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1. WhichgofgthegfollowinggisgthegrecommendedgMethodgforgtrestemtgfrostbite?
A. Vasodilators
B. Anticigulants
C. Warmg(40gdegrees)gwater
D. Paddinggandgelevation
E. Applicationgofgheatgfromgaghairdryer:
gAnswer>gC.gWarmg(40gdegrees)gwater
2. Whichgofgthegfollowinggphysicalgfindingsgsuggestgagcausegofghypotensiongothergth
angspinalgcordginjury?
A. Prispism
B. Bradycardia
C. Diaphragmaticgbreathing
D. Presencegofgdeepgtendongreflexes
E. Abilitygtogflexgforearmsgbutgnotgextendgthem:
gAnswer>gD.gPresencegofgdeepgtendongreflexes.gSpinalgshockgrefersgtoglossgofgmusclegt
oeg(flaccidty)gandglossgofgreflexes.
3. ThegprimarygindicationgforgtransferringgAgpatientgtogaghigherglevelgtraumagcent
ergis
1g/g89
,A. Unavailibilitygofgsurgeongorgoperatinggstaff
B. Multiplegsystemginjuries,gincludinggseveregheadginjury
C. Resourceglimitationsgasgdeterminedgbygthegtransferringgdoctor
D. Resourceglimitationsgasgdeterminedgbygtheghospitalgadministration
E. Widenedgmediastinumgongchestgx-raygfollowinggbluntgtrauma:
gAnswer>gC.gResourceglimitationsgasgdeterminedgbygthegtransferringgdoctorg(MÅgSJEKK
ES)
4. Agyounggmangsustainsgagriflegwoundgtogthegmid-
abdomen.gHegisgbroughtgpromptlygtogthegEDgbygprehospitalgpersonnel.gHisgskingisgcool
gandgdiaphoretic,gandghisgsystolicgbloodgpressuregisg58mmHg.gWarmedgcrystalloidgfluid
sgareginitiatedgwithoutgimprovementginghisgvitalgsigns.gThegnext,gmostgappropriate,gste
pgisgtogperform
A. aglaparotomy
B. AngabdominalgCT-scan
C. Diagnosticglaparoscopy
D. Abdominalgultrasonography
E. Agdiagnosticgperitonealglavageg
Answer>:gA.gLaparotomygbecausegofghemodynamicgab-gnormality
5. Ag42-year-
oldgmangisgtrappedgfromgthegwaistgdowngbeneathghisgoverturnedgtractorgforgseveralgh
oursgbeforegmedicalgassistancegarrives.gHegisgawakegandgalertguntilgjustgbeforegarrivin
ggingthegED.gHegisgnowgunconsciousgandgrespondsgonlygtogpainfulgstimuligbygmoaning.
2g/g89
,gHisgpupilsgareg3mmgingdiametergandgsymmetricallygreactivegtoglight.gPrehospitalgpers
onnelgindicategthatgtheyghave
3g/g89
, notgseengthegpatientgmovegeithergofghisglowergextremities.gOngexaminationgingthegED,g
nogmovementgofghisglowergextremitiesgaregdetected,gevengingresponsegtogpainfulgstimuli.g
Thegmostglikelygcausegforgthisgfindinggis
A. Angepiduralghematoma
B. Agpelvicgfracture
C. Centralgcordgsyndrome
D. Intracerebralghemorrhage
E. Bilateralgcompartmentgsyndrome:g
Answer>gDgMÅgSJEKKES
6. Ag6-year-
ogboygisgstruckgbygangautomobilegandgbroughtgtogthegED.gHegisglethargic,gbutgwithdr
awsgpurposefullygfromgpainfulgstimuli.gHisgbloodgpressuregisg90mmHggsystolic,gheartgra
teg140gbeatsgpergminutegandghisgrespiratorygrategisg36gbreathsgpergminute.gThegprefer
redgroutegofgvenousgaccessgingthisgpatientgis
A. Percutaneousgfemoralgveingcannulation
B. Cutdowngongthegsaphenousgveingatgthegankle
C. Intraosseousgcathetergplacementgingthegproximalgtibia
D. Percutaneousgperipheralgveinsgingtheguppergextremities
E. Centralgvenousgaccessgviagthegsubclaviangorginternalgjugulargveing
Answer>:gD.gPercu-gtaneousgperipheralgveinsgingtheguppergextremities
4g/g89