1. A 22-year-old man is hypotensive and tachycardic after a shotgun wound
to the left shoulder. His blood pressure is initially 80/40 mm Hg. After initial
fluid resuscitation his blood pressure increases to 122/84 mm Hg. His heart
rate is now 100 beats per minute and his respiratory rate is 28 b...
doscar725@gmail.com
ATLS PRE TEST 2022
1. A 22-year-old man is hypotensive and tachycardic after a shotgun wound
to the left shoulder. His blood pressure is initially 80/40 mm Hg. After initial
fluid resuscitation his blood pressure increases to 122/84 mm Hg. His heart
rate is now 100 beats per minute and his respiratory rate is 28 breaths per
minute. A tube thoracostomy is performed for decreased left chest breath
sounds with the return of a small amount of blood and no air leak. After chest
tube insertion, the most appropriate next step is:
:
re-examine the chest
2.
A
construction
worker
falls
two
stories
from
a
building
and
sustains
bilateral
calcaneal
fractures. In the emergency department, he is alert, vital signs
are normal, and he is complaining of severe pain in both heels and his lower
back. Lower extremity pulses are strong and there is no other deformity. The
suspected diagnosis is most likely to be confirmed by::
complete spine x-ray
series
3. Which of the following is true regarding the initial resuscitation of a trauma
patient?:
Evidence of improved perfusion after fluid
resuscitation could include
improvement in Glasgow Coma Scale score on reevaluation.
4.
In
managing
a
patient
with
a
severe
traumatic
brain
injury,
the
most
important
initial
step
is
to::
secure the airway
5. A previously healthy, 70-kg (154-pound) man suffers an estimated acute
blood loss of 2 liters. Which one of the following statements applies to this
patient?:
An ABG would demonstrate a base deficit
between -6 and -10 mEq/L.
6. The physiological hypervolemia of pregnancy has clinical significance in
the management of the severely injured, gravid woman by:: i
ncreasing the
volume of blood loss to produce maternal hypotension doscar725@gmail.com
7. The best assessment of fluid resuscitation of the adult burn patient is:: -
urinary output of 0.5 mL/kg/hr
8. The diagnosis of shock must include::
evidence
of inadequate organ perfusion
9. A 7-year-old boy is brought to the emergency department by his parents
several minutes after he fell through a window. He is bleeding profusely from
a 6-cm wound of his medial right thigh. Immediate management of the wound
should consist of::
direct pressure on the wound
10. For the patient with severe traumatic brain injury, profound hypocarbia
should be avoided to prevent:: c
erebral vasoconstriction
with diminished perfusion
11. After being involved in a motor vehicle crash, a 25-year-old man is
brought to a hospital that has surgery capabilities available.. Computed
tomography of the chest and abdomen shows an aortic injury and splenic
laceration with free abdominal fluid. His blood pressure falls to 70 mm Hg
after CT. The next step is::
perform an exploratory
laparotomy
12. Which one of the following statements regarding abdominal trauma in the
pregnant patient is TRUE?:
Leakage of amniotic fluid
is an indication for hospital
admission.
13.
The
first
maneuver
to
improve
oxygenation
after
chest
injury
is::
administer
supplemental
oxygen
14. A 25-year-old man, injured in a motor vehicular crash, is admitted to the
emergency department. His pupils react sluggishly and his eyes open to
pressure. He does not follow commands, but he does moan periodically.
His right arm is deformed and does not respond to pressure; however, his
left hand reaches purposefully toward the stimulus. Both legs are stiffly
extended. His GCS score is::
9
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