ATLS POST TEST EXAM WITH STUDY GUIDE EXAM

ATLS POST TEST EXAM WITH STUDY GUIDE EXAM

QUESTIONS AND COREECT DETAILED ANSWERS 2024

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A 20-year-old athlete is involved in a motorcycle crash. When he arrives in the ED, he shouts that he cannot move his legs. On physical examination, there are no abnormalities of the chest, abdomen, or pelvis. The patient has no sensation in his legs and cannot move them, but his arms are moving. The patient's RR is 28 bpm, HR is 88 bpm and BP is 80./60 mmHg. He is pale and sweaty. What is the most likely cause of this condition?

• Neurogenic shock
• Cardiogenic shock
• Abdominal hemorrhage

D - ANSWER✔✔A

A 28-year-old male is brought to the ED. He was involved in a fight in which he was beaten with a wooden stick. His chest shows multiple severe bruises. His airway is clear, RR is 22, HR is 126, and systolic BP is 90 mmHg. Which one of the following should be performed during the primary survey?

A. GCS

• Cervical spine x-ray
• TT administration
• Blood alcohol level
• Rectal exam - ANSWER✔✔A 1 / 4

Which one of the following statements is true regarding access in pediatric resuscitation?

• Intraosseous access should only be considered after five percutaneous attempts
• Cut down at the ankle is a preferred initial access technique
• Blood transfusion can be delivered through an intraosseous access
• Internal jugular cannulation is the next preferred opinion when percutaneous venous

access fails

• Intraosseous cannulation should be first choice for access - ANSWER✔✔C

A young man sustained a gunshot wound to the abdomen and is brought promptly to the ED by prehospital personnel. His skin is cool and diaphoretic, and he is confused.His pulse is thready and his femoral pulse is only weakly palpable. The definitive

treatment in managing this patient is to:

• Administer O neg blood
• Apply external warming devices
• Control internal hemorrhage operatively
• Apply pneumatic antishock garment
• Infuse large volumes of IV crystalloid solution - ANSWER✔✔C

A four-year-old girl, weighing approximately 20 kg is admitted in shock after an automobile crash. The initial fluid challenge or bolus should consist of Ringers lactate solution in the volume of

• 200 ml
• 400 ml 2 / 4

• 440 ml
• 600 ml
• 880 ml - ANSWER✔✔B

All of the following are considered minimal precautions for the prevention of the spread

of communicable diseases during resuscitation, EXCEPT:

• Goggles
• Face mask
• Water impervious gown
• Water impervious leggings
• Needle-impenetrable sterile gloves - ANSWER✔✔E

In comparison with young adults, elderly patients exhibit which of the following regarding brain injuries?

• Increased cerebral blood flow
• Less stretching of the bridging veins
• Less subdural hematomas
• Less brain contusions
• Less mobility with angular acceleration and deceleration - ANSWER✔✔D

Which of following is NORMAL in pregnancy?

• Increased residual lung volume
• Decreased plasma volume 3 / 4

• Decreased total RBC mass
• Widened symphysis pubis - ANSWER✔✔D

Prior to passage of urinary catheter in a man, it is essential to:

• Examine the abdomen
• Determine pelvic stability
• Examine the rectum and perineum
• Perform a retrograde urethrogram
• Know the history and mechanism of injury - ANSWER✔✔C

A 34-year-old man is brought to the ED after being pinned to the wall of a building by a cement truck. He is in obvious shock, and has deformities and marked swelling of both

thighs. Although no open wound are present, his shock:

• Cannot be explained without concomitant pelvic fracture
• Signifies a loss of approximately 15%
• Is consistent with blood loss from bilateral femoral fractures
• Will likely be reversed if appropriate traction splint are applied
• Cannot be explained by his obse - ANSWER✔✔C

The best guide for adequate fluid resuscitation of the burn patient is:

• Adequate urinary output
• Reversal of systemic acidosis
• Normalization of the heart rate
• / 4