1. Which following LEAST diagnostic esophageal intubation ?
18-year-old motorcyclist, massive facial injuries in a head
 ETT above carina on chest x-ray
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.
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 accomplished by ?  restoration of
normal perfusion
14. Which following first any patient may include multiple close 19. 22 year-old female 6 month pregnant motor crash, vaginal
extremity fracture?  ensuring adequate oxygenation and bleeding. Initial step treatment ?  ask the patient what
ventilation. her name is
15. A 30-year-old gubshot wound right lower hest, midway 20. Construction worker falls a scaffold, HR 124 beat, 85/60,
nipple and costal margin, in EmerDeptt he endotracheally lower abdominal pain airway, chest, immobilizing spine,
intubated, 2 liters chrystaloid two IV line, closed tube initial fluid, next step?  FAST exam
thoracostomy 200 ml of blood, his blood now 70/0, 140 21. 22-year-old male a shotgun wound left shoulder and chest
beats, most appropriate?  perform a laparotomy in the at close range, 80/40, 130 beat, after 2 liters fluid 122/84,
operating room 100 beat, tachypneu 28 breath sound decrease upper chest
16. You are treating trauma patient definitive airway by with dullness on percussion, large caliber tube
intobation, vocal cord not vsible. Most valuable for thoracostomy insert return 200 ml blood, most appropriate
succesfull intubation ?  gum elastic bougle next step?  repeat the physical examination of the chest
17. 79-year-old female motor crash, she on Coumadin and a 22. Which following concerning spine and cord is TRUE ? 
beta blocker. Following true ?  vigorous fluid diaphragmatic breathing in an unconscious patient who
resuscitation may be associated with cardiorespiratory has fallen is sign of spine injury
failure 23. Which following TRUE ?  nasotracheal tube positions a
18. 22-year-old male falling from 2,4 meter (8 feet), large right cuffed airway in the infraglottic space
pneumothoraxchest tube inserted connected drainage, 24. 40-year-old male fall from 3 meter (10 feet), airway clear,
chest x-ray demonstrated residual large right RR 28, systole 140pain on palpation of chest ?  pain
pneumothorax, third x-ray reveal persistant right management
pneumothorax, most likely cause persistent right 25. Most common acid-base disturbance encountered in
pneumothorax ?  tracheobronchial injury injured pediatric patient ?  changes in ventilation
26. 17-year-old femae 2 meters fall, unresponsive and RR 32,
90/60, 68 beat. First treatment?  applying oxygen and
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
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 chest, 3 cm
wound medial left nipple. 70/33, 140 beat, neck and arm
vein distended, breath 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.