Trauma

Question 1

Most common spontaneous dislocation recurrence

Answer 1

Anterior shoulder

Question 2

Spinal cord syndromes:

Anterior cord

Answer 2

Complete motor, pain and temperature loss below the lesion

Question 3

Spinal cord syndromes:

Brown-Sequard

Answer 3

Ipsilateral loss of motor, position and vibration sense; contra lateral loss of pain and temperature perception

Question 4

Spinal cord syndromes:

Central cord syndrome

Answer 4

Greater motor weakness in upper extremity than lower extremity with varying degrees of sensory loss

Question 5

Spinal cord syndromes:

Autonomic days reflexes

Answer 5

Urinary retention, massive increase in sympathetic tone which can cause HTN, treated by insertion of foley

Question 6

Death from crush injury due to?

Answer 6

Renal failure

Question 7

Complications of crush injury

Answer 7

DIC, compartment syndrome, renal failure, hyperkalemia

Question 8

Trauma and kinematics:

High velocity

Answer 8

Above 2000 FPS

Question 9

Trauma and kinematics:

Medium velocity

Answer 9

1000-2000 FPS

Question 10

Trauma and kinematics:

Low velocity

Answer 10

Under 1000 FPS

Question 11

Chest/ABD trauma:

Chest tube location?

Answer 11

Fourth IC space, anterior-axillary

Question 12

Chest/ABD trauma:

Needle thoracostomy?

Answer 12

Second ICS midclavicular or the fifth ICS anterior mid-axillary line

Question 13

Chest/ABD trauma:

Suspect with fracture of first 3 ribs

Answer 13

Aortic disruption

Question 14

Chest/ABD trauma:

Scaphoid abdomen indicates?

Answer 14

Diaphragmatic rupture

Question 15

Bowel sounds in chest cavity?

Answer 15

Diaphragmatic rupture, most common in the left chest

Question 16

Crunching sound heard over chest with auscultation, may be synchronized with heart beat?

Answer 16

Associated with tracheobronchial injury and is called Hamman’s sign

Question 17

Preferred method for moving spinal injured patients

Answer 17

Scoop stretcher is preferred rather then performing a log roll

Question 18

Blood loss in humerus fracture

Answer 18

750ml

Question 19

Blood loss in femur fracture

Answer 19

1500ml

Question 20

Burns:

Parkland formula

Answer 20

4 ml x kg x TBSA. 1/2 over 1st 8 hrs, rest over next 16 hours

Question 21

Burns:

Consensus formula

Answer 21

2-4 ml x kg x TBSA. 1/2 over 1st 8 hrs, rest over next 16 hours

Question 22

Volume for RBC administration

Answer 22

10 ml/kg

Question 23

Volume for WBC

Answer 23

20ml/kg

Question 24

Diving injuries:

ATM

Answer 24

1 ATM for every 33 feet descent

Add 1 if asking for total ATM versus water pressure

Question 25

Most common dislocation

Answer 25

Hip