During the third trimester of pregnancy, all of the following changes
occur normally, EXCEPT a:
A. Decrease in PaCO2
B. Decrease in the leukocyte count
C. Reduce gastric emptying rate
D. Diminished residual lung volume
E. Diminished pelvic ligament tension - Correct Answer ✔️✔️B.
Decrease in the leukocyte count
In managing the head-injury patient, the most important initial step is
to:
A. Secure the airway
B. Obtain c-spine film
,C. Support the circulation
D. Control scalp hemorrhage
E. Determine GCS score - Correct Answer ✔️✔️A. Secure the
airway
The first maneuver to improve oxygenation after chest injury is:
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 ED. His pupils react sluggishly and his eyes open to painful stimuli
only. He does not follow commands, but he does moan periodically. His
,right arm is deformed and does not respond to painful stimulus;
however, his left hand reaches purposefully toward the painful
stimulus. Both legs are stiffly extended. His GCS score is:
A. 7
B. 8
C. 9
D. 10
E. 11 - Correct Answer ✔️✔️9
A 20-year-old woman, at 32 weeks gestation, is stabbed in the upper
right chest. In the ED, her blood pressure is 80/60mmHg. She is gasping
for breath, extremely anxious, and yelling for help. Breath sounds are
diminished in the right chest. The most appropriate first step is to:
A. perform tracheal intubation
B. Insert an oropharyngeal airway
, C. Perform needle decompression of the right chest
D. Manually displace the gravid uterus to the left side of the abdomen
E. Initiate 2 large-caliber peripheral IV lines and crystalloid infusion -
Correct Answer ✔️✔️C. Perform needle decompression of the
right chest
Which one of the following findings in an adult should prompt
immediate management during primary survey?
A. Distended abdomen
B. GCS of 11
C. Temperature of 36,5
D. Heart rate of 120 beats per minute
E. Respiratory rate of 40 breaths per minute - Correct Answer ✔️✔
️E. Respiratory rate of 40 breaths per minute