General Principles

Question 1

BAT, followed by persistent pneumothorax and significant air leak following chest tube placement in a patient who sustained blunt chest trauma

Answer 1

tracheobronchial rupture (MCC R main bronchus injury)

Question 2

BAT resulting in tachycardia, new BBB or arrhythmia. What’s the cause?

Answer 2

myocardial contusion, MCC by sternal fx

Question 3

BAT resulting in muffled heart sounds, hypotension, distended neck veins. What’s the cause?

Answer 3

cardiac tamponade caused by myocardial rupture

Question 4

BAT resulting in abdominal pain, pain referred to shoulder, SOB, +/- vomiting

Answer 4

diaphragmatic rupture.

Question 5

Glascow Coma Scale

Answer 5

Eye _/4 (four eyes)
Verbal Response _/5 (Jackson Five)
Motor Response _/6 (V6 engine)

Question 6

Platelet counts greater than ____ provide adequate hemostasis fo rinvasive procedures

Answer 6

50,000

Question 7

Hb drops below 7 (anemia) and what happens

Answer 7

tissue oxygen delivery becomes deficient, so transfusion before surgery is required

Question 8

INR normal and therapeutic levels

Answer 8

In healthy people an INR of 1.1 or below is considered normal. An INR range of 2.0 to 3.0 is generally an effective therapeutic range for people taking warfarin for disorders such as atrial fibrillation or a blood clot in the leg or lung.

Question 9

POD: 0-2h

Fever - caused by? (3)

Answer 9

prior trauma, infection
blood products
malignant hyperthermia

Question 10

POD: 1d-1w

Fever - caused by? (3)

Answer 10

nosocomial infection
SSI (GAS or C perfrigens)
noninfectious (MI, PE, DVT)

Question 11

POD: 1w-1mo

Fever - caused by? (4)

Answer 11

SSI (non GAS or C perfrigens)/catheter site infection
C diff
Drug fever
PE/DVT

Question 12

POD: >1mo

Fever - caused by? (2)

Answer 12

Viral infection

SSI - indolent organism