Whydisdadmeasuredofdserumdlactatedobtaineddindthedinitialdassessmentdofdthedtraumadpatient?
Answer:dcd-dCORRECTdANSWER-a)dtodmeasuredoxygenationdanddventilation
b) todquantifydthedbaseddeficitdfordthedadequacydofdcellulardperfusion
c) *todgaugedend-organdperfusiondanddtissuedhypoxiad**
d) toddeterminedthedunderlyingdcausedofdshock
Adtraumadpatientdisdrestlessdanddrepeatedlydaskingd"wheredamdI?"dvitaldsignsdupondarrivaldweredBPd1
00/60dmmdHg,dHRd96dbeats/min,danddRRd24dbreaths/min.dHerdskindisdcooldandddry.dCurrentdvitaldsig
nsdaredBPd104/84mmdHg,dHRd108,dRRd28dbreaths/min.dThedpatientdisddemonstratingdsignsdanddsym
ptomsdofdwhichdstagedofdshock?
Answer:dAd-dCORRECTdANSWER-A)dcompensatedd**
B) Progressive
C) irreversible
D) decompensated
Andelderlydpatientdwithdadhistorydofdanticoagulantdusedpresentsdafterdadfalldatdhomedthatdday.dshedde
niesdanydlossdofdconsciousness.dShedhasdadhematomadtodherdforeheaddanddcomplainsdofdheadache
,ddizziness,danddnausea.dWhichdisdadmostdlikelydcausedofdherdsymptoms?
Answer:dDd-dCORRECTdANSWER-A)depiduraldhematoma
B) diffusedaxonaldinjury
C) post-concussivedsyndrome
D) subduraldhematomad***
EMSdbringsdadpatientdwhodfelldridingdhisdbicycle.dUsingdthedAmericandCollegedofdSurgeonsdscreenin
gdguidelines,dwhichdassessmentdfindingdwoulddpromptdthednursedtodpreparedthedpatientdfordradiolog
icdspinedclearance?
Answer:dDd-dCORRECTdANSWER-A)dAlertdwithdnodneurologicddeficits
B) Multipledabrasionsdtodthedextremities
C) Multipledrequestsdofdwater
D) Smelldofdalcoholdondbreathd***
Whichdofdthedfollowingdoccursdduringdthedthirddimpactdofdadmotordvehicledcrash?
Answer:dCd-dCORRECTdANSWER-A)dTheddriverdofdthedvehicledcollidesdwithdthedsteeringdwheel
B) thedvehicledcollidesdwithdadtree
, C) thedaortadisdtorndatditsdattachmentdwithdthedligamentumdarteriosum
D) thedairbagddeploysdanddstrikesdthedfrontdseatdpassengerd***
Adpassengerdisdbroughtdtodthedemergencyddepartmentdofdadruraldhospitaldfollowingdadhigh-
speeddMVC.dWhendsignificantdabdominaldanddpelvicdinjuriesdarednoteddindthedprimarydsurvey,
dwhichdofdthedfollowingdisdthedprioritydinterventions?
Answer:dAd-dCORRECTdANSWER-A)dinitiatedtransferdtodadtraumadcenterd**
B) providedreportdtodthedoperatingdroomdnurse
C) Obtaineddimagingdstudies
D) Placedadgastricdtube
WhichdofdthedfollowingdinjuriesdisdLEASTdlikelydtodbedpromptlydidentified?
Answer:dCd-dCORRECTdANSWER-A)dspleen
B) lung
C) boweld***
D) brain
Patientsdwithdadcrushdinjurydshoulddbedmonitoreddfordwhichdofdthedfollowingdconditions?
Answer:dCd-dCORRECTdANSWER-A)dHypernatremia
B) Hypercalcemia
C) Dysrhthmiasd**
D) polyuria
Whatdfindingdraisesdsuspiciondofdcompletedspinaldcorddinjury?
Answer:dBd-dCORRECTdANSWER-A)dWeaknessdindthedlowerdextremities
B) Priapismd***
C) voluntarydanaldsphincterdtone
D) intactdreflexesddistaldtodthedinjury
Adpatientdwithdadcompletedspinaldcorddinjurydindneurogenicdshockdwillddemonstratedhypotensiondan
ddwhichdotherdclinicaldsigns?
Answer:dDd-dCORRECTdANSWER-A)dBradycardiadanddipsilateraldabsencesdofdmotordfunction
B) Tachycardiadanddrespiratoryddepression
C) Tachycardiadanddabsentdmotordfunctiondbelowdthedleveldofdinjury
D) Bradycardiadanddabsentdmotordfunctiondbelowdthedleveldofdthedinjuryd***
Ad5-
yeardolddchilddpresentsdtodthedEDdwithdbruisesdtodthedupperdarmsdanddbuttocksdindvariousdstagesdofd