Question 128 · LEK · Traumatic brain injuries
An unconscious 60-year-old man who had been found unconscious about 12 hours earlier was brought to the hospital emergency department. A few minutes after the admission, he regained consciousness but did not remember the circumstances of the incident. In history: alcohol dependence syndrome, diabetes. On physical examination: CGS 9 points, slight swelling in the occipital region, heart rate 50/min, blood pressure 190/100 mmHg, 8 breaths/min. The presented situation points to:
- A. hypoglycemic coma.
- B. delirium syndrome.
- C. alcohol intoxication.
- D. metabolic acidosis.
- E. epidural hematoma.
Hint
Look for a sign of head trauma, a period of regained consciousness and the vital-sign triad of rising intracranial pressure.
The answer, the explanation and a note on every option are available once you log in. The account is free: topic tests, a mock exam, mistake review and statistics.
More questions on Emergency medicine, anesthesiology and intensive care
- A 36-year-old patient weighing 80 kg was taken to the ED because of burns from boiling water. Thorough examination revealed the burns to both legs…
- The maintenance fluid requirement in a child weighing 35 kg amounts to:
- The term ”death triad” denotes:
- Indicate the true statement on the triage in the case of a mass-casualty incident:
- Which of the following is a specific antidote in the intoxication with zolpidem?
- The laboratory test confirming carbon monoxide intoxication determines the concentration of carboxyhemoglobin (HbCO). Its values equal to 5%: