Basic Principle

Question 1

GCS “Eye opening” progression map

Answer 1

• No response to..
• Maximum stimuli..
• No stimulus

Question 2

GCS Eye opening criteria

Answer 2

1pt. No response
2pt. To pain
3pt. To verbal command
4pt. Spontaneously

Question 3

GCS “Verbal response” progression

Answer 3

Inability to communicate verbally to…

Awareness and Fluency

Question 4

GCS Verbal response criteria

Answer 4

1p. No response
2p. Incomprehensible sounds
3p. Inappropriate words
4p. Appropriate but Confused
5p. Appropriate and Oriented

Question 5

GCS “Best motor response” progression

Answer 5

Complete Motor deficit to…

Normalcy of Response & Dexterity

Question 6

GCS Best motor response criteria

Answer 6

1p. No motor response
2p. Decerebrate (extension)
3p. Decorticate (abnormal flexion)
4p. Withdraws (NORMAL flexion)
5p. Localizes to pain
6p. Obeys commands

Question 7

GCS interpretation

Answer 7

• 3 … coma Or imminent brain death
• = 8 … severe TBI
• 9- 12 … moderate TBI
• > /= 13 … mild TBI

Question 8

ATLS modified Parkland formula (adults & child <14 yrs)

Answer 8

RL = 2 ml x %TBSA x weight

• <14yrs = 3mL

Question 9

Regions examined in FAST scan

Answer 9

• Perihepatic & Hepatorenal
• Perisplenic & Splenorenal
• Pelvis (suprapubic region)
• Pericardium

Question 10

Conc. to dose relationship

Answer 10

Conc(%) x volume (ml) x 10 = dose (mg)

Question 11

Stage II hemorrhagic shock

Answer 11

• BL (15 -30%)
• Fluid vol loss (750- 1500 ml)
• HR (100 - 120 bpm)
• RR (20- 30)
• M.S (Mildly anxious)

Question 12

Bloody nipple discharge in 41- 48 yr old.

Next step__

Answer 12

Intraductal Papilloma

• Core biopsy

Question 13

Appendicular fecalith is a __ to NOM

Answer 13

Contraindication

Question 14

Acute appendicitis management

Answer 14

• Emergency appendectomy

Question 15

High likelihood of appendicitis__

Answer 15

• Emperic Abx

Question 16

2 mmol/ kg/ day is the daily

Answer 16

..maintenance requirement of NaCl

Question 17

Osmolality of Ringers Lactate is

• 273

which makes it

Answer 17

• the most ISOtonic solution

Question 18

1g glucose gives 4 kcals

thus 1000 ml 5% dextrose gives

Answer 18

..200 kcal