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2024 ATLS / ATLS Test 1 Exam Version ATLS Final Real Exam AGRADE
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2024 ATLS / ATLS Test 1 Exam VersionATLS Final Real Exam AGRADE
A 22-year-old man sustains a gunshot wound to the left chest and is
transported to a small community hospital; no surgical capabilities
are available. In the emergency department, a chest tube is inserted
and 700 mL of blood is evacuated. The trauma center accepts the
patient in transfer. Just before the patient is placed in the
ambulance for transfer, his blood pressure decreases to 80/68 mm
Hg and his heart rate increases to 136 beats per minute. The next
step should be to:
Select one:
a.
clamp the chest tube
b.
,cancel the patient's transfer
c.
perform an emergency department thoracotomy
d.
repeat the primary survey and proceed with transfer
e.
delay the transfer until the referring doctor can contact a thoracic
surgeon - ✔✔✔ANSWER-d.
repeat the primary survey and proceed with transfer
A 64-year-old man involved in a high-speed car crash, is
resuscitated initially in a small hospital without surgical
capabilities. He has a closed head injury with a GCS score of 13. He
has a widened mediastinum on chest x-ray with fractures of left ribs
2 through 4, but no pneumothorax. After initiating fluid
resuscitation, his blood pressure is 110/74 mm Hg, heart rate is 100
beats per minute, and respiratory rate is 18 breaths per minute. He
has gross hematuria and a pelvic fracture. You decide to transfer
this patient to a facility capable of providing a higher level of care.
The facility is 128 km (80 miles) away. Before transfer, you should
first:
Select one:
a.
intubate the patient
b.
,perform diagnostic peritoneal lavage or FAST
c.
insert a left chest tube
d.
call the receiving hospital and speak to the surgeon on call
e.
discuss the advisability of transfer with the patient's family -
✔✔✔ANSWER-d.
call the receiving hospital and speak to the surgeon on call
Hemorrhage of 20% of the patient's blood volume is associated
usually with:
Select one:
a.
oliguria
b.
confusion
c.
hypotension
d.
tachycardia
e.
blood transfusion requirement - ✔✔✔ANSWER-d.
, tachycardia
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:
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 - ✔✔✔ANSWER-A)
Reexamine the chest
A construction worker falls two stories from a building and sustains
bilateral calcaneal fractures. In the emergency department, he is
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