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4. A teenage boy falls from his bicycle and is run over by a truck. On arrival in
the emergency room, he is awake and alert and appears
frightened but in no distress. The chest radiograph suggests an airfluid level in
the left lower lung field and the nasogastric tube seems to coil upward into the
left chest. The next best step in management is
a. Placement of a left chest tube
b. Immediate thoracotomy
c. Immediate celiotomy
d. Esophagogastroscopy
e. Removal and replacement of the nasogastric tube; diagnostic peritoneal lavage
DIRECTIONS: Each item below contains a question or incomplete
statement followed by suggested responses. Select the one best response to
each question.
10. Which of the following statements regarding the Glasgow coma scale is
true?
a. It serves as a scale to assess the long-term sequelae of head trauma
b. A high score correlates with a high mortality
c. It includes measurement of intracranial pressure
d. It includes measurement of pupillary reflexes
e. It includes measurement of verbal response
Jawaban:
1. C
2. C
3. B
4. C
5. C
6. C
7. D
8. D
9. D
10. E