After being involved in a motor vehicle crash, a 25-year-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:
Select one:
a.
obtain contrast angiography
b.
transfer to a higher level trauma center
c.
perform an exploratory laparotomy
d.
,infuse additional crystalloid fluids
e.
Obtain transesophageal echocardiography - Correct Answer ✔️✔
️c.
perform an exploratory laparotomy
Which one of the following statements regarding abdominal trauma in
the pregnant patient is TRUE?
Select one:
a.
The fetus is in jeopardy only with major maternal abdominal trauma.
b.
Leakage of amniotic fluid is an indication for hospital admission.
c.
,Indications for peritoneal lavage are different from those in the
nonpregnant patient.
d.
With penetrating trauma, injury to the mother's abdominal hollow
viscus is more common in late than in early pregnancy.
e.
The secondary survey follows a different pattern from that of the
nonpregnant patient. - Correct Answer ✔️✔️b.
Leakage of amniotic fluid is an indication for hospital admission.
The first maneuver to improve oxygenation after chest injury is to:
Select one:
a.
intubate the patient
b.
, assess arterial blood gases
c.
administer supplemental oxygen
d.
ascertain the need for a chest tube
e.
obtain a chest x-ray - Correct Answer ✔️✔️c.
administer supplemental oxygen
A 25-year-old man, injured in a motor vehicular crash, is admitted to
the emergency department. His pupils react sluggishly and his eyes
open to pressure. He does not follow commands, but he does moan
periodically. His right arm is deformed and does not respond to
pressure; however, his left hand reaches purposefully toward the
stimulus. Both legs are stiffly extended. His GCS score is: