polytrauma

Question 1

which one of the following statements regarding shock is NOT correct?
a) Significant damage to the heart, for example related to myocarditis, may result in cardiogenic shock
b)the end result of shock is impared tissue perfusion and tissue hypoxia
c) haemorrhagic shock results in reduction of effective circulatory blood volume whereas septic shock does not
d)anaphylactic shock is the result of an immune-mediated hypersensitivity reaction

Answer 1

haemorrhagic shock results in reduction of effective circulatory blood volume whereas septic shock does not

Question 2

which one of the following statements regarding clinical presentation of shock is NOT correct?
a)Tachypnea represents teh body’s efforts to correct hypoxia adn/or acidosis
b)hypotension is a characteristic of all types of shock
c)cold/clammy skin is a characteristic of all types of shock
d)tachycardia represents the body’s efforts to maintain the compromised circulation

Answer 2

cold/clammy skin is a characteristic of all types of shock

Question 3

which one of the following statements regarding management of traumatic brain injury (TBI) is not correct
a)management of Cerebral oedema includes drugs that re osmotically active
b)analgesia has no place because patients are usually unconscious
c)both hypo- and hyperglycaemia may adversely affect the brain in such pts
d)seixures may occur and should be treated woth anticonculsants

Answer 3

analgesia has no place because patients are usually unconscious

Question 3

which one of the following statements regarding classification of haemorrhage is NOT correct
a)with 30-40% loss of blood volume one expects tachycardia, hypotension, adn impaired mental status
b)a 70kg male typically has a circulating blood volume of 100ml\kg i.e. 7 litres
c)a loss of 15-30% of blood volume results ina n increase in heart rate but may not impact on measured BP
d)one can lose 15% of blood volume without a significant change in blood pressure

Answer 3

a 70kg male typically has a circulating blood volume of 100ml\kg i.e. 7 litres

Question 4

which one of the following types of fractures id usually NOT regarded as a complete fracture
a)impacted
b)greenstick
c)spiral
d)transverse

Answer 4

greenstick