Wa/Or Acs 2019 Session III
WA/OR ACS Session III, Saturday, June 15, 2019
- 1.
Which of the following injuries is not a contraindication to REBOA?
- A.
Penetrating neck trauma with vascular injury
- B.
Gunshot wound to the abdomen with aortic injury
- C.
Penetrating cardiac injury
- D.
Penetrating chest injury with aortic arch injury
Correct Answer
B. Gunshot wound to the abdomen with aortic injury -
- 2.
Which of the following is an indication for initiation of VA-ECMO?
- A.
A 71 year old man with severe aortic valve regurgitation who presents in decompensated heart failure
- B.
A 31 year old woman who develops ARDS with a P:F of 80 despite low-tidal volume ventilation, proning, and neuromuscular blockade
- C.
A 68 year old homeless man who presents with a GCS of 3, core body temperature of 26 °C and SBP’s >90
- D.
A 56 year old man who develops cardiogenic shock secondary to ACS
Correct Answer
D. A 56 year old man who develops cardiogenic shock secondary to ACS -
- 3.
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?
- A.
FFP
- B.
Fibrinogen
- C.
TXA
- D.
Platelets
Correct Answer
C. TXA -
- 4.
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?
- A.
Femoral placement
- B.
Neutropenia at time of placement
- C.
Age
- D.
Specific cancer diagnosis
Correct Answer
A. Femoral placement -
- 5.
In a combat relevant swine model for trauma, aggressive care for what prevents early death?
- A.
Hypernatremia
- B.
Hypokalemia
- C.
Hypomagnesemia
- D.
Hyperkalemia
Correct Answer
D. Hyperkalemia -
- 6.
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?
- A.
Mechanical only with LE sequential compression devices
- B.
Mechanical & chemical with subcutaneous enoxaparin & LE sequential compression devices
- C.
Surveillance only: US on day 3 & 10
- D.
None
Correct Answer
B. Mechanical & chemical with subcutaneous enoxaparin & LE sequential compression devices -
- 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?
- A.
Nose
- B.
Lip
- C.
Eyelid
- D.
Option 4
Correct Answer
C. Eyelid -
- 8.
Patients receiving tacrolimus in the post-transplant setting require monitoring of serum levels due to which of the following potential adverse effects?
- A.
Nephrotoxicity
- B.
Psychosis
- C.
Hemorrhagic cystitis
- D.
Aplastic crisis
Correct Answer
A. Nephrotoxicity -
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