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Exam (elaborations)

ATLS Questions and Correct Answers the Latest Update and Recommended Version

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Which of the following is the recommended Method for trestemt frostbite? A. Vasodilators B. Anticigulants C. Warm (40 degrees) water D. Padding and elevation E. Application of heat from a hairdryer C. Warm (40 degrees) water Which of the following physical findings suggest a cause of hypote...

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  • October 23, 2024
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ATLS Questions and Correct Answers
the Latest Update and Recommended
Version
Which of the following is the recommended Method for trestemt frostbite?

A. Vasodilators

B. Anticigulants

C. Warm (40 degrees) water

D. Padding and elevation

E. Application of heat from a hairdryer

✓ C. Warm (40 degrees) water


Which of the following physical findings suggest a cause of hypotension other than spinal cord

injury?

A. Prispism

B. Bradycardia

C. Diaphragmatic breathing

D. Presence of deep tendon reflexes

E. Ability to flex forearms but not extend them

✓ D. Presence of deep tendon reflexes. Spinal shock refers to loss of muscle toe (flaccidty)
and loss of reflexes.


The primary indication for transferring A patient to a higher level trauma center is:


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A. Unavailibility of surgeon or operating staff

B. Multiple system injuries, including severe head injury

C. Resource limitations as determined by the transferring doctor

D. Resource limitations as determined by the hospital administration

E. Widened mediastinum on chest x-ray following blunt trauma

✓ C. Resource limitations as determined by the transferring doctor (MÅ SJEKKES)


A young man sustains a rifle wound to the mid-abdomen. He is brought promptly to the ED by

prehospital personnel. His skin is cool and diaphoretic, and his systolic blood pressure is

58mmHg. Warmed crystalloid fluids are initiated without improvement in his vital signs. The

next, most appropriate, step is to perform:

A. a laparotomy

B. An abdominal CT-scan

C. Diagnostic laparoscopy

D. Abdominal ultrasonography

E. A diagnostic peritoneal lavage

✓ A. Laparotomy because of hemodynamic abnormality


A 42-year-old man is trapped from the waist down beneath his overturned tractor for several

hours before medical assistance arrives. He is awake and alert until just before arriving in the

ED. He is now unconscious and responds only to painful stimuli by moaning. His pupils are 3mm

in diameter and symmetrically reactive to light. Prehospital personnel indicate that they have


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not seen the patient move either of his lower extremities. On examination in the ED, no

movement of his lower extremities are detected, even in response to painful stimuli. The most

likely cause for this finding is:

A. An epidural hematoma

B. A pelvic fracture

C. Central cord syndrome

D. Intracerebral hemorrhage

E. Bilateral compartment syndrome

✓ MÅ SJEKKES


A 6-year-o boy is struck by an automobile and brought to the ED. He is lethargic, but

withdraws purposefully from painful stimuli. His blood pressure is 90mmHg systolic, heart rate

140 beats per minute and his respiratory rate is 36 breaths per minute. The preferred route

of venous access in this patient is:

A. Percutaneous femoral vein cannulation

B. Cutdown on the saphenous vein at the ankle

C. Intraosseous catheter placement in the proximal tibia

D. Percutaneous peripheral veins in the upper extremities

E. Central venous access via the subclavian or internal jugular vein

✓ D. Percutaneous peripheral veins in the upper extremities




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A young man sustains a gunshot wound to the abdomen and is brought promptly to the ED by

prehospital personnel. His skin is cool and diaphoretic, and he is confused. His pulse is thready

and his femoral pulse is only weakly palpable. The definitive treatment in managing this

patient is to:

A. Administer O-negative blood

B. Apply external warming devices

C. Control internal hemorrhage operatively

D. Apply a pneumatic antishock garment (PASG)

E. Infuse large volumes of intravenous crystalloid solutions.

✓ C. Control internal hemorrhage operatively


Regarding shock in the child, which of the following is FALSE?

A. Vital signs are age-related

B. Children have greater physiologic reserves than do adults

C. Tachycardia is the primary physiologic response to hypovolemia

D. The absolute volume of blood loss required to produce shock is the same as in adults

E. An initial fluid bolus for resuscitation should approximate 20ml/kg Ringers Lactate

✓ D. The absolute volume of blood loss required to produce shock is the same as in adults


A 33-year-old man is struck by a car travelling at 56km/h (35mph). He has obvious fractures

of the left tibia near the knee, pain in the pelvic area, and severe dyspnea. His heart rate is

182 beats per minute, and his respiratory rate is 48 breaths per minute with no breath sounds


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