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Regarding the management of acute pulmonary embolism, which of the following statements is correct?

For antithrombotic therapy, heparin or Low Molecular Weight Heparin can be considered.

Regarding acute myocarditis, which of the following statements is incorrect?

Pathology shows local lymphocyte, plasma cell and histiocyte infiltration, combined with varying degrees of myocardial destruction or dissolution, and almost all cardiac enzymes will be abnormally elevated.

Regarding hypothermia therapy after cardiac resuscitation, based on the research results of empirical medicine, which of the following statements is wrong?

Before sending for cardiac catheterization, cooling is not allowed to avoid the risk of arrhythmia.

Regarding the differential diagnosis of vertigo, which of the following statements is correct?

Vestibular neuritis usually lasts for several days.

Which of the following statements regarding the results of empirical medical research on central venous catheters is incorrect?

Use of Betadine for disinfection during central venous catheter insertion is less likely to cause infections than Chlorhexidine.

Regarding the causes of fever after surgery, the "Five Ws" can be considered. Which of the following statements about the "Five Ws" is wrong?

Water: Dehydration.

Regarding febrile seizures, which of the following statements is incorrect?

Does not limit any form of convulsion.

Regarding hospital disaster emergency response, based on the principles of emergency response management and the regulations of the Department of Health, which of the following statements is correct?

During an emergency disaster, in addition to caring for the injured and injured patients caused by the disaster, the hospital should continue to provide necessary medical care and appropriate referral and evacuation, which is called continuity of operation.

Regarding the description of Sigmoid volvulus, please choose the one that is more correct?

Typical "Coffee Bean Sign" can be seen on abdominal X-ray (Plain Abdomen).

Regarding the clinical symptoms, differential diagnosis and management of syncope, which of the following statements is correct?

Vagal syncope often has prodromal symptoms.

Regarding meningococcemia, which of the following statements is correct?

The mortality rate of patients with sepsis but without meningitis can be as high as 70%.

Regarding toxic shock syndrome caused by Staphylococcus aureus and Streptococcus pyogenes, which of the following statements is correct?

Erythroderma rash is more common in Staphylococcus aureus toxic shock syndrome.

Regarding acute myocardial infarction complicated by psychogenic shock, which of the following treatments is inappropriate?

If the golden treatment time (12 hours) is exceeded, the patient should be admitted to the intensive care unit for drug treatment instead of cardiac catheterization intervention.

Which of the following statements about measures taken to promote patient safety is incorrect?

Telephone medical orders for critical situations can be executed immediately after being repeated.

In order to maintain the safety of medical staff and patients and prevent violence in hospital emergency rooms, the Department of Health issued a letter instructing hospital emergency rooms to implement relevant measures. Which of the following does not include?

Deploy 24-hour police personnel.

Three workers at a hot spring hotel were accidentally poisoned while inspecting the sulfur spring hot spring water storage tower. Which of the following statements is wrong?

Use Cyanide antidote kit as the antidote.

Which of the following are not factors that predict whether a wound will become infected?

Antibiotic use or not.

A 10-year-old child was bitten on the calf by an unknown snake. Two bite marks were clearly visible, and the wound had blood blisters and redness and swelling. Hematuria was present on presentation to the emergency room. Laboratory tests showed thrombocytopenia, abnormal PT and aPTT. Which of the following statements is correct?

Based on clinical symptoms, a bite from a viper or chain snake must be considered.

A 1-and-a-half-year-old boy was sent to the emergency room for treatment because of a cough that sounded like a barking dog (barking cough) and shortness of breath. The vital signs are as follows: heartbeat 140 beats/min, respiration 40 times/min, blood oxygen saturation 90%, body temperature 38°C, weight 12 kg. Regarding the severity of the sick child, which of the following statements is the most inappropriate?

To assess the severity of airway stenosis or obstruction, a frontal x-ray of the neck should be routinely obtained.

A 20-year-old male with a history of depression was sent to the emergency room due to an overdose. Which of the following statements is incorrect regarding tricyclic antidepressant poisoning?

If wide QRS complex arrhythmia occurs, amiodarone is the first choice for drug treatment.

A 25-year-old woman was sent to the emergency room from a nightclub by her friend due to confusion and convulsion. Regarding methamphetamine poisoning, which of the following statements is incorrect?

Patients usually have hyperthermia and should be cooled, but the temperature has nothing to do with the prognosis.

A 25-year-old woman was 28 weeks pregnant and sprained her right ankle because she fell down the stairs. The patient's vital signs were stable (slight abdominal pain and right waist contusion), and there was no water rupture or vaginal bleeding. Which is the most appropriate next step?

Notify the obstetrician and gynecologist to arrange fetal monitoring for at least 4 hours.

A 25-year-old male took a bus from Taipei to the Tatajia Trailhead of Yushan Mountain, and then walked to Paiyun Villa (3,402 meters above sea level). That night he had headache, dizziness, nausea, vomiting, difficulty breathing, being unable to lie down, and coughing with bloody sputum. According to current Suggestion, which of the following treatments is less appropriate?

Treatment with furosemide is recommended.

A 25-year-old man had a stab wound on the midline of the clavicle in the third intercostal space on the left side. The knife was still inserted into his body. His vital signs were blood pressure 120/70 mmHg, heartbeat 120 beats/min, and blood oxygen saturation 99%. A left chest tube (tube thoracotomy) has been placed and 2,000 ml of blood has been discharged. Which of the following treatments is the most appropriate?

Go to the operating room for emergency thoracotomy.

A 26-year-old female patient went to the emergency room for treatment because of dyspnea. Three days ago, she felt that her breathing was laborious, and her condition was getting worse day by day. I feel that I have become weak recently, my hands are unable to comb my hair, and I have double vision when I see things. Neurological examination showed weakness in the proximal limbs compared with the distal limbs, abnormal eye motility, and normal sensation and reflexes in the limbs. What is the most likely diagnosis?

Myasthenia gravis.

A 26-year-old worker was sent to the emergency room complaining of confusion and shortness of breath. Regarding heat injury, which of the following statements is incorrect?

Generally, cooling to 37°C is consistent with normal human body temperature standards.

A 27-year-old foreign worker was sent to the emergency room complaining of agitation, restlessness, muscle twitching, low-grade fever, and confusion. The patient was bitten on his right hand and right thigh by a wild dog abroad one month ago. A healthcare worker with broken skin on his hands came into contact with the patient's saliva without wearing gloves. Which of the following statements is incorrect?

The medical staff also needs to receive a full course of vaccination, which is administered intramuscularly in the buttocks.

A 28-year-old young woman was sent to the emergency department complaining of gradual weakness in her limbs in the past four days. The muscle weakness progressed from the end of the limb to the proximal end. The patient was conscious. Neurological examination showed that the cranial nerve function was normal. The muscle strength of the limbs decreased and she was unable to resist gravity. There were symptoms of gastroenteritis such as diarrhea and abdominal pain 2 weeks before the onset of limb weakness. Regarding Guillain-Barré syndrome (GBS), which of the following statements is incorrect?

The patient will have some complaints of paraesthesia and abnormal sensory neurological examination.

A 29-year-old healthy man with no history of any disease tested positive for type A influenza at another hospital 2 days ago and started taking influenza. Now he came to see a doctor because of high fever and dyspnea. Chest X-ray shows bilateral pulmonary infiltrates. Which of the following treatments is incorrect?

If the blood oxygen saturation is < 95%, oxygen must be given. A humid bottle should be used when giving oxygen, and bronchodilators should be given to make it easier to cough up phlegm.

A 30-year-old woman with a history of anxiety disorder was brought to the emergency room because she was unconscious. The EMT found a bag of sleeping pills lorazepam at the scene. When he arrived at the hospital, his heart rate was 130 beats/min, systolic blood pressure 80 mmHg, respiration 8 times/min, and body temperature 36.5°C. Which of the following emergency procedures is wrong?

Any unconscious patient should be given the antidote flumazenil as soon as possible.

A 30-year-old man came to the emergency department because he felt weak and unable to move when he got up in the morning. The patient stated that he had a similar attack 3 months ago. Over the past six months, the patient has had symptoms such as palpitations and weight loss. When he arrived at the hospital, his blood pressure was 120/70 mmHg, his heartbeat was 110 beats/min, his breathing was 20 times/min, and his body temperature was 37°C. Other physical examinations showed no abnormalities except for symmetrical weakness of his limbs. Which of the following statements is wrong?

Most of the affected muscle groups are distal muscles, and the lower limbs are more susceptible than the upper limbs. They are symmetrical and often accompanied by sensory abnormalities.

A 32-year-old female was involved in a motorcycle accident and was sent to the emergency room after falling. Her right thigh was deformed. The patient has been placed with an endotracheal tube and uses a respirator to assist breathing. In the emergency room, his initial blood pressure was 80/60 mmHg and his heartbeat was 120 beats/min. After resuscitation with infusion, the blood pressure rose back to 120/80 mmHg. An hour later, the blood pressure dropped to 90/75 mmHg and the heartbeat was 130 beats/min. What is the priority treatment at this time?

Repeated primary survey.

A 38-year-old man fought with others while drunk and was sent to the emergency room by EMT. It is found that the scalp laceration has stopped bleeding, the face and chin are deformed and swollen, the blood pressure is 86/56 mmHg, the heartbeat is 126 beats/min, and the breathing is 24 breaths/min. The patient is unconscious. Which of the following treatments should be implemented first?

Cricoid cartilage incision (cricothyroidotomy).

A 3-year-old girl was brought to the emergency room by her mother complaining of fever for one day. After examining the skin and mouth, the patient was initially diagnosed with hand, foot and mouth disease. The girl's vital signs are stable and she does not need to be hospitalized immediately. During health education, mothers should be informed of any serious conditions that require prompt medical treatment. Which of the following does not include?

Persistent diarrhea.

A 40-year-old female suffered from headache, nausea and fever 5 days ago. She became unconscious and delirium 3 days ago. She became drowsy yesterday and had convulsions today. She came to the hospital with a body temperature of 38.5°C when she was hospitalized. There were no abnormalities in the chest and abdomen. The neck was stiff and the cranial nerve examination showed no abnormalities. Abnormal, normal tendon reflexes, negative Babinski sign, WBC 9,000/mm 3, initial pressure of lumbar puncture 180 mmH 2O, cerebrospinal fluid examination results were white blood cells 193/mm 3 (multinucleated cells 12, lymphocytes 141, mononuclear cells 40 ), red blood cells 6,500/mm 3, protein 92 mg/dL, glucose 40 mg/dL, which of the following is the most likely diagnosis?

Tuberculous meningitis.

A 40-year-old man was injured by lightning on a golf course. Which of the following statements is correct?

If patients survive lightning injuries, they are prone to neuropsychiatric complications, including schizophrenia.

A 45-year-old patient with cirrhosis was hospitalized due to fever and abdominal distension. Physical examination revealed ascites, and abdominal tenderness and rebound pain. Regarding spontaneous bacterial peritonitis, which of the following statements is incorrect?

Lactic acid should be tested, and crystalloid 20 ml/kg should be given in case of severe sepsis.

A 45-year-old man woke up early in the morning and went to the emergency department for treatment because of his crooked eyes and mouth. After examination, he was diagnosed with right peripheral facial palsy. Careful examination revealed that the patient had right ear pain and vesicular rash on the right external ear. Which of the following statements is wrong?

Ramsay Hunt Syndrome recovery from facial nerve palsy is better than Bell's palsy.

After a 16-hour flight, the 48-year-old female patient suddenly felt difficulty breathing, chest pain, and night sweats. She went straight to the emergency room from the airport. She was in a coma when she arrived at the emergency room. The patient suffered a left femur fracture half a month ago. When she was discharged, she had no history of high blood pressure or heart disease. After evaluation, the blood pressure was 80/44 mmHg, the heartbeat was 120 beats/min, the respiration was 22 breaths/min, the blood oxygen saturation was 88%, the electrocardiogram monitor showed sinus tachycardia, and the physical examination showed clear breath sounds. Which of the following statements about this patient is the least appropriate?

Fibrinolytic agent should not be used due to unstable hemodynamics.

A 4-month-old baby boy was brought to the emergency room by his mother because of dyspnea. He complained of respiratory murmurs for the past three days, decreased appetite, and poor mental health. During the physical examination, the baby boy had shortness of breath and wheezing on both sides. Without oxygen supply, the blood oxygen saturation was 94%, and there was obvious intercostal retraction. Which of the following viruses is most likely to cause this disease?

Respiratory syncytial virus

A 4-year-old girl was brought to the emergency room by her father complaining of poor appetite and fever for one day. When he arrived at the hospital, his breathing was 32 times/min, his heartbeat was 148 times/min, and his body temperature was 39°C. The girl was reluctant to speak, and even if she tried to speak, she couldn't understand what she was saying, but she was sure she didn't have a runny nose or cough. During physical examination, he looked very weak, but was unwilling to lie down. He had difficulty breathing and saliva flowed from the corners of his mouth. A stridor murmur could be heard in the neck when inhaling. Which of the following descriptions and treatments is the most inappropriate?

When X-ray or endoscopy confirms that the epiglottis is significantly swollen, antibiotics should be administered considering that the most common causative organism is Hemophilus influenzae type A.

A 4-year-old boy had a high fever that did not go away for 5 days, and doctors suspected Kawasaki disease. Which of the following statements about this disease is incorrect?

NSAID and aspirin are the drugs of choice.

A 50-year-old man had an argument with others after drinking 5 days ago. He went to the doctor because of pain and swelling in his neck. During the examination, it was found that the lower end of the cricoid cartilage was swollen, his voice was normal, his right pupil was constricted, and his eyelids were drooping. Which of the following statements is wrong?

Have a bronchoscopy.

A 50-year-old man came to the emergency department. He took 40 amlodipine (Norvasc 5 mg/tab) 30 minutes ago. He was unconscious. His blood pressure was 60/30 mmHg, his heartbeat was 40 beats/min, his breathing was 20 times/min, and his body temperature was 37°C. Based on current research evidence, which of the following treatments is most effective?

Give 1.0 U/kg/hr insulin.

A 50-year-old male patient went to the emergency department for chest discomfort. When he arrived at the hospital, his vital signs were blood pressure 102/60 mmHg, heartbeat 56 times/min, respiration 22 times/min, and blood oxygen saturation 95%. The electrocardiogram showed that Lead II, III and aVF all had obvious ST elevation. Which of the following statements is wrong?

If there is no obvious ST elevation of V4R in the right EKG, right ventricular myocardial infarction can be ruled out.

A 50-year-old woman comes to the emergency department and is diagnosed with terminal ovarian cancer. You decide to use the "SPIKE" technique of telling bad news. Regarding the "SPIKE" technique of telling bad news, which of the following statements is wrong?

"I" refers to assessing the patient's own understanding of the disease (insight).

The 50-year-old farmer lay down on the edge of the field after spraying pesticides. I was sent to the emergency room by EMT. When I arrived at the hospital, my body temperature was 38.5°C, my blood pressure was 100/70 mmHg, I was breathing 30 times/min, and my blood oxygen saturation was 88%. Regarding organophosphate intoxication, which of the following statements is correct?

Patients with convulsions can be treated with diazepam. At the same time, care must be taken to keep the patient's respiratory tract open.

A 52-year-old woman presented to the emergency department with a sudden onset of mild bruising on her calf in recent days. During the blood test, it was found that the platelet count was 52,000/µL, and the hemoglobin and white blood cells were normal. Physical examination revealed no other bleeding sites except the calf. Which of the following statements is wrong?

This woman has low platelets and is at risk of spontaneous internal bleeding, so she should be transfused with platelet concentrate.

A 55-year-old male patient with long-term alcohol addiction was brought to the emergency department by his family. He complained of cough and fever for two weeks, weight loss and night sweats. Blood tests showed an increase in white blood cells and an increase in inflammation index. A chest X-ray showed 1 cyst in the left lower lung. There is a lesion about 5 cm in diameter with an air-fluid level. Which of the following statements is correct?

Aerobic bacteria are often associated with nosocomial lung abscesses and have a higher mortality rate.

A 56-year-old woman came to the emergency room due to unconsciousness. During the injury examination, it was found that her body temperature was 39.4°C, her blood pressure was 130/80 mmHg, her heartbeat was 100 beats/min, her breathing was 16 times/min, and her blood oxygen saturation was 98%. Many small bleeding spots (petechiae) were found on the skin. The white blood cells in the blood were 10,000/mm 3 , hemoglobin 8.5 g/dL, platelets 10,000/mm 3 , PT and aPTT were normal. Schistocytes were found in the blood smear, and creatinine was 4.5 mg/dL. Which of the following statements is wrong?

The patient develops disseminated intravascular coagulation.

The 5-year-old boy was hit by an RV while reversing. When he was sent to the emergency room, he was found to be unconscious, with cold skin, weak limbs and no tension. His blood pressure was 74/52 mmHg, his heartbeat was 142 beats/min, his breathing was 36 times/min, and his blood was oxygen saturated. The degree is 88%. Which of the following statements is wrong?

Children are less likely to suffer from traumatic asphyxia when their chest is injured because their bones are soft and elastic.

A 60-year-old woman developed blurred vision and paralysis of her limbs after eating canned pickled oysters yesterday. Her blood pressure was 90/60mm Hg, her heartbeat was 110 beats/min, and her blood oxygen saturation was 85%. The following are related to botulism: Which statement is wrong?

Body temperature is usually higher than 38.5 ℃.

A 63-year-old man with a past medical history of hypertension and diabetes was sent to the emergency department because of acute chest pain extending to his back. At the time of consultation, the blood pressure was 220/110 mmHg, the heartbeat was 102 beats/min, and the respiration was 22 beats/min. The chest X-ray showed mediastinum widening, and the electrocardiogram showed left ventricular hypertrophy. Which of the following is incorrect regarding the diagnosis and clinical management of this patient?

Aortic dissection usually causes pericardial tamponade, which has a high mortality rate.

A 67-year-old man came to the emergency department due to an accidental head injury on the left side. Physical examination revealed a left fronto-temporal scalp laceration and left orbital hematoma. The pupils on both sides were 2 mm in size. The light reflex was normal and the patient was conscious. He complained of blurred vision for 3 months. Visual field examination reveals left homonymous hemianopia. What is the most likely diagnosis?

Right occipital infarct stroke.

A 68-year-old man was taken to the hospital for treatment because of general weakness, nausea, and vomiting in the past few days. The patient's medical history included heart disease and kidney disease. The long-term medications he took include foxglove, aspirin, and diuretics. After blood test, it was found that WBC 4,800/mm 3 (band: 0%, seg: 70%), BUN 53 mg/dL, Creatinine 4.2 mg/dL, K⁺ 7.3 mEq/L, Digoxin level 1.75 ng/ µL, the following Which statement is correct?

Using digoxin-specific Fab antibody, if the digoxin level can be reduced to less than 0.5 ng/µL, it will be most beneficial to the patient.

A 74-year-old female patient suddenly had difficulty speaking and swallowing. Physical examination showed dysphonia, tongue deviation to the right, drooping of the right face, loss of facial sensation on the right side, weakness in the right arm, and aphasia. What is the most likely cause of the above symptoms?

Left side of the brain.

When staging symptoms of acetaminophen poisoning, which of the following is incorrect?

Second stage (24-48 hours). In this stage, symptoms usually worsen, causing right upper quadrant pain, but liver function and prothrombin time remain unchanged.

A middle-aged diabetic male was sent to the emergency room due to unconsciousness. A finger-stick blood glucose test revealed that his blood sugar was too high to measure. Regarding the assessment and treatment of hyperglycemia emergencies, which of the following statements is wrong?

HHS starts insulin treatment at 0.1 units/kg/hr and measures blood sugar every hour. If blood sugar drops to 250 mg/dL, switch to saline infusion containing 5% sugar water to maintain blood sugar at 150~200 mg. /dL.

When a 4-year-old boy was undergoing surgery to suture a forehead laceration in the emergency room, the boy was restless and unable to cooperate with the sutures. Which of the following statements is wrong?

Intramuscular injection of ketamine can produce combined sedative and analgesic effects.

Ideally, decontamination procedures for contaminated patients should be performed outside the hospital. Which of the following statements is incorrect?

ersonnel between the warm zone and the cold zone can support each other in rescue work.

The earthquake victim was crushed by the collapse of the house. It took 8 hours for him to be freed and sent to the hospital. What is the most unlikely injury at this time?

Severe wound infection leading to sepsis.

There was a fire scene with a large number of injuries. The on-site casualty examiner found a patient lying on the ground not breathing. After opening the airway, he was still unable to breathe on his own. According to the START (Simple Triage and Rapid Treatment) principle of injury detection, what is the most appropriate next step?

Give up first aid.

Regarding pediatric trauma, which of the following statements is correct?

The normal urine output for infants under 1 year old should be greater than 2 ml/kg/hr.

Regarding the clinical use of antidotes for poisoned patients, which of the following pairings is incorrect?

Azide--amyl & sodium nitrite, sodium thiosulfate (amyl nitrite, sodium nitrite, sodium thiosulfate).

Regarding traumatic aortic rupture, which of the following statements is incorrect?

Typical chest X-ray findings include the placement of the nasogastric tube to the left.

Regarding the description and treatment of eclampsia in pregnant women, which of the following is incorrect?

Diuretics should be actively administered to control diastolic blood pressure < 105 mmg/Hg and urine output > 30 ml/hr to reduce edema.

Which of the following statements about acute abdominal pain in pregnant women is incorrect?

The probability of gallstones increases during pregnancy, and it is the most common disease for pregnant women that requires emergency surgery.

Regarding the "Public places where automated external defibrillators should be installed" announced by the Ministry of Health and Welfare in 102 of the Republic of China, which of the following does not fall into the eight categories of public places specified in the regulations?

Schools above junior high school.

Regarding acute appendicitis in children, which of the following statements is incorrect?

he probability of appendicitis rupture in children over 10 years old is higher than that in children under 3 years old.

Regarding the diagnosis of roseola infantum, which of the following statements is incorrect?

he probability of heat cramps is high.

Regarding the American Heart Association (AHA) first aid treatment for patients with acute ischemic stroke, which of the following statements is incorrect?

When administering r-tPA, aspirin should be administered as soon as possible.

Regarding the National Institutes of Health Stroke Scale (NIHSS), which of the following statements is incorrect?

Covers the complete neurological examination in the evaluation of patients with acute stroke. (B) Can assess the clinical severity of stroke patients.

Regarding the differential diagnosis of vertigo, which of the following statements is incorrect?

Age of first onset of Ménière disease, usually under 65 years of age.

Regarding emergency response operations at out-of-hospital disaster sites, which of the following statements is incorrect?

In ​​order to provide disaster relief as quickly as possible, the commander should request the nearest emergency hospital to send medical personnel to form a rescue team to go to the rescue.

Regarding septic shock, which of the following statements is incorrect?

If administration of a vasopressor is considered, dopamine should be used first.

Regarding adrenal insufficiency, which of the following statements is incorrect?

HIV causes adrenal insufficiency by directly damaging the adrenal glands.

Regarding tumor lysis syndrome, which of the following statements is incorrect?

Hypercalcemia is also common in tumor lysis syndrome.

Regarding emergency thoracotomy, which of the following statements is correct?

Puncture injury, no pulse, EKG is PEA. (E) Puncture injury, pulse, and obvious shock.

Regarding decompression sickness caused by diving, which of the following statements is correct?

For the adjuvant treatment of decompression sickness, heparin has not been effective in humans in empirical medical studies.

Regarding diaphragm injuries, which of the following statements is incorrect?

The main clinical manifestation is hemorrhagic shock.

Regarding status epilepticus, which of the following statements is incorrect?

Epilepticus status is defined as epileptic seizures that occur continuously or intermittently for more than 30 minutes without recovery of consciousness.

You are dealing with a 3-month-old baby boy who suffered prehospital cardiac arrest (OHCA). What is the most unhelpful medical history to help you determine whether the sick baby is in a high-risk group for sudden infant death syndrome? For which of the following?

The baby boy sleeps in a separate crib in the same room as his parents.

You are dealing with a 5-day-old newborn. The mother says that the baby girl found blood stains when changing her diaper. Because similar phenomena have been found 3-4 times, the mother was very worried and took her to the emergency room for treatment. The baby girl is very energetic and her eating status is similar to that in the nursery. Physical examination revealed no abnormal findings. Which of the following diagnoses is most appropriate?

False menstruation and neonatal vaginal discharge.

You are dealing with a 6-month-old febrile girl whose mother says she has Tetralogy of Fallot and has not yet undergone complete corrective surgery. On physical examination, you notice that the baby girl is suddenly restless, tachypneic, and cyanotic. Which of the following actions is the least appropriate?

Digoxin can be given (dose 30-50 micrograms per kilogram).

According to the structure and content of the Taiwan Triage & Acuity Scale (TTAS) currently implemented in Taiwan, which of the following statements is wrong regarding the triage of children?

Pain is divided into peripheral pain and central pain.

Common characteristics of child physical abuse, excluding which of the following?

Neonatal clavicle fracture.

An explosion in a petrochemical plant caused the leakage of toxic chemicals, causing casualties. The toxic chemicals were found to be acrylonitrile. Which of the following is wrong?

Antidote cyanide antidote The detoxification mechanism of the set is converted to produce complexes to reduce the toxic effects of cyanide.

In the response to a nuclear, biological or chemical incident, which of the following statements is wrong regarding the protective clothing of responders?

Medical staff who come into contact with chemical disaster patients in hospital emergency rooms must wear Class B protective clothing.

According to the 2010 ILCOR and AHA/ACC ACLS Guidelines, which of the following statements is incorrect?

Unstable atrial fibrillation incorporates WPW, and synchronized electric shocks are applied.

According to the new version of the peace and relaxation regulations, which of the following statements is correct?

A terminal cancer patient is intubated in the emergency department due to coma and respiratory failure. Although he has not signed a letter of intention to give up first aid, he can still withdraw the life-support equipment after his spouse arrives and signs a consent form.

The patient's oxygen concentration (FiO 2) is 40%, and his PaO 2 is 185 mmHg and PaCO₂ 40 mmHg. How many mmHg is the patient's alveolar-arterial oxygen difference (Aa DO 2) estimated to be?

50.

Regarding the correlation between the patient's past medical history and the common pathogens causing pneumonia, which of the following statements is incorrect?

When healthy adults get influenza, the common causative bacteria of pneumonia are Legionella species.

Intussusception is a common abdominal pain emergency in children. Which of the following statements is incorrect?

Currant jelly stool is a typical early symptom.

For a patient with suspected thoracic spine fracture and displacement, which of the following statements is incorrect?

If hypotension and tachycardia are present, neurogenic shock should be considered.

The Ministry of Health and Welfare implemented the "Emergency Emergency and Referral Quality Improvement Plan" this year. Regarding referral, which of the following statements is incorrect?

When making a referral, the hospital should first contact the evacuation hospital. The evacuation base hospital may refuse to accept the referral due to full beds.

For a patient with head trauma, the coma index is 14 points, and the indications for head computed tomography examination are, which of the following statements is wrong?

Unconsciousness or epileptic seizure.

Regarding testicular torsion, which of the following statements is wrong?

Testicular torsion often occurs after strenuous exercise.

Regarding bystander CPR and public access defibrillation (PAD), which of the following statements is incorrect?

Regardless of whether the patient was in the hospital when VF collapsed, or whether the AED/defibrillator was present, CPR should be performed for 1.5 to 3 minutes before shock. This way the patient has a better chance of survival and better prognosis.

Regarding the clinical diagnosis and treatment of H7N9 influenza, which of the following statements is incorrect?

The infectious period is within 7 days after onset of illness.

Regarding head trauma, if hyperventilation is used to temporarily reduce cerebral pressure, what range should PaCO₂ be maintained at?

30~35 mmHg.