ATLS Post Test 2022-2023 QUESTIONS AND ANSWERS LATEST UPDATE GRADED /A COMPLETE SOLUTIONS
1. The primary indication for transferring a patient to a
... [Show More] higher-level trauma center is:
unavailability of a surgeon or operating room
staff. multiple system injuries, including severe
head injury. resource limitations as determined by the
transferring doctor. resource limitations as determined by the
hospital administration.
widened mediastinum on chest x-ray following blunt thoracic trauma.
2. teen-aged bicycle rider is hit by a truck traveling at a high rate of speed. In the emergency department, she is actively bleeding from open fractures of her legs, and has abrasions on her chest and abdominal wall. Her blood pressure is 80/50 mm Hg, heart rate is 140 beats per minute, respiratory rate is 8 breaths per minute, and GCS score is 6.
The first step in managing this patient is to:
obtain a lateral cervical spine x-ray. insert a central venous pressure line. administer 2 liters of crystalloid solution. perform endotracheal intubation and
ventilation. apply the PASG and inflate the leg
compartments.
3. Contraindication to nasogastric intubation is the presence of a:
gastric perforation. diaphragmatic rupture.
open depressed skull fracture. fracture of the cervical spine. fracture of the cribriform plate.
4. Which one of the following statements regarding patients with thoracic spine injuries is TRUE?
Log-rolling may be destabilizing to fractures from T-12 to L-1.
Adequate immobilization can be accomplished with the scoop stretcher.
Spinal cord injury below T-10 usually spares
bowel and bladder function. Hyperflexion fractures in the upper thoracic spine are inherently unstable. These patients rarely present with spinal shock in association with cord injury.
5. young man sustains a ritle wound to the mid- abdomen. He is brought promptly to the emergency department by prehospital personnel. His skin is cool and diaphoretic, and his systolic blood pressure is 58 rnm Hg. Warmed crystalloid fluids are initiated without improvement in his vital signs. The next, most appropriate step is to perform:
a celiotomy. an abd [Show Less]