1. Which following LEAST diagnostic esophageal
intubation ?  ETT above carina on chest xray
2. Which following signs definitive airway in
trauma patient?  severe maxillofacial
fractures
3. Twenty-seven patient injured aircraft local
airport. Principal triage?  produce the
greates number of survivor based on
available resources
4. Statement correct?  Cerebral contusions
may coalesce to form an intracerebral
hematoma
5. An 18-yearold, shot, bullet wound right clavicula
and right posterior axillary line, TD 11060, 90
beat, RR 34, airways and double IV line, next
appropriate step?  obtain a portable chest
x-ray
6. A 47-year-old, falling 6 meters (20 feet) landing
straddle on a face, perineum reveals extensive
echymosis, blood MAE, initial diagnostic study
for evaluation urinary track ?  retrograde
urethrography
7. Neurogenic shock following classic characteristic
except which ?  narrowed pulse pressure
8. Following false concerning Rh isoimmunization
in pregnant trauma ?  Rh immunoglobulin
therapy should be administered to
pregnant females who have sustained a
gunshot wound to the leg
9. 18-year-old motorcyclist, massive facial injuries
in a head crash with pick up, 150/88, ** beats,
RR 26 labored and sonor, GCS 7, orotracheal
intubation unsuccesfull, be apatic, best
procedure?  surgical cricothyroidotomy
10.25-year-old partial and full thickness burn
involving 60% right arm and hand,
circumferential burn, pulse absent right wrist
and not detected by Doppler examination, first
step manage right upper?  escharotomy
11.
Following sign chst x-ray patient a blunt
injury suggest aortic rupture EXCEPT which ? 
mediastinal emphysema
12.30-year-old woman fell down four stairs landing
on concrete. Uncon scious for 5 ,imutes after the
fall, full consciousness during 10 minute
transport the hospital, GCS 15, complaint is a
slight headache, 30 minute she unresponsive
GCS 6 left pupil is large ?  an epidural
hematoma
13.24-year-old male pedestrian, struck automobile,
admit EmerDeptt 1 hour after injury, 80/60, 140
beat, RR 36, lethargic, oxygen face mask, 2 IV
line, BGA PaO2 118, PaCO2 30, PH 7,21. Best
reveal persistant right pneumothorax, most
accomplished by ?  restoration of normal
likely cause persistent right pneumothorax ? 
perfusion
14.
Which following first any patient may
include multiple close extremity fracture? 
ensuring adequate oxygenation and
ventilation.
15.
A 30-year-old gubshot wound right lower
hest, midway nipple and costal margin, in
EmerDeptt he endotracheally intubated, 2 liters
chrystaloid two IV line, closed tube
thoracostomy 200 ml of blood, his blood now
70/0, 140 beats, most appropriate?  perform
a laparotomy in the operating room
16.
You are treating trauma patient definitive
tracheobronchial injury
19.22 year-old female 6 month pregnant motor
crash, vaginal bleeding. Initial step treatment ?
 ask the patient what her name is
20.Construction worker falls a scaffold, HR 124
beat, 85/60, lower abdominal pain airway, chest,
immobilizing spine, initial fluid, next step? 
FAST exam
21.22-year-old male a shotgun wound left shoulder
and chest at close range, 80/40, 130 beat, after
2 liters fluid 122/84, 100 beat, tachypneu 28
breath sound decrease upper chest with
dullness on percussion, large caliber tube
airway by intobation, vocal cord not vsible. Most
thoracostomy insert return 200 ml blood, most
valuable for succesfull intubation ?  gum
appropriate next step?  repeat the physical
elastic bougle
17.
79-year-old female motor crash, she on
examination of the chest
22.
Which following concerning spine and
Coumadin and a beta blocker. Following true ? 
cord is TRUE ?  diaphragmatic breathing in
vigorous fluid resuscitation may be
an unconscious patient who has fallen is
associated with cardiorespiratory failure
18.22-year-old male falling from 2,4 meter (8 feet),
sign of spine injury
23.
Which following TRUE ?  nasotracheal
large right pneumothoraxchest tube inserted
tube positions a cuffed airway in the
connected drainage, chest x-ray demonstrated
infraglottic space
residual large right pneumothorax, third x-ray
24.40-year-old male fall from 3 meter (10 feet),
airway clear, RR 28, systole 140pain on
palpation of chest ?  pain management
25.
Most common acid-base disturbance
encountered in injured pediatric patient ? 
changes in ventilation
26.
17-year-old femae 2 meters fall,
32.Compared with adults, children have ?  lower
incidence of bony injury with neurogenic
shock
33.30 year-old male motor crash, RR 18, 88 beats,
130/72, GCS 13. Laparotomy indicates when ? 
CT demonstrated retroperitoneal air
34.20-year-old male 30 minute after stabbed in the
unresponsive and RR 32, 90/60, 68 beat. First
chest, 3 cm wound medial left nipple. 70/33,
treatment?  applying oxygen and
140 beat, neck and arm vein distended, breath
maintaining airway
27.
Which one following TRUE regarding
diagnostic peritoneal lavage?  DPL has a
high sensitivity
28.
Which following sign class II
hemoraahagic shock ( 750-1500 ml )  heart
rate above 140 beats per minutes
29.
Neurogenic shock is ?  initially
managed with vasopressor therapy
30.23 year-old male full-thickness burns his
head,arms, upper torso, total 50%, weight 80 kg
105/75, 135 beat, cateter urine 20 ml dark,
received 1000 ml RLParkland guide estimate
crystalloid fluid next 8 hours ?  1000 ml
31.34 –year-old female motor crash, talking, voice
is hoarse, bruishing chest and anterior neck,
next step?  oxygen by non-rebreathing
mask
sound normal, heart sound diminished, IV
access warm crystalloid. Manage?  FAST
exam
35.35-year-old motorcyclist a frontal impact
collision, 140 beat, 86/60, RR 36, bitterly lower
abdominal pain, a leg-length discrepancy and
external rotations left leg. Which following
TRUE ?  x-ray of the chest and pelvic are
important in the initial evaluation
36.35-year-old female fall down stairs, extensive
bruising face and head, 120 beat, 90/70, RR 26,
condition most readily?  hypovolemia from
abdominal or pelvic injury
37.
Which following TRUE cranial anatomy? 
the choroid plexus, which produced
cerebrospinal fluid, lies in the lateral and
third ventricles.
38.22-year-old woman fall skiing, present spine
board cervical collar, oxygen mask 5 Lpm,
double IV, GCS 12, 135/76, 105 beat, RR 19.
Manage ? CT of the head and repeat GCS
39.A young male fall 5 meters (16 feet) from roof,
respond pain by pushing your hand, opening
eyes, verbalizing inappropriate words, pupil
equal, most important step?  immediate
intubation to protect his airways
40.In a patient with a spinal cord injury, sacral
sparing?  is a good prognostic sign.