ATLS POST TEST VERSION 1 AND VERSION 2

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ATLS POST TEST VERSION 1 AND VERSION 2

NEWEST 2025 ACTUAL EXAM COMPLETE 300

QUESTIONS AND CORRECT DETAILED

ANSWERS (VERIFIED ANSWERS) |ALREADY

GRADED A+|BRAND NEW!!

ATLS POST TEST VERSION 1

A 22-year-old man is brought to the hospital after crashing his motorcycle into a telephone pole. He is unconscious and in profound shock. He has no open wounds or obvious fractures.

The cause of his shock is MOST LIKELY caused by:

• A subdural hematoma
• An epidural hematoma
• A transected lumbar spinal cord
• A basilar skull fracture
• Hemorrhage into the chest or abdomen - CORRECT

ANSWER-E. Hemorrhage into the chest or abdomen

Which of the following statements is FALSE concerning Rh- isoimmunization in the pregnant trauma patient?

• It occurs in blunt or penetrating abdominal trauma
• Minor degrees of fetomaternal hemorrhage produce it 1 / 4

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• A negative Kleihauer-Betke test excludes Rh-

Isoimmunzation

• This is not a problem in the traumatized Rh-positive pregnant

patient

• Initiation of Rh-immunoglobulin therapy does not require

proof of fetomaternal hemorrhage - CORRECT ANSWER -C. A negative Kleihauer-Betke test excludes Rh-Isoimmunzation

All of the following signs on the chest x-ray of a blunt injury

victim may suggest aortic rupture EXCEPT:

• Mediastinal emphysema
• Presence of a "pleural cap"
• Obliteration of the aortic knob
• Deviation of the trachea to the right
• Depression of the left mainstem bronchus - CORRECT

ANSWER-A. Mediastinal emphysema

Early central venous pressure monitoring during fluid

resusciation in the ED has the greatest utility in a:

• Patient with a splenic laceration
• Patient with a inhalation injury
• 6 year-old child with a pelvic fracture
• Patient with a severe cardiac contusion 2 / 4

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• 24-year-old man with a massive hemothorax - CORRECT

ANSWER-D. Patient with a severe cardiac contusion

A cross-table lateral x-ray of the cervical spine:

• must precede endotracheal intubation
• excludes serious cervical spine injury
• Is an essential part of the primary survey
• Is not necessary for unconscious patients with penetrating

cervical injuries

• Is unacceptable unless 7 cervical vertebrae and the C-7 to T-1

relationship are visualized. - CORRECT ANSWER -E. Is unacceptable unless 7 cervical vertebrae and the C-7 to T-1 relationship are visualized.

A 24-year old man sustains multiple fractured ribs bilaterally as a result of being crushed in a press at a plywood factory.Examination in the ED reveals a flail segment of the patients thorax. Primary resuscitation includes high-flow oxygen administration via a nonrebreathing mask, and initiation of Ringers lactate solution. The patient exhibits progressive confusion, cyanosis and tachypnea. Management at this time

should consist of:

• Intravenous sedation
• External stabilization of the chest wall 3 / 4

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• Increasing the FIO2 in the inspired gas
• Intercostal nerve blocks for pain relief
• Endotracheal intubation and mechanical ventilation. -

CORRECT ANSWER -E. Endotracheal intubation and mechanical ventilation

Which of the following statements regarding patients with thoracic spine injuries is TRUE?

• Log-rolling may be destabilizing to fractures from T12 to L1
• Adequate immobilization can be accomplished with the

scoop stretcher

• Spinal cord injury below T10 usually spares bowel and

bladder function

• Hyperflexion fractures in the upper thoracic spine are

inherently unstable

• These patients rarely present with neurogenic shock in

association with cord injury. - CORRECT ANSWER -A. Log- rolling may be destabilizing to fractures from T12 to L1

During resuscitation, which one of the following is the most reliable as a guide to volume replacement?

• Heart rate
• Hematocrit
• Blood pressure
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