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2024 ATLS EXAM WITH ANSWERS
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2024 ATLS EXAM WITH ANSWERS
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2024 ATLS EXAM WITH ANSWERS
a 28 year old man is brought in after a MVA. His airway is patent and breath
sounds are equal. His GCS is E1V2M1. His BP is 146/82; HR is ... . The
decision is made to secure his airway. Which of the following is a definitive
airway
a. LMA
b. oral airway
c. cuffed ET
d. LTA
e. needle cricothyroidotomy - CORRECT-ANSWERSd. LTA
A 70 year old suffers blunt chest trauma after being struck by a car. On
presentation, his GCS is 15, BP is 145/90, HR is 72. RR is 24 and O2-sat on 5L
is 91%. Chest x-ray demonstrates multiple right sided rib fractures. CT
abdomen and pelvis is normal. ECG demonstrates normal sinus rythm with
no conduction abnormalities. Management should include:
A. Placement of a 22Fr right sided chest tube
B. Serial troponins and cardiac monitoring
C. Monitoried i.v analgesia
D. Thoracic splinting, taping and immobilization
E. Bronchoscopy to exclude tracheobronchial injury - CORRECT-ANSWERSC.
Monitoried i.v analgesia
A 15 year old male present following a motorcycle crash. INitial examinations
reveals normal vital signs. There is a large bruise over his epigastrium that
extends to the left flank. He has no other apparent injuries. A CT-scan of the
abdomen demonstrate a ruptured spleen surrounded by a large hematoma
and fluid in the pelvis. The next step in the patients management is:
A. Splenic artery embolization
B. Pneumococcal vaccine
C. Urgent laparotomy
D. Surgical consult
E. Transfer to a pediatrician - CORRECT-ANSWERSD. Surgical consult
30 year old male present with a stab wound to the abdomen. BP is 60/34, HR
130, RR 25 and GCS 13 E3V4M6. Neck veins are flat and chest examination
is clear with bilateral breath sounds. Optimal resuscitation should include:
A. Transfusion of FFP and platelets
B. 500ml of hypertonic saline and transfusion of pRBCs
C. Resuscitation with crystalloid and pRBC until base excess is normal
D. Fluid resuscitation and angioembolization
, E. Preparation for laparotomy while initiating fluid resuscitation - CORRECT-
ANSWERSE. Preparation for laparotomy while initiating fluid resuscitation
Which of the following statement are true regarding crystalloid fluid
resuscitation of a patient with penetrating torso trauma?
a. It can produce dilutional coagulopathy
b. It is the fluid of choice for the patient presenting in Class IV hemorrhagic
shock
c. It should be infused until a normal BP is achieved
d. Hypotonic fluids are preferred
e. Crystalloid fluids are the only fluids that should be given through an
intraosseous needle - CORRECT-ANSWERSa. It can produce dilutional
coagulopathy
A 25 year old male is brought to the ED of a trauma center following a bar
fight. He has altered consciousness, open his eyes on command, moans
without forming discernible words, and localizes to painful stimuli. Which one
of the following statements concerning this patient is true?
A. He requies immediate intubation to protect his airway
B. The GCS score suggests a severe traumatic brain injury
C. His level of consciousness can be attributed to alcohol
D. CT scanning is an important part of the neuro assessment
E. Hyperoxia should be avoided - CORRECT-ANSWERSD. CT scanning is an
important part of the neuro assessment
Which one of the following statements regarding patients with genitourinary
trauma is true?
a. Hematuria is present in all patients with significant genitourniary injury
b. injuries to the urethra are more common in females than in males
c. evaluation of injuries to the urethra always require a CT scan
d. blunt renal injuries should always have surgical intervention
e. hypotension can be caused by renal injury - CORRECT-ANSWERSe.
hypotension can be caused by renal injury
Question 39 and 40? - CORRECT-ANSWERSC and E
A 23-year-old man is brought immediately to the ED from the hospitals
parking lot where he was shot in the lower abdomen. Examination reveals a
single bullet wound. He is breathing and has a thready pulse. However, he is
unconsious and has no detectable blood pressure. Optimale immediate
management is to:
A. Perform a FAST
B. Initiate infusion of packed red blood cells
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