Pretest
Employee Name: Department: Emp ID:
1. Which of the following signs is LEAST reliable for diagnosing oesophageal intubation?
a Symmetrical chest wall movement
b End-tidal CO2 presence by colorimetry
c Bilateral breath sounds
d Oxygen saturation >92%
e ETT above carina on chest x-ray
2. Which one of the following signs necessitates a definitive airway in severe trauma patients?
a Facial lacerations
b Repeated vomiting
c Severe maxillofacial fractures
d Sternal fracture
e GCS score of 12
3. Twenty-seven patients are seriously injured in an aircraft crash at a local airport. The principles of
triage include:
a Establish a triage site within the internal perimeter of the crash site
b Treat only the most severely injured patients first
c Immediately transport all patients to the nearest hospital
d Treat the greatest number of patients in the shortest period of time
e Produce the greatest number of survivors based on available resources
4. Which one of the following statements is correct?
a. Cerebral contusions may coalesce to form an intracerebral hematoma
b Epidural hematomas are usually seen in the frontal region
c Subdural hematomas are caused by injury to the middle meningeal artery
d Subdural hematomas typically have a lenticular shape on CT scan
e The associated brain damage is more severe in epidural hematomas
5. An 18-year-old male is brought to the emergency department after having been shot. He has one
bullet wound just below the right clavicle and another just below the costal margin in the right
posterior axillary line. His BP is 110/60 mmHg, HR is 90 bpm, and RR is 34 bpm. After ensuring a
patent airway and inserting 2 large caliber iv lines, the next appropriate step is to:
a Obtain a portable chest x-ray
b Administer a bolus of additional iv fluid
c Perform a laparotomy
d Obtain an abdominal CT scan
e Perform diagnostic peritoneal lavage
6. An 8-year-old boy falls 4,5 meters (15 feet) from a tree and is brought to the emergency department
by his family. His vital signs are normal, but he complains of left upper quadrant pain. An abdominal
CT scan reveals a moderately severe laceration of the spleen. The receiving institution does not have
24-hour-a-day operating room capabilities. The most appropriate management of this patient would
be:
a Type and crossmatch for blood
b Request consultation of a paediatrician
c Transfer the patient to a trauma centre
d Admit the patient to the ICU
e Prepare the patient for surgery the next day
7. A 47-year-old house painter is brought to the hospital after falling 6 meters (20 feet) from a ladder
and landing straddled on a fence. Examination of his perineum reveals extensive ecchymosis. There is
blood in the external urethral meatus. The initial diagnostic study for evaluation of the urinary tract in
this patient should be:
a Cystoscopy
b Cystography
c Iv pyelography
d CT scan
e Retrograde urethrography
8. Neurogenic shock has all of the following classic characteristics except which one?
a Hypotension
b Vasodilatation
c Bradycardia
d Neurologic deficit
e Narrowed pulse pressure
Notes:
9. Which one of the following statements is false concerning RH iso-immunisation in pregnant trauma
patients?
a It occurs in blunt or penetrating abdominal trauma
b It is produced by minor degrees of geomaterial haemorrhage
c Rh immunoglobulin therapy should be administered to pregnant females who have sustained a
gunshot wound to the leg
d This is not a problem in traumatised, Rh-positive pregnant patients
e Initiation of Rh immunoglobulin therapy does not require proof of geomaterial haemorrhage
10. An 18-year-old motorcyclist sustains massive facial injuries in a head-on crash with a pickup
truck. He is brought to the emergency department completely immobilized on a long spine board and
wearing a cervical collar. His BP is 150/88 mmHg, HR is 88 bpm and regular, and RR is 26 bpm. His
respirations are laboured and sonorous. His GCS score is 7. Attempts at orotracheal intubation with
manual inline stabilization of the c-spine are unsuccessful due to bleeding and distorted anatomy. The
patient becomes apnoeic. The best procedure for airway management in this situation is:
a Nasotracheal intubation
b Emergency tracheostomy
c Surgical cricothyroidotomy
d Placement of an oropharyngeal airway
e Placement of a nasopharyngeal airway
Employee Sign: Date:
