EXAM QUESTIONS AND CORRECT DETAILED ANSWERS
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A 34-year-old with severe head trauma and elevated
intracranial pressures is
intubated. Which of the following should be the target
for mechanical
ventilation? - ANSWER-Set PaCO2
between 30-35
A young motorcycle driver is thrown against a concrete
bridge and sustains severe trauma about the face, with
marked deformity and bleeding. Which of the following
statements regarding this scenario is TRUE? A. Cervical
spine evaluation takes precedence over facial injuries
B. LeFort fractures rarely cause severe hemorrhage
C. Nasotracheal intubation must be done urgently to prevent
airway obstruction D. Plain radiographs are preferred to CT
in emergencies - ANSWER-A. Cervical spine evaluation takes
precedence over facial injuries
Which US industry has the highest accidental death rate?
A. Construction
B. Agriculture
C. Manufacturing
,D. Transportation - ANSWER-B. Agriculture
A female is transported to the emergency department after a
motor vehicle accident with trauma to the left leg and back.
Vital signs show temperature=37.1ºC, BP= 125/75 mm Hg, HR=
94, R=20. GCS is 15. There is paraplegia, T12 sensory level, and
decreased rectal tone. Hemoglobin is normal and stable at 1
hour. Which of the following should be done to assess for
intraperitoneal bleeding? A. Diagnostic peritoneal lavage
B. CT of the abdomen
C. Abdominal ultrasound
D. Flat plate of the abdomen - ANSWER-C. Abdominal
ultrasound
True statement regarding head trauma in elderly - ANSWER-A
larger subdural
space in the skull requires more blood accumulation for
brain compression,
which often will delay presentation of
symtoms
What can cause unintentional airway closure in a
mechanically ventilated
pediatric
patient?
A. The Sellick
maneuver
,B.
CPR
C. Hyperextension of
the neck
D. None of the above - ANSWER-C. Hyperextension
of the neck
Blunt trauma to abdomen - ANSWER--Result in rupture of
hollow viscus
-Can cause hematoma in the
duodenum
-May cause stress
ulcers
Which of the following is the best indicator of adequate shock
resuscitation?
A. Blood pressure
B. Serum bicarbonate
C. Skin capillary refill
D. Urine output - ANSWER-D. Urine output
Which of the following statements is true regarding emergent
pericardiocentesis?
A. Complication rate for blind approach is 50 percent
B. Echocardiogram is the procedure of choice
C. Subxyphoid approach increases risk of injury to the heart D.
Liver laceration is not a potential complication - ANSWER-B.
Echocardiogram is the procedure of choice
, Following a minor motor vehicle accident, a patient is
experiencing pain and
stiffness in her neck. Upon physical exam, she is able to rotate
her neck greater
than 55 degrees and denies paresthesias in the extremities.
Which of the following is the next best step for this patient?
A. Exercise therapy
B. NSAIDs and rest
C. Neck x-rays
D. Narcotics - ANSWER-B. NSAIDs and rest
Which of the following is the most reliable predictor of poor
outcome for drowning victims?
A. Submersion time more than 10 minutes
B. Glasgow coma scale less than 10
C. Lack of spontaneous cardiac rhythm for 15 minutes
D. Need for CPR at the scene - ANSWER-A. Submersion time
more than 10 minutes
A patient admitted with mild hypothermia is at
risk to develop:
A. Atrial
fibrillation
B. Ventricular
tachycardia
C. Heart
failure