Exam 1 StatPearls

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1
Autonomic dysreflexia is a ______ due to the risk of _______ if the _______ is not relieved
- Medical emergency
- Stroke
- HTN
2
Autonomic dysreflexia occurs in patients with a spinal cord injury at or above _____ & is the result of ____
- T6
- Sympathetic and parasympathetic imbalance
3
______ are particularly susceptible to _____ by seat belt injury; They can also cause tearing of the _____ & _____
- Solid organs
- Small bowel & mesentery
4
Shearing forces seen w/ seat belt injuries may damage _______ or cause _____ injury to the _______, especially the _______
- Vascular pedicles
- Stretch
- Arteries
- kidney
5
The seat belt sign (abrasion or ecchymosis) is predictive of _______, and ____ is very sensitive in this setting
- Intra-abdominal injury
- CT
6
A pt. presents w/ abd. pain and nausea, bruising and abrasion to the lower periumbilical area. An abdominal CT shows free fluid and stranding with contrast enhancement in the mid-abdomen. What injury is most likely?
Spleen laceration & torn small bowel
7
A pt. w/ abusive head trauma may present with _________ & __________ fundoscopy findings
- Retinal hemorrhages
- sub-internal limiting membrane hemorrhages
8
A basilar skull fracture allows communication between the _____ or _____ and the ______ space
Nasopharynx or middle ear and the meningeal space.
9
Fractures involving the petrous ridge of the __________ will cause blood to pool behind the ______ causing it to appear _____; occurs w/in _____ & is usually the _____
- Temporal bone
- Tympanic membrane
- Purple
- Hours
- Earliest clinical finding
10
Altered mental status and fever with known basilar skull fracture require _______
Evaluation of CSF for analysis of beta transferrin
11
Most CSF leaks w/ basilar skull fractures _______ within ______. Meningitis risk inc. w/ ______
- Resolve spontaneously
- 5-10 days
- Duration of the CSF leak
12
Mannitol use in TBI pts leads to a high occurrence of _______, renal failure, and electrolyte imbalance
- Rebound cerebral edema
13
A serum sodium level of _______mEq/L and osmolality of ______ mOsm/kg is generally considered to be the safe upper limit for the administration of mannitol
- 155
- 320
14
The use of hypertonic saline in the management of intracranial hypertension has ______ w/ _______ & also improves ________
- Rapid onset
- Long lasting effects
- Cerebral perfusion
15
The most common laboratory abnormality in drowning victims is __________ secondary to ______
- Metabolic acidosis
- Lactic acidosis
16
Surgery for decompression of subdural hematoma is indicated for a midline shift of _____ or greater or an acute subdural hematoma exceeding ____ in thickness
- 5 mm
- 10 mm
17
Palpating the abdomen on _______ may help when assessing the abdomen of a crying infant or young child
Inspiration
18
Rupture of the _____ may present as free intraabdominal air under the _____ in an upright chest x ray
- Small bowel
- Diaphragm
19
All human bite wounds that pierce the skin should receive ________ prophylaxis for ______, and the patient is given strict wound care precautions
- Amoxicillin-clavulanate
- A week
20
The current recommendation for MAP goals for the first ____ days after a spinal cord injury are ________
- 7
- 85 to 90 mmHg
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