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ATLS pre test completed questions & answers | 2021/2022 latest update
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ATLS pre test completed questions & answers | 2021/2022 latest update
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ATLS pretests1. A 22 year old man is hypotensive and tachycardic after a shotgun wound
to the left shoulder. His blood after initial IV fluid resuscitation, a closed
tube thoracostomy is performed for decreased left breath sounds: Answer-
reexamine the chest
2. A construction worker falls two stories from a building and sustains
bilat- eral 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: Answer- complete spine x-ray series.
3.The principle of balanced resuscitation is:: Answer- Permissive
hypotension and early plasma infusion
4. Question:4 In managing the head-injured patient, the most important
initial step is to: Answer- secure 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?: Answer- His systolic blood pressure will be decreased
with a narrowed pulse pressure.
6. The diagnosis of shock must include: Answer- poor organ perfusion
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, 7. Question: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
manage- ment of the wound should consist of: Answer- direct pressure
8. For the patient with severe traumatic brain injury, profound hypocarbia
should be avoided to prevent: Answer- cerebral vasoconstriction with
diminished perfu- sion.
9. Question:11 A 25-year-old man is brought to a hospital with a general
surgeon after being involved in a motor vehicle crash. Computed tomogra-
phy 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:
Answer- exploratory laparotomy.
10.20-year-old woman, at 32 weeks gestation, is stabbed in the upper
right chest. In the emergency department, her blood pressure is 80/60 mm
Hg. She is gasping for breath, extremely anxious, and yelling for help.
Breath sounds are diminished in the right chest. The most appropriate
first step is to: Answer- perform needle decompression of the right
chest.
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