2023 UPDATED
1. Which of the following is least reliable for diagnosing esophageal intuba- tion?
v v v v v v v v v v v
.....ASNSWER>>> ETT above carina on chest x ray v v v v v v v
2. Which of the following signs necessitates the need for a definitive airway in severe trauma patient?
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.....ASNSWER>>> Severe maxillofacial trauma v v
3. Twenty seven people are severely injured in an aircraft crash at a local air-
v v v v v v v v v v v v v v port. The principles of triage
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include
v
.....ASNSWER>>>: Produce the greatest number of survivors based on available resources
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4. Which of the following statements are correct?
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.....ASNSWER>>> Cerebral contusions may coalesce to form an intracerebral hematoma
v v v v v v v v v
5. The primary indication for transferring a patient to a higher level trauma center is
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.....ASNSWER>>> Resource limitations as determined by the transferring doctor
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6. A teenaged bicycle rider is hit by a truck traveling at high speed. In the emergency department, she is
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v actively bleeding from open fractures of her legs, and has abrasions on her chest and abdominal wall. Her blood
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pressure is 80/50 mm Hg, heart rate is 140 beats per minute, respiratory rate is 8 breaths per minute, and GCS score
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v is 6.The first step in managing this patient is to:
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a) obtain a lateral cervical spine xray.
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b) administer 2 liters of crystalloid solution.
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, c) insert a central venous pressure line.
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d) perform endotracheal intubation and ventilation
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.....ASNSWER>>> D. Perform endotracheal intubation and ventilation v v v v v
7. Contraindication to nasogastric intubation is the presence of a v v v v v v v v
8.
.....ASNSWER>>> Fracture of the cribiform plate v v v v v
9. Which of the following statements regarding patients with thoracic spine injuries is true?
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.....ASNSWER>>> Log rolling may be destabilizing to fractures from T12-L1
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10. A young man sustains a rifle wound to the mid-abdomen. He is brought promptly to the ED by
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v prehospital personnel. His skin is cool and diaphoretic, and his systolic blood pressure is 58mmHg. Warmed
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v crystalloid fluids are initiated without improvement in his vital signs.The next, most appropriate, step is to
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v perform:
A. a laparotomyv
B. An abdominal CT-scan
v v
C. Diagnostic laparoscopy v
D. Abdominal ultrasonography v
E. A diagnostic peritoneal lavage
v v v
.....ASNSWER>>> A celiotomy v v
11. Young women sustains a severe head injury as the result of a motor vehicle crash. In the emergency department
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v her GCS is 6. Her BP is 140/90 mmHg and her HR is 80. She is intubated and is being mechanically ventilated. Her
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v pupils
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