Question 1
A 22-year-old man is hypotensive and tachycardic after a shotgun wound to the left shoulder. His blood pressure is initially 80/40 mm Hg. After initial fluid resuscitation his blood pressure increases to 122/84 mm Hg. His heart rate is now 100 beats per minute and his respiratory rate is 28 breaths per minute. A tube thoracostomy is performed for decreased left chest breath sounds with the return of a small amount of blood and no air leak. After chest tube
insertion, the most appropriate next step is:
Question 2
A construction worker falls two stories from a building and sustains bilateral calcaneal fractures. In the emergency department, he is alert, vital signs are normal, and he is complaining of severe pain in both heels and his lower back.Lower extremity pulses are strong and there is no other deformity. The suspected diagnosis is most likely to be
confirmed by:
Your answer Choice Score Correct answer compartment pressures 0 Doppler ultrasound studies 0
retrograde urethrogram 0
angiography 0
Score: 1 of
1
ATLS POST TEST 4 LATEST VERSIONS
2023-2024 REAL EXAM 160
QUESTIONS AND CORRECT ANSWERS
|AGRADE
VERSION A
Score: 1 of
1 Your answer Choice Score Correct answer
re-examine the chest
1
perform an aortogram
obtain a CT scan of the chest
obtain arterial blood gas analysis
perform transesophageal echocardiography
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Question 4
In managing a patient with a severe traumatic brain injury, the most important initial step is to: Question 3
Which of the following is true regarding the initial resuscitation of a trauma patient?Your answer Choice Score Correct answer Evidence of improved perfusion after fluid resuscitation could include improvement in Glasgow Coma Scale score on reevaluation 1
When tranexamic acid is administered by pre-hospital providers, a second dose is required within 24 hours
Fluid resuscitation is far more important than bleeding control in trauma patients 0
Massive transfusion is defined as transfusion of more than 10 units of packed red blood
cells and plasma within 24 hours
A patient with a torso gunshot wound and hypotension should receive crystalloid fluid
resuscitation until the blood pressure is normal
Score: 1 of
1 Your answer Choice Score Correct answer
complete spine x-ray series
1
Score: 1 of
1 Your answer Choice Score Correct answer
secure the airway
1
obtain a c-spine film
support the circulation
control scalp hemorrhage
determine the GCS score
Question 5
A previously healthy, 70-kg (154-pound) man suffers an estimated acute blood loss of 2 liters. Which one of the 2 / 4
Question 6
The physiological hypervolemia of pregnancy has clinical significance in the management of the severely injured,
gravid woman by:
Your answer Choice Score Correct answer resulting in an elevated hematocrit. 0 reducing the volume of crystalloid required for resuscitation. 0
increasing the volume of blood loss to produce maternal hypotension. 1
complicating the management of closed head injury. 0
reducing the need for blood transfusion. 0
Score: 1 of
1 Question 7
The best assessment of fluid resuscitation of the adult burn patient is:
Your answer Choice Score Correct answer normalization of blood pressure 0 urinary output of 0.5 mL/kg/hr 1
Score: 1 of
1
His systolic blood pressure will be maintained with an elevated diastolic pressure.
following statements applies to this patient?Your answer Choice Score Correct answer His pulse pressure will be widened. 0 His urinary output will be at the lower limits of normal. 0 He will have tachycardia, but no change in his systolic blood pressure. 0 An ABG would demonstrate a base deficit between -6 and -10 mEq/L. 1
Score: 1 of
1 3 / 4
Question 8
The diagnosis of shock must include:
Question 9
A 7-year-old boy is brought to the emergency department by his parents several minutes after he fell through a window. He is bleeding profusely from a 6-cm wound of his medial right thigh. Immediate management of the wound
should consist of:
Score: 1 of
1 Your answer Choice Score Correct answer
hypoxemia
acidosis
hypotension
increased vascular resistance
evidence of inadequate organ perfusion
1
Score: 1 of
1 Your answer Choice Score Correct answer
application of a tourniquet
direct pressure on the wound
1
packing the wound with gauze
direct pressure on the femoral artery at the groinc
debridement of devitalized tissue
Question 10 Your answer Choice Score Correct answer measuring a normal central venous pressure 0
providing 4 mL/kg/percent body burn/24 hours of crystalloid fluid 0
normalization of the heart rate 0
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