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Q.1
What is the first priority in managing a patient with TBI?
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ICP / Sodium management
Management of hemodynamics
Siezure Prophylaxis / Management
Infection Control
Q.2
For the best possible outcome, systolic blood pressure should be maintained above:
*
90mmHg
80mmHg
100mmHg
110mmHg
Q.3
Colloids such as Hextend/Hespan should be avoided in TBI patients.
*
True
False
Q.4
Calculate a GCS of a patient with: Opens eyes to verbal commands, answers questions using inappropriate word, and is able to localize to painful stimuli.
*
8
9
11
13
Q.5
Even a single episode of hypotension or hypoxia can double the TBI patients odds of death.
*
True
False
Q.6
Prophylactic hyperventilation is an appropriate means to control ICP through hypocapnia and its associated vasoconstrictions.
*
True
False
Q.7
Which of the following would be the best fluid of choice for a TBI patient with a B/P of 68/40?
*
Whole Blood
Hextend
Lactated Ringers
Hypertonic Saline
Normal Saline
Permissive Hypotension, do not give them fluid or it will increase their ICP.
Q.8
Which of the following can help you the LEAST when estimating the presence ICP in the TBI patient during PFC?
*
Ultrasound of Optic Nerve Diameter
Glasgow Coma Scale and its trending
Palpating the eyes
Opthalmic Exam
Blood Pressure
Q.9
Which of the following vital signs represents Cushings Triad / Reflex?
*
Pulse: 136 Blood Pressure: 122 Respirations: 22, Shallow, Irregular
Pulse: 52 Blood Pressure: 72/40 Respirations: 8, Deep, Regular
Pulse: 52 Blood Pressure: 146/88 Respirations: 14, Deep, Irregular
Pulse: 126 Blood Pressure: 82/52 Respirations: 32, Shallow, Irregular
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