1.

Which following LEAST diagnostic esophageal therapy should be administered to

intubation ?  ETT above carina on chest x- pregnant females who have sustained a
ray gunshot wound to the leg
2. Which following signs definitive airway in 9. 18-year-old motorcyclist, massive facial injuries
trauma patient?  severe maxillofacial in a head crash with pick up, 150/88, ** beats,
fractures RR 26 labored and sonor, GCS 7, orotracheal
3. Twenty-seven patient injured aircraft local
intubation unsuccesfull, be apatic, best
airport. Principal triage?  produce the
procedure?  surgical cricothyroidotomy
greates number of survivor based on 10.25-year-old partial and full thickness burn
available resources involving 60% right arm and hand,
4. Statement correct?  Cerebral contusions
circumferential burn, pulse absent right wrist
may coalesce to form an intracerebral
and not detected by Doppler examination, first
hematoma
step manage right upper?  escharotomy
5. An 18-yearold, shot, bullet wound right clavicula
11. Following sign chst x-ray patient a blunt
and right posterior axillary line, TD 11060, 90
injury suggest aortic rupture EXCEPT which ? 
beat, RR 34, airways and double IV line, next
mediastinal emphysema
appropriate step?  obtain a portable chest 12.30-year-old woman fell down four stairs landing
x-ray on concrete. Uncon scious for 5 ,imutes after the
6. A 47-year-old, falling 6 meters (20 feet) landing
fall, full consciousness during 10 minute
straddle on a face, perineum reveals extensive
transport the hospital, GCS 15, complaint is a
echymosis, blood MAE, initial diagnostic study
slight headache, 30 minute she unresponsive
for evaluation urinary track ?  retrograde
GCS 6 left pupil is large ?  an epidural
urethrography
hematoma
7. Neurogenic shock following classic characteristic
13.24-year-old male pedestrian, struck automobile,
except which ?  narrowed pulse pressure
admit EmerDeptt 1 hour after injury, 80/60, 140
8. Following false concerning Rh isoimmunization
beat, RR 36, lethargic, oxygen face mask, 2 IV
in pregnant trauma ?  Rh immunoglobulin
 line, BGA PaO2 118, PaCO2 30, PH 7,21. Best
accomplished by ?  restoration of normal
perfusion
14. Which following first any patient may
include multiple close extremity fracture? 
ensuring adequate oxygenation and
ventilation.
15. A 30-year-old gubshot wound right lower
hest, midway nipple and costal margin, in
EmerDeptt he endotracheally intubated, 2 liters
chrystaloid two IV line, closed tube
thoracostomy 200 ml of blood, his blood now
70/0, 140 beats, most appropriate?  perform
a laparotomy in the operating room
16. You are treating trauma patient definitive
airway by intobation, vocal cord not vsible. Most
valuable for succesfull intubation ?  gum
elastic bougle
17. 79-year-old female motor crash, she on
Coumadin and a beta blocker. Following true ? 
vigorous fluid resuscitation may be
associated with cardiorespiratory failure
18.22-year-old male falling from 2,4 meter (8 feet),
large right pneumothoraxchest tube inserted
connected drainage, chest x-ray demonstrated
residual large right pneumothorax, third x-ray
reveal persistant right pneumothorax, most
likely cause persistent right pneumothorax ? 
tracheobronchial injury
19.22 year-old female 6 month pregnant motor
crash, vaginal bleeding. Initial step treatment ?
 ask the patient what her name is
20.Construction worker falls a scaffold, HR 124
beat, 85/60, lower abdominal pain airway, chest,
immobilizing spine, initial fluid, next step? 
FAST exam
21.22-year-old male a shotgun wound left shoulder
and chest at close range, 80/40, 130 beat, after
2 liters fluid 122/84, 100 beat, tachypneu 28
breath sound decrease upper chest with
dullness on percussion, large caliber tube
thoracostomy insert return 200 ml blood, most
appropriate next step?  repeat the physical
examination of the chest
22. Which following concerning spine and
cord is TRUE ?  diaphragmatic breathing in
an unconscious patient who has fallen is
sign of spine injury
23. Which following TRUE ?  nasotracheal
tube positions a cuffed airway in the
infraglottic space
24.40-year-old male fall from 3 meter (10 feet),
airway clear, RR 28, systole 140pain on
palpation of chest ?  pain management
25. Most common acid-base disturbance
encountered in injured pediatric patient ? 
changes in ventilation
26. 17-year-old femae 2 meters fall,
unresponsive and RR 32, 90/60, 68 beat. First
treatment?  applying oxygen and
maintaining airway
27. Which one following TRUE regarding
diagnostic peritoneal lavage?  DPL has a
high sensitivity
28. Which following sign class II
hemoraahagic shock ( 750-1500 ml )  heart
rate above 140 beats per minutes
29. Neurogenic shock is ?  initially
managed with vasopressor therapy
30.23 year-old male full-thickness burns his
head,arms, upper torso, total 50%, weight 80 kg
105/75, 135 beat, cateter urine 20 ml dark,
received 1000 ml RLParkland guide estimate
crystalloid fluid next 8 hours ?  1000 ml
31.34 –year-old female motor crash, talking, voice
is hoarse, bruishing chest and anterior neck,
next step?  oxygen by non-rebreathing
mask
32.Compared with adults, children have ?  lower
incidence of bony injury with neurogenic
shock
33.30 year-old male motor crash, RR 18, 88 beats,
130/72, GCS 13. Laparotomy indicates when ? 
CT demonstrated retroperitoneal air
34.20-year-old male 30 minute after stabbed in the
chest, 3 cm wound medial left nipple. 70/33,
140 beat, neck and arm vein distended, breath
sound normal, heart sound diminished, IV
access warm crystalloid. Manage?  FAST
exam
35.35-year-old motorcyclist a frontal impact
collision, 140 beat, 86/60, RR 36, bitterly lower
abdominal pain, a leg-length discrepancy and
external rotations left leg. Which following
TRUE ?  x-ray of the chest and pelvic are
important in the initial evaluation
36.35-year-old female fall down stairs, extensive
bruising face and head, 120 beat, 90/70, RR 26,
condition most readily?  hypovolemia from
abdominal or pelvic injury
37. Which following TRUE cranial anatomy? 
the choroid plexus, which produced
cerebrospinal fluid, lies in the lateral and
third ventricles.
38.22-year-old woman fall skiing, present spine eyes, verbalizing inappropriate words, pupil
board cervical collar, oxygen mask 5 Lpm, equal, most important step?  immediate
double IV, GCS 12, 135/76, 105 beat, RR 19. intubation to protect his airways
40.In a patient with a spinal cord injury, sacral
Manage ? CT of the head and repeat GCS
39.A young male fall 5 meters (16 feet) from roof, sparing?  is a good prognostic sign.
respond pain by pushing your hand, opening