ATLS Practice Exam Questions and Verified Answers.
Definitive control of the airway is achieved by ____________ - Correct Answer
Endotracheal intubation
How do you treat hypothermia in the ED? - Correct Answer crystalloid fluids at 102.2
degrees F and warmed treatment area
What does definitive hemorrhage control refer to?
(3) - Correct Answer 1) Possible surgery
2) Stabilizing of pelvis
3) Angioembolization
What are rates of fluid administration measured by? - Correct Answer Size and length of
catheter
MCC of shock in trauma pt - Correct Answer Hypovolemia due to hemorrhage
Describe the 3 for 1 rule - Correct Answer Replace each mL of blood loss with 3 ml of
crystalloid solution
What metabolic state can result from continued hemorrhage or decreased perfusion? -
Correct Answer Metabolic acidosis
In what survey, primary or secondary, are these identified?
1) Simple PTX
2) Pulmonary contusion
3) Traumatic aortic disruption - Correct Answer Secondary
Via thorough PE, CXR, pulse ox, ECG and ABG
What imaging study is preferred for penetrating abdominal trauma? - Correct Answer
CT
What can FAST rapidly diagnose? - Correct Answer Abdominal hemorrhage
When is a laparotomy indicated? - Correct Answer Fascial penetration with
intraperitoneal bleeding or peritonitis
What does the Monro Kellie doctrine describe? - Correct Answer The relationship
between IC volume and pressure
Normal resting ICP - Correct Answer 10 mm Hg
How do you reduce elevated ICP? - Correct Answer Mannitol in a 20% solution
[Date]
1
, How do you temporarily control pelvic hemorrhage and instability? - Correct Answer
Internal traction and external counter-pressure
How do you initially manage major arterial injury? - Correct Answer Direct pressure and
fluid resuscitation
Full thickness burn - Correct Answer Third degree burn
What is used to estimate the size and depth of burns? - Correct Answer Rule of 9's
Head= 9%
Each arm=9%
Front Trunk= 18%
Back Trunk= 18%
Upper leg= 9%
Lower leg= 9%
What type of burns appear wet and blistered? - Correct Answer Partial thickness burns
(second degree)
How do you treat CO exposed pt? - Correct Answer 100% oxygen flow through non re-
breather mask
What is a reliable measure of circulating blood volumes in burn patients? - Correct
Answer Hourly urine output
*Goal= 0.5-1.0 ml/kg body weight*
Hospital admission criteria for burn pt
(8) - Correct Answer 1) Partial-thickness burns greater than 10% total BSA (TBSA)
2) Full-thickness burns greater than 2% TBSA
3) Burns involving the face, hands, genitalia, perineum, or major joints
4) Circumferential extremity burns
5) All high-voltage electrical burns, including lightning injury--Admission of low-voltage
electrical burns is selective
6) Chemical burns
7) Inhalation injury
8) Burn injuries in patients with preexisting medical disorders that could complicate
management, prolong recovery, or affect mortality (eg, diabetes, immunosuppression)
Parkland Formula for Fluid Resuscitation in Burn pt - Correct Answer 3-4 mL Ringer
lactate X weight (kg) X %TBSA burned (second-degree and third degree);
*half administered over the first 8 hours* (from time of injury),* remaining half
administered over the next 16 hours*
What injuries may necessitate inter-hospital transfer?
(3) - Correct Answer 1) Head or spinal cord trauma
[Date]
2
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