ABEM-EMC : ABEM Emergency Medicine Certificate Exam

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Question: 163
Which of the following is not part of the Revised Trauma Score?
1. Glasgow Coma Scale
2. Pulse rate
3. Respiratory Rate
4. Systemic blood pressure
Answer: B
The Revised Trauma Score is made up of a three categories: Glasgow Coma Scale, Systolic blood pressure, and respiratory rate. The pulse rate has no relation to trauma score.
Question: 164
Which number would you likely see a in a patient that would likely be deceased
and all care should be withheld from this patient?
1. 9
2. 7
3. 5
4. 3
Answer: D
Patient is dead if the score is 3.They should not receive certain care because they are highly unlikely to survive without a significant amount of resources
Question: 165
Trauma centers vary in their specific capabilities and are identified by "Level"
designation. Which of the following is the highest level for a Trauma Center?
1. Level (I)
2. Level (II)
3. Level (III)
4. Level (V)
Answer: A
Level I trauma center provides the highest level of surgical care to trauma patients. Being treated at a Level I trauma center increases a seriously injured patient’s chances of survival. Level v is the lowest.
Question: 166
Which level of trauma center does not have the full availability of specialists, but
does have resources for emergency resuscitation, surgery, and intensive care of most trauma patients?
1. level (IV)
2. level (V)
3. level (III)
4. level (II)
Answer: C
According to the levels. A Level III trauma center does not have the full availability of specialists, but does have resources for emergency resuscitation, surgery, and intensive care of most trauma patients. A Level III center has transfer agreements with Level I or Level II trauma centers that provide back-up resources for the care of patients with exceptionally severe injuries.
Question: 167
When triaging patients which of the following should be transported first
1. Red triage
2. Yellow triage
3. Green triage 3
4. Trauma triage has no role in transfer.
Answer: A
Triage is assignment of degrees of urgency to wounds or illnesses to decide the order of treatment of a large number of patients or casualties. Red triage needs immediate lifesaving intervention because these are the patients who cannot survive without immediate intervention .
Question: 168
A 25 year old male was hit by a cricket ball on his head a brief interval of
dizziness and then recovered on examination he was unconscious his GCS is 8 his left pupil is slightly dilated and sluggish in reaction to light where the patient
should be referred for proper treatment ?
1. Basic health unit
2. Rural health center
3. Tertiary care teaching hospital
4. All of these
Answer: C
This is a case of extradural hematoma and the patient should be referred to tertiary care hospital where all facilities exists for proper treatment of extradural hematoma.
Question: 169
Which triage tag in trauma requires lowest attention and transfer to hospital
during a medical emergency or disaster?
1. Red
2. Yellow
3. Green
4. Black.
Answer: D
Black color shows dead it is important to prevent the expenditure of limited resources on those who are beyond help. Their transfer to hospital is less important than who requires medical treatment Yellow color indicates non-life
threatening injuries and their treatment can be delayed Green color indicates minor injuries.

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