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ATLS Practice Questions And Answers 100% Guaranteed Success. Assessed first in trauma patient - correct answer. Airway (*)Degree of burn that is characterized by bone involvement - correct answer. Fourth Complications of head trauma - correct answer. Intracerebral hematoma ...

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  • September 25, 2024
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ATLS Practice Questions And Answers
100% Guaranteed Success.

Assessed first in trauma patient - correct answer. Airway

(*)Degree of burn that is characterized by bone involvement - correct answer. Fourth

Complications of head trauma - correct answer. Intracerebral hematoma
Extradural hematoma
Brain abscess

Most common cause of laryngotracheal stenosis - correct answer. Trauma

Intervention that can help prevent development of acute renal failure - correct answer.
Infusion of normal saline

A 26-year-old male is resuscitated with blood transfusion after a motor vehicle collision
that was complicated by a fractured pelvis. A few hours later, the patient becomes
febrile, hypotensive with a normal CVP, and oliguric. Upon examination, the patient is
found to be bleeding from the NG tube and IV sites. Which of the following is the most
likely diagnosis?
A. Hemorrhagic shock
B. Acute adrenal insufficiency
C. Fat embolism syndrome
D. Transfusion reaction - correct answer. D. Transfusion reaction

Skin antiseptic - correct answer. -Ethanol 70% is an effective skin antiseptic
-Acetic acid can be used to treat Gram- skin infections
-Salicylic acid is used to treat certain skin yeast infections

Class IV hemorrhage indicates what % blood loss - correct answer. 55%

How does shivering affect body temperature - correct answer. Increases body
temperature

Class III hemorrhage indicates what % of blood loss - correct answer. 35%

Management of a stable patient with kidney contusion - correct answer. Observation

,Associated with hypovolemic shock - correct answer. -Inadequate tissue perfusion
with resultant tissue hypoxia
-Blood shunting to vital organs
-Decreased circulating blood volume and decreased venous return
-Low cardiac output
-Loss of less than 20% of the blood volume is usually without symptom except for mild
tachycardia
-Patients become orthostatic with losses between 20 and 40%
-Shock is evidenced by tachycardia, hypotension, oliguria, flat neck veins

The most effective method of monitoring the success of resuscitation during CPR? -
correct answer. Reactivity of pupils to light

Used to ensure correct placement of endotracheal tube - correct answer. -Ultrasound
-Bilateral breath sounds
-Sustained end-tidal CO2

Total body surface area involved in a burn in an adult to the anterior chest and
abdomen - correct answer. 18%

What is often caused by carotid massage? - correct answer. Bradycardia

Step in a patient diagnosed with tension pneumothorax - correct answer. 1. Needle
decompression/ thoracotomy
2. Chest tube

True statements regarding diaphragmatic injuries - correct answer. -Blunt
diaphragmatic injuries are usually associated with skeletal trauma
-Penetrating diaphragmatic injuries may be missed
-Repair of traumatic diaphragmatic injuries usually does not require prosthetic material

First priority in the treatment of an unconscious patient - correct answer. Checking the
pulse

A patient involved in a road accident is brought to the emergency department in an
unconscious state. On arrival, her vitals show a temperature of 96.4 degrees
Fahrenheit, a respiration rate of 24 breaths per minute, a heart rate of 140 beats per
minute, and a blood pressure of 80/40 mm Hg. She is cold, shivering, and perspiring
profusely. She has bilateral reactive pupils but she does not respond to pain. On
physical examination, she has no obvious sign of external bleeding. Which of the
following cannot be the cause of hypotension in this patient?
A. Pelvic fracture
B. Fracture of femur
C. Intracranial hemorrhage
D. Hemothorax - correct answer. C. Intracranial hemorrhage

,A patient suffered a slash to his right neck. The wound is over the mid-portion of the
sternocleidomastoid. There is a large hematoma and brisk bleeding when uncovered.
He is stable. What is the next step in management?
A. Get an angiogram
B. Close the wound in the ER
C. Take him to the operating room
D. CT scan to evaluate neck structure - correct answer. C. Take him to the OR

After abdominal injury, which of the following urinalysis findings would be an indication
for further testing?
A. 0-5 casts/HPF
B. 5-10 WBC/HPF
C. 10-20 RBC/HPF
D. Gross hematuria - correct answer. D. Gross hematuria

A laceration of the neck superficial to the deep cervical fascia along the
sternocleidomastoid muscle at its midpoint would cause bleeding from which structure?
- correct answer. External jugular vein

Clinical features associated with tension pneumothorax - correct answer. Unilateral
decrease in breath sounds
Hyperresonance
Respiratory distress
Tachycardia
Tracheal shift
Desatruation
Decreased breath sounds
Decreased compliance
Asymmetric chest movement

NOT hypertension, audible bronchial sounds

Not recommended as a mode of ventilation for a patient with a diaphragmatic hernia
A. Bag and mask
B. LMA
C. Endotracheal intubation
D. Jet ventilation - correct answer. A. Bag and mask

What is the next step in the assessment of a traumatic patient after airway is
established? - correct answer. Breathing

Blood group that is considered a universal donor - correct answer. O

A provider is examining a patient who sustained a severe traumatic head injury. He
documents no Doll's eyes. What does this signify? - correct answer. Brainstem injury

, Which of the following is the least preferred method of administering IV fluids?
A. Cubital veins
B. Cephalic veins
C. Subclavian veins
D. Saphenous vein - correct answer. Subclavian veins

Dermatome level for nipple sensation

Dermatome level for umbilicus - correct answer. T4

T10

At which temperature would a hypothermic patient stop shivering? - correct answer.
88 degrees F

What is the energy recommendation for the first defibrillation in an adult (*) - correct
answer. 300 J

Pharmacologic effects of Morphine - correct answer. Behavioral changes
Analgesia
Respiratory depression

NOT diarrhea

A patient with which condition should be triaged to receive medical attention first?
A. Choking
B. Dizziness
C. Leg cramp
D. Vomiting - correct answer. A. Choking

For pediatric patients, what volume of fluid resuscitation should be given initially in the
setting of shock?
A. 750 mL of saline uniformly
B. 1 liter of saline
C. 20 mL/kg of 0.45% NaCl with 5% glucose
D. 10 to 20 mL/kg of Ringers lactate - correct answer. D. 10 to 20 mL/kg of Ringers
lactate

A patient is found unconscious after a fire in his bedroom. He is found to have severe
burns around his face. What is the first aspect of treatment?
A. Tetanus toxoid
B. Cover the wound
C. Airway
D. Obtain blood work - correct answer. C. Airway

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