300+ ACTUAL EXAM QUESTIONS AND CORRECT
ANSWERS | A GRADE
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Terms in this set (304)
A 22-year-old man is re-examine the chest
hypotensive and tachycardic
after a shotgun wound to
the left shoulder. His blood
pressure is initially 80/40
mm Hg. After initial fluid
resuscitation his blood
pressure increases to 122/84
mm Hg. His heart rate is
now 100 beats per minute
and his respiratory rate is 28
breaths per minute. A tube
thoracostomy is performed
for decreased left chest
breath sounds with the
return of a small amount of
blood and no air leak. After
chest tube insertion, the
most appropriate next step
is:
,A construction worker complete spine x-ray series
falls two stories from a
building and sustains
bilateral calcaneal
fractures. In the
emergency department, he
is alert, vital signs are
normal, and he is
complaining of severe pain
in both heels and his lower
back. Lower extremity
pulses are strong and there
is no other deformity. The
suspected diagnosis is most
likely to be confirmed by:
Which of the following is Evidence of improved perfusion after fluid resuscitation
true regarding the initial could include improvement in Glasgow Coma Scale score
resuscitation of a trauma on reevaluation.
patient?
In managing a patient with a secure the airway
severe traumatic brain injury,
the most important initial
step is to:
An ABG would demonstrate a base deficit between -6 and -10
mEq/L.
A previously healthy, 70kg
(154-pound) man suffers an
estimated acute blood loss of
2 liters. Which one of the
following statements applies
to this patient?
,The physiological increasing the volume of blood loss to produce maternal
hypervolemia of pregnancy hypotension
has clinical significance in the
management of the severely
injured, gravid woman by:
The best assessment of urinary output of 0.5 mL/kg/hr
fluid resuscitation of the
adult burn patient is:
The diagnosis of shock must evidence of inadequate organ perfusion
include:
A 7-year-old boy is brought direct pressure on the wound
to the emergency
department by his parents
several minutes after he fell
through a window. He is
bleeding profusely from a 6-
cm wound of his medial right
thigh.
Immediate management
of the wound should
consist of:
cerebral vasoconstriction with diminished perfusion
For the patient with severe
traumatic brain injury,
profound hypocarbia should
be avoided to prevent:
, After being involved in a perform an exploratory laparotomy
motor vehicle crash, a
25year-old man is brought to
a hospital that has surgery
capabilities available..
Computed tomography of
the chest and abdomen
shows an aortic injury and
splenic laceration with free
abdominal fluid. His blood
pressure falls to 70 mm Hg
after CT. The next step is:
Which one of the following Leakage of amniotic fluid is an indication for hospital admission.
statements regarding
abdominal trauma in the
pregnant patient is TRUE?
administer supplemental oxygen
The first maneuver to
improve oxygenation after
chest injury is: