A 35-year old male presents with facial trauma after bring struck inthe face

with a baseball. a tear-drop shaped left pupil is noted on exam. What type

of injury is suspected?

Answer: B - ANSWER-A) oculomotor nerve palsy

B) globe rupture ***

C) uncal herniation

D) retinal detachment

A 36-year old female has a deformity of the left wrist after a fall. She is

reluctant to move her hand due to pain. Which of the following is the most

appropriate intervention?

Answer: B - ANSWER-A) apply a sling and elevate the extremity to the

level of the heart.

B) apply a splint and ELEVATE ABOVE THE LEVEL OF THE HEART ***

C) Apply a sling and elevate the extremity above the level of the heart

D) apply a splint and elevate the extremity to the level of the heart.

Why is a measure of serum lactate obtained in the initial assessment of the

trauma patient?

Answer: c - ANSWER-a) to measure oxygenation and ventilation

b) to quantify the base deficit for the adequacy of cellular perfusion

c) *to gauge end-organ perfusion and tissue hypoxia **