ATLS
Missed/associated injury with a displaced thoracic spine fracture? - ANS thoracic aortic rupture
Missed/associated injury of a posterior knee dislocation? - ANS femoral fracture and posterior
hip dislocation
Missed/associated injury of a knee dislocation or displaced tibial plateau fracture? - ANS
Popliteal artery and nerve injuries
Missed/associated injury of a calcaneal fracture? - ANS Spine injury or fracture, tibial plateau
fracture
When are most extremity injuries appropriately diagnosed and managed? - ANS During
secondary survey
Injury to which nerves causes wrist drop and foot drop? - ANS radial and peroneal nerve
respectively
What is the normal ratio between the blood pressure at the ankle divided by that of an uninjured
arm? - ANS 0.9, if below, means potential injury exists.
When testing sensation, what area of the body corresponds to C5? Which nerve is this? - ANS
The lateral aspect of the upper arm, the axillary nerve
When testing sensation, what area of the body corresponds to C6? Which nerve is this? - ANS
Palmar aspect of the thumb and index finger, median nerve
When testing sensation, what area of the body corresponds to C7? - ANS Palmar aspect of the
long finger
When testing sensation, what area of the body corresponds to C8? Which nerve? - ANS
Palmar aspect of the little finger, the ulnar nerve
When testing sensation, what area of the body corresponds to T1? - ANS Medial aspect of the
forearm
When testing sensation, what area of the body corresponds to L3? - ANS Medial aspect of the
thigh
, When testing sensation, what area of the body corresponds to L4? - ANS Medial aspect of the
lower leg, especially over the medial malleolus
When testing sensation, what area of the body corresponds to L5? Associated nerves? - ANS
Dorsum of the foot between the first and second toes (common peroneal)
When testing sensation, what area of the body corresponds to S1? - ANS Lateral aspect of the
foot
When testing motor function, what motion tests for C5? What is the associated nerve? - ANS
Shoulder abduction, axillary nerve
When testing motor function, what motion tests for C6? What is the associated nerve? - ANS
Elbow flexion (C5 and C6), musculocutaneous nerve
Which brachial nerves are tested by assessing a patient's ability to extend their elbow? - ANS
Radial nerve, C6, C7, C8
Which nerves are assessed when testing a patient's grip strength? - ANS Dorsiflexion of the
wrist => radial nerve, C6
Flexion of the fingers => median and ulnar nerves, C7, C8
Which nerves are assessed when testing a patient's motor ability with finger add and abduction?
- ANS Ulnar nerve, C8 and T1
What movement tests a patient's deep peroneal and L5 nerve motor function? - ANS
Dorsiflection of the great toe and ankle
What movements test a patient' posterior tibial and S1 nerve motor function? - ANS Plantar
flexion
What is the earliest symptom/sign of compartment ischemia? - ANS pain, especially on the
passive stretch of involved muscle of the injured extremity.
What is a late sign of inhalation burn injury? - ANS Stridor => indication for immediate
endotracheal intubation
Patients with greater than what % of TBSA burn require fluid resuscitation? - ANS >20%
What is the prefered solution for resuscitation of burn victims? - ANS Lactated ringers.
Why do first degree burns not require IV fluid replacement? - ANS Because the epidermis is not
compromised in this type of burn
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