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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 32 y/o man is assaulted in a bar. He is immobilized on a spine board. On
initial examination, his vital signs are normal, and his Glasgow Coma Scale
score is 15. Which of the following is an indication for CT in this patient with
possible minor traumatic brain injury?:
Presence of hemotympanum.
Blood alcohol concentration of 0.16% (160 mg/100 ml).
Presence of an isolated 10 cm scalp laceration.
Presence of a mandibular fracture.
History of assault. - CORRECT-ANSWERSPresence of hemotympanum.
55 + 28. Regarding supraglottic airway devices, which of the following
statements is CORRECT?:
Are equivalent to endotracheal intubation.
Require neck extension for proper placement.
Are preferable to endotracheal intubation in a patient who cannot lie flat.
Are of value as part of a difficult or failed intubation plan.
Provide one form of definitive airway. - CORRECT-ANSWERSAre of value as
part of a difficult or failed intubation plan.
A 74 y/o gentleman suffers blunt chest trauma after falling down the stairs.
On presentation, his Glasgow Coma Scale score is 15, blood pressure is
145/90 mm Hg, heart rate is 72 bpm, respiratory rate is 24 bpm, and Sa02
on 5 L is 91%. Chest ray demonstrates multiple right - sided rib fractures.
ECG demonstrates normal sinus rhythm with no conduction abnormalities.
Management should include:
Placement of a 22 French, right - sided chest tube.
Serial troponins and cardiac monitoring.
C Thoracic splinting, taping, and immobilization.
Monitored intravenous analgesia.
Bronchoscopy to exclude tracheobronchial injury. - CORRECT-
ANSWERSMonitored intravenous analgesia.
A 15 year - old boy is brought to the ED following a motorcycle crash. Initial
examination 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 demonstrates a ruptured spleen surrounded by a
, large hematoma and fluid in the pelvis. The next step in this patient's
management is:
Splenic artery embolization.
Pneumococcal vaccine.
Transfer to a pediatrician.
Urgent laparotomy.
Surgical consultation. - CORRECT-ANSWERSSurgical consultation.
A 26 year - old woman is brought to the Emergency Department after being
injured in a car accident. Her initial blood pressure is 90/60 mm Hg, and her
heart rate is 122 bpm. She responds to the rapid infusion of 1 L of crystalloid
solution with a rise in her blood pressure to 118/88 mm Hg and a decrease in
her heart rate to 90 bpm. Her pressure then suddenly decreases to 96/66
mm Hg. The least likely cause of her hemodynamic change is:
Traumatic brain injury.
Ongoing blood loss.
Blunt cardiac injury.
Inadequate resuscitation.
Tension pneumothorax. - CORRECT-ANSWERSTraumatic brain injury.
Regarding limb threatening extremity injuries, which of the following
statements is CORRECT?:
Require a tourniquet.
Are characterized by the presence of ischemic or crushed tissue.
Should be definitively managed by application of a traction splint.
Are rarely present without an open wound.
Indicate a different order of priorities for the patient's initial assessment and
resuscitation. - CORRECT-ANSWERSIndicate a different order of priorities for
the patient's initial assessment and resuscitation.
The first priority in the management of a long bone fracture is:
Reduction of pain.
Prevention of infection in case of an open fracture.
Prevention of further soft tissue injury.
Control of hemorrhage.
Improve long term function. - CORRECT-ANSWERSControl of hemorrhage.
Which one of the following statements regarding genitourinary injuries is
CORRECT?:
Urethral injuries are associated with pelvic fractures.
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