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28- indication to anti-Rh in pregnant women except: gunshot wound to the foot
29- pregnant lady with PV bleeding, initial assessmentAirway..
30- difficulty in respiration, loss of sensation in the foot?
- possible cervical injury
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Second group ATLS MCQs
15. Burn victim, has circumferential burn, core temperature is 34 C. what next? Aescharatomy B- rewarm C- oxygen mask (I think the answer is C oxygen mask because
you should follow the ABCD priorities)
16. Which of the followings is NORMAL in pregnancy? A-increased residual lung volume Bdecreased plasma volume C- decreased total RBC mass D- widened symphysis pubis.
Answer is D
17. Trauma patient was hypotensive then you gave him 1 L of crystalloid and now he is
alert and talking. Which of the following statements is correct? Answer: He has good
cerebral blood flow
18. Which of the followings is a contraindication for nasal intubation? A- depressed skull
fracture B- Le Fort III fractures. Answer is B (Le Fort III fractures causes cribriform
plate fracture)
19. Which of the followings will benefit from oropharyngeal airway? A- posterior
displacement of tongue B- laryngeal edema. Answer is A
20. Patient came with severe head injury GCS is 6 and has poor anal sphincter tone and
diagrammatic breathing. His hands are flexed across the chest. What is the cause of
his injury? A-isolated head injury. B-lumbosacral verterbral injury. C- Cervical
vertebral injury. Answer is C
21. Patient with sever substernal pain. CXR shows widened mediastenum? do ECG
22. Question about spinal board? A-Remove after completing assessment B- it leads to
decubetus ulcers .. answer: ????
23. CSF is between? Arachinoid and pia matter.
24. Question about transfer? Transfer after stabilizing the patient.
25. Scenario with scalp laceration .. the priority was to stop the bleeding with direct
pressure. The other choices are all after the circulation.
26. Patient with head injury and systemic hypotension, what is the most probable cause
of his hypotension? A- bleeding in the brain B- systemic hypovolemia. Answer is B
27. Dorsal column? Carries proprioception from the same side of the body.
28. Elderly fallen from horse.. low blood pressure but normal heart rateanswer: current
medications might be involved.
29. Neurogenic shock.. answer: unlikely if injury below the level of T6.
30. Which of the followings will NOT have an effect of the clinical presentation of
hemorrhagic shock? A- gender B- age extremes C- delay in transfer Answer:???
31. Patient with stab wound to the upper abdomen. Which test to do? A- abdominal X ray
B- FAST C- barium enema D- upper GI endoscopy. Answer: B
32. Question about burn and fall from height. Answer: examine the pelvis and the long
bones for fractures.
33.