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2024 ATLS REVIEW WITH ANSWERS
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2024 ATLS REVIEW WITH ANSWERS
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2024 ATLS REVIEW WITHANSWERS
17yo M was injured in a motorcycle crash. He was endotracheal intubated
and ventilated at the scene. In the ED BP responded to infusion with an
increase from 88/60 to 122/70. Now his HR is 135bpm and BP again
decreased to 90/60. Next step in management is? - CORRECT-
ANSWERSrepeat primary survey
An adolescent sustains a head injury during a fall from her skateboard. Her
GCS is 6. Her pupils are equal and reactive to light. Her BP is 130/80 and HR
is 80. For optimal outcome, early management of her head injury should
include what? - CORRECT-ANSWERSprevention of hypoxia and hypoperfusion
The cause of upper airway obstruction most likely to be alleviated by a
properly placed oral airway is: - CORRECT-ANSWERScopious, tenacious oral
secretions
10yo M falls while riding his bike sustaining a painful straddle injury. On
arrival in the ED a drop of blood is visualized at the urethral meatus. The
next step in assessment of the GU system should be? - CORRECT-
ANSWERSRetrograde urethrogram
A 23yo M is admitted to the ED 3 hours following full-thickness 50% TBSA
with burns to the head, arms, and upper torso. He weighs 80kg. His BP is
105.75, HR is 135bpm. Urinary catheter is placed with a return of 20ml of
dark, amber urine. He received 1000mL of LR solution from the time of his
injury. Using the parkland formula, how much LR should he receive PER
HOUR for the next 5 hours? - CORRECT-ANSWERS4mL x 50 x 80= 16,000
16,000/2= 8,000 in the first 8 hours
8,000-1,000=7,000 remaining
7,000/5= 1,4000
39yo M is crushed by a glass plate wishing 450kg. Following extrication, he
shows signs of subcutaneous emphysema, is dyspneic, and complains of
abdominal pain. In the ED, bilateral chest rubes are inserted and decompress
the pneumothoraces; however, he remains tachycardia and hypotensive. The
most likely etiology is: - CORRECT-ANSWERSintraabdominal hemorrhage
CTH is mandatory for which of the following patients? - CORRECT-
ANSWERSGCS of 15 following MVC, ejected, raccoon eyes on exam
, 20yo M in BIBA 30 minutes after being stabbed in the chest. There is a 3cm
wound just medial to the left nipple. His BP is 70/33 and his HR is 140. Neck
veins are distended. Breath sounds are normal. Heart sounds are heard
poorly. Volume resuscitation is initiated. The next most important aspect of
immediate management is: - CORRECT-ANSWERSemergent thoracotomy
All of the following statements concerning thoracic injury in children are true
EXCEPT: - CORRECT-ANSWERSrib fractures are more common than in adults
(FALSE)
True statements:
- injuries to the great vessels are infrequent
- bronchial injuries are more common than in adults
- children are more sensitive to tension PTX than are adults
- the diaphragm is more likely ruptured in children as a result of crushing
forces
In an unconscious trauma pt with severe facial injuries, a lateral film of the
cervical spine: - CORRECT-ANSWERSmust depict all 7 cervical vertebrae and
the top of T-1
15yo F wall 6.5m (20ft) while rock climbing. She sustains a right closed
midshaft femur fracture with obvious angulation. She did not lose
consciousness and her only other obvious injuries are superficial abrasions. A
traction splint is applied by the prehospital care providers. She arrives in you
ED complaining of severe pain in her foot and calf. Right pedal pulses are
absent. The appropriate first action is: - CORRECT-ANSWERSrelease the
traction
Monitoring urinary output in the trauma patient is valuable because it
reflects: - CORRECT-ANSWERStissue perfusion
Which of the following tests is the most specific in the hemodynamically
normal patient with suspected blunt abdominal injury? - CORRECT-
ANSWERSCT
A cross-country skier becomes lost is a blizzard and is rescued 48 hours
later. He is brought to the ED in stable condition with core temp of 35.6C
(96F). Both of his feet has frostbite. The skin is pale and hemorrhagic
vesicles are present up to the ankle. Pedal pulses are not palpated.
Immediate management of the frost bite should consist of? - CORRECT-
ANSWERSrapid rewarming
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