Step-2
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| show | acute pericarditis
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| show | Beck's triad for cardiac tamponade
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| show | constrictive pericarditis
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| What is the following heart dz: chest pain that lessens the patient leans forward | show 🗑
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| what is the next step in the evaluation of a pulsatile abdominal mass and bruit? | show 🗑
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| show | shock at 360J-->CPR continuously-->shock q2 min-->if shock not working give first dose of epi or vasopressin-->continue to shock at 360J q2 min and keep giving epi q3-5 min
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| What CXR findings might indicate a ruptured thoracic aorta? | show 🗑
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| show | absent breath sounds and hyperresonance to percussion (hollow sound) on the affected side, distended neck vv, hypotension.
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| What is the tx for tension PTX? | show 🗑
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| Where should you place a needle to decompress a tension PTX? | show 🗑
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| show | free-floating portion of the chest wall that moves paradoxically to the rest of the chest wall(inward motion with inspiration) and results from 3 or more sequential rib fractures.
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| show | O2 supplementation, close monitoring for resp compromise, BiPAP by mask or endotracheal intubation with mechanical ventilation, analgesia.
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| show | chest tube
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| What are the initial steps in management of abdominal stab wound | show 🗑
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| What is the management for blunt ab trauma in a pt with stable vital signs? | show 🗑
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| show | primary and secondary survey, assess for and manage pelvic fracture, FAST exam.
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| show | Emergent laparotomy
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| A patient presents with blunt ab trauma and unstable vitals. Their FAST exam shows NO blood in the pelvis. What is the next step? | show 🗑
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| A patient presents with blunt ab trauma and unstable vitals. Their FAST exam is inconclusive. What is the next step? | show 🗑
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| show | CT abdomen and pelvis + observation +/- admission
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| What is the tx for a retroperitoneal hematoma, 2/2 penetrating injury or if there is exsanguination into abdomen (bloody peritoneal aspirate) | show 🗑
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| What is the treatement for retroperitoneal hematoma 2/2 blunt trauma w/o blood in the abdomen? | show 🗑
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| Patient presents with pelvic fracture who is hemodynamically unstable. FAST exam shows no fluid in the pelvis. What is the next step? | show 🗑
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| Patient presents with pelvic fracture. FAST exam detects the presence of blood. What is the next step? | show 🗑
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| show | consider retroperitoneal hemorrhage, do angiography with possible emobolization
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| Patient presents with pelvic fracture. It is important to assess for bladder and urethral injury with ________________. | show 🗑
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| show | foley catheter for 10-14days
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| Patient presents with pelvic fracture and intraperitoneal bladder rupture. What is the next step? | show 🗑
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| show | blod at urethral meatus, high-riding "ballotable' prostate, or absence of palpable prostate.
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| show | hematuria is most frequently seen in bladder injuries. A cystography can be used to dx and determine if it is intraperitoneal or extraperitoneal.
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| show | cardiac tamponade. Do pericardiocentesis (or pericardial window).
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| Chest trauma + hypotension + JVD + respiratory distress. What is the next step in the management of this pt? | show 🗑
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| show | Child and elder only
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| Trauma in pregnant women increases the risk of ______________. | show 🗑
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| What is the most prevalent form of child abuse? | show 🗑
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| show | emergent laparotomy
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| show | urgent laparotomy
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| show | angiography with possible embolization
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| show | emergent lap
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| What is the next step in the evaluation of the following patient: blunt abdominal trauma + unstable vitals + FAST show no fluid in pelvis | show 🗑
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| show | DPL
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| show | CT abdomen & pelvis
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| show | emergent lap
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| What additional studies can be performed in the case of a stable patient with an abdominal stab wound that penetrated the peritoneum? | show 🗑
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| show | full sensory and motor exam
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| Since bleeding b/w the fetus and mother is a concern in trauma, what actions should be taken once the patient and the fetus are stabilized? | show 🗑
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Created by:
shelybel
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