外科学总论练习题英文-创伤

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1、1.Foreachdiagnostictechniquelistedbelow,selecttheinjuriesitreliablyidentifies.a.Significantintraperitonealbleedingb.Injuryofaretroperitonealorganc.Retroperitoneal(pelvicandvisceral)vascularextravasationd.Minorlacerationsofliverandspleene.Subcapsularhematomasofliverandspleen

2、f.Injuryofthesmallintestineg.Diaphragmaticinjury(1)Diagnosticperitoneallavage(SELECT2lNJURIES)ad(2)Abdominalcomputedtomography(SELECT3INJURIES)abe(3)Visceralangiography(SELECT1INJURY)2.Foreachscenariolistedbelow,choosetheabdominalorgansmostlikelytobeinjureda.Diaphragmb.Live

3、rc・Spleend.Smallintestinec.Largeintestinef.Kidneysg.Stomachh.Pancreasi.Bladderj.Greatvcsscls(aorta/venacava)(1)Amotoristdeceleratesrapidlyafterstrikingastalledvehicle.Heistravelingat55mi/hatthetimeofimpact.Heiswearingaseatbeltandhiscarisequippedwithanairbag(SELECT3ORGANS)de

4、f(2)Amanisshotwithahighvelocitybulletthattraverseshismid-abdomenattheleveloftheumbilicus(SELECT3ORGANS)dcj(3)Anunsuspectingvictimisstruckforcefullyintheupperabdomenbyamuggerwithabaseballbat.(SELECT4ORGANS)befh3.Foreachoftheimmediatelylife-threateninginjuriesofthechestlisted

5、below,selecttheproperinterventiona.Endotrachealintubationb.Cricothyroidotomyc.Subxiphoidwindowd・Tubethoracostomye.Occlusivedressing(1)Laryngealobstruction(SELECT1INTERVENTION)b(2)Openpneumothorax(SELECT1INTERVENTION)e(3)Flailchest(SELECT1INTERVENTION)a(4)Tensionpneumothorax

6、(SELECET1INTERVENTION)d(5)Pericardialtamponade(SELECET1INTERVENTION)c4.A31-ycar-oldmanisbroughttotheemergencyroomfollowinganautomobileaccidentinwhichhischeststruckthesteeringwheelExaminationrevealsstablevitalsigns,butthepatientexhibitsmultiplepalpableribfracturesandparadoxi

7、calmovementoftherightsideofthechest.Chestx-rayshoesnoevidenceofpneumothoraxorhemothorax,butalargepulmonarycontusionisdeveloping・Propertreatmentwouldconsistofwhichofthefollowing?a.Tracheostomy、mechanicalventilation,andpositiveend-expiratorypressureb.Stabilizationofthechestwa

8、llwithsandbagsc.StablizationwithtowelclipscLImmediateoperativestabilizationc.Notre