Trauma

Question 1

Injury to the upper ureter requires?

Answer 1

Debridement and primary anastomosis of the ureteral pelvis and ureter

Question 2

Injury to the middle ureter requires?

Answer 2

Ureteroureterostomy

Question 3

Injury to the lower ureter requires?

Answer 3

Reimplantation into the bladder

Question 4

R-Time

Answer 4

Time to start forming a clot (4-8 mins)

Question 5

Low R-time indicates deficiency in?

Answer 5

Coagulation factors

Question 6

Treatment for low R time?

Answer 6

FFP

Question 7

K-value

Answer 7

Time it takes for clot to reach a fixed strength (1-3mins)

Question 8

Low K value indicates a problem with?

Answer 8

Fibrinogen

Question 9

Treatment for low K value?

Answer 9

Cryoprecipitate

Question 10

Alpha angle

Answer 10

Speed of fibrin accumulation (53-72 degrees)

Question 11

Low alpha angle indicates a problem with?

Answer 11

Fibrinogen

Question 12

Treatment for low alpha angle?

Answer 12

Cryoprecipitate

Question 13

Maximum amplitude

Answer 13

Highest vertical amplitude of the TEG (50-70mm)

Question 14

Low maximum amplitude indicates a problem with?

Answer 14

Platelets

Question 15

Treatment for low maximum amplitude?

Answer 15

Platelets or DDVAP

Question 16

Lysis at 30 minutes (LY30)

Answer 16

Percentage of amplitude reduction 30 minutes after maximum amplitude

Question 17

Low LY30 indicates a problem with?

Answer 17

Excess fibrinolysis