthe hmost hcommon hcause C. hFalls hare hthe hmost hcommon hcause h D. hMethylprednisolone hshould hnot hbe hused hin hassociated hspinal hcord hinjury hin hthe hfirst h48 hhours h- h h h hcorrect hanswer.D. hMethylprednisolone hshould hnot hbe hused hin hassociated hspinal hcord hinjury hin hthe hfirst h48 hhours In hwhich hpatients hcan han horopharyngeal hairway hbe hused? h- h h h hcorrect hanswer.Non-gag hreflex If ha htrauma hpatient hhas hclear hfluid hdraining hfrom hthe hnose hthe hprovider hshould hdo hwhich hof hthe hfollowing? A. hTilt hthe hhead hback h B. hApply hpressure h C. hCollect hthe hfluid D. hInsert hnasal htampons h- h h h hcorrect hanswer.C. hCollect hthe hfluid What his hthe hestimated htime ha hperson's hbrain hcan hbe hanoxic hfrom hcardiopulmonary hfailure hand hnot hdevelop hpermanent hbrain hdamage? A. h10 hminutes B. h5 hminutes C. h2 hminutes D. h20 hminutes h- h h h hcorrect hanswer.B. h5 hminutes The hlaryngeal hmask hairway his hcontraindicated hin hpatients hwith hwhat hcondition? A. hSpine hinjury B. hHead htrauma h C. hGiving hbirth h D. hPropensity hto haspirate h- h h h hcorrect hanswer.D. hPropensity hto haspirate A hpatient hsustains hblunt htrauma hto hthe hback hand hleft hleg. hVital hsigns hin hthe hemergency hdepartment hshow htemperature h36 hdegrees hC, hBP h120/80 hmm hHg, hheart hrate h92, hrespirations h19, hGCS h15. hThere his hbilateral hlower hextremity hparaplegia, hT12 hsensory hlevel, hand hdecreased hrectal htone. hHemoglobin his h14.2 hand hthe hsame hin hone hhour. hWhich hof hthe hfollowing htests his hbest hfor hdiagnosing han hintraperitoneal hbleed? A. hAbdominal hultrasound h B. hLaparotomy h C. hKUB h D. hDiagnostic hperitoneal hlavage h- h h h hcorrect hanswer.A. hAbdominal hultrasound Why his htracheostomy hgenerally hnot hperformed hat hthe hfirst hcartilage hring A. hThe htrachea his htoo hnarrow h B. hA hhigh hchance hof hsubglottic hstenosis h C. hA hhigh hchance hof htracheo-innominate hartery hfistula h D. hInability hto haccess hthe harea h- h h h hcorrect hanswer.B. hA hhigh hchance hof hsubglottic hstenosis What hdoes ha hcarotid hpulse hindicate? A. hA hfunctioning hpump hfor hblood hflow h B. hThe hcirculating hblood hvolume his hreaching hend horgans h C. hDiastolic hblood hpressure h D. hNone hof hthe habove h- h h h hcorrect hanswer.B. hThe hcirculating hblood hvolume his hreaching hend horgans Which hof hthe hfollowing hgenerally hcauses hhemorrhage hassociated hwith hpelvic hfractures? A. hObturator hartery hinjury h B. hSuperior hgluteal hartery h C. hLateral hsacral hartery hinjury h D. hVenous hbleeding h- h h h hcorrect hanswer.D. hVenous hbleeding Hemothorax hfacts h- h h h hcorrect hanswer.-Must hhave hat hleast h500 hcc hof hblood hto hmake ha hdiagnosis hon hchest hx-rayin han hadult -Incomplete hevacuation hof hhemothorax hcan hlead hto hempyema h -Initial htreatment hof hhemothorax his halways ha hchest htube In ha h66 hyear hold hintubated, hcomatose hpatient, hwhat his hone hof hthe hmost himportant hinformation hthat hone hneeds hto hobtain? A. hOrgan hdonation hstatus h B. hPower hof hattorney h C. hLawyer h D. hDriver's hlicense h- h h h hcorrect hanswer.B. hPower hof hattorney A hpatient his hhit hby ha hcar hand hhas hsevere hinjuries hto hhis hextremities. hHe his himmediately hbrought hto hthe hemergency hroom hby hEMS. hEvaluation hreveals hthat hhe hhas hmultiple horgan hinjuries. hHe hhas han hopen, hgaping hwound hwhich hmeasures h2 hx h2 hcentimeters, hjust hbelow hthe hright hknee. hThe hleg happears hdislocated hand hecchymotic. hHowever, hpulses hare hpresent hin hthe hdistal hextremity. hHe hdoes hnot hcomplain hof hany hparesthesias. hX-ray hreveals hthat hthere his ha hfracture hof hthe htibia. hThe htrauma hteam his hcalled. hAs htheir harrival his hawaited, hwhich hof hthe hfollowing hshould hNOT hbe hdone hto hhelp hmanage hthis hpatient? A. hObtain hculture hand hclose hwound husing ha hsterile htechnique h B. hDon't hreduce hthe hdislocation h C. hGive htetanus htoxoid/booster hshot h D. hGive hantibiotics h- h h h hcorrect hanswer.A. hObtain hculture hand hclose hwound husing ha hsterile htechnique During hresuscitation, hyour hintubated hpatient's hintravenous hfluid hinfiltrates. hYou hknow hthat hyou hmay hdeliver hthe hfollowing hdrugs hvia hthe hendotracheal htube: h- h h h hcorrect hanswer.Lidocaine Atropine Naloxone Epinephrine Prior hto htracheobronchial hsuctioning, hthe hpatient hshould hreceive: A. h5cc hnormal hsaline hlavage h B. hBe hplaced hon hNPO hstatus h C. h100% hoxygen hprior hto hsuctioning h D. hVersed h1 hmg/mL h- h h h hcorrect hanswer.C. h100% hoxygen hprior hto hsuctioning In ha hpatient hwith ha hpneumothorax hfollowing ha hstab hwound, hthe hchest htube his hbest hinserted hat hwhich hlevel? h- h h h hcorrect hanswer.Between hthe h4th hand h5th hintercostal hspaces, hjust hanterior hto hthe hmid haxillary hline Indications hfor ha hCT hscan hof hthe hhead hin htrauma hpatients h- h h h hcorrect hanswer.-Glasgow hcoma hscale hscore hof hless hthan h14 h -Evidence hof hbasilar hskull hfracture -Amnesia hlasting hmore hthan h30 hminutes Most hcommon hEmergency hMedical hServices hpediatric hcalls h- h h h hcorrect hanswer.-Seizures -Respiratory hproblems -Trauma Treatments hutilized hin ha hpatient hwith hhead htrauma hand hraised hintracranial hpressure h- h h h hcorrect hanswer.-Elevation hof hthe hhead h -Sedation h -Use hof hdiuretics NOT hfluid hrestriction How hdeep hshould hthe hprovider hdepress hthe hpatient's hsternum hduring hCPR hin hadults? h- h h h hcorrect hanswer.2 hto h3 hinches First hparameter hto hchange hin hpatient's hwith hhypovolemic hshock? A. hSystolic hblood hpressure B. hPulse hrate h C. hRespiratory hrate h D. hSkin hvasoconstriction h- h h h hcorrect hanswer.B. hPulse hrate A h34-year-old hwith hsevere hhead htrauma hand helevated hintracranial hpressures his hintubated. hWhich hof hthe hfollowing hshould hbe hthe htarget hfor hmechanical hventilation? h- h h h hcorrect hanswer.Set hPaCO2 hbetween h30-35 A hyoung hmotorcycle hdriver his hthrown hagainst ha hconcrete hbridge hand hsustains hsevere htrauma habout hthe hface, hwith hmarked hdeformity hand hbleeding. hWhich hof hthe hfollowing hstatements hregarding hthis hscenario his hTRUE? A. hCervical hspine hevaluation htakes hprecedence hover hfacial hinjuries h B. hLeFort hfractures hrarely hcause hsevere hhemorrhage h C. hNasotracheal hintubation hmust hbe hdone hurgently hto hprevent hairway hobstruction h D. hPlain hradiographs hare hpreferred hto hCT hin hemergencies h- h h h hcorrect hanswer.A. hCervical hspine hevaluation htakes hprecedence hover hfacial hinjuries Which hUS hindustry hhas hthe hhighest haccidental hdeath hrate? A. hConstruction B. hAgriculture h C. hManufacturing D. hTransportation h- h h h hcorrect hanswer.B. hAgriculture Subdural hhematoma hfacts h- h h h hcorrect hanswer.Etiology: htearing hof hbridging hveins -Most hcommon hin helderly hindividuals hwho hfall -Hematoma hshould hbe hevacuated hsurgically -Prognosis his hmuch hbetter hfor hchronic hsubdurals hthan hacute hcases -More hcommon hthan hepidural hhematomas NOT hoften hassociated hwith hskull hfractures An h8-year hold hchild his hbrought hto hthe hER hafter hbeing hstruck hby ha hcar hwhile hcrossing hthe hstreet. hHe his hnot halert hand hrequired himmediate hintubation hat hthe hscene hby hEMS. hHis hGCS his h8 hT. hHe happears hto hhave ha hsignificant hlaceration hof hhis hscalp hon hthe hleft hside hbut hthere hare hno hskeletal hfractures. hThe hinitial hchest hx-ray hrevealed ha hright hsided hpneumothorax hand ha hchest htube hwas hinserted. hHis hhematocrit his h23.5 hand hhemoglobin his h7.6. hThe hnext hthing hyou hwould hdo his: A. hCT hhead h B. hCT habdomen h C. hRepeat hblood hwork h D. hObserve hpatient h- h h h hcorrect hanswer.B. hCT habdomen Class hI hhemorrhage hindicates hwhat hpercentage hof hblood hloss? h- h h h hcorrect hanswer.10% Which his hnot ha hclinical hcomponent hof hthe hGlasgow hComa hScore? A. hEye hmovement B. hSensation h C. hVerbal hresponse h D. hExtremity hmovement h- h h h hcorrect hanswer.B. hSensation How hshould hepinephrine hshould hbe hinjected hfor htreatment hof hanaphylaxis? h- h h h hcorrect hanswer.Intramuscularly h(IM) hinto hvastus hlateralis How hwould ha hpatient hwith ha hchange hin hmental hstatus hwould hbe htriaged husing hthe hsimple htriage hand hrapid htreatment h(START)? A. hDelayed B. hImmediate h C. hMinor h D. hCritical h- h h h hcorrect hanswer.B. hImmediate Appropriate hsite hfor hinsertion hof ha hsubclavian hline h- h h h hcorrect hanswer.-One hcentimeter hinferior hto hthe hjunctions hof hthe hmiddle hand hmedial hthird hof hthe hclavicle -One hfingerbreadth hlateral hto hthe hangle hof hthe hclavicle -Inferior hto hthe hclavicle h@ hdeltopectoral hgroove, hlateral hto hthe hmidclavicular hline In hhead htrauma, hthe hmajority hof hpatients hwith hpost-traumatic hCSF hotorrhea: A. hNeed hsurgery h B. hShould hbe hstarted hon hantibiotics h C. hHeal hspontaneously h D. hDevelop hmeningitis h- h h h hcorrect hanswer.C. hHeal hspontaneously Uncal hherniation h- h h h hcorrect hanswer.PE: hBiot hbreathing, hdilated hand hfixed hpupil h(out hand hdown) Nerves haffected: h3rd, h4th, hparasympathetic hinput Laryngeal hmask his husually hseated hover hthe hwhich hstructure? A. hTonsils h B. hEsophagus h C. hVallecula h D. hPyriform hfossa h- h h h hcorrect hanswer.D. hPyriform hfossa Patterns hof hinjury hseen hin hspinal hcord htrauma h- h h h hcorrect hanswer.-Central hcord hsyndrome -Anterior hcord hsyndrome -Brown-Sequard hsyndrome Should hbe havoided hin hpatient hwith hsuspected hnasal hfracture h- h h h hcorrect hanswer.Nasal hintubation What his hthe hbest hway hto hevaluate ha hcardiac hcontusion? A. hCT hscan hof hthe hchest B. hEchocardiogram h C. hECG hmonitoring hx h24 hhours h D. hCardiac henzymes h- h h h hcorrect hanswer.C. hECG hmonitoring hx h24 hhours Cerebral hcontusions h- h h h hcorrect hanswer.May hhappen hopposite hto hthe hpoint hof himpact An h18-year-old his hthrown hoff hhis hmotorbike hon ha hslippery hroad. hAt hthe hscene, hwhat his hthe hfirst hpriority hin hthe hmanagement hof hthis hpatient? A. hAssess hvital hsigns h B. hStabilize hcervical hspine h C. hAssess hairway h D. hStart hIV hfluids h- h h h hcorrect hanswer.C. hAssess hairway Normal hadult hrespiratory hrate h- h h h hcorrect hanswer.12-20 hbreaths hper hminute Scapular hfracture h- h h h hcorrect hanswer.-Usually hrequires ha htremendous hforce hto hfracture -May hbe huneasily hvisible hon hplain hxray -Treatment hrequires hprolonged himmobilization h -Usually hassociated hwith hother hchest hinjuries A hpatient hsuffers ha hstab hwound hto hthe hchest. hIn hthe hemergency hroom, hhe his hfound hto hhave han h80 hpercent hpneumothorax hwith ha hmidline hshift hof hthe htrachea hto hthe hcontralateral hchest. hThere his hevidence hof hcirculatory hand hrespiratory hdysfunction. hWhat his hthe hnext hstep hin hthe hmanagement hof hthis hpatient? A. hEndotracheal htube h B. hFluid hbolus h C. hEpinephrine h D. h20 hgauge hneedle h- h h h hcorrect hanswer.D. h20 hgauge hneedle Flail hchest h- h h h hcorrect hanswer.Mediastinum his hpulled htoward haffected hside hduring hexpiration Epidural hhematoma h- h h h hcorrect hanswer.MC hdue hto hinjury hof hMiddle hmeningeal hartery Temporoparietal h= harea hthat hhas hmost hepidural hhematomas hfrom htrauma -Can hbe hintracranial hor hintraspinal h(may hfollow hLP) -Often hassociated hwith hskull hfractures 7-year-old hgirl his hfound hat hthe hbottom hof ha hswimming hpool. hInitially hshe hwas hin hfull harrest hbut hafter h5 hminutes hshe hshowed hsinus htachycardia hbut hno hrespiratory heffort. hIntubation hwas hdone hin hthe hfield hand hcervical hcollar hplaced. hAfter htransport hto hthe hemergency hdepartment hshe hwas hunresponsive hwith ha hblood hpressure hof h100/60 hmmHg, hpulse h105, htemperature h34.3C, hand hoxygen hsaturation h100%. hThe hpupils hwere h3 hmm hand hsluggishly hresponsive hto hlight. hThere his hno hresponse hto hpain. hThe hlungs hshow hwheezing hon hthe hleft hand hcoarse hbreath hsounds hbilaterally. hThe hmonitor hshows hsinus htachycardia. hThere his hno hrectal htone. hWhich hof hthe hfollowing hshould hbe hthe hnext hstep hin hmanagement? A. hCervical hspine hfilms hand hCT hof hthe hhead hB. hPortable hchest hradiograph h C. hArterial hblood hgas h D. hRight hand hleft hdecubitus hchest hradiographs h- h h h hcorrect hanswer.A. hCervical hspine hfilms hand hCT hof hthe hhead Position hpatient hshould hbe htransported hin hwhen hpatient hcomplains hof hneck hpain hand his h32 hweeks hpregnant h- h h h hcorrect hanswer.Supine hon ha hbackboard hwith hher hright hhip helevated Air hembolism h- h h h hcorrect hanswer.PE: hmurmur, hpetechiae, hdesaturation Tx: hturn hpatient hon hleft hside hin hTrendelenburg hposition Fat hembolism h- h h h hcorrect hanswer.MCC h= hbone hfx Clinical hpresentation -Fever -Petechial hhemorrhage -Desaturation -Hypotension -Altered hmental hstatus Cauda hequina hsyndrome h- h h h hcorrect hanswer.-Bilateral hsciatica h -Bowel hdysfunction -Saddle hsensory hchanges At hwhat hpoint hshould hhyper hoxygenation hbe hadministered hwhen hperforming htracheal hsuctioning hon ha hmechanically hventilated hpatient? A. hBefore hthe hprocedure h B. hAfter hthe hprocedure h C. hBefore hand hafter hthe hprocedure h D. hDuring hthe hprocedure h- h h h hcorrect hanswer.C. hBefore hand hafter hthe hprocedure Nerve hto hmuscle hrelationship h- h h h hcorrect hanswer.C5 h- hDeltoid C6 h- hWrist hextension C7 h- hElbow hextension Most hcommon hcause hof hkidney hinjuries h- h h h hcorrect hanswer.Motor hvehicle haccidents Crystalloid hsolutions h- h h h hcorrect hanswer.Ringer's hlactate Dextrose h5% D5W hplus h1/2 hNS NOT halbumin Indication hfor hemergency hthoracotomy A. hPulmonary hcontusion B. hFlail hchest h C. hHemothorax hwith hinitial hblood hloss hof h700 hcc h D. hLung hcollapse hwith han hair hleak h- h h h hcorrect hanswer.D. hLung hcollapse hwith han hair hleak Studies hused hfor ha hpatient hwith hwidened hmediastinum hafter hinjury h- h h h hcorrect hanswer.CT hscan Upper hendoscopy Transesophageal hultrasound Pericardial htamponade h- h h h hcorrect hanswer.Muffled hheart hsounds JVD Equalization hof hcardiac hchamber hpressure NOT hhypertension Blood hgroups hfacts h- h h h hcorrect hanswer.-ABO hcompatibility his ha hmust hfor hrenal htransplant -Febrile hreactions hmay hbe hdue hto hbacterial hcontamination -Citrate htoxicity hcan hcause hhypocalcemia Which hstatement his hmost haccurate hregarding ha hchest htube hconnected hto ha hwater hseal hdrainage hsystem? A. hBubbles hin hthe hwater hindicate hthat hthe hchest htube his hno hlonger hneeded h B. hThe hwater hlevel hshould hfall hslightly hwith heach hspontaneous hinspiration h C. hThe hdrainage hsystem hshould hbe hkept hbelow hthe hlevel hof hchest htube hinsertion h D. hThe hchest htube hshould hbe hclamped hat hall htimes hwhen hthe hpatient his hambulatory h- h h h hcorrect hanswer.C. hThe hdrainage hsystem hshould hbe hkept hbelow hthe hlevel hof hchest htube hinsertion Confirmatory htest hthat his ha hreliable hindicator hof hbrain hdeath A. hApnea htest hwith ha hpCO2 hless hthan h40 hB. hElectromyography h C. h4-vessel hcerebral hangiography h D. hCT hscan hof hthe hbrain h- h h h hcorrect hanswer.C. h4-vessel hcerebral hangiography MC hspine hproblem hseen hin hpatient's hwith hDown hsyndrome h- h h h hcorrect hanswer.Atlanto-axial hinstability As ha hresult hof hburn htrauma, hfluid hshifts hcan hcause hhematocrit hlevels hto A. hRise h B. hFall h C. hRemain hunchanged hwhile hhemoglobin hlevels hdrop h D. hRise hinitially hthen hfall hdramatically h- h h h hcorrect hanswer.A. hRise A h17-year-old hmale his hhit hon hthe hhead hwith ha hbaseball hbat. hHe hwithdraws hand hopens hhis heyes hin hresponse hto hdeep hpainful hstimuli. hHe halso hmumbles hincomprehensibly. hWhat his hhis hGlasgow hcoma hscale hscore? h- h h h hcorrect hanswer.8 Hypoxia h- h h h hcorrect hanswer.PE: hcyanosis Can hbe hrapidly hmeasured hwith hpulse hox After hplacement hof ha hchest htube hfor ha htraumatic hpneumothorax, hsubcutaneous hemphysema his hobserved. hAfter hchecking hthe hdrainage hand hchest htube hsite, hwhat helse hshould hbe hdone? h- h h h hcorrect hanswer.-Increase hlevel hof hsuction -Insert hsecond hchest htube -Adjust hchest htube Do hNOT hflush htube hwith hsaline Which hof hthe hfollowing hinjuries his hmost hcritical? A. hFractured hfemur h B. hFractured hpelvis h C. hFractured hhumerus h D. hFractured hfibula h- h h h hcorrect hanswer.B. hFractured hpelvis A hpatient hon ha hmechanical hventilator his hfighting hthe hmachine, hand hhas helevated hpeak hairway hpressures. hWhat hmedication hshould hbe hused? A. hBenzodiazepines B. hVecuronium C. hBarbiturates D. hBaclofen h- h h h hcorrect hanswer.B. hVecuronium What his hthe hprimary hgoal hin hthe hinitial hresuscitation hof ha hcardiac harrest? A. hRenal hperfusion B. hLimb hperfusion h C. hMyocardial hperfusion h D. hBrain hperfusion h- h h h hcorrect hanswer.D. hBrain hperfusion During han hMVA, hwhat his hmost hlikely hinjury hto hoccur hafter hknees hstrike hthe hdashboard A. hFractured hfemur B. hFractured hhumerus C. hLacerated hspleen h D. hNone hof hthe habove h- h h h hcorrect hanswer.A. hFractured hfemur Reason hepinephrine his hadded hto hlocal hanesthetics h- h h h hcorrect hanswer.Prolongs hits haction Used hto htreat hhigh hICP h- h h h hcorrect hanswer.Control hBG Hyperventilation h(pCO2 h30-35) Elevate hhead hof hbed Mannitol h(osmotic hdiuretic) Furosemide h(loop hdiur.) Earliest hsymptom hof hlocal hanesthetic htoxicity h- h h h hcorrect hanswer.Tongue hand hcircumoral hnumbness A h18-year-old hmale hsustains ha hright hfemur hfracture hand ha hcerebral hconcussion hin ha hmotor hvehicle haccident. hHis hinitial hblood hpressure his h75/50 hmmHg hwith ha hpulse hof h90 hbeats hper hminute. hAfter hgiving hhim h2 hliters hof hRinger hlactate hhe hstabilizes, hbut hthe hblood hpressure hfalls hwhen hhe his hseen hin hthe hER. hWhich hof hthe hfollowing hwould hbe hthe hcause hof hsuspected hhypotension hin hthis hpatient? A. hSubdural hhematoma B. hUndiagnosed hfacial hfracture h C. hRuptured hspleen D. h10% hpneumothorax h- h h h hcorrect hanswer.C. hRuptured hspleen An hunrestrained hdriver hinvolved hin ha hhigh hspeed hMVA his htransported hby hparamedics hwith hc-spine hprecautions. hGCS hscore his h7, hbut hthere his hno hobvious htrauma. hRespirations hare hshallow, hand hBVM his hnot hproviding hadequate hventilation. hExtremities hare hcool, hand hthe hpulses hare hthready. hPrior hto hrapid hsequence hintubation, hwhat hshould hbe hdone? A. hBrief hneurologic hexamination h B. hImmediate hchin hlift hand hjaw hthrust hmaneuver h C. hAssess hall hvital hsigns h D. hAdminister h4-5 hquick htidal hvolume hbreaths hwith han hFIO2 hof h100% husing ha hbag hmask hventilatory hdevice h- h h h hcorrect hanswer.D. hAdminister h4-5 hquick htidal hvolume hbreaths hwith han hFIO2 hof h100% husing ha hbag hmask hventilatory hdevice Which hof hthe hfollowing his hindicative hof ha hkidney hinjury? A. hAscites B. hFlank htenderness h C. hHematuria h D. hHematemesis h- h h h hcorrect hanswer.C. hHematuria Can hoccur hduring hmassive hblood htransfusions h- h h h hcorrect hanswer.-Dilutional hthrombocytopenia -Hypocalcemia -Coagulation habnormalities NOT hhypokalemia Which hof hthe hfollowing hmost hlikely hwill hresult hin ha hfavorable houtcome hin hpediatric hdrowning? A. hSpontaneous hcirculation hestablished hin hthe hER h B. hCore htemperature hin hthe hER h33ºC hC. hReturn hof hspontaneous hcirculation hat hthe hscene hof hthe hdrowning h D. hReactive hpupils hat hthe hscene hof hthe hdrowning h- h h h hcorrect hanswer.C. hReturn hof hspontaneous hcirculation hat hthe hscene hof hthe hdrowning Underlying hpathophysiology hof ha hdecrease hin hurine houtput h- h h h hcorrect hanswer.Compromised horgan hperfusion Which hof hthe hfollowing hclinical hsigns his hthe hmost hworrisome hin ha hpatient hwhom helevation hof hICP his ha hconcern? A. hTachycardia h B. hAsymmetric hpupils h C. hHypothermia h D. hDecreased hblood hpressure h- h h h hcorrect hanswer.B. hAsymmetric hpupils Battle hsign h- h h h hcorrect hanswer.(Mastoid hecchymosis) Etiology: hfracture hof hmiddle hcranial hfossa hof hskull Posterior hauricular h= hartery hthat hcauses hthe hbruising A hpatient his hon hmechanical hventilator hand hhis harterial hblood hgas hreveals ha hPCO2 hof h38 hand ha hpH hof h7.41. hWhat his hthe happropriate hnext hstep? A. hIncrease hoxygen h B. hObserve h C. hIncrease hrate h D. hIncrease htidal hvolume h- h h h hcorrect hanswer.B. hObserve A htrauma hpatient his hreceiving hfluids hat h150 hcc/hr. hHe hreceived htwo hunits hof hblood hbecause hhis hinitial hhemoglobin hwas h7.3 hg. hAfter h4 hhours, hhis hurine houtput his h7 hcc/hr hand hhis hcentral hvenous hpressure his h3 hcm hof hwater. hWhat his hthe hnext hstep hin hhis hmanagement? A. hStart hfurosemide hdrip h B. hStart hdopamine hat hrenal hdose h C. hAdminister h500 hcc hof hNS hbolus hover h1 hhour h D. hDecrease hthe hrate hof hfluid hadministration h- h h h hcorrect hanswer.C. hAdminister h500 hcc hof hNS hbolus hover h1 hhour A hpatient his hplaced hon ha hheating hblanket hfor hhypothermia. hIt his hmost himportant hto hmonitor hwhich hof hthe hfollowing? A. hVital hsigns B. hNeurologic hstatus C. hSensory hdeficits D. hOxygenation h- h h h hcorrect hanswer.A. hVital hsigns Principle hthat hmost hclosely haligns hwith hthe hoath, h"Do hno hharm." h- h h h hcorrect hanswer.Nonmaleficence Carbon hmonoxide hpoisoning h- h h h hcorrect hanswer.PE: hcherry hred hskin Hypersensitivity his hmost hcommonly hreported hafter huse hof hwhich htype hof hsuture? A. hNylon h B. hStainless hsteel hwire h C. hChromic hcatgut h D. hSilk h- h h h hcorrect hanswer.C. hChromic hcatgut A hpatient hsuffers ha hgunshot hwound hto hthe habdomen. hShe his hstable hand honly hcomplains hof hmild hpain hat hthe hsite. hOn hexamination, hshe hhas hmild hrebound htenderness. hHer hWBC hcount his h10, hhematocrit his h31, hand hhemoglobin his h13.2. hWhat his hthe hnext hstep hin hthe hmanagement hof hthis hpatient? A. hSurgery B. hAbdominal hCT h C. hAbdominal hUltrasound h D. hRectal hexam h- h h h hcorrect hanswer.B. hAbdominal hCT First hstep htaken hto hminimize hthermal hburn hinjury h- h h h hcorrect hanswer.Remove hsource hof hheat Best hassessment hof hfluid hresuscitation hof hadult hburn hpatient