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Previous Topic | Next Topic  Brain death any clues? 




 
Kaplan Qbank USMLE



Author5 Posts
  #1

After a sailing accident in which a man falls overboard, he arrives to the ED with a T of 77F, no spontaneous respirations or cardiac activity, and a depressed skull fracture. Rewarming is begun, the man is intubated and mechanically ventilated, and cardiotropic meds are administered, resulting in a faint, palpable, pulse. The doll's eyes's reflex is absent. There is no deviation of the eyes in response to irrigation of the ear canal with ice water. His GCS is 3/15. Body T after CT is 28.1C or 82.5F. Which of the following characteristics would prevent brain death from being declared in this patient at this time?

A Artificial ventilation
B Body temperature
C Cardiac activity
D GCS of 3/15
E Skull fracture

  #2

B Body temperature


  #3

B

Initially, for an accurate diagnosis of brain death, there must be clear evidence of an acute, catastrophic, irreversible brain injury, and any reversible conditions that may obfuscate the clinical assessment (e.g., drug intoxication, hypothermia, and metabolic abnormalities) must be excluded.


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  #4

The correct answer is B body temp .Good job guysnod

  #5

excellent question so as the explanation








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