1. Which of the following is least reliable for diagnosing esophageal intubation?-
: ETT above carina on chest x ray
2. Which of the following signs necessitates the need for a definitive airway in
severe trauma patient?: Severe maxillofacial trauma
3. Twenty seven people are severely injured in an aircraft crash at a local airport.
The principles of triage include:: Produce the greatest number of survivors based on available resources
4. Which of the following statements are correct?: Cerebral contusions may coalesce to form
an intracerebral hematoma
5. The primary indication for transferring a patient to a higher level trauma
center is:: Resource limitations as determined by the transferring doctor
6. A teenaged bicycle rider is hit by a truck traveling at high speed. In the
emergency department, she is actively bleeding from open fractures of her
legs, and has abrasions on her chest and abdominal wall. Her blood pressure
is 80/50 mm Hg, heart rate is 140 beats per minute, respiratory rate is 8 breaths
per minute, and GCS score is 6. The first step in managing this patient is to:
a) obtain a lateral cervical spine xray.
b) administer 2 liters of crystalloid solution.
c) insert a central venous pressure line.
d) perform endotracheal intubation and ventilation.: D. Perform endotracheal intubation
and ventilation
7. Contraindication to nasogastric intubation is the presence of a:: Fracture of the
cribiform plate
8. Which of the following statements regarding patients with thoracic spine
injuries is true?: Log rolling may be destabilizing to fractures from T12-L1
9. A young man sustains a rifle wound to the mid-abdomen. He is brought
promptly to the ED by prehospital personnel. His skin is cool and diaphoretic,
, and his systolic blood pressure is 58mmHg. Warmed crystalloid fluids are
initiated without improvement in his vital signs. The next, most appropriate,
step is to perform: