Which of the following is least reliable for diagnosing esophageal intuba on? -correct answers
ETT above carina on chest x ray
Which of the following signs necessitates the need for a defini ve airway in severe trauma
pa ent? -correct answers Severe maxillofacial trauma
Twenty seven people are severely injured in an aircra crash at a local airport. The principles of
triage include: -correct answers Produce the greatest number of survivors based on available
resources
Which of the following statements are correct? -correct answers Cerebral contusions may
coalesce to form an intracerebral hematoma
The primary indica on for transferring a pa ent to a higher level trauma center is: -correct
answers Resource limita ons as determined by the transferring doctor
A teenaged bicycle rider is hit by a truck traveling at high speed. In the emergency department,
she is ac vely 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
pa ent is to:
a) obtain a lateral cervical spine xray.
b) administer 2 liters of crystalloid solu on.
c) insert a central venous pressure line.
, d) perform endotracheal intuba on and ven la on. -correct answers D. Perform endotracheal
intuba on and ven la on
Contraindica on to nasogastric intuba on is the presence of a: -correct answers Fracture of the
cribiform plate
Which of the following statements regarding pa ents with thoracic spine injuries is true? -
correct answers Log rolling may be destabilizing to fractures from T12-L1
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 diaphore c, and his systolic blood pressure is
58mmHg. Warmed crystalloid fluids are ini ated without improvement in his vital signs. The
next, most appropriate, step is to perform:
A. a laparotomy
B. An abdominal CT-scan
C. Diagnos c laparoscopy
D. Abdominal ultrasonography
E. A diagnos c peritoneal lavage -correct answers A celiotomy
Young women sustains a severe head injury as the result of a motor vehicle crash. In the
emergency department her GCS is 6. Her BP is 140/90 mmHg and her HR is 80. She is intubated
and is being mechanically ven lated. Her pupils are 3 mm in size and equally reac ve to light.
There is no other apparent injury. The more important principle to follow in the early
management of her head injury is to: -correct answers Prevent secondary brain injury
22 year old man is brought to the hospital a er crashing his motorcycle into a telephone pole.
He is unconscious and in profound shock. He has no open wounds or obvious fractures. The
cause of his shocks is most likely caused by: -correct answers Hemorrhage into the chest of
abdomen
ETT above carina on chest x ray
Which of the following signs necessitates the need for a defini ve airway in severe trauma
pa ent? -correct answers Severe maxillofacial trauma
Twenty seven people are severely injured in an aircra crash at a local airport. The principles of
triage include: -correct answers Produce the greatest number of survivors based on available
resources
Which of the following statements are correct? -correct answers Cerebral contusions may
coalesce to form an intracerebral hematoma
The primary indica on for transferring a pa ent to a higher level trauma center is: -correct
answers Resource limita ons as determined by the transferring doctor
A teenaged bicycle rider is hit by a truck traveling at high speed. In the emergency department,
she is ac vely 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
pa ent is to:
a) obtain a lateral cervical spine xray.
b) administer 2 liters of crystalloid solu on.
c) insert a central venous pressure line.
, d) perform endotracheal intuba on and ven la on. -correct answers D. Perform endotracheal
intuba on and ven la on
Contraindica on to nasogastric intuba on is the presence of a: -correct answers Fracture of the
cribiform plate
Which of the following statements regarding pa ents with thoracic spine injuries is true? -
correct answers Log rolling may be destabilizing to fractures from T12-L1
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 diaphore c, and his systolic blood pressure is
58mmHg. Warmed crystalloid fluids are ini ated without improvement in his vital signs. The
next, most appropriate, step is to perform:
A. a laparotomy
B. An abdominal CT-scan
C. Diagnos c laparoscopy
D. Abdominal ultrasonography
E. A diagnos c peritoneal lavage -correct answers A celiotomy
Young women sustains a severe head injury as the result of a motor vehicle crash. In the
emergency department her GCS is 6. Her BP is 140/90 mmHg and her HR is 80. She is intubated
and is being mechanically ven lated. Her pupils are 3 mm in size and equally reac ve to light.
There is no other apparent injury. The more important principle to follow in the early
management of her head injury is to: -correct answers Prevent secondary brain injury
22 year old man is brought to the hospital a er crashing his motorcycle into a telephone pole.
He is unconscious and in profound shock. He has no open wounds or obvious fractures. The
cause of his shocks is most likely caused by: -correct answers Hemorrhage into the chest of
abdomen
