1. 1. A 17 years old helmeted motorcyclist is struck scoop stracher
2. A 42 years old man, injured a vehicle motor crash Obtain a chest ray
3. An 8 years old girl is an unrestrained passenger May exist in the absence objectivefindings on x-rays
studies
4. Which one of the following physical finding bradikardi
5. Regarding shock in the child Tachycardia is a primary physiologic response to hipovolemia
6. A 24 yaers old women passenger in an automobile strikes Upper airway protection
7. An 8 years old boy falls 4.5 meters from a tree Admit the patient to the intensive care unit
8. An 18 yaers old helmeted motorcyclist is brought by ambulance Cerebral perfision is intacto
9. The response to catecholamines in an injured Increased maternal renalblood flow
10. A young women sustain a severe head injury Prevent secondary brain injury
11. Which of the following statements regarding injury to the central nervous Children suffer spinal cord
injury without x-ray abnormality more commonly than adults
12. The primary indication for transfering a patient Resource limitation as detemined by the hospital
administration
13. A 24 years old sustains multiple fractured ribs Endotracheal intubation and mechanical ventilation
14. A 23 yaers old is brought immediately to the emergency Transfer patient to the operating room, while
inititing fluid therapy
15. 5 years old is struck by an automobile and brought to the emergency Percutaneous peripheral veins in
the upper exteremities
16. To establish a diagnosis of shock Clinical evidence of inadequate organ perfusion must be present
17. A 25 years old women is brought to the emergency department Perform endotracheal intubation
18. Cardiac tamponade after trauma-Can be confused with a tension pneumothorax
19. Contraindication to nasogastric intubation is the presence of a Fracture of the cribriform plate
20. Which one of the following statements in false concerning Rh isoimmunization is the pregnant trauma
patient Initiation of Rh immunoglobulin therapy does not reqiure proof of fetomaternal hemorhage
21. 27 patients are seriously injured in an aircraft accident at a local airport. The basic principle of triage
should be to Treat the greatest number of patients in the shortestperiod of time
22. Which one of the following statements regarding patients with thoracic spine injuries is true Log-rolling
may be destabilizing to fractures from T-12 to L-1
23. Absence of the breath sounds and dullness to percussion over the left hemithorax are finding best
explained by Left hemothorax
24. Immediate chest tube insertion-Massive hemothorax
25. A 22 years old man is brought to the hospital A transected cervical spinal cord
26. Early central venous pressure Patient with a severe cardiac contusion
27. All the following sign on the chest X-ray Mediastinal emphysema
28. A crosstable Is unacceptable unless 7 cervical vertebrae and the c-7 to T-1 relationship are visualized
2. 29. During resuscitation, which one of the following is the most reliable as a guide to volume replacement
urine output
30. Which one of the following is the recommended method for initially treating frosbite-Warm (40) water
31. A young man sustains a ritle wound to the mid-abdomen A celiotomy
32. A 30 years old man sustains a severely comminuted, Realignment of the fracture segment with a
traction splint
33. A 32 years old man is brought to the hospital unconscious with severe Performing a surgical
cricothyroidectomy
34. During an altercation, a 32 years old man sustains a gunshot wound to the right upper Chest ray to
confirm tube placement
35. A young man sustain a gunshot wound to the abdomen Infuse large volumes of intravenous crystalloid
36. An electrician is electrocuted Aggressive fluid infusion
37. A 30 years old man is struck by a car traveling at 35 mph Perform external fixation of the pelvic
38. A teen aged bicycle rider is hit by a truck Perform endotracheal intubation and ventilation
39. The driver of a single crash is orotracheally Insert a thoracostomy tube in the left hemithorax
40. 42 years old man is traped from the waist down beneath ihis overtuned tractor for several hours before
medical asistent arrived. He is awake and allert until just before ariving in the emergency department.
He is now unconsious and respon only to painful stimuly by moaning. His pupil are 3 mm in diameter
amd simetrically. Reactive to like. Pre hospital personal indicated that they have not seen the patient
move either of his lower extrimities. On examination in emergency department no movement of his
lower extrimitiy. His detected even in respon to painful stimuly. Most the likely cause for this finding is
- Bilateral compartmen syndrome.
