00:00 00:05 00:15 00:28 00:32 00:37 00:40 00:44 00:52 00:53 00:54 01:01 01:06 01:14 01:19 01:22 01:27 01:27 01:28 01:33 01:39 01:41 01:43 01:47 01:50 01:53 01:57 02:02 02:05 02:09 02:19 02:26 02:34 02:43 02:48 02:50 02:53 02:58 03:02 03:03 03:10 03:16 03:24 03:27 03:33 03:36 03:41 03:46 03:48 03:51 03:52 03:53 03:59 04:01 04:06 04:16 04:25 04:26 04:32 04:47 04:56 04:58 05:02 05:09 05:11 05:13 05:16 05:23 05:58 05:59 06:00 06:15 06:22 06:29 06:33 06:43 06:43 06:49 06:55 07:16 07:21 07:24 07:30 07:33 07:35 07:46 07:49 07:53 08:03 08:09 08:20 08:29 08:33 08:41 08:46 08:52 08:54 09:05 09:13 09:27 09:31 09:34 09:37 09:37 09:41 09:41
The lecture Local Anesthesia by Stuart Enoch, PhD is from the course Trauma and Post-OP Management.
What is the first step in assessing a trauma patient after an acute injury?
A 5-year-old child is seen sitting in a tripod position, drooling and with the head hyper-extended. On auscultation, inspiratory stridor is heard. Which of the following is contraindicated in this child?
An 18-year-old female presents to the ER after being crushed in a boating accident. She has open wounds all over her anterior legs. The posterior legs are edematous without bruising, and has shiny, tight, firm skin that is extremely tender. Pedal pulses are diminished bilaterally. Which is the best next step in the management of this patient?
A 6-year-old child was playing at the park at noon, while feeding the animals, he was suddenly bit by a raccoon. What is the most important question that the doctor should ask?
A 5-year-old child was playing baseball when suddenly another player’s bat hit his arm. Imaging shows a 12cm open fracture with severe comminution and segmental fractures. The child complains of numbness and tingling with profuse bleeding. The doctor determines that a complete flap coverage is needed. Which stage best describes the above open fracture?
How are open wounds described according to the Gustilo classification of Stage II open fractures?
A 13-year-old soccer player suddenly twisted his ankle while playing. Upon examination he was found to have reduced blood flow to he ankle area with intense pain. Which of the following best describes his diagnosis?
An ER patient was diagnosed with compartment syndrome. His vitals were 160/102 mm Hg. The surgeon decides to decompress the patient’s affected leg. The patient’s differential pressure should not exceed?
An 18-year-old female was hit by a robber on the head. In the ER a medical student decides to assess the patient. She withdraws and opens her eyes to painful stimuli. Her speech is incomprehensible. Which of the following best describes her Glasgow coma scale score?
A 65-year-old alcoholic was found to be obtunded and unconscious on the floor on a cold winter’s night by a local pub. The patient had several vodkas, no food and decided to take a double dose of his daily medication that he normally takes while eating. What would be the most likely finding on his blood test results?
A 21-year-old male was found at a local disco on the floor. He was unconscious, had difficulty breathing and was observed to have tiny pupils. The patient was rushed to the ER and was given medication to reverse his symptoms, upon which he became irate. What is the possible cause of this patient's condition?
Which of the following is not an indication for a CT scan after a traumatic brain injury?
What does The Monro-Kellie doctrine state?
What happens to peripheral pressure during cerebral edema?
A hospitalized patient had his vitals taken early in the morning after blood loss from trauma. 1800 ml of blood was lost. The patient is currently tachycardic and tacypneic with a pulse of 131, and a blood pressure of 88/51 mm Hg. Which of the following best describes the patient's current state?
An unresponsive child was found after being struck by a moving bus. It was estimated that he had lost 700 ml of blood. The patient’s vitals are as follows, pulse 88, blood pressure of 101/70 and RR 18. Which of the following best describes the patient's current state?
A volleyball player fell and and landed on her outstretched hand. Two weeks later, she complained of pain on the radial and dorsal aspect of the hand. What would be the most likely diagnosis after imaging the patients hand?
A patient suffered a hand injury after falling foward in which he used his palm to catch himself on the floor. The patient was found to fracture a bone in the radial most side of his hand. Which is the next best intial step in investigating the injury?
Which of the following is the best form of imaging to identify hip fractures?
An 80-year-old female was found on her bathroom floor unable to ambulate. Imaging shows a fracture of her hip. What specific finding would be found on imaging of her affected leg?
A 75-year-old male comes into the office complaining of intense hip pain after falling in the snow, IImaging shows a hip fracture affecting the capsule. Management decided to be either conservative or internal fixation. What type of fracture does the patient have?
A 90 year old female is being treated in the OR for a stable extracapsular fracture. The orthopedic surgeon decides to perform a 2-part intertrochanteric procedure. Which of the following devices is most likely to be used?
A 26-year-old female was trapped in an apartment fire and suffered several burns to the face. What should be the first step in management?
A 23-year-old male was caught in a house fire. He developed burns on both hands, the top of his schist and anterior forearms. What is the percentage of body burns according to the rule of 9's?
A 12-year-old child was playing with the stove when a pot full of water fell on them. The child complained of pain and red and mottled burns, along with a few blisters were noted. Which of the following denotes the degree of the burns?
A 46-year-old burn victim was hospitalized for fever, infection and exacerbation of his cystic fibrosis. Lab tests performed showed gram negative bacteria which secreted a blue-green pigment. The patient was then started on antibiotics. Which of the following organisms is most likely responsible?
Which of the following is a more accurate way of identifying pediatric burns?
A 35-year-old female comes in for management of her solitary thyroid nodule. It is palpable and the doctor is concerned about malignancy. TSH levels are normal. Ultrasound shows an abnormality that is 1.5 cm. Which is the next best step in management?
A 46-year-old female is diagnosed with suspected gastric cancer and arrives to your office to discuss biopsy options. She is on anticoagulants and prefers the least invasive methods. The doctor explains the pros and cons including the possibility of missing the malignancy with that option. Which of the following biopsies is the best choice to avoid major surgery?
A 19-year-old female comes in due to her concern about a black spot on her face. It has unclear margins and seems to be growing. To better assess the margins of the lesion and have the most efficacy based on location, which one of these procedures is best fitting?
A 29-year-old female with a known sexual history presents with pubic pain and abnormal vaginal discharge. Which of the following is the best next step to further assess the patient?
A 13-year-old boy comes in after a car accident with lacerations on his arms, hands, legs and abdomen. The resident on call decides to suture the fingers of the patient first. Which of the following medications should be avoided?
What is the mechanism of action of lidocaine?
5 Stars |
|
5 |
4 Stars |
|
0 |
3 Stars |
|
0 |
2 Stars |
|
0 |
1 Star |
|
0 |