Initial Trauma Assessment And Management Practice Test

A 24-year-old man is brought in after a stab wound to the left parasternal area. He is hypotensive with a blood pressure of 88/60 mmHg, tachycardic at 125/min, and has muffled heart sounds on auscultation. His jugular veins are distended. A bedside ultrasound (FAST exam) reveals a large pericardial effusion.

A 45-year-old man is the restrained driver in a high-speed motor vehicle collision. He is hemodynamically stable with a blood pressure of 130/80 mmHg and a heart rate of 90/min. He complains of abdominal pain, and on examination, there is tenderness in the left upper quadrant with a positive seatbelt sign.