Accident and Emergency Medicine
This little book has been written primarily for the senior house officer in Accident and Emergency and the registrar pursuing a career in the specialty. I hope also that it will be of interest to medical students. Thanks to the initiative of Professor Mil
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Accident and Emergency Medicine
Springer-Verlag london Berlin Heidelberg New York Paris Tokyo
Gordon S. Laing, FRCS Consultant in Accident and Emergency Medicine, Hope Hospital, Salford, Honorary Associate Lecturer in Surgery, University of Manchester, and Chairman, Specialty Training Group, North West Region
Publisher's note: the "Brainscan" logo is reproduced by courtesy of The Editor, Geriatric Medicine, Modem Medicine GB Ltd. ISBN-13: 978-3-540-19508-5 DOl: 10.1007/978-1-4471-1608-0
e- ISBN-13: 978-1-4471-1608-0
British Library Cataloguing in Publication Data Laing, Gordon S. (Gordon Stewart) 1924Accident and emergency medicine 1. Medicine. Emergency treatment. I. Title 616'.025. Library of Congress Cataloging-in-Publication Data Laing, Gordon 5., 1924Accident and emergency medicine. (Brainscan MCQ's) 1. Emergency medicine-Examinations, questions, etc. I. Title. II. Series. [DNLM: 1. Accident~xamination questions. 2. Emergency Medicineexamination questions. WB 18 L187al RC86.9.L351988 616'.025'076 87-37682 This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically those of translation, reprinting, re-use of illustrations, broadcasting, reproduction by photocopying, machine or similar means, and storage in data banks.
© Springer-Verlag Berlin Heidelberg 1988 The use of registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Product Liability: The publisher can give no guarantee for information about drug dosage and application thereof contained in this book. In every individual case the respective user must check its accuracy by consulting other pharmaceutical literature. Phototypesetting by Tradeset Photosetting, 10 Garden Court Business Centre, Tewin Road, Welwyn Garden City, Hertfordshire, AL71BH. Printed by The Bath Press, Lower Bristol Road, Bath, Avon.
2128/3916-543210
Dedicated to three A's Ann, Alexandra and Adam
Preface
This little book has been written primarily for the senior house officer in Accident and Emergency and the registrar pursuing a career in the specialty. I hope also that it will be of interest to medical students. Thanks to the initiative of Professor Miles Irving, Professor of Surgery, University of Manchester, medical students have been taught Accident and Emergency in Hope Hospital since 1974. Many of the answers to the questions here have been elaborated as a result of their enquiring minds. It has been a pleasure to teach them. MCQs should be informative and entertaining and not regarded as a tiresome chore merely because of selfassessment scoring. I have omitted the boxes and the "don't know" response. The answers are either true or false. I have attempted to slot the questions into various sections with some degree of sequence, but there is an inevitable overlap particularly with regard to the sections on the unresponsive patient
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