SPTatls2 9th

1. Which followin following g LEAST diagnost diagnostic ic esophagea esophageall intubation ?

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ETT above carina on chest x-

ray 2. Which follow following ing signs signs denitive denitive airwa airwa in trau!a patient?

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severe maxillofacial

fractures  Twent"seven patient in#ured aircraft aircraft local 3.  Twent"seven airport. $rincipal triage?

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produce the

greates number of survivor based on available resources 4. State!ent correct? Cerebral contusions 

may coalesce to form an intracerebral hematoma 5. An 1%"earold& shot& bullet wound right clavicula and right posterior a'illar line& T( 11)*)& +) beat& ,, -& airwas and double /0 line& ne't appropriate step?

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obtain a portable chest

x-ray 6. A "ear"old& falling * !eters 2) feet3 landing straddle on a face& perineu! reveals e'tensive ech!osis& blood 4AE& initial diagnostic stud for evaluation urinar trac5 ?

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retrograde

urethrography . 6eurogenic shoc5 following classic characteristic e'cept which ? narro!ed pulse pressure ". 7ollowing false concerning ,h isoi!!uni8ation 

in pregnant trau!a ?

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#h immunoglobulin

therapy should be administered to pregnant females !ho have sustained a gunshot !ound to the leg 1%"ear"old !otorcclist& !assive facial in#uries $. 1%"ear"old in a head crash with pic5 up& 19):%%& ;; beats& ,, 2* labored and sonor& <=S & orotracheal intubation unsuccesfull& be apatic& best procedure?  surgical cricothyroidotomy 1).29"ear"old partial and full thic5ness burn involving *)> right ar! and hand& circu!ferential circu!ferential burn& pulse absent right wrist and not detected b (oppler e'a!ination& rst step !anage right upper?  escharotomy 7ollowing sign chst '"ra patient a blunt %%. 

in#ur suggest aortic rupture E=E$T which ?

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mediastinal emphysema 12.-)"ear"old wo!an fell down four stairs l anding on concrete. @ncon scious for 9 &i!utes after the fall& full consciousness during 1) !inute transport the hospital& <=S 19& co!plaint is a slight headache& -) !inute she unresponsive <=S * left pupil is large ?

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an epidural

hematoma 1-.2"ear"old !ale pedestrian& struc5 auto!obile& ad!it E!er(eptt 1 hour after in#ur& %):*)& 1) beat& ,, -*& lethargic& o'gen face !as5& 2 /0

line& 
reveal persistant right pneu!othora'& !ost

acco!plished b ?

li5el cause persistent right pneu!othora' ?

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restoration of normal

perfusion Which following rst an patient !a %4. include !ultiple close e'tre!it fracture?

tracheobronchial in(ury 1+.22 ear"old fe!ale * !onth pregnant !otor crash& vaginal bleeding. /nitial step treat!ent ?

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ensuring ade&uate oxygenation and

hest& !idwa nipple and costal !argin& in

beat& %9:*)& lower abdo!inal pain airwa& chest& i!!obili8ing spine& initial Fuid& ne't step?

E!er(eptt he endotracheall intubated& 2 liters chrstaloid two /0 line& closed tube

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*+,T exam 21.22"ear"old !ale a shotgun wound left shoulder and chest at close range& %):)& 1-) beat& after

thoracosto! 2)) !l of blood& his blood now 

as) the patient !hat her name is 2).=onstruction wor5er falls a scaold& C, 12 

ventilation. A -)"ear"old gubshot wound right lower %5.

):)& 1) beats& !ost appropriate?

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perform

a laparotomy in the operating room  Dou are treating trau!a patient denitive %6.

2 liters Fuid 122:%& 1)) beat& tachpneu 2% breath sound decrease upper chest with dullness on percussion& large caliber tube

airwa b intobation& vocal cord not vsible. 4ost

thoracosto! insert return 2)) !l blood& !ost

valuable for succesfull intubation ?

appropriate ne't step?

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gum

elastic bougle +"ear"old fe!ale !otor crash& she on %. =ou!adin and a beta bloc5er. 7ollowing true ?

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repeat the physical

examination of the chest Which following concerning spine and . 

vigorous 'uid resuscitation may be associated !ith cardiorespiratory failure 1%.22"ear"old !ale falling fro! 2& !eter % feet3&

cord is T,@E ?

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diaphragmatic breathing in

an unconscious patient !ho has fallen is sign of spine in(ury Which following T,@E ? 3.

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nasotracheal

large right pneu!othora'chest tube inserted

tube positions a cued air!ay in the

connected drainage& chest '"ra de!onstrated

infraglottic space

residual large right pneu!othora'& third '"ra

2.)"ear"old !ale fall fro! - !eter 1) feet3& airwa clear& ,, 2%& sstole 1)pain on

-2.=o!pared with adults& children have ?

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lo!er

incidence of bony in(ury !ith neurogenic

palpation of chest ? pain management 4ost co!!on acid"base disturbance 5. 

encountered in in#ured pediatric patient ?

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changes in ventilation 1"ear"old fe!ae 2 !eters fall& 6.

shoc)  --.-) ear"old !ale !otor crash& ,, 1%& %% beats& 1-):2& <=S 1-. Laparoto! indicates when ?

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CT demonstrated retroperitoneal air -.2)"ear"old !ale -) !inute after stabbed in the

unresponsive and ,, -2& +):*)& *% beat. 7irst

chest& - c! wound !edial left nipple. ):--&

treat!ent?

1) beat& nec5 and ar! vein distended& breath

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applying oxygen and

maintaining air!ay Which one following T,@E regarding . diagnostic peritoneal lavage?

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/01 has a

high sensitivity Which following sign class // ". he!oraahagic shoc5  9)"19)) !l 3

sound nor!al& heart sound di!inished& /0 access war! crstalloid. 4anage?

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*+,T

exam -9.-9"ear"old !otorcclist a frontal i!pact collision& 1) beat& %*:*)& ,, -*& bitterl lower

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  heart

rate above %42 beats per minutes 6eurogenic shoc5 is ? $. initially

abdo!inal pain& a leg"length discrepanc and e'ternal rotations left leg. Which following

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managed !ith vasopressor therapy -).2- ear"old !ale full"thic5ness burns his head&ar!s& upper torso& total 9)>& weight %) 5 g 1)9:9& 1-9 beat& cateter urine 2) !l dar5& received 1))) !l ,L$ar5land guide esti!ate crstalloid Fuid ne't % hours ? %222 ml -1.- Gear"old fe!ale !otor crash& tal5ing& voice 

is hoarse& bruishing chest and anterior nec5& ne't step?

mas) 

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oxygen by non-rebreathing

 T,@E ?

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x-ray of the chest and pelvic are

important in the initial evaluation -*.-9"ear"old fe!ale fall down stairs& e'tensive bruising face and head& 12) beat& +):)& ,, 2*& condition !ost readil?

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hypovolemia from

abdominal or pelvic in(ury Which following T,@E cranial anato!? 3. the choroid plexus !hich produced cerebrospinal 'uid lies in the lateral and third ventricles.

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-%.22"ear"old wo!an fall s5iing& present spine board cervical collar& o'gen !as5 9 Lp!& double /0& <=S 12& 1-9:*& 1)9 beat& ,, 1+. 4anage ? CT of the head and repeat C, -+.A oung !ale fall 9 !eters 1* feet3 fro! roof& respond pain b pushing our hand& opening

ees& verbali8ing inappropriate words& pupil eHual& !ost i!portant step?

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immediate

intubation to protect his air!ays )./n a patient with a spinal cord in#ur& sacral sparing?

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is a good prognostic sign.