Lecture 14 practice

Question 1

What is the most common type of shock following injury?
a) Hypovolemic
b) Cardiogenic
c) Neurogenic
d) Septic (vasogenic)

Answer 1

a) Hypovolemic

(bc of blood loss)

Question 2

Which are types of distributive shock? Select all that apply
a) Hypovolemic
b) Cardiogenic
c) Neurogenic
d) Septic (vasogenic)

Answer 2

c) Neurogenic
d) Septic (vasogenic)

Question 3

What is most common cause of AKI in SICU?
a) Sepsis
b) Rhabdomyolysis
c) Nephrotoxic drugs
d) Hypovolemia
e) IV contrast

Answer 3

d) Hypovolemia

Question 4

Intrabdominal pressure >____ mmHg compromises organ system function

Answer 4

> 25mmHg

Question 5

Shock due to adrenal insufficiency is a rare form of ___________ shock
a) hypovolemic
b) cardiogenic
c) neurogenic
d) vasogenic

Answer 5

d) vasogenic

Question 6

Penetrating neck injuries in what zone(s) are initially managed by angiography & endoscopy? Select all that apply
a) Zone 1
b) Zone 2
c) Zone 3

Answer 6

a) Zone 1
c) Zone 3

(Zone 1 has highest mortality)

Question 7

What is the best imaging for stable pts with penetrating neck injuries?
a) Cervical CT w contrast
b) Cervical CT w/o contrast
c) Doppler ultrasound
d) MRA

Answer 7

a) Cervical CT w contrast

Question 8

What do most penetrating abdominal injuries require?
a) CT abd w contrast
b) CT abd w/o contrast
c) Exploratory laparotomy
d) Serial ultrasounds
e) Plain abd films

Answer 8

c) Exploratory laparotomy

(Plain abd films for stab wounds, & chest, abd;
Pelvic x-ray for GSWs)

Question 9

> 85% of __________ injuries are managed non-operatively
a) Neck
b) Thoracic
c) Abdominal
d) Pelvic

Answer 9

b) Thoracic

Question 10

Emergency department thoracotomies (EDTs) improve perfusion to coronary arteries & brain by temporarily occluding what?
a) Carotid arteries
b) Ascending aorta
c) Descending aorta
d) IVC

Answer 10

c) Descending aorta

Question 11

When is angioembolization considered for splenic injuries? Select all that apply
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Active bleeding

Answer 11

Grade 4
Grade 5
Active bleeding

Question 12

Which is a “soft sign” of vascular injury?
a) Pulsatile bleeding or expanding hematoma
b) Neuro deficit due to primary nerve injury
c) Palpable thrill
d) Audible bruit
e) Diminished or absent pulses

Answer 12

b) Neuro deficit due to primary nerve injury

(hard signs req angiogram or operative exploration)

Question 13

Which are a part of the lethal triad? Select all that apply
a) Coagulopathy
b) Hypothermia
c) Hypotension
d) Metabolic acidosis
e) Metabolic alkalosis

Answer 13

a) Coagulopathy
b) Hypothermia
d) Metabolic acidosis

Question 14

T/F: Systemic antibiotics are not used to treat burn wounds prophylactically

Answer 14

True

Question 15

Surgical excision of a burn wound should be done within _____

Answer 15

72 hours

Question 16

List the Parkland Formula

Answer 16

Total fluid needed = 4 mL LR x body weight (kg) x % TBSA burned

Question 16

0.5-1.0 mL/kg/h is desired urine output for _______, and 1.0-1.5 mL/kg/h is desired urine output for _________.

Answer 16

adults; kids