QUESTIONS WITH 100% ACCURATE ANSWERS
(MULTIPLE CHOICES)
1. A 22 year old male is brought by ambulance to a small community hospital after falling from the top of
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ix an 8 foot ladder. Initially, he was found to have
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a large right pneumothorax. A chest tube was inserted and connected to an underwater seal drainage
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ix collection system with negative pressure. A repeat ix ix ix ix ix ix
ix CXRdemonstrates a residual,large rightpneumothorax.After transferring the
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ix patientto a verified traumacenter,a third chest x-rayreveals a persistent right pneumothorax.The chest tube
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appears to be functioning and in good position. He remains hemodynamically normal with no signs of
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ix respiratory distress. ix
The most likely cause for the persistent right pneumothorax is:
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A. Flail chest ix
B. Diaphragmatic injury ix
C. Pulmonary contusion ix
D. Esophageal perforation ix
E. Tracheobronchial injury ix
..ANS>> E.Tracheobronchial injury ix ix ix
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,2. Which of the following is LEAST reliable for diagnosing ESOPHAGEAL intubation?
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A. symmetrical chest wall movement ix ix ix
B. end-tidal CO2 ix
C. bilateral breath sounds ix ix
D. oxygen saturation >92% ix ix
E. ETT above carina on chest x-ray
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..ANS>> D. oxygen saturation >92% ix ix ix ix
-> if it says ESOPHAGEAL, go with this answer
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3. Which of the following signs necessitates the need for a definitive airway in severe trauma patient?
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A. facial lacerations ix
B. repeated vomiting ix
C. severe maxillofacial trauma ix ix
D. sternal fracture ix
E. GCS 12 ix
..ANS>> C. Severe maxillofacial trauma
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4. Twenty seven people are severely injured in an aircraft crash at a local airport.The principles of
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ix triage include: ix
A. establish a triage site within the internal perimeter of the crash site
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B. treat only the most severely injured patients first
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C. immediately transport all patients to the nearest hospital ix ix ix ix ix ix ix
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,D. treat the greatest number of patients in the shortest period of time
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E. produce the greatest number of survivors based on available resources
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..ANS>> E. Produce the greatest number of survivors based on available resources
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5. Which of the following statements are correct?
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A. Cerebral contusions may coalesce to form an intracerebral hematoma
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, B. Epidural hematomas are usually seen in the frontal region ix ix ix ix ix ix ix ix
C. Subdural hematomas are caused by injury to the middle meningeal artery
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D. Subdural hematomas typically have a lenticular shape on CT ix ix ix ix ix ix ix ix
E. The associated brain damage is more severe in epidural hematomas
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..ANS>>A. Cerebral contusions may coalesce to form an intracerebral hematoma
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EM: Epidural, middle meningeal SuB: Subdural,
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ix Bridging veins ix
6. An 18 year old male is brought to the ED after being shot.He has one bullet wound just below the right
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ix clavicle and another just below the costal margin in the right posterior axillary line. His blood pressure is
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ix 110/60, heart rate of 90, and respiratory rate of 34. After ensuring a patent airway and inserting 2 large
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ix caliber IV lines, the next most appropriate step is to:
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A. Obtain a portable chest x-ray ix ix ix ix
B. Administer a bolus of additional IV fluid ix ix ix ix ix ix
C. Perform a laparatomy ix ix
D. Obtain an abdominal CT scan ix ix ix ix
E. Perform diagnostic peritoneal lavage ix ix ix
..ANS>> A. Obtain a portable chest x-ray need more info on chest, not abdomen
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7. Which of the following should be performed FIRST in any patient whose injuries may include
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ix multiple closed extremity fractures?
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