ATLS Post Test 2023 QUESTIONS AND ANSWERS
1. Theprimaryindicationfortransferringa
... [Show More] patienttoahigherleveltraumacenteris:
unavailabilityofasurgeonoroperatingroom
staff.mult
iplesysteminjuries,includingsevere
headinjury. resourcelimitationsasdeterminedbythe
transferringdoctor.
resourcelimitationsasdeterminedbythe
hospitaladministration.widen edmediastinumonchestx-ray
followingbluntthoracictrauma.
2. teen-aged bicycle rider is hit by a trucktraveling at a high rate of speed. In theemergencydepartment,sheisactivelybleedin gfrom open fractures of her legs, and hasabrasionsonherchestandabdominalwall.Her bloodpressureis80/50mmHg,heartrateis140beat sperminute,respiratoryrateis8
breaths per minute, and GCS score is 6.Thefirststepinmanagingthispatientisto:
obtainalateralcervicalspinex-ray.
insertacentralvenouspressureline.
administer2litersofcrystalloidsolution.
performendotrachealintubationand
ventilation. applythePASGandinflatetheleg
compartments.
3. Contraindication to nasogastric intubation isthepresenceofa:
gastricperforation.
diaphragmaticrupture.
opendepressedskullfracture.
fractureofthecervicalspine.
fracture of the cribriformplate.
4. Which one of the following statementsregardingpatientswiththoracicspineinj uriesisTRUE?
Log-rollingmaybedestabilizingto
fracturesfromT-12toL-1.
Adequateimmobilizationcanbe
accomplishedwiththescoopstretcher.
SpinalcordinjurybelowT-10usuallyspares
bowelandbladderfunction.
Hyperflexionfracturesintheupper
thoracicspineareinherentlyunstable.
Thesepatientsrarelypresentwithspinal
shockinassociationwithcordinjury.
5. young man sustains a ritle wound to the mid- abdomen. He is brought promptly to theemergencydepartmentbyprehospital personnel.Hisskiniscoolanddiaphoretic,andhissy stolicbloodpressureis58rnmHg.
Warmed crystalloid fluids are initiated withoutimprovementinhisvitalsigns.Thenext, mostappropriatestepistoperform:
aceliotomy.
anabdominalCTscan.
diagnosticlaparoscopy.
abdominalultrasonography.
adiagnosticperitoneallavage.
6. young woman sustains a severe head injuryas the result of a motor vehicular crash. In theemergencydepartment,herGCSscoreis6.Her blood pressure is 140/90 mm Hg and her heartrateis80beatsperminute.Sheisintubatedand isbeingmechanicallyventilated.Herpupilsare3m minsizeandequallyreactivetolight. Thereisnootherapparentinjury.Themostimporta nt principle to follow in the earlymanagementofherheadinjuryisto:
administeranosmoticdiuretic.
preventsecondarybraininjury.
aggressivelytreatsystemichypertension.
reducemetabolicrequirementsofthe
brain.dis tinguishbetweenintracranialhematoma
andcerebraledema. [Show Less]