Quiz: End Module Exam 2023

Which of the following indications for immediate CT brain imaging after head injury is wrong

A A- Glasgow Coma Scale ( GCS) score< 13 B B- Focal neurological signs C C- Post- traumatic fit D D- Ejection from motor vehicle.

The recommended range for PCO2 in a patient with a severe traumatic brain injury is

A A. 10-15mmhg B B) 30-40 mmhg C C. 30-35mmhg D D. 35-45mmlig

Which of the following memory alds may be used when evaluating a patient's level of responsiveness

A A. CAB B B. AVPU C C. ABCDE D D. OPQRST.

If no head or neck trauma is suspected, which of the following techniques should health care professionals use to open the airway

A A. Tongue- jaw lift B B.head tilt- chin lift C C. head tilt- neck lift D d. Jaw thrust without neck extension.

Which of the following conditions does not require immediate recognition and treatment during the primary survey

A A.Sucking chest wound B B- Massive haemothorax C C- Aortic disruption D D. Cardiac tamponade

In which of the following wound types are prophylactic antibiotics not indicated

A A- Compound limb fracture B B- Stab wounds to the intestine C C- Contaminated perineal lacerations D d-Scalp laceration over skull vault fracture.

The purpose of the primary survey is to

A A- Perform a detailed head- to- toe physical examination A B B- Determine the number of personnel needed to assist in the patient's care C C- Focus on the patient's chief complaint/ reason for seeking medical assistance D D- Detect the presence of life- threatening problems that require rapid intervention

During the primary survey, for what length of time should you assess for the presence of a pulse

A A- Check for a pulse for no more than 3 seconds B B- Check for a pulse for no more than 5 seconds C c-Check for a pulse for at least 5 seconds but no more than 10 seconds D D- Check for a pulse for at least 10 seconds but no more than 30 seconds

The system of' triage' is based upon which of the following principles

A A- Treating patients in order of priority. B B-Treating first come first served. C C-Treating the quickest and easiest first. D D-Treating those that complaint the most first.

The first step of triage is to

A A- Take care of the worst looking victim first B B- Start where you stand C C- Stop, look, listen and think D D- Conduct

Triage which victim first

A A- The worst looking victim B B- The worst sounding victim C C- The closest victim D D- The youngest victim.

Which is not a possibility in the ECG of a pt. with hypokalemia

A A- prolong PR interval B B- prominent U waves C C- T wave flattening D D- Prolonged QT interval.

Which does not cause a metabolic alkalosis

A A- vomiting B B- diarrhea C C- loop diuretics D D- thiazide diuretics

Which one of the following is the most sensitive to confirm the position of the ETT

A A- Chest x- ray B B- Continuous tracing of capnography C C- Use of esophageal detector device D D- Presence of mist in the tube.

What is the thyromental distance indicating an easy intubation

A A- 3 cm B B- 4 cm C C- 5 cm D D- 7 cm

Which of the following is not an example of an extraglottic airway device

A A- Laryngeal tube B B- BETT C C- LMA D D- Esophageal- tracheal Combitube.

What does the QRS complex represent

A A- Atrial depolarization B B- Ventricular contraction C C- Ventricular depolarization D D- Ventricular repolarization

Which of the following are treated with symbronted

A A- Unstable atrial fibrillation B B- Sinus tachycardia C C- C- VT without a pulse D D- VF

Which of the following is a common cause of passive intrathoracic are

A A- hyperventilation B B- Inability to open the victim's airway C C- Inadequate rate of chest compressions D D- Frequent interruptions for rhythan/ pulse checks

Defibrillation is Indicated in the management of

A A- VF and a systole. B B- PEA and a systole. C C- PVT and VF. D D- PVT and PEA.

The baby whose birth weight is 2250 gm and born at 36 weeks of gestation

A A- Full term baby with normal birth weight. B B- Post term baby with moderately low birth weight. C C- Preterm baby with low birth weight. D D- Preterm baby with normal birth weight.

All are true in physiological neonatal Jaundice, except

A A- Conjugated hyperbilirubincinia. B B- Does not exceed 2 mg/ dl. C C- Baby looks we3 é feeds well. D D- Does not persist more than 7 days.

In which grade of respiratory distress cyanosis appears

A A- Grade 1. B B- Grade 2 C C- Grade 3. D D- Grade 4.

A 3- day- old male newborn presents to the emergency room with increased temperature, lethargy, respiratory distress, and poor feeding for the past 24 hours. hismother had a prolonged rupture of membranes ( 30 hours). Examination reveals grunting respiration, chest in- drawing with decreased air entry, radiologic examination shows patchy infiltrates of lungs and gastric dilatation. What is the most likely diagnosis

A A- Respiratory distress syndrome. B B- transient tachypnea of newborn. C C- C Pacumonia. D D- meconium aspiration.

2- hour- old, 32- week- gestational age infant develops progressive cyanosis, grunting, nasal flaring, and chest retractions. The chest radiograph reveals a ground glass- air bronchogram pattern. The Infant now requires oxygen therapy with continuous positive airway pressure to maintain adequate oxygenation. The most likely diagnosis is

A A- A respiratory distress syndrome. B B- Perinatal asphyxia. C C- Congenital pneumonia. D D- Pneumothorax.

All are true about neonatal infections Except

A A- hypothermia B B- jaundice C C- depressed Moro reflex. D D- good suckling

A false statement about cephalohematoma

A A- It is limited to the surface of one of cranial bone B B- It is present shortly after birth C C- Aspiration is the treatment of choice D D- Dmay lead to hypo bilirubincinia

Regarding hemolytic disease of newborn caused by Rh incompatibility which of the following is not true

A A- It is more common but less severe than ABO incompatibility. B B- Seen only in Rh+ ve infants born to Rh- ve mothers. C C- Clinically, there is anemia and jaundice of variable severities. D D- It is an iso- immune hemolytic disease,

Which of the following is correct about Moro's reflex

A A- It starts with shoulder adduction of the arm. Abduction. B B- cry may follow the response. C C- It is associated with fisted hands. D D- Trunk flexion occurs initially.

A 4- day- old girl has jaundice, first noted on previous day. She was born at 39 wk. with weight of3.29 kg but neonatal problems, no liver enlargement and stool are pigniented. Yet weight was 3.10 kg on examination. Diagnosis is most likely

A A- Uh incompatibility B B- MO incom atiFiliW. C C- Physiologicd jaundice D D- hypothiyroidism

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