ATLS Advanced Trauma Life Support Test 1 2021/2022 Questions And Answers With_a Complete SolutionA 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 t...
(ATLS) ADVANCED
TRAUMA LIFE
SUPPORT TEST 1
2021QUESTIONS AND
ANSWERS WITH A
COMPLETE SOLUTION
,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
increasesto 122/84 mm Hg. His heart rate is now 100 beats per minute and his respiratory
rate is 28 breathsper 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 appropriatenext step is:
Select one:
a.reexamine the chest
b.perform an aortogram
c.obtain a CT scan of the
chest
d.obtain arterial blood gas analyses
e.perform transesophageal
echocardiography
A) Reexamine the chest
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 inboth 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:
Select one:
a.angiography
b.compartment pressures
c.retrograde urethrogram
d.Doppler ultrasound
studiese.complete spine x-
ray series
e) Complete spine x-ray series
Which of the following is true regarding the initial resuscitation of a trauma
patient?Select one:
a. A patient that presents with a torso gunshot wound and is hypotensive should receive
crystalloidfluid resuscitation until the blood pressure is normal
, b. Evidence of improved perfusion after fluid resuscitation could include improvement in
Glasgowcoma scale score on reevaluation
c. Massive transfusion is defined as transfusion of more than >10 of packed red blood cells
andplasma in 24 hours
d. When tranexamic acid is administered by pre-hospital providers a second dose is required
within24 hours
e. Fluid resuscitation is far more important than bleeding control in trauma patients
b.Evidence of improved perfusion after fluid resuscitation could include improvement in
Glasgowcoma scale score on reevaluation
In managing a patient with a severe traumatic brain injury, the most important initial step
is to:Select one:
a.Secure the airway
b.obtain a c-spine film
c.support the circulation
d.control scalp
hemorrhagee.determine
the GCS score Feedback
Your answer is corr
a.Secure the airway
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?
Select one:
a. His pulse pressure will be widened.
b. His urinary output will be at the lower limits of normal.
c.He will have tachycardia, but no change in his systolic blood
pressure.d.An ABG would demonstrate a base deficit between -6
and -10 mEq/L
e.His systolic blood pressure will be maintained with an elevated diastolic pressure.
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