Exam (elaborations)
ATLS PRETEST WITH 100-CORRECT ANSWERS.
ATLS PRETEST WITH 100-CORRECT ANSWERS. ATLS PRETEST WITH 100-CORRECT ANSWERS.ATLS PRETEST WITH 100-CORRECT ANSWERS.ATLS PRETEST WITH 100-CORRECT ANSWERS.ATLS PRETEST WITH 100-CORRECT ANSWERS.
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ATLS PRETEST WITH 100%CORRECT
ANSWERS
A n22-year-old nman nis nhypotensive nand ntachycardic nafter na nshotgun nwound nto nthe
nleft nshoulder. nHis nblood npressure nis ninitially n80/40 nmm nHg. nAfter ninitial nfluid
nresuscitation nhis nblood npressure nincreases nto n122/84 nmm nHg. nHis nheart nrate nis
nnow n100 nbeats nper nminute nand nhis nrespiratory nrate nis n28 nbreaths nper nminute. nA
ntube nthoracostomy nis nperformed nfor ndecreased nleft nchest nbreath nsounds nwith nthe
nreturn nof na nsmall namount nof nblood nand nno nair nleak. nAfter nchest ntube ninsertion,
nthe nmost nappropriate nnext nstep nis: n- nCorrect n nAnswer n- nre-examine nthe nchest
A nconstruction nworker nfalls ntwo nstories nfrom na nbuilding nand nsustains nbilateral
ncalcaneal nfractures. nIn nthe nemergency ndepartment, nhe nis nalert, nvital nsigns nare
nnormal, nand nhe nis ncomplaining nof nsevere npain nin nboth nheels nand nhis nlower nback.
nLower nextremity npulses nare nstrong nand nthere nis nno nother ndeformity. nThe
nsuspected ndiagnosis nis nmost nlikely nto nbe nconfirmed nby: n- nCorrect n nAnswer n-
ncomplete nspine nx-ray nseries
Which nof nthe nfollowing nis ntrue nregarding nthe ninitial nresuscitation nof na ntrauma
npatient? n- nCorrect n nAnswer n- nEvidence nof nimproved nperfusion nafter nfluid
nresuscitation ncould ninclude nimprovement nin nGlasgow nComa nScale nscore non
nreevaluation.
In nmanaging na npatient nwith na nsevere ntraumatic nbrain ninjury, nthe nmost nimportant
ninitial nstep nis nto: n- nCorrect n nAnswer n- nsecure nthe nairway
A npreviously nhealthy, n70-kg n(154-pound) nman nsuffers nan nestimated nacute nblood
nloss nof n2 nliters. nWhich none nof nthe nfollowing nstatements napplies nto nthis npatient? n-
nCorrect n nAnswer n- nAn nABG nwould ndemonstrate na nbase ndeficit nbetween n-6 nand n-
10 nmEq/L.
The nphysiological nhypervolemia nof npregnancy nhas nclinical nsignificance nin nthe
nmanagement nof nthe nseverely ninjured, ngravid nwoman nby: n- nCorrect n nAnswer n-
nincreasing nthe nvolume nof nblood nloss nto nproduce nmaternal nhypotension
The nbest nassessment nof nfluid nresuscitation nof nthe nadult nburn npatient nis: n- nCorrect
n nAnswer n- nurinary noutput nof n0.5 nmL/kg/hr
The ndiagnosis nof nshock nmust ninclude: n- nCorrect n nAnswer n- nevidence nof
ninadequate norgan nperfusion
A n7-year-old nboy nis nbrought nto nthe nemergency ndepartment nby nhis nparents nseveral
nminutes nafter nhe nfell nthrough na nwindow. nHe nis nbleeding nprofusely nfrom na n6-cm
nwound nof nhis nmedial nright nthigh. nImmediate nmanagement nof nthe nwound nshould
nconsist nof: n- nCorrect n nAnswer n- ndirect npressure non nthe nwound
, For nthe npatient nwith nsevere ntraumatic nbrain ninjury, nprofound nhypocarbia nshould nbe
navoided nto nprevent: n- nCorrect n nAnswer n- ncerebral nvasoconstriction nwith
ndiminished nperfusion
After nbeing ninvolved nin na nmotor nvehicle ncrash, na n25-year-old nman nis nbrought nto na
nhospital nthat nhas nsurgery ncapabilities navailable.. nComputed ntomography nof nthe
nchest nand nabdomen nshows nan naortic ninjury nand nsplenic nlaceration nwith nfree
nabdominal nfluid. nHis nblood npressure nfalls nto n70 nmm nHg nafter nCT. nThe nnext nstep
nis: n- nCorrect n nAnswer n- nperform nan nexploratory nlaparotomy
Which none nof nthe nfollowing nstatements nregarding nabdominal ntrauma nin nthe
npregnant npatient nis nTRUE? n- nCorrect n nAnswer n- nLeakage nof namniotic nfluid nis nan
nindication nfor nhospital nadmission.
The nfirst nmaneuver nto nimprove noxygenation nafter nchest ninjury nis: n- nCorrect n
nAnswer n- nadminister nsupplemental noxygen
A n25-year-old nman, ninjured nin na nmotor nvehicular ncrash, nis nadmitted nto nthe
nemergency ndepartment. nHis npupils nreact nsluggishly nand nhis neyes nopen nto
npressure. nHe ndoes nnot nfollow ncommands, nbut nhe ndoes nmoan nperiodically. nHis
nright narm nis ndeformed nand ndoes nnot nrespond nto npressure; nhowever, nhis nleft nhand
nreaches npurposefully ntoward nthe nstimulus. nBoth nlegs nare nstiffly nextended. nHis
nGCS nscore nis: n- nCorrect n nAnswer n- n9
A n20-year-old nwoman nwho nis nat n32 nweeks ngestation, nis nstabbed nin nthe nupper
nright nchest. nIn nthe nemergency ndepartment, nher nblood npressure nis n80/60 nmm nHg.
nShe nis ngasping nfor nbreath, nextremely nanxious, nand nyelling nfor nhelp. nBreath
nsounds nare ndiminished nin nthe nright nchest. nThe nmost nappropriate nfirst nstep nis nto:
n- nCorrect n nAnswer n- nperform nneedle nor nfinger ndecompression nof nthe nright nchest
Which none nof nthe nfollowing nfindings nin nan nadult nis nmost nlikely nto nrequire
nimmediate nmanagement nduring nthe nprimary nsurvey? n- nCorrect n nAnswer n-
nrespiratory nrate nof n40 nbreaths nper nminute
The nmost nimportant, nimmediate nstep nin nthe nmanagement nof nan nopen
npneumothorax nis: n- nCorrect n nAnswer n- nplacement nof nan nocclusive ndressing nover
nthe nwound
The nfollowing nare ncontraindications nfor ntetanus ntoxoid nadministration: n- nCorrect n
nAnswer n- nhistory nof nneurological nreaction nor nsevere nhypersensitivity nto nthe
nproduct
A n56-year-old nman nis nthrown nviolently nagainst nthe nsteering nwheel nof nhis ntruck
nduring na nmotor nvehicle ncrash. nOn narrival nin nthe nemergency ndepartment nhe nis
ndiaphoretic nand ncomplaining nof nchest npain. nHis nblood npressure nis n60/40 nmm nHg
nand nhis nrespiratory nrate nis n40 nbreaths nper nminute. nWhich nof nthe nfollowing nbest
ndifferentiates ncardiac ntamponade nfrom ntension npneumothorax nas nthe ncause nof nhis
nhypotension? n- nCorrect n nAnswer n- nbreath nsounds
Bronchial nintubation nof nthe nright nor nleft nmainstem nbronchus ncan neasily noccur
nduring ninfant nendotracheal nintubation nbecause: n- nCorrect n nAnswer n- nThe ntrachea
nis nrelatively nshort.
A n23-year-old nman nsustains n4 nstab nwounds nto nthe nupper nright nchest nduring nan
naltercation nand nis nbrought nby nambulance nto na nhospital nthat nhas nfull nsurgical
ncapabilities. nHis nwounds nare nall nabove nthe nnipple. nHe nis nendotracheally
nintubated, nclosed ntube nthoracostomy nis nperformed, nfluid nresuscitation nis ninitiated