ATLS 2021 POST TEST (SOAL POST TEST VERSION 3)
1. The primary indication for transferring a patient to a higher level trauma center is:
unavailability of a surgeon or operating room
staff. multiple system injuries, including severe
head injury.
resource l...
atls 2021 post test soal post test version 3 1 the primary indication for transferring a patient to a higher level trauma center is unavailability of a surgeon or operating room staff
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ATLS 2021 POST
TEST (SOAL
POST TEST
VERSION 3)
,1. The primary indication for transferring 4. Which one of the following s
a patient to a higher level trauma center regarding patients with thoracic
is: is TRUE?
Log-rolling may be desta
unavailability of a surgeon or operating room fractures from T-
staff. Adequate immobilizati
multiple system injuries, including severe accomplished with
head injury.
Spinal cord injury below T-10 usual
resource limitations as determined by the
bowel an
transferring doctor.
function. Hyperflexion fractu
resource limitations as determined by
upper thoracic spine are
the
unstable. These patients rare
hospital administration. with spinal shock in associa
widened mediastinum on chest x-ray co
following blunt thoracic
trauma.
5. young man sustains a ritle wo
2. teen-aged bicycle rider is hit by a truck abdomen. He is brought promp
traveling at a high rate of speed. In the emergency department by preh
emergency department, she is actively personnel. His skin is cool and
bleeding from open fractures of her legs, and and his systolic blood pressure
has abrasions on her chest and abdominal Warmed crystalloid fluids are i
wall. Her blood pressure is 80/50 mm Hg, improvement in his vital signs.
heart rate is 140 beats per minute, respiratory appropriate step is to perform:
rate is 8 breaths per minute, and GCS score is a
celiotomy.
6. abdominal
The first step in managing this patient is to: diagnostic lap
abdominal ultraso
a diagnostic
obtain a lateral cervical spine x- lavage.
ray. insert a central venous pressure
line. administer 2 liters of crystalloid
solution. perform endotracheal 6. young woman sustains a seve
intubation and as the result of a motor vehicul
ventilation.
emergency department, her GC
apply the PASG and inflate the leg
compartments. Her blood pressure is 140/90 m
heart rate is 80 beats per minute
3. Contraindication to nasogastric intubation intubated and is being mechani
is the presence of a: Her pupils are 3 mm in size and
gastric perforation. reactive to light. There is no oth
diaphragmatic rupture. injury. The most important prin
open depressed skull fracture. in the early management of her
fracture of the cervical spine. to:
fracture of the cribriform
plate.
administer a
diuretic. prevent s
bra
, aggressively treat systemic 9. 8-year-old girl is an unrestrai
hypertension. reduce metabolic
requirements of the in a vehicle struck from behind.
brain. emergency department, her blo
distinguish between intracranial hematoma 80/60 mm Hg, heart rate is 80 b
and cerebral edema. and respiratory rate is 16 breath
Her GCS score is 14. She compl
7.22-year-old man is brought to the hospital legs feel "funny and won't move
after crashing his motorcycle into a telephone however, her spine x-rays do no
pole. He is unconscious and in profound fracture or dislocation. A spinal
shock. He has no open wounds or obvious this child:
fractures. The cause of his shock is MOST is most likely a central cord s
must be diagnosed by magnetic r
LIKELY caused by:
a subdural
hematoma. an can be excluded by obtaining a
epidural hematoma.
a transected lumbar spinal spine. may exist in the a
cord. a transected cervical spinal cord.
hemorrhage into the chest or findings on x-ra
abdomen. is unlikely becau
incomplete calcificat
vertebr
8. 30-year-old man is struck by a car traveling
at 56 kph (35 mph). He has obvious fractures of
10. Immediate chest tube inserti
the left tibia near the knee, pain in the pelvic
for which of the following condi
area, and severe dyspnea. His heart rate is 180
Pneu
beats per minute, and his respiratory rate is 48 x
breaths per minute with no breath sounds heard Pneumome
in the left chest. A tension pneumothorax is Massive he
Diaphragma
relieved by immediate needle decompression
Subcutaneous e
and tube thoracostomy. Subsequently, his heart
rate decreases to 140 beats per minute, his
11. 18-year-old, helmeted motor
respiratory rate decreases to 36 breaths per
brought by ambulance to the em
minute, and his blood pressure is 80/50 inm Hg.
department following a high-spe
Warmed Ringer's lactate is administered
Prehospital persormel report tha
intravenously. The next priority should be to:
thrown 15 meters (50 feet) off h
perform a urethrogram and
cystogram. perform external fixation of a history of hypotension prior to
the pelvis. obtain abdominal and pelvic emergency department, but is n
CT scans. perform arterial embolization of and conversational. Which of the
the pelvic
statements is TRUE?
vessels.
perform diagnostic peritoneal lavage or Cerebral perfiisio
abdominal ultrasound. Intravascular volume statu
The patient has sensitive va
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