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ATLS Written Review Questions and Answers (Verified by Expert)2025/2026
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ATLS Written Review Questions and Answers (Verified by Expert)2025/2026
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ATLS Written Review1. _______ fills the space between the arachnoid and pia mater? - ANS-CSF. This
cushions the mind and spinal cord.
2. A GCS of ___ is universal definition of coma? - ANS-8 or much less
3. A neighborhood location of frost chew have to be rewarmed with what temperature and
in what waY? - ANS-40C (104F)
4. have to be finished in whirlpool. No longer dry warmness.
5. A midline shift of _____mm or greater at the CT is indicative of need for neurosurgery to
evacuate the clot or contusion inflicting the shift - ANS-5mm
6. After administration of mannitol what must be monitored intently? - ANS-ICP! Mannitol
has a massive rebound impact on ICP
7. After dealing with ABCDEs of TBI what MUST be recognized if present? How is this
carried out? - ANS-mass lesion that calls for surgical evacuation is important! That is
executed with CT. NOTE: acquiring a CT should now not put off affected person transfer
to trauma middle.
8. An 18-yr-vintage guy is introduced to the clinic after smashing his motorbike right into a
tree. He is aware us and alert, but paralyzed in each legs and arms. His skin is light and
cold. He complains of thirst and problem in respiration. His airway is clear. His blood
stress is 60/40 and his pulse rate is a hundred and forty beats per minute. Breath
sounds are complete and equal bilaterally. He need to be dealt with for what first? -
ANS-hypovolemic shock with fluids.
9. NOTE: airway is OK due to the fact he is speakme despite the fact that he complains of
trouble respiration.
10. At what age do cervical backbone differences start to normalize? At what age does
cervical spine appear like that of an adult? - ANS-marked differences in cervical
backbone occur until age 8 and progressively decline until age 12 while they're similar
11. At what ranges do the spinal wire begin and end? - ANS-starts offevolved at foramen
magnum at terminal stop of the medulla oblongata and end at L1
12. average ICP is _____ mmHg. - ANS-10
13. Basilar fractures of the skull normally require what kind of imaging? - ANS-this calls for
CT with bone-window placing.
14. Carboxyhemoglobin ranges extra than ___% in burn affected person imply inhalation
damage and require transport and/or intubation if transport is extended. - ANS-10%
15. Chest tube is indicated for which of the following?
16. -anxiety pneumo
17. -hemothorax
18. -ruptured bronchus
19. -pulmonary contusion
20. -mass hemothorax - ANS-All EXCEPT pulmonary contusion
, 21. Compare the specificity and sensitivity of DPL and CT in blunt belly trauma. - ANS-DPL-
excessive sens (98), low spec
22. CT - excessive sens (ninety two-ninety eight), high spec (95)
23. Contusion arise in ___% of TBI. They frequently occur in _____ or ______ lobes of
brain. They may additionally coalesce to form ______ in as many as 20$%. -
ANS-20-30%
24. frontal or temporal
25. intracerebral hematoma.
26. Does hypertonic saline lower ICP in hypovolemia?
27. Does mannitol decrease ICP in hypovolemia? - ANS-No
28. NO
29. does weak point arise on the same or opposite facet of the uncal herniation? -
ANS-OPPOSITE. The corticospinal tract of the midbrain is compressed and then
crosses on the foramen magnum.
30. Epidural hematomas frequently occur within the _____ area of the cranium and result
from a tear of the _______ arteries. - ANS-temporal
31. center meningeal artery
32. Fluid resuscitation of an little one starts with _______(quantity and type). And then
progresses to ______. (quantity and kind) - ANS-20mL/kg Ringers lactate.
33. (may additionally give up to three of those boluses to begin with)
34. For the 0.33 bolus don't forget PRBCs at 10mL/kg
35. For a patient bleed profusely from a wound not he medial thigh where should strain be
carried out? - ANS-strain need to b applied without delay to the wound. Do not follow
pressure to the proximal femoral artery on the groin
36. For a patient who isn't always breathing what intervention is indicated? -
ANS-orotracheal intubation
37. for a penetrating item together with an arrow or screw driver into the skull, take a look at
need to be executed and what must be carried out with the object? - ANS-need CT, Xray
for trajectory, and angiography. Go away the item in location. Removing the item result in
fatal vascular harm.
38. For a trauma affected person that requires a chest tube, the tube is placed and 1600mL
of blood returns. What is the following step in control? - ANS-prepare for exploratory
thoracotomy
39. How can one decide the suitable tube intensity for pediatric intubation? - ANS-ETT tube
length x 3
40. Ex: 4.Zero ETT could be well located at 12 cm from the gums
41. How do you examine a GCS of someone with asymmetric responses? - ANS-Use the
pleasant feasible because this could be the first-class predictor of outcome
42. How long after discharge ought to patient with moderate brain damage be found via pal?
- ANS-24 hours
43. If ICP is hastily growing, what may be executed at the same time as preparing for
craniotomy? - ANS-hyperventilation. NOTE: this must be monitored carefully and is
handiest done very quick intervals at a time
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