Buy Pediatric Head And Spinal Trauma

Buy Pediatric Head And Spinal Trauma
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Buy Pediatric Head And Spinal Trauma
1. You see a 9-month-old girl in the emergency
department after she slipped out of her
father’s arms, falling 4 ft and hit her head
on a hard floor. There is a tense bruise over
the occiput. She is moving all four limbs
spontaneously but intermittently, inconsistently inconsolable, moaning, and opens eyes
to voice. Which one of the following best
describes her Glasgow Coma Scale (GCS)?
a. 9
b. 10
c. 11
d. 12
e. 13
2. A 12-year-old child sustains a head injury and
is found to have evidence of venous sinus
thrombosis on cranial imaging. Prior to discharge home, he is started on aspirin 25 mg
od by the neurologist and the parents are
advised that he is at increased risk of Reye
syndrome if he develops a febrile illness or
viral infection. Which one of the following
best describes Reye syndrome?
a. Vomiting, encephalopathy, and hepatic
dysfunction
b. Rash, encephalopathy, and renal dysfunction
c. Encephalopathy, renal dysfunction, and
hepatic dysfunction
d. Wheeze, encephalopathy, and hepatic
dysfunction
e. Vasculitis, encephalopathy, and renal
dysfunction
3. Which one of the following statements
regarding the US PECARN pediatric head
trauma algorithm is LEAST accurate?
a. It aims to calculate the likelihood of clinically important traumatic brain injury
needing computed tomography (CT)
imaging based on the age group
b. The likelihood of clinically important
traumatic brain injury in children with
Buy Pediatric Head And Spinal Trauma
GCS14/15, altered mental status or palpable skull fracture is approximately 4% c. In a child under 2 years, likelihood of clinically important traumatic brain injury without a scalp hematoma, LOC >5 s, altered behavior, or severe mechanism of injury is <0.02% d. Severe mechanism of injury include falls of more than 2 ft if 2 years old e. In a child over 2 years, CT head or observation are appropriate if the child has severe headache 4. Which one of the following risk factors in the UK NICE head injury guidelines for children is not sufficient alone to justify CT head scan within 1 h when identified? a. Suspicion of non-accidental injury b. Post-traumatic seizure but no history of epilepsy c. GCS less than 14/15, or for children under 1 year GCS less than 15/15 on initial assessment d. At 2 h after the injury, GCS less than 15 e. Witnessed loss of consciousness lasting more than 5 min 5. In a ventilated infant following closed head injury which one of the following ICP monitoring values is considered the upper limit of normal? a. 5 mmHg b. 7.5 mmHg c. 10 mmHg d. 12.5 mmHg e. 15 mmHg 6. An 11-month-old girl was admitted to the hospital because of blunt head trauma. Her initial neurological examination was completely normal except that a depressed fracture was palpated in her right parietal region. CT of the head is shown.
a. Comminuted fracture
b. Growing skull fracture
c. Linear skull fracture
d. Ping-pong fracture
e. Positional plagiocephaly
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