g Questions and Verified Answers g g g g
100% Correct | Grade A+ g g g g
1. Which of the following is the recommended Method for trestemt frostbite?
g g g g g g g g g g
A. Vasodilators
B. Anticigulants
C. Warm (40 degrees) water
g g g
D. Padding and elevation
g g
E. Application of heat from a hairdryer:
g g g g g
g Answer> C. Warm (40 degrees) water
g g g g g
2. Which of the following physical findings suggest a cause of hypotension other
g g g g g g g g g g g
g than spinal cord injury?
g g g
A. Prispism
B. Bradycardia
C. Diaphragmatic breathing g
D. Presence of deep tendon reflexes
g g g g
1g/g88
,E. Ability to flex forearms but not extend them
g g g g g g g g
Answer>: D. Presence of deep tendon reflexes. Spinal shock refers to loss of muscl
g g g g g g g g g g g g g
e toe (flaccidty) and loss of reflexes.
g g g g g g
3. The primary indication for transferring A patient to a higher level trauma ce
g g g g g g g g g g g g
nter is: g
A. Unavailibility of surgeon or operating staff g g g g g
B. Multiple system injuries, including severe head injury
g g g g g g
C. Resource limitations as determined by the transferring doctor
g g g g g g g
D. Resource limitations as determined by the hospital administration
g g g g g g g
E. Widened mediastinum on chest x-ray following blunt trauma:
g g g g g g g g
Answer> C. Resource limitations as determined by the transferring doctor (MÅ SJE
gg g g g g g g g g g g
KKES)
4. A young man sustains a rifle wound to the mid-
g g g g g g g g g
abdomen. He is brought promptly to the ED by prehospital personnel. His skin is co
g g g g g g g g g g g g g g
ol and diaphoretic, and his systolic blood pressure is 58mmHg. Warmed crystalloi
g g g g g g g g g g g
d fluids are initiated without improvement in his vital signs.The next, most appro
g g g g g g g g g g g g g
priate, step is to perform:
g g g g
A. a laparotomy
g
B. An abdominal CT-scan
g g
C. Diagnostic laparoscopy g
D. Abdominal ultrasonography g
2g/g88
,E. A diagnostic peritoneal lavage:
g g g
g Answer> A. Laparotomy because of hemodynamic ab- normality gg g g g g g g
5. A 42-year- g
old man is trapped from the waist down beneath his overturned tractor for sever
g g g g g g g g g g g g g
al hours before medical assistance arrives. He is awake and alert until just before
g g g g g g g g g g g g g g
arriving in the ED. He is now unconscious and responds only to painful stimuli by m
g g g g g g g g g g g g g g g
oaning. His pupils are 3mm in diameter and symmetrically reactive to light. Preho
g g g g g g g g g g g g
spital personnel indicate that they haveg g g g g
not seen the patient move either of his lower extremities. On examination in the E
g g g g g g g g g g g g g g
D, no movement of his lower extremities are detected, even in response to painful
g g g g g g g g g g g g g g
stimuli.The most likely cause for this finding is: g g g g g g g g
A. An epidural hematoma g g
B. A pelvic fracture g g
C. Central cord syndrome g g
D. Intracerebral hemorrhage g
E. Bilateral compartment syndrome: g g
g Answer> D MÅ SJEKKES g g g
6. A 6-year- g
o boy is struck by an automobile and brought to the ED. He is lethargic, but withdr
g g g g g g g g g g g g g g g g
aws purposefully from painful stimuli. His blood pressure is 90mmHg systolic, hear
g g g g g g g g g g g
t rate 140 beats per minute and his respiratory rate is 36 breaths per minute.The
g g g g g g g g g g g g g g g g
preferred route of venous access in this patient is: g g g g g g g g
3g/g88
, A. Percutaneous femoral vein cannulation g g g
B. Cutdown on the saphenous vein at the ankle g g g g g g g
C. Intraosseous catheter placement in the proximal tibia g g g g g g
D. Percutaneous peripheral veins in the upper extremities g g g g g g
E. Central venous access via the subclavian or internal jugular vein:
g g g g g g g g g
g Answer> D. Percu- taneous peripheral veins in the upper extremities
gg g g g g g g g g
7. A young man sustains a gunshot wound to the abdomen and is brought promptl
g g g g g g g g g g g g g
y to the ED by prehospital personnel. His skin is cool and diaphoretic, and he is conf
g g g g g g g g g g g g g g g g
used. His pulse is thready and his femoral pulse is only weakly palpable.The defini
g g g g g g g g g g g g g g
tive treatment in managing this patient is to:
g g g g g g g
A. Administer O-negative blood g g
B. Apply external warming devices
g g g
C. Control internal hemorrhage operatively g g g
D. Apply a pneumatic antishock garment (PASG)
g g g g g
E. Infuse large volumes of intravenous crystalloid solutions.:
g g g g g g
Answer> C.Control internal hemorrhage operatively
g g g g g g
8. Regarding shock in the child, which of the following is FALSE?
g g g g g g g g g g
A. Vital signs are age-related
g g g
B. Children have greater physiologic reserves than do adults
g g g g g g g
C. Tachycardia is the primary physiologic response to hypovolemia g g g g g g g
D. The absolute volume of blood loss required to produce shock is the same as in
g g g g g g g g g g g g g g g
4g/g88