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ADVANCED TRAUMA LIFE SUPPORT (ATLS) EXAM NEWEST WITH UPDATED QUESTIONS
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ADVANCED TRAUMA LIFE SUPPORT (ATLS) EXAM NEWEST WITH UPDATED QUESTIONS
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ADVANCED TRAUMA LIFE SUPPORT (ATLS) TEST BANK EXAM 2024-2025QUESTIONS AND CORRECT VERIFIED ANSWERS /100% PASS SOLUTION /
ALREADY GRADED A+
Why would geriatric patients be MORE susceptible to head bleeds when there is increased
space around a shrinking brain to protect them from contusion? -
ANSWER-Atrophic brains = stretching of the parasagittal bridging veins, making them more
prone to rupture upon impact.
Plasma volume increases during pregnancy, what happens to hematocrit? - ANSWER-Decreases
- dilution by plasma (31-35% is normal in pregnancy)
What would you think of a WBC of 15,000 in a pregnant woman? - ANSWER- Normal, it can go
up to 25,000 during labor!
What should you always assume about a pregnant patient's stomach? - ANSWER- That it is
always full. (Gastric emptying time increases during pregnancy). Early NG tube placement
recommended.
A PaCO2 of 35 to 40 in a pregnant patient may indicate what? - ANSWER- Impending
respiratory failure. It is usually around 30 due to hyperventilation due to increased levels of
progesterone.
True or False: All Rh negative pregnant trauma patients should get Rhogam? - ANSWER-True,
unless the injury is remote from the uterus (distal extremity injury only). This therapy should be
initiated within 72 hours of injury.
When worn correctly, seatbelts reduce fatalities by %. - ANSWER-65-70%, with a 10-fold
reduction in serious
,You should assume that any patient in a multisystem trauma with an altered level of
consciousness or blunt injury above the clavice has what type of injury - ANSWER-Cervical Spine
Injury
How do get an ample patient history? - ANSWER-Allergies Medications
PMH/Pregnancy Last meal Events/Environment
Why might you want a Bair Hugger for a patient who smells of Alcohol? - ANSWER-Vasodilation
can lead to hypothermia
What things are you looking for when you do a DRE in trauma - ANSWER-Blood, high riding
prostate, sphincter tone,
What should be done for every female patient - ANSWER-Pregnancy test
Adult patients should maintain UOP of at least mL/kg/hr. Kids should have at least
mL/kg/hr - ANSWER-Adults 0.5 mL/kg.hr
Kids 1.0 mL/kg/hr
Preventing hypercarbia (hypercapnia) is critical in patients who have sustained a
injury - ANSWER-head
What two places would you LOOK at a patient if you suspect hypoxemia? - ANSWER-Lips and
fingernail beds
,Patients may be abusive and belligerent because of -, so don't just assume its due to drugs,
alcohol, or the fact they they are just inherently a jerk - ANSWER-hypoxia
Can a patient breath on their own after complete cervical cord transection - ANSWER-Yes if the
phrenic nerves (C3-C5 are spared. This will result in 'abdominal' breathing. The intercostal
muscles will be paralyzed though
Can you use an OPA (Guedel) in a conscious patient - ANSWER-No, it could make them vomit.
An NPA (trumpet) would be okay.
Bougies are typically inserted blindly, how do you know you are in the trachea and not the
esophagus? - ANSWER-You can feel the clicks as the distal tip rubs against the cartilaginous
tracheal rings, or it will deviate right or left when entering either bronchus (at 50 cm)
What do yo NOT want to hear if you auscultate a patient after placement of an ET tube? -
ANSWER-Borborygmi - rumbling or gurgling noices suggest esophageal insertion.
What is the RSI dose for etomidate - ANSWER-0.3 mg/kg (usually 20 mg)
What is the RSI dose for succinylcholine - ANSWER-1-2 mg/kg (usually 100 mg)
, How does etomidate affect blood pressure - ANSWER-it doesnt -it shouldnt have any effect on
BP. Ketamine will increase BP, and propofol and thiopental will both drop BP.
A RSI dose of succinylcholine usually lasts about minutes - ANSWER-5
What hypnotic/sedative/induction agent do you NOT want to use for a severely burned
patient? - ANSWER-Sux - patients with severe burns, crush injuries, hyperkalemia, or chronic
paralytic/neuromuscular disease should NOT get Sux because of hyperkalemia risk
O2 should flow at 15L for needle cricothyroidotomy, and have a Y connector for insufflation if
possible. What size needle do you use for adults? Kids? - ANSWER-
Adults: 12-14 gauge
kids: 16-18 gauge
Flail chest is invariably accompanied by which can interfere with blood oxygenation -
ANSWER-pulmonary contusion - do NOT over fluid resuscitate these patients.
Hypotension is caused by until proven otherwise. - ANSWER- hypovolemia
When you dont have a BP what are three things to look for when evaluating perfusion? -
ANSWER-1. level of consciousness (brain perfusion
2. Skin color (ashen face/grey extremities)
3. Pulse (bilateral femoral - thready/tachy)
Elderly patients have a limited ability to to compensate for blood loss - ANSWER-increase
heart rate
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