EM Quiz 3

When taking a history from a patient who has sustained a traumatic mandibular problem, which one of the following statements is correct?

An open wound sustained by blunt force trauma is most likely to be which of the following?

Which one of the following is a B-mode ultrasound characteristic of normal venous structures?

Which of the following risk management statements regarding chest drain insertion following trauma is false?

Which one of the following is true of the technique of image acquisition?

With regard to systemic radiation exposure, which of the following statements are correct?

A 4-year-old boy of African descent has recently arrived in the UK. He presents with a cough, poor appetite, fevers, headaches, no rash, no neck stiffness, and no photophobia. He is refusing to answer questions and keeps his eyes closed unless stimulated and appears scared. His GCS is estimated at 8/15: E=2, V=2, M=4. BM 2.6, HR 140, Temp 38.6oC, sats 90%. His hands are cold and he is sleepy, he has not eaten for 24 hours.

Which of the following statements are correct?

A 47-year-old male has been brought in by ambulance to the ED with a history of collapse. His HR is 40/min and BP is 80mmHg systolic. His ECG is shown below. Furthermore, a few months back he consulted his GP for complaints of fever, malaise and rash, treated with chlorpheniramine.

He is generally fit and well and, in fact, went on a trek a few weeks ago. He says the rash was accidentally noticed and was not painful or itchy but is still present (see image).

What management should be initiated in this patient?

Which of the following are recognised long-term complications of primary blast injury?

You suggest Bell’s palsy as a possible diagnosis in a child presenting to your ED with acute unilateral facial nerve paralysis after a full history of current episode and full examination which reveals no worrying features.

How will you manage this patient?