Which one of the following should be performed first in any patient
whose injuries may include multiple closed extremity fractures?
A. A thorough assessment of four limb perfusion
B. Maneuvers to prevent necrosis of the skin
C. Extremity compartment syndrome release
D. Ensuring adequate oxygenation and ventilation
E. Evaluation for occult crush syndrome - ✔✔✔ Correct Answer > D.
,Ensuring adequate oxygenation and ventilation
A patient arrives in the ED after being beaten about the head and face
with a wooden club. He is comatose and has a palpable depressed skull
fracture. His face is swollen and ecchymotic. He has gurgling
,respirations and vomitus on his face and clothing. The most appropriate
step after providing supplemental oxygen and elevating his jaw is to:
A. Request a CT-scan
B. Insert a gastric tube
C. Suction of the oropharynx
D. Obtain a lateral cervical spine x-ray
E. Ventilate the patient with a bag-mask - ✔✔✔ Correct Answer > C.
Suction of the oropharynx
Neurogenic shock has all of the following classic characteristics except
which one:
A. Hypotension
B. Vasodilatation
C. Bradycardia
D. Neurologic deficit
E. Narrowed pulse pressure - ✔✔✔ Correct Answer > E. Narrowed
pulse pressure
, Which of the following physical findings suggest a cause of hypotension
B B B B B B B B B B
B other than spinal cord injury?
B B B B
A. Prispism
B. Bradycardia
C. Diaphragmatic breathing B
D. Presence of deep tendon reflexesB B B B
E. Ability to flex forearms but not extend them - ✔✔✔ Correct Answer
B B B B B B B B B B B
> D. Presence of deep tendon reflexes. Spinal shock refers to loss of
B B B B B B B B B B B
B muscle toe (flaccidty) and loss of reflexes.
B B B B B B
The primary indication for transferring A patient to a higher level
B B B B B B B B B B
B trauma center is:
B B
A. Unavailibility of surgeon or operating staff B B B B B
B. Multiple system injuries, including severe head injury
B B B B B B
C. Resource limitations as determined by the transferring doctor
B B B B B B B
D. Resource limitations as determined by the hospital administration
B B B B B B B
whose injuries may include multiple closed extremity fractures?
A. A thorough assessment of four limb perfusion
B. Maneuvers to prevent necrosis of the skin
C. Extremity compartment syndrome release
D. Ensuring adequate oxygenation and ventilation
E. Evaluation for occult crush syndrome - ✔✔✔ Correct Answer > D.
,Ensuring adequate oxygenation and ventilation
A patient arrives in the ED after being beaten about the head and face
with a wooden club. He is comatose and has a palpable depressed skull
fracture. His face is swollen and ecchymotic. He has gurgling
,respirations and vomitus on his face and clothing. The most appropriate
step after providing supplemental oxygen and elevating his jaw is to:
A. Request a CT-scan
B. Insert a gastric tube
C. Suction of the oropharynx
D. Obtain a lateral cervical spine x-ray
E. Ventilate the patient with a bag-mask - ✔✔✔ Correct Answer > C.
Suction of the oropharynx
Neurogenic shock has all of the following classic characteristics except
which one:
A. Hypotension
B. Vasodilatation
C. Bradycardia
D. Neurologic deficit
E. Narrowed pulse pressure - ✔✔✔ Correct Answer > E. Narrowed
pulse pressure
, Which of the following physical findings suggest a cause of hypotension
B B B B B B B B B B
B other than spinal cord injury?
B B B B
A. Prispism
B. Bradycardia
C. Diaphragmatic breathing B
D. Presence of deep tendon reflexesB B B B
E. Ability to flex forearms but not extend them - ✔✔✔ Correct Answer
B B B B B B B B B B B
> D. Presence of deep tendon reflexes. Spinal shock refers to loss of
B B B B B B B B B B B
B muscle toe (flaccidty) and loss of reflexes.
B B B B B B
The primary indication for transferring A patient to a higher level
B B B B B B B B B B
B trauma center is:
B B
A. Unavailibility of surgeon or operating staff B B B B B
B. Multiple system injuries, including severe head injury
B B B B B B
C. Resource limitations as determined by the transferring doctor
B B B B B B B
D. Resource limitations as determined by the hospital administration
B B B B B B B
