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2024 ATLS TEST 1 EXAM WITH ANSWERS
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2024 ATLS TEST 1 EXAM WITH ANSWERS
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2024 ATLS TEST 1 EXAM WITHANSWERS
A 33-year-old female is involved in a head-on motor vehicle crash. It took 30
minutes to extricate her from the car. Upon arrival in the emergency
department, her heart rate is 120 beats per minute, BP is 90/70 mm Hg,
respiratory rate is 16 breaths per minute, and her GCS score is 15.
Examination reveals bilaterally equal breath sounds, anterior chest wall
ecchymosis, and distended neck veins. Her abdomen is flat, soft, and not
tender. Her pelvis is stable. Palpable distal pulses are found in all 4
extremities. Of the following, the most likely diagnosis is:
Select one:
a.
hemorrhagic shock
b.
cardiac tamponade
c.
massive hemothorax
d.
tension pneumothorax
e.
diaphragmatic rupture - CORRECT-ANSWERSb.
cardiac tamponade
A hemodynamically normal 10-year-old girl is hospitalized for observation
after a Grade III (moderately severe) splenic injury has been confirmed by
computed tomography (CT). Which of the following mandates prompt
celiotomy (laparotomy)?
Select one:
a.
a serum amylase of 200
b.
a leukocyte count of 14,000
c.
evidence of retroperitoneal hematoma on CT scan
d.
development of peritonitis on physical exam
e.
a fall in the hemoglobin level from 12 g/dL to 8 g/dL over 24 hours -
CORRECT-ANSWERSd.
,development of peritonitis on physical exam
A 40-year-old woman who was a restrained driver in a motor vehicle crash is
evaluated in the emergency department. She is hemodynamically normal
and found to be paraplegic at the level of T10. Which of the following are
true regarding her evaluation and management?
Select one:
a.
Neurogenic shock is likely to develop
b.
Imaging of her complete spine is required prior to transfer to a trauma center
c.
Given the injury level knee extension would be expected
d.
log rolling using 4 people is a safe approach to limit spinal motion when
moving her
e.
Presence of bulbocarvenous reflex indicates a better prognosis - CORRECT-
ANSWERSd.
log rolling using 4 people is a safe approach to limit spinal motion when
moving her
A trauma patient presents to your emergency department with inspiratory
stridor and a suspected c- spine injury. Oxygen saturation is 88% on high-
flow oxygen via a nonrebreathing mask. The most appropriate next step is
to:
Select one:
a.
apply cervical traction
b.
perform immediate tracheostomy
c.
insert bilateral thoracostomy tubes
d.
maintain 100% oxygen and obtain immediate c-spine x-rays
e.
restrict cervical motion and establish a definitive airway - CORRECT-
ANSWERSe.
restrict cervical motion and establish a definitive airway
When applying the Rule of Nines to infants:
Select one:
a.
It is not reliable.
b.
The body is proportionally larger in infants than in adults.
, c.
The head is proportionally larger in infants than in adults.
d.
The legs are proportionally larger in infants than in adults.
e.
The arms are proportionally larger in infants than in adults. - CORRECT-
ANSWERSc.
The head is proportionally larger in infants than in adults.
A healthy young male is brought to the emergency department following a
motor vehicle crash. His vital signs are a blood pressure of 84/60, pulse 123,
GCS 10. The patient moans when his pelvis is palpated. After initiating fluid
resuscitation, the next step in management is:
Select one:
a.
placement of a pelvic binder
b.
transfer to a trauma center
c.
pelvic x-ray
d.
insert urinary catheter
e.
repeat examination of pelvis - CORRECT-ANSWERSa.
placement of a pelvic binder
Which situation requires Rh immunoglobulin administration to an injured
female?
Select one:
a.
negative pregnancy test, Rh negative, and has torso trauma
b.
positive pregnancy test, Rh positive, and has torso trauma
c.
positive pregnancy test, Rh negative, and has torso trauma
d.
positive pregnancy test, Rh positive, and has an isolated wrist fracture
e.
positive pregnancy test, Rh negative, and has an isolated wrist fracture -
CORRECT-ANSWERSc.
positive pregnancy test, Rh negative, and has torso trauma
A 22-year-old female athlete is stabbed in her left chest at the third
interspace in the anterior axillary line. On admission to the ED and 15
minutes after the incident, she is awake and alert. Her heart rate is 100
beats per minute, blood pressure is 80/60 mm Hg, and respiratory rate is 20
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