ABC

Question 1

Any Trauma patient your priority is […]

Answer 1

ABC
Airway, Breathing, Circulation
Airway coms first 😵

من تشوفين تراما دوري على ABC اول و قبل كل شي !!
Pleaseee dont be fooled :)

Question 2

Securing airway post trauma / RTA in
- conscious patient: […]
- unconscious patient: […]
- face fracture: […]

Answer 2

🔹Oxygen mask
🔹Orotracheal Intubation « face laceration
🔹Cricothyrotomy (adults) / Tracheothyrotomy (pediatrics)

Question 3

Indications of intubation:

Answer 3

1. Unconsciousness
2. GCS <8
3. O2 sat <88%

Question 4

In cases of pneumothorax ALWAYS choose needle decompression before intubation !

Answer 4

ABC 🥶

Question 5

Vomiting causes
[…] metabolic derangement
Best management with […]

Answer 5

Metabolic alkalosis
Hypokalemic (🔻K) Hypochloremic (🔻Cl)
Tx: Normal saline

Question 6

Diarrhea causes
[…] metabolic derangement
Best management with […]

Answer 6

Metabolic acidosis
(🔻K & 🔻HCO3)
Tx: Ringer lactate

Question 7

The algorithm for Feeding option choice:

Answer 7

1. GI function ❌ ABSENT = TPN
   ✅ PRESENT = enteral
2. <4-6 wk » Aspiration risk 🔻: NGT
   Aspiration risk 🔺: NJT
3. > 4-6 wk » Aspiration risk 🔻: gastrostomy
   Aspiration risk 🔺: jejunostomy

Question 8

A case of basal ganglia stroke with difficulty swallowing and absent gag reflex. History of weight loss. How to provide nutrition?
[…]

Answer 8

Jejunostomy
“Chronic 🗝️keys: stroke, wt loss”

Question 9

A case of basal ganglia bleed and dec gag reflex. Most appropriate way to initiate nutrition:
[…]

Answer 9

NJT
“Acute 🗝️Keys: bleed, initiate”

Question 10

Case of anterior thigh deep laceration with heavy bleeding and unstable patient. Best next step in management:
A. Direct pressure on the wound
B. Pressure above the wound on femoral a
C. Apply tourniquet

Answer 10

Direct pressure on the wound

Question 11

Open scalp wound management:

Answer 11

Primary closure (within 24 hrs window)

Question 12

Injury reached tendons & nerves wound management:

Answer 12

Primary repair of injured structures indicated

Question 13

Exposed necrotic tissue / bed sores wound management:

Answer 13

Debridement & secondary closure

Question 14

Postoperative infected wound after debridement is an indication of […] regarding wound management

Answer 14

Vacuum-assisted closure (VAC)

Question 15

Blood transfusion is associated with what electrolyte disturbance?

Answer 15

HypoCa

Question 16

Which imaging modality used to clear cervical spine?

Answer 16

CT scan

Question 17

Best way to evaluate true insertion of orotracheal tube is […]

Answer 17

CO2 monitor

Question 18

HR of 140
What class of hypovolemic shock?

Answer 18

3

1: HR <100
2: HR 100-120
3: HR 120-140
4: HR >140

Question 19

Which of the following indicates compensated shock?

A. Dry mucus membrane
B. Rigid skin
C. Pale and cold skin
D. Warm and red skin

Answer 19

Pale and cold skin

Question 20

[…] is the IV fluid of choice for burn patient
Calculated requirement by the equation […]

Answer 20

Ringer Lactate
4 x TBSA% x weight

🔸TBSA%
🧑🏻‍🦲: 9
💪🏻: 9
🦵🏼: 18
👤: neck 1
🫂 front 18 back 18

Question 21

In the resuscitation of burn patient […] reflect a good resuscitation

Answer 21

Urine output of 0.6 ml/kg/h

Question 22

In Burn patient initial management include […] even before water irrigation

Answer 22

Powder sweeping

Question 23

Circumferential burn

Answer 23

Escharotomy