Tiêu đề surgery 6-2024.pdf ✅

SPOT LIGHT ON SURGERY 2025 MCQS BOOK DR FADI QUTISHAT Surgery 6/2024 MCQs 1 ST Edition • For internship doctors, residents and students in medical schools. • For preparation to internship exams, entrance exam for residency in JUH, Royal medical services and Ministry of health of Jordan. • More than 30 frequently tested facts • Past papers exam QUTISHAT FADI, MD 2024/2025
SPOT LIGHT ON SURGERY 2025 MCQS BOOK DR FADI QUTISHAT Surgery 6/2024 1) A 40-yr-old male patient was brought to emergency room after a water heater blast accident at home. A 36% TBSA was burned by flame second degree. The regions affected were the face, posterior neck, posterosuperior trunk. True characteristic of this degree of burn includes one of the following A. Depth: Entire dermis and epidermis B. Appearance: blanching with pressure C. Sensation: loss of pressure D. Healing time: within 7 days E. Thickness: full thickness Explanation

SPOT LIGHT ON SURGERY 2025 MCQS BOOK DR FADI QUTISHAT Reference https://www.uptodate.com/contents/assessment-and-classification-of-burn- injury?csi=0b301cc5-78d8-43ee-ad36-b67595f22cc6&source=contentShare 2) Upon arrival to the emergency department very anxious patient was found to have third degree facial burn, horsiness of voice and tachypnea. First immediate action in ER is A. Endotracheal intubation B. Cricothyroidotomy C. IV fluid and analgesia D. Sedation and anxiolytics E. Oxygen therapy Explanation Common signs of significant smoke inhalation injury and the potential need for intubation include: ●Persistent cough, stridor, or wheezing ●Hoarseness ●Deep facial or circumferential neck burns ●Nares with inflammation or singed hair ●Carbonaceous sputum or burnt matter in the mouth or nose ●Blistering or edema of the oropharynx ●Depressed mental status, including evidence of drug or alcohol use ●Respiratory distress ●Hypoxia or hypercapnia ●Elevated carbon monoxide and/or cyanide levels Treatments — Supplemental oxygen and airway protection are the cornerstones of treatment for inhalation injury. Patients with severe burns often require tracheal intubation. Sedation and anxiolytic agents have a major side effect which is respiratory depression and airway compromise, this patient already has an airway compromise because of inhalational burn so sedation is contraindicated before full protection of airway.