Pretest trauma and shock

Question 1

Dx? air-fluid level in the left lower chest with a nasogastric tube coiling up into it after blunt trauma to the abdomen

Answer 1

acute diaphragm rupture

Question 2

Tx for carotid dissection?

Answer 2

systemic anticoag or antiplatelet tx –> OR for bypass, stenting, ligation

Question 3

1st sign in increased intracranial pressure?

Answer 3

AMS

Question 4

Cushing triad?

Answer 4

hypertension, bradycardia, and irregular respirs

Question 5

How to reduce increased intracranial pressure?

Answer 5

hyperventilation, mannitol infusion, and elevation of the

head of the bed (reverse Trendelenburg position)

Question 6

Median nerve function?

Answer 6

flexion first 3 fingers, sensation palm, thumb, index fingers

Question 7

What is a normal central venous pressure?

Answer 7

2-6

Question 8

Knee dislocation 2a injury?

Answer 8

popliteal artery injury

Question 9

Ankle-brachial index (ABI) of greater than ____ is associated with a low risk for popliteal injury.

Answer 9

0.9

Question 10

If the ABI is less than 0.9, then ?

Answer 10

angiogram or CT angiogram is indicated

Question 11

If the ABI is > than 0.9, then ?

Answer 11

watch and check pulses

Question 12

Complications of pancreatic injury include?

Answer 12

fistula, pseudocyst, and abscess

Question 13

In the absence of sepsis, patients with enterocutaneous fistulas should be treated initially nonoperatively with?

Answer 13

bowel rest, TPN, and correction of electrolyte abnormalities.