ATLS Post Test 2023 QUESTIONS AND ANSWERS LATEST QUESTION AND ANSWERS
ALREADY GRADE A GRADE.
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.
1. 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
isthe 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
statementsregarding 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
midabdomen. 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.
armed crystalloid fluids are initiated without
improvement in his vital signs. The next, most
appropriate step is to perform:
a celiotomy.
an abdominal CT scan. diagnostic
laparoscopy. abdominal
ultrasonography. a diagnostic
peritoneal lavage.
6. young woman sustains a severe head injury
as the result of a motor vehicular crash. In the
emergency department, her GCS score is 6. Her
blood pressure is 140/90 mm Hg and her heart rate
is 80 beats per minute. She is intubated and is
being mechanically ventilated. Her pupils are 3 mm
in size and equally reactive to light. There is no
other apparent injury. The most important
principle to follow in the early management of her
head injury is to:
administer an osmotic diuretic.
prevent secondary brain injury.
aggressively treat systemic hypertension.
reduce metabolic requirements of the brain. [Show Less]