Wa/Or Acs 2019 Session III

1. Patients receiving tacrolimus in the post-transplant setting require monitoring of serum levels due to which of the following potential adverse effects?

Nephrotoxicity

Psychosis

Hemorrhagic cystitis

Aplastic crisis

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WA/OR ACS Session III, Saturday, June 15, 2019

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2. A 13-year-old male involved in MVC presents with GCS 8 and pelvic fracture. He is intubated and admitted to the ICU where CVL is placed and PRBCs are transfused. He undergoes operative fixation of his pelvis. Which prophylaxis plan is appropriate?

Mechanical only with LE sequential compression devices

Mechanical & chemical with subcutaneous enoxaparin & LE sequential compression devices

Surveillance only: US on day 3 & 10

None

3. In a combat relevant swine model for trauma, aggressive care for what prevents early death?

Hypernatremia

Hypokalemia

Hypomagnesemia

Hyperkalemia

4. Which of the following injuries is not a contraindication to REBOA?

Penetrating neck trauma with vascular injury

Gunshot wound to the abdomen with aortic injury

Penetrating cardiac injury

Penetrating chest injury with aortic arch injury

5. A seven-year-old girl with newly diagnosed leukemia presents for Hickman placement. Preoperative ANC = 433/mm3. Which of the following represents her greatest risk factor for subsequent line infection?

Femoral placement

Neutropenia at time of placement

Age

Specific cancer diagnosis

6. Which of the following is an indication for initiation of VA-ECMO?

A 71 year old man with severe aortic valve regurgitation who presents in decompensated heart failure

A 56 year old man who develops cardiogenic shock secondary to ACS

7. 1.A 3 year old male presents to the ED after a dog attack. He is uncooperative but facial injury is noted. Which of the following structures is most likely to have been injured?

Nose

Lip

Eyelid

Option 4

8. A nine year-old girl presents following a MVC. Admission ROTEM is notable for EXTEM CT: 40 (38-79), CFT: 42 (34-159), A10: 65 (43-65) and ML: 17% (<15%). Which product is indicated?

FFP

Fibrinogen

TXA

Platelets

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Jun 12, 2019

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Jun 06, 2019

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