questions with correct and verified
answers. Graded A+
###
1. Youarecaringforapatientwhowasthrownfromabikeandwasnotwear-
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ingahelmet.Whileperformingthehead-to-toeassessment,younote
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clear drainage from the right ear. Which of the following is the most
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appropriate next step?
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A. Clean the ear with a cotton-tipped applicator.
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B. Pack the earwith gauze. bf bf bf bf
C. Notify the physician b f b f
D. Documentand continue the exam. bf bf bf bf
bf Answer C.Notifythephysician bf bf bf bf
2. A patient is brought to the emergency department of a rural hospital
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bfollow- ing a high-speed motor vehicle collision. When significant abdominal
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mailto:https://www.stuvia.com/user/Wisdoms
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, and pelvic injuries are noted in the primary survey, what is the priority
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intervention?
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A. Initiate transfer to a trauma center b f b f b f b f b f
B. Attempt family notification b f b f
C. Obtain additional imaging studies b f b f b f
D. Place an indwelling urinary catheter b f b f b f b f
bf Answer A.Initiatetransfertoatraumacenter b f f
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3. Anadultwhofellfromasecond storyroofisbroughttotheemergency
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department by private vehicle. The patient is confused with
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bunlabored res- pirations and has strong, palpable radial pulses.
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bThere is an open wound in proximitytoanobviousdeformityoftheleft
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lowerextremity. Whatisthe priority intervention?
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A. Initiate cervical spine stabilization b f b f b f
B. Apply a splint to the lower extremity b f b f b f b f b f b f
C. Put the patient on portable oxygen.
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D. Logrollthepatientontoaspine board
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bf AnswerA.Initiatecervicalspinestabilization bf bf bf bf bf
4. Anadultpatientwhosustainedasevereheadtraumahasbeenintubat-
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edandisbeingmanuallyventilatedviaabag-maskdeviceatarateof18
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breaths/minute. The patient has received one intravenous fluid
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b bolus of 500
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, mL of warmed isotonic crystalloid solution. The PaCO2 is 30 mm Hg (4.
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bkPa), and the pulse oximetry is 92%. BP is 142/70 mm Hg. What is the most
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important
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, intervention to manage the cerebral blood flow? b f b f b f b f b f b f
A. Decrease the rate of manual ventilation. b f b f b f b f b f
B. Initiate another fluid bolus. b f b f b f
C. Recheck endotracheal tube placement. bf bf bf
D. Increase the amount ofoxygen delivered. bf bf bf bf bf
bf AnswerA.Decreasetherateofmanualventilation.
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5. An adult patient is brought to the emergency department following a
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bvehicle "roll-over" with prolonged extrication. Assessment reveals
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b swelling and bruis- ingtotherightproximalthighandaweakpedalpulse.
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Skinispale,cool,and moist.Whatisthemostappropriateinitial
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intervention?
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A. Application of a tourniquet to the affected extremity b f b f b f b f b f b f b f
B. Application of a pelvic binder b f b f b f b f
C. Fluid resuscitation to maintain a urine output of 0.5 mL/kg/hour
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D. OxygentomaintaintheETCO2between30-35mmHg(3.9-4.6kPa) f
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bf AnswerB.Application ofapelvicbinder
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