You are working in the emergency department and receive a patient who was admitted via ambulance. The patient is alert, but the injuries are severe. What are your priorities when collecting this patient's emergency database?

Correct Answer: D

Rationale: The correct answer is D because in an emergency situation with a patient who has severe injuries, the top priority is to collect critical information as you begin lifesaving measures. This includes obtaining information such as the patient's name, age, allergies, current medications, and any known medical conditions. This information is crucial for providing appropriate and timely treatment to the patient. Options A, B, and C are incorrect because in a life-threatening emergency, collecting the complete health history, full physical examination, or detailed medical history should not delay immediate life-saving interventions. Prioritizing critical information gathering ensures that necessary actions are taken promptly to stabilize the patient's condition.

Correct Answer: B

Rationale: The correct answer is B because pain with hip extension is not typically associated with iliopsoas bursitis and tendonitis. The iliopsoas muscle is responsible for hip flexion, so pain is usually felt with activities that involve hip flexion. Choices A, C, and D are incorrect because these are commonly associated with iliopsoas bursitis and tendonitis. A: Snapping hip syndrome is related to the iliopsoas tendon moving over the hip joint. C: Pain deep in the groin and radiating to the front of the hip is a common presentation. D: Iliopsoas bursitis and tendonitis can involve inflammation or injury to the tendon, but complete rupture is less common.

Correct Answer: A

Rationale: The correct answer is A: Bridging. After total hip arthroplasty using an anterior approach, bridging should be avoided to prevent excessive stress on the hip joint. Bridging involves lifting the pelvis off the ground while lying on the back, which can strain the hip joint and potentially lead to dislocation. Adduction crossing midline can also stress the hip joint. Sitting on a regular toilet seat and crossing legs are acceptable postures as long as proper precautions are taken to avoid excessive hip flexion or internal rotation.

Correct Answer: B

Rationale: The correct answer is B: Cremasteric reflex. L2 nerve root compression affects the genitofemoral nerve, leading to loss of the cremasteric reflex. The cremasteric reflex is elicited by stroking the inner thigh, causing the ipsilateral testicle to elevate. This reflex is absent in L2 nerve root compression due to disruption in the sensory or motor pathways. Choices A, C, and D are incorrect as they are associated with different nerve roots and reflexes not affected by L2 compression.

Correct Answer: A

Rationale: The correct answer is A: Intercostobrachial nerve. During a mastectomy, the intercostobrachial nerve is often damaged, leading to postmastectomy pain syndrome. This nerve runs along the chest and upper arm, making it susceptible to injury during the surgery. The suprascapular nerve (B) innervates the shoulder joint, the musculocutaneous nerve (C) innervates the muscles of the anterior arm, and the axillary nerve (D) innervates the deltoid and teres minor muscles, none of which are directly affected during a mastectomy. Thus, these choices are incorrect.