yi Questions and Verified Answers yi yi yi yi
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1. Which of the followin is the recommended Method for trestemt frostbite?
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A. Vasodilators
B. Antici ulants yi
C. Warm (40 de rees) water
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D. Paddin and elevation yi yi yi
E. Application of heat from a hairdryer: yi yi yi yi yi
yi Answer> C.Warm (40 de rees) water
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2. Which of the followin physical findin s su est a cause of hypotension other than
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yi spinal cord injury?
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A. Prispism
B. Bradycardia
,C. Diaphra matic breathin yi yi yi
D. Presence of deep tendon reflexes yi yi yi yi
E. Ability to flex forearms but not extend them
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Answer>: D. Presence of deep tendon reflexes.Spinal shock refers to loss of muscle toe
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(flaccidty) and loss of reflexes.
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3. The primary indication for transferrin A patient to a hi her level trauma center is:
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A. Unavailibility of sur eon or operatin staff yi yi yi yi yi yi yi
B. Multiple system injuries, includin severe head injury yi yi yi yi yi yi yi
C. Resource limitations as determined by the transferrin doctor yi yi yi yi yi yi yi yi
D. Resource limitations as determined by the hospital administration
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E. Widened mediastinum on chest x-ray followin blunt trauma:
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Answer> C.Resource limitations as determined by the transferrin doctor (MÅ SJEKKES)
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4. A youn man sustains a rifle wound to the mid-abdomen. He is brou ht promptly to
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the ED by prehospital personnel. His skin is cool and diaphoretic, and his systolic blood
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yi pressure is 58mmH .Warmed crystalloid fluids are initiated without improvement in
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yi his vital si ns.The next, most appropriate, step is to perform:
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A. a laparotomy
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B. An abdominal CT-scan
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C. Dia nostic laparoscopy
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,D. Abdominal ultrasono raphy yi yi
E. A dia nostic peritoneal lava e:
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yi Answer> A.Laparotomy because of hemodynamic ab- normality
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5. A 42-year-old man is trapped from the waist down beneath his overturned tractor
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yi for several hours before medical assistance arrives. He is awake and alert until just
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before arrivin in the ED.He is now unconscious and responds only to painful stimuli by
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yi moanin . His pupils are 3mm in diameter and symmetrically reactive to li ht.
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Prehospital personnel indicate that they have
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not seen the patient move either of his lower extremities. On examination in the ED, no
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yi movement of his lower extremities are detected, even in response to painful stimuli.The
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yi most likely cause for this findin is:
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A. An epidural hematoma yi yi
B. A pelvic fracture yi yi
C. Central cord syndrome yi yi
D. Intracerebral hemorrha e yi yi
E. Bilateral compartment syndrome: yi yi
yi Answer> DMÅ SJEKKES yi yi yi
6. A 6-year-o boy is struck by an automobile and brou ht to the ED. He is lethar ic,but
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, withdrawspurposefullyfrom painful stimuli.His blood pressure is 90mmH systolic,
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yi heart rate 140 beats per minute and his respiratory rate is 36 breaths per minute.The
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yi preferred route of venous access in this patient is:
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A. Percutaneous femoral vein cannulation yi yi yi
B. Cutdown on the saphenous vein at the ankle yi yi yi yi yi yi yi
C. Intraosseous catheter placement in the proximal tibia yi yi yi yi yi yi
D. Percutaneous peripheral veins in the upper extremities yi yi yi yi yi yi
E. Central venous access via the subclavian or internal ju ular vein:
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yi Answer> D.Percu- taneous peripheral veins in the upper extremities
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7. A youn man sustains a unshot wound to the abdomen and is brou ht promptly to the
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ED by prehospital personnel. His skin is cool and diaphoretic, and he is confused. His pulse
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yi is thready and his femoral pulse is only weakly palpable.The definitive treatment in
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yi mana in this patient is to:
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A. Administer O-ne ative blood yi yi yi
B. Apply external warmin devices yi yi yi yi
C. Control internal hemorrha e operatively yi yi yi yi
D. Apply a pneumatic antishock arment (PAS )
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E. Infuse lar e volumes of intravenous crystalloid solutions.:
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yi Answer> C.Control internal hemorrha e operatively
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