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2024 ATLS WRITTEN REVIEW EXAM WITH ANSWERS
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2024 ATLS WRITTEN REVIEW EXAM WITH ANSWERS
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2024 ATLS WRITTEN REVIEWEXAM WITH ANSWERS
What are the 3 layers of the meninges? - CORRECT-ANSWERSdura mater,
arachnoid mater, pia mater
What hold urine output be maintained at after a crush injury to prevent
kidney injury? - CORRECT-ANSWERS100 mL/hr
Is operation ever indicated in first hour after injury of multiple injured
patient? - CORRECT-ANSWERSyes. especially if class 3 or 4 hemorrhagic
shock is present
What class of shock are there NO clinical signs of inadequate organ
perfusion? - CORRECT-ANSWERSClass I. <14% blood volume loss. (<750mL)
What is suggested if chest tube placement for suspected pneumothorax
results in incomplete lung expansion and air leak with bubbling? What
imaging confirms? - CORRECT-ANSWERSThis suggests tracheobronchial
injury such as ruptured bronchus.
-a second chest tube may need to be placed
-this is confirmed with broncoscopy
Why do chest injuries have a high priority in the multiply injured person? -
CORRECT-ANSWERSthey often result in hypoxia
What is the physiology behind neurogenic shock? - CORRECT-ANSWERSloss
of vascular tone
What is another name for Central Venous Pressure? When is it elevated? -
CORRECT-ANSWERSBasically the same as Right atrial pressure.
-Elevated in cardiac failure, tamponade, tension pneumo, disrupted thoracic
aorta.
What would be expected on ABG abnormalities for pulmonary contusion? -
CORRECT-ANSWERSPaO2 <65 mm Hg (sat <90) would suggest need for
intubation and in the presence of flail chest is more suggestive
t/f vomitus in the posterior oropharynx suggests esophageal intubation. -
CORRECT-ANSWERSfalse.
, signs include: epigastric fullness, absent end title CO2, absent breath
sounds, audible borborygmi sounds over abdomen
t/f: major head injury rarely causes shock by itself - CORRECT-ANSWERStrue
What are the vital signs to be expected when ICP increases? - CORRECT-
ANSWERSdecreased respirations and HR, increased systolic and pulse
pressure
Urethral injury should be suspected in the presence of what three things? -
CORRECT-ANSWERS1. blood at the meatus
2. perineal ecchymosis
3. high riding or non-palpable prostate
What test is used to confirm the integrity of the urethra before a catheter is
inserted? - CORRECT-ANSWERSretrograde urethrogram
What physical exam is essential before passing a urethral catheter -
CORRECT-ANSWERSexamine the rectum and perineum
What is the best guide for adequate fluid resuscitation in a burn patient? -
CORRECT-ANSWERSurine output
adults: 0.5mL/kg/hr
>30kg: 1mL/kg/hr
NOTE: parkland is only for estimating and should be adjusted in accordance
with urinary output. fluids should not be slowed at 8 hours if urine output is
not adequate
The LEAST likely cause of a depressed level of consciousness in the
multisystem injured patient is
a. shock.
b. head injury.
c. hyperglycemia.
d. impaired oxygenation.
e. alcohol and other drugs. - CORRECT-ANSWERSc hyperglycemia.
For a patient bleed profusely from a wound not he medial thigh where should
pressure be applied? - CORRECT-ANSWERSpressure should b applied directly
to the wound. Do not apply pressure to the proximal femoral artery at the
groin
What is one characteristic shared by all SURVIVORS of traumatic aortic
disruption? - CORRECT-ANSWERScontained hematoma
What does x ray showing widened mediastinum and obliteration of the aortic
knob suggest? - CORRECT-ANSWERStraumatic aortic disruption
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