Trauma

Question 1

Icp

Answer 1

10mmhg

Question 2

CPP

Answer 2

> 70mmhg

Question 3

Neuropraxia

Answer 3

Temp loss weeks

Question 4

Axonotemesis

Answer 4

Wallerians degenerations months

Question 5

Neurotemesis

Answer 5

Complete loss all function

Question 6

Best for skin prep to reduce infection

Answer 6

Alcoholic chorhexidine

Question 7

Parkland formula

Answer 7

3ml x weight x % burn

First half in 8hrs rest in 16hrs

Question 8

When to fluid resus in burns

Answer 8

Adult > 15%

Child > 10%

Question 9

Transfer to burns centre

Answer 9

> 10% adult 
> 5 % child
Extreme ages
FulL thickness/ deep partial
Electrical/chemical 
Face, hands, perineum

Question 10

Cold injuries

Answer 10

1st frost nip- oedema and redness
2nd frostbite- pain, paracesthesia, blister
3rd necrosis - D’Ark
4th to bone

Treat with 40degrees h20 with analgesia

Question 11

Hypo and hyper thermos definitions

Answer 11

Mild <35
Mod < 32
Severe < 28
Profound < 20

Can not pronounce dead if temp < 33

Hyperthermia > 41

Question 12

Nerve close to bladder

Answer 12

Obturator

Question 13

Cushing vs curlings ulcer

Answer 13

Cushings - raised ICP

Curlings - burns

Question 14

Doses of local anaesthetics

Answer 14

Lidocaine 3/7mgkg
Bupivacaine 2mg
Prilocaine 6mg - methylene blue

Intralipid
Not with tricyclics

Question 15

Glutaraldehyde

Answer 15

Endoscope cleansing

Question 16

Fat embolism

Answer 16

Rash
Neuro
Reap

Question 17

When to given platelet transfusion in splenectomy

Answer 17

Lighting the splenic artery

Question 18

Adam kiewicz

Answer 18

T8-l2

Can cause paraplegia

Question 19

Choronotropic

Answer 19

Rate

Question 20

Detruser muscle

Answer 20

Parastmparhetic S2-4 contract

Sympathetic t10-l2 relaxes

Question 21

Thy3 a & f

Answer 21

A = atypical - repeat

F follicular - partial thyroidectomy

Question 22

Warfarin

Answer 22

2, 7, 9, 10,

Question 23

Low fibrinogen

Answer 23

Cryocypitate

Question 24

Neoadjuvant chemo for breast cancer

Answer 24

Large and mets
To downstage
Triple negative
Her 2 positive

Question 25

When to not use NO

Answer 25

Sbo/ pneumothorax

Question 26

Halothane

Answer 26

Hepatitis

Question 27

Isoflurane

Answer 27

No affect on ICP

Question 28

Pro profit

Answer 28

Egg allergies | Increases metabolic acidosis

Question 29

Ethomidate

Answer 29

Adrenal suppression’s

Question 30

Amides

Answer 30

Less chance toxicity Lidocain Bupivican Esters procaine