PH - Trauma and Clinical

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0 [{"id":509224,"quiz_id":"26020","answer_id":null,"answerType_id":"0","created_at":"2018-07-25 03:22:09","updated_at":"2018-07-25 03:22:20","questionName":"25710 \u2013 A 15-year-old back seat passenger restrained by a lap-only seat belt in a car involved in a road traffic crash\u00a0","questionTimeSeconds":"0","questionTimeMinutes":"15","questionImagePath":null,"position":0,"explanation":null,"question_score_id":null,"lang":null,"questionAudioPath":null},{"id":509232,"quiz_id":"26020","answer_id":null,"answerType_id":"0","created_at":"2018-07-25 03:22:09","updated_at":"2018-07-25 03:22:20","questionName":"19204 \u2013 A 26 year old housewife underwent subtotal adrenalectomy for Cushing's disease 6 years previously and now complains of headache, excessively deepening pigmentation, but no loss of weight or appetite. You might reasonably expect\u00a0","questionTimeSeconds":"0","questionTimeMinutes":"15","questionImagePath":null,"position":8,"explanation":null,"question_score_id":null,"lang":null,"questionAudioPath":null},{"id":509230,"quiz_id":"26020","answer_id":null,"answerType_id":"0","created_at":"2018-07-25 03:22:09","updated_at":"2018-07-25 03:22:20","questionName":"25734 \u2013 Each of the following is an important component of the daily post\u00adoperative plan that should be formulated for surgical patients who are progressing satisfactorily, EXCEPT\u00a0","questionTimeSeconds":"0","questionTimeMinutes":"15","questionImagePath":null,"position":6,"explanation":null,"question_score_id":null,"lang":null,"questionAudioPath":null},{"id":509229,"quiz_id":"26020","answer_id":null,"answerType_id":"0","created_at":"2018-07-25 03:22:09","updated_at":"2018-07-25 03:22:20","questionName":"18337 \u2013 A 45-year-patient has been receiving 10 mg morphine subcutaneously every 2 to 3 hours for pain relief following open reduction and internal fixation of a fractured ankle. He appears to be a little drowsy and, although he wakes easily when you talk to him, he keeps falling asleep during the conversation. His respiratory rate is 14 breaths\/min. Which one of the following statements is most correct?\u00a0","questionTimeSeconds":"0","questionTimeMinutes":"15","questionImagePath":null,"position":5,"explanation":null,"question_score_id":null,"lang":null,"questionAudioPath":null},{"id":509237,"quiz_id":"26020","answer_id":null,"answerType_id":"0","created_at":"2018-07-25 03:22:09","updated_at":"2018-07-25 03:22:20","questionName":"12818, 21283 \u2013 The usual urinary nitrogen loss following trauma is further increased when 1: the patient has adrenal insufficiency\u00a0","questionTimeSeconds":"0","questionTimeMinutes":"15","questionImagePath":null,"position":13,"explanation":null,"question_score_id":null,"lang":null,"questionAudioPath":null},{"id":509234,"quiz_id":"26020","answer_id":null,"answerType_id":"0","created_at":"2018-07-25 03:22:09","updated_at":"2018-07-25 03:22:20","questionName":"25845 \u2013 In an adult patient with haemorrhagic shock 2: an isolated closed femoral fracture is unlikely to be the cause of a fall in systolic blood pressure\u00a0","questionTimeSeconds":"0","questionTimeMinutes":"15","questionImagePath":null,"position":10,"explanation":null,"question_score_id":null,"lang":null,"questionAudioPath":null},{"id":509233,"quiz_id":"26020","answer_id":null,"answerType_id":"0","created_at":"2018-07-25 03:22:09","updated_at":"2018-07-25 03:22:20","questionName":"25845 \u2013 In an adult patient with haemorrhagic shock 1: systolic blood pressure of 60 mm suggests more than 1.5 litres blood loss\u00a0","questionTimeSeconds":"0","questionTimeMinutes":"15","questionImagePath":null,"position":9,"explanation":null,"question_score_id":null,"lang":null,"questionAudioPath":null},{"id":509238,"quiz_id":"26020","answer_id":null,"answerType_id":"0","created_at":"2018-07-25 03:22:09","updated_at":"2018-07-25 03:22:20","questionName":"12818, 21283 \u2013 The usual urinary nitrogen loss following trauma is further increased when 2: parenteral sources of nitrogen are provided\u00a0","questionTimeSeconds":"0","questionTimeMinutes":"15","questionImagePath":null,"position":14,"explanation":null,"question_score_id":null,"lang":null,"questionAudioPath":null},{"id":509235,"quiz_id":"26020","answer_id":null,"answerType_id":"0","created_at":"2018-07-25 03:22:09","updated_at":"2018-07-25 03:22:20","questionName":"25845 \u2013 In an adult patient with haemorrhagic shock 3: urine output is a useful sign of tissue perfusion\u00a0","questionTimeSeconds":"0","questionTimeMinutes":"15","questionImagePath":null,"position":11,"explanation":null,"question_score_id":null,"lang":null,"questionAudioPath":null},{"id":509225,"quiz_id":"26020","answer_id":null,"answerType_id":"0","created_at":"2018-07-25 03:22:09","updated_at":"2018-07-25 03:22:20","questionName":"25698 \u2013 In a trauma patient with a crush pelvic fracture, a large retroperitoneal haematoma and shock\u00a0","questionTimeSeconds":"0","questionTimeMinutes":"15","questionImagePath":null,"position":1,"explanation":null,"question_score_id":null,"lang":null,"questionAudioPath":null},{"id":509226,"quiz_id":"26020","answer_id":null,"answerType_id":"0","created_at":"2018-07-25 03:22:09","updated_at":"2018-07-25 03:22:20","questionName":"18237 \u2013 A previously fit 55 year old man has undergone an emergency right hemicolectomy for a perforated caecal carcinoma. On review 24 hours after the operation you note the following on his fluid balance sheet \u00adintravenous input 2L, nasogastric aspirate 2L, drain losses 700 ml, urine output 500 ml. Biochemistry shows Na+ 135 mmol\/L, K+ 3.0 mmol\/L, Cl-100 mmol\/L, HC03-27 mmol\/L. Which of the fluid balance regimens below would you order for the next 24 hr period?\u00a0","questionTimeSeconds":"0","questionTimeMinutes":"15","questionImagePath":null,"position":2,"explanation":null,"question_score_id":null,"lang":null,"questionAudioPath":null},{"id":509227,"quiz_id":"26020","answer_id":null,"answerType_id":"0","created_at":"2018-07-25 03:22:09","updated_at":"2018-07-25 03:22:20","questionName":"18292 \u2013 A 58-year-old man is admitted for elective surgery for a carcinoma of the gastric antrum. On admission, it is found that he has been taking aspirin 100 mg daily for the past five years. What should be done?\u00a0","questionTimeSeconds":"0","questionTimeMinutes":"15","questionImagePath":null,"position":3,"explanation":null,"question_score_id":null,"lang":null,"questionAudioPath":null},{"id":509228,"quiz_id":"26020","answer_id":null,"answerType_id":"0","created_at":"2018-07-25 03:22:09","updated_at":"2018-07-25 03:22:20","questionName":"18343 \u2013 A 37-year-old patient is noted to be difficult to rouse one hour after a subcutaneous injection of 12.5 mg morphine. Her respiratory rate is 16 breaths\/min. Which one of the following statements is most correct?\u00a0","questionTimeSeconds":"0","questionTimeMinutes":"15","questionImagePath":null,"position":4,"explanation":null,"question_score_id":null,"lang":null,"questionAudioPath":null},{"id":509236,"quiz_id":"26020","answer_id":null,"answerType_id":"0","created_at":"2018-07-25 03:22:09","updated_at":"2018-07-25 03:22:20","questionName":"25845 \u2013 In an adult patient with haemorrhagic shock 4: an acute 1 litre blood loss requires 3-4 litres of crystalloid for resuscitation\u00a0","questionTimeSeconds":"0","questionTimeMinutes":"15","questionImagePath":null,"position":12,"explanation":null,"question_score_id":null,"lang":null,"questionAudioPath":null},{"id":509231,"quiz_id":"26020","answer_id":null,"answerType_id":"0","created_at":"2018-07-25 03:22:09","updated_at":"2018-07-25 03:22:20","questionName":"18243 \u2013 In the management of acute postoperative pain, which one of the following is incorrect?\u00a0","questionTimeSeconds":"0","questionTimeMinutes":"15","questionImagePath":null,"position":7,"explanation":null,"question_score_id":null,"lang":null,"questionAudioPath":null}]
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25710 – A 15-year-old back seat passenger restrained by a lap-only seat belt in a car involved in a road traffic crash 

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