Case #1: 60-year old female is brought in by ambulance after a road traffic accident. Examination of the face shows facial contusions, battle sign, and tenderness around the maxilla and mandible.
Vitals: BP 80/60, HR: 130, RR: 26, spO2: 90% T: 35.6
1. What is the next best step?
A. Tracheotomy
B. Endotracheal intubation using video laryngoscopy
C. Endotracheal intubation using direct laryngoscopy
D. Endotracheal intubation using fiber-optic bronchoscopy
E. Cricothyroidotomy
Case #2. 75 year old male with a 50 pack year smoking history comes into the A&E complaining of severe back pain.
Vitals: BP 90/60, HR 120, RR 22, SpO2 95%, T 36.5.
2. What is the best next test:
A. Ultrasound of kidneys, ureter, and bladder
B. Trial of NSAIDs
C. X-ray KUB
D. CT angiogram of the abdomen
E. Non-contrast CT abdomen
Case #3. A patient is brought in unconscious.
Vitals: BP 80/40, HR 120, RR 30, SpO2 92, T 38.5 He has warm hands.
3. What is the most likely cause of shock?
A. MI
B. Pulmonary Embolism
C. Sepsis
D. Neurogenic shock
E. Arrhythmia
ANS KEY: 1.A 2.D 3.C
Comments