WBR290
| Author | [[PageAuthor::Gonzalo A. Romero, M.D. [1]]] |
|---|---|
| Exam Type | ExamType::USMLE Step 2 CK |
| Main Category | MainCategory::Surgery |
| Sub Category | SubCategory::Cardiovascular, SubCategory::Surgery |
| Prompt | [[Prompt::A 62-year-old-female is brought to the ER after getting involved in a high-speed motor vehicle accident. Her vitals upon admission to the hospital are T 36C, 82bpm, BP=100/60 mmHg, 20 respirations/min. She has multiple bruises on her anteriorr chest. Her sternum is tender to palpation. A CXR reveals a widened mediastinum. What should be the best next step?]] |
| Answer A | AnswerA::EKG |
| Answer A Explanation | [[AnswerAExp::Incorrect.]] |
| Answer B | AnswerB::Thoracic ultrasound |
| Answer B Explanation | [[AnswerBExp::Incorrect.]] |
| Answer C | AnswerC::Repeat CXR |
| Answer C Explanation | [[AnswerCExp::Incorrect.]] |
| Answer D | AnswerD::Troponins |
| Answer D Explanation | [[AnswerDExp::Incorrect.]] |
| Answer E | AnswerE::Spiral CT |
| Answer E Explanation | [[AnswerEExp::Correct.]] |
| Right Answer | RightAnswer::E |
| Explanation | [[Explanation::Educational Objective:
Educational Objective: |
| Approved | Approved::No |
| Keyword | WBRKeyword::Aortic rupture, WBRKeyword::aortic dissection, WBRKeyword::thoracic trauma |
| Linked Question | Linked:: |
| Order in Linked Questions | LinkedOrder:: |