Patient with spine, chest and abdominal injury in road traffic accident developed hypotension and bradycardia. Most likely reason is
Anonymous Quiz
11%
Hypovolemic shock
40%
Hypovolemic and neurogenic shock
11%
Hypovolemic and septicemic shock
37%
Neurogenic shock
Which of the following is NOT a criterion for SIRS,systemic inflammatory response syndrome?
Anonymous Quiz
9%
A. Temperature >38°C
15%
B. Heart rate >90 bpm
51%
C. Blood pressure <90 mmHg
26%
D. Respiratory rate >20/min
patient with septic shock deteriorates despite fluid resuscitation. Which of the following is the most serious complication?
Anonymous Quiz
0%
A. Mild anemia
100%
B. Multiple organ failure
0%
C. Hypertension
0%
D. Hyperlipidemia
Which of the following complications is commonly associated with septic shock?
Anonymous Quiz
83%
A. Disseminated intravascular coagulation (DIC)
0%
B. Asthma
11%
C. Peptic ulcer disease
6%
D. Migraine
In the acronym “BASE” for anaphylactic shock treatment, what does “B” stand for?
Anonymous Quiz
13%
A. Beta-blocker
61%
B. Benadryl (diphenhydramine)
26%
C. Bronchodilator only
0%
D. Blood transfusion
Which combination correctly represents the “BASE” acronym?
Anonymous Quiz
28%
A. Benadryl, Antibiotics, Steroids, Epinephrine
59%
B. Benadryl, Aminophylline, Steroids, Epinephrine
7%
C. Beta-blockers, Aminophylline, Salbutamol, Epinephrine
7%
D. Blood, Aspirin, Steroids, Enalapril
Which of the following is true about tension pneumothorax ?
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3%
Valve-like tear
12%
It's progressive and fatal
6%
History of trauma or mechanical ventilation
79%
All of the above
Which of the following is found in examination of a patient with tension pneumothorax ?
Anonymous Quiz
13%
Dullness to percussion.
13%
⬆️ breath sounds on affected side.
58%
Subcutaneous emphysema
16%
All of the above
In a case with tension pneumothorax, the intrapleural manometer is ...
Anonymous Quiz
71%
Positive
29%
Negative
Which of the following is done in the 1ry survey for a case of hemothorax?
Anonymous Quiz
35%
Needle decompression
52%
Chest tube insertion
11%
Thoractomy
2%
Tracheostomy
A 22 year-old male came to the ER after road traffic accident. Chest wall examination revealed multiple bruises specially on the Lt side.
The patient was hypotensive with distended neck veins. On auscultation, muffled heart sounds were heard.
The patient was hypotensive with distended neck veins. On auscultation, muffled heart sounds were heard.
Provisional diagnosis:
Anonymous Quiz
31%
Tension pneumothorax
9%
Hemothorax
54%
Cardiac temponade
6%
Flail chest
The best investigation for this case is:
Anonymous Quiz
19%
Chest x-ray
13%
CT chest scan
63%
Echocardiography
6%
Isotope scan
A 25-year-old male came to the ER after a road traffic accident.
The chest wall showed multiple bruises with bulging of the Rt side. The patient had dyspnea with decreased chest movement. Percussion revealed hyper-resosnance on the Rt side & auscultation revealed dimnished breath sounds.
The chest wall showed multiple bruises with bulging of the Rt side. The patient had dyspnea with decreased chest movement. Percussion revealed hyper-resosnance on the Rt side & auscultation revealed dimnished breath sounds.
Provisional diagnosis:
Anonymous Quiz
80%
Rt tension pneumothorax
3%
Lt tension pneumothorax
14%
Rt hemothorax
3%
Lt hemothorax
The 1st step in management of this case is:
Anonymous Quiz
11%
Chest x-ray
9%
CT chest scan
66%
Needle decompression
14%
Intercostal chest tube insertion
0%
Emergency thoracotomy
Chest x-ray is expected to show:
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60%
Jet black opacity on the Rt side
14%
Shift of the mediastinum to the Rt side
6%
Enlarged cardiac shadow
20%
Obliterated costo-phrenic angle
All of the following are causes of spontaneous pneumothorax, except:
Anonymous Quiz
14%
TB
14%
COPD
54%
Thoracoscopy
17%
Ruptured apical bleb