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A 35-year old male presents with facial trauma after bring struck inthe face
with a baseball. a tear-drop shaped left pupil is noted on exam. What type
of injury is suspected?
Answer: B - ANSWER-A) oculomotor nerve palsy
B) globe rupture ***
C) uncal herniation
D) retinal detachment
A 36-year old female has a deformity of the left wrist after a fall. She is
reluctant to move her hand due to pain. Which of the following is the most
appropriate intervention?
Answer: B - ANSWER-A) apply a sling and elevate the extremity to the
level of the heart.
B) apply a splint and ELEVATE ABOVE THE LEVEL OF THE HEART ***
C) Apply a sling and elevate the extremity above the level of the heart
D) apply a splint and elevate the extremity to the level of the heart.
Why is a measure of serum lactate obtained in the initial assessment of the
trauma patient?
Answer: c - ANSWER-a) to measure oxygenation and ventilation
b) to quantify the base deficit for the adequacy of cellular perfusion
c) *to gauge end-organ perfusion and tissue hypoxia **
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