ANSWERS (A NEW UPDATED VERSION) LATEST 2025
|ALREADY GRADED A+
Young women sustain 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 ventilated. Her pupils are 3 mm in size
and equally reactive to light. There is no other apparent injury.
The more important principle to follow in the early management
of her head injury is to:
Answer- Prevent secondary brain injury
22-year-old man is brought to the hospital after 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:
Answer- Hemorrhage into the chest of abdomen
30-year-old man is struck by a car traveling 35mph. He has
obvious fractures of the left tibia near the knee, pain in the
pelvis area, and severe dyspnea. His HR is 180, RR 48 bpm with
,no breath sounds heard in the left chest. A tension PTX is
relieved by immediate needle decompression and tube
thoracotomy. Subsequently his HR decreased to 140, his RR
decreased to 36 bpm, and BP 80/50 mmHg. Warmed LR is
administered intravenously. The next priority should be to:
Answer- Perform external fixation of the pelvis
8-year-old girl is an unrestrained passenger in a vehicle struck
from behind. In the ED, her blood pressure is 80/60, heart rate is
80 bpm, and respiratory rate is 16 breaths per minute. Her GCS
score is 14. She complains that her legs "feel funny and won't
move right", however, her spine x-rays do not show a fracture
dislocation. A spinal injury in this child:
Answer- Can be excluded by obtaining a CT of the entire spine
Immediately chest tube insertion is indicated for which of the
following conditions?
Answer- Massive hem thorax
18-year-old helmeted motorcyclist is brought by ambulance to
the emergency department following a high speed crash. Pre-
, hospital personnel report that he was thrown 50 feet off his bike.
He has a history of hypotension prior to arrival in the ED, but is
now awake, alert, and conversational. Which of the following
statements is true?
Answer- The patient probably has an acute epidural hematoma
Crossable, lateral XR of the cervical spine:
Answer- Is unacceptable unless 7 cervical vertebrae and the C7
to T1 relationship are visualized
During resuscitation, which one of the following is the most
reliable as a guide to volume replacement?
Answer- Urinary output
Which one of the following is the recommended method for
initially treating frostbite?
Answer- Warm 40C water