ABSITE Trauma

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Author:
biochemjedi
ID:
256031
Filename:
ABSITE Trauma
Updated:
2014-01-14 16:01:51
Tags:
Trauma
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Description:
Trauma questions
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  1. Treatment of a GSW to pancreatic tail with ductal injury?
    Distal pancreatectomy
  2. Most prognostic variable within GCS?
    Motor
  3. Nerve injury with anterior hip dislocation?
    Femoral
  4. Respiratory Quotient consistent with refeeding syndrome?
    >Over1
  5. Most common lidocaine toxicity following skin tingling?
    Hallucinations
  6. Etiology of tachypnea post femor fx?
    Fat emboli syndrome
  7. Etiology of epidural hemorrhage?
    Middle meningeal artery
  8. To of 80% circumferential injury to CBD?
    choledochojejunostomy
  9. Facial fx straight across upper maxilla?
    Lefort 1
  10. Nerve Injury with midshaft humerus fx?
    Radial nerve
  11. Nerve injured with anterior dislocation of the humerus?
    Axillary
  12. What type of shock has increased mixed venous O2 sat?
    Septic shock
  13. Initial treatment of skin necrosis following coumadin therapy?
    Stop coumadin and start heparin
  14. Best indicator of adequate resuscitation in septic shock?
    Decreased lactate
  15. Main fuel of brain in prolonged starvation?
    ketones
  16. Most reliable indicator of successful endotracheal intubation?
    End tidal CO2
  17. GCS scale?
    • Eyes - none, to pain, to voice, open
    • Motor - none, decer, decort, with pain, localize, voluntary
    • Verbal - none, sounds, inappropriate words, confused, oriented
  18. Definition of CPP?
    MAP-ICP = CPP
  19. Most common transfusion reaction?

    What is mechanism?
    Febrile non-hemolytic reaction

    Recipient abs attack donor WBC in blood
  20. Vitamin associated with peripheral neuropathy?
    Thiamine
  21. Etiology of transfusion related acute lung injury?
    Donated Abs to recipient WBCs, clot the pulmonary capillaries
  22. Shock with decreased CVP/CO/SVR?
    Neurogenic
  23. Mechanism of TRALI?
    Donated abs to recipient WBCs
  24. Most common heart defect post MI?
    VSD
  25. FENA equation?
    (urine NA*Plasma Cr)/(urine CR*Plasma Na)
  26. Receptor site of Norepinephrine?
    Alpha 1/2
  27. What is the treatment for penetrating injury to the...
    1. Right colon?

    2. Transverse colon?

    3. Left colon?
    1 and 2 - primary repair

    3. - diverting colostomy
  28. What is the treatment of duodenal injury at...
    1st
    2nd
    3rd
    4th portion
    1,3,4 - primary repair

    2 - pyloric exclusion, gastrojejunostomy, and jejunal patch
  29. What constitutes need for OR tx of subdural or epidural hematoma?
    "significant neurologic degeneration"

    or

    Shift >5mm
  30. Three most common sites of aortic transection
    #1 Ligamentum arteriosum

    #2 Aortic root

    #3 Diaphragm hiatus
  31. How do you most commonly dx a diaphragm injury?
    See NGT above the diaphragm
  32. What is a Jefferson fx?
    C1 burst by axial loading
  33. What 7 maneuvers decrease ICP?
    1. Elevate HOB

    2. Hyperventilation (temporary, decrease CO2 causes vasoconstriction.

    3. Hypernatremia (140-150)

    4. Mannitol 1g/kg

    5. Barbituate coma (decrease metabolism)

    6. Sedation/paralysis

    7. Ventriculostomy (decrease ICP to 20)
  34. Predominant characteristic of pneumothorax during anesthesia?
    Increased inspiratory pressures
  35. What is the Parkland formula?
    fluid rate over 24hrs = weight (kg) x %TBSA x 4
  36. Drug used to prevent PCP pneumomia?
    Bactrim
  37. What are Ranson's Criteria at admission?



    When is the next value, and what are they?

    What does Ranson's predict? -> mortality
    Glucose, Age, Lactate, AST, WBC



    • 48hrs -
    • Calcium, Hematocrit, PaO2, Base defecit, BUN, Fluid Sequestration

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