ATLS Written Exam Review New Full Exam Questions and Answers ( Included ) 100% verified and Correct
A 22-year-old man is hypotensive and
... [Show More] tachycardic after a shotgun wound to the left
In managing a patient with a severe traumatic brain injury, the most important initial step is to:
Select one:
a.
Secure the airway
b.
obtain a c-spine film c. support the circulation d. control scalp hemorrhage
e.
determine the GCS score Feedback
Your answer is corr - a.
Secure the airway
A previously healthy, 70-kg (154-pound) man suffers an estimated acute blood loss of 2 liters.
Which one of the following statements applies to this patient?
Select one: a.
His pulse pressure will be widened. b.
His urinary output will be at the lower limits of normal. c.
He will have tachycardia, but no change in his systolic blood pressure.
d.
An ABG would demonstrate a base deficit between -6 and -10 mEq/L e.
His systolic blood pressure will be maintained with an elevated diastolic pressure. - d. An ABG would demonstrate a base deficit between -6 and -10 mEq/L
The physiologic hypervolemia of pregnancy has clinical significance in the management of the severely injured, gravid woman by:
Select one: a.
reducing the need for blood transfusion
b.
resulting in an elevated hematocrit c.
complicating the management of closed head injury d.
reducing the volume of crystalloid required for resuscitation e.
increasing the volume of blood loss to produce maternal hypotension - e. increasing the volume of blood loss to produce maternal hypotension
The best assessment of fluid resuscitation of the adult burn patient is:
Select one: a.
Urine output of 0.5 mL/kg/hr b. normalization of blood pressure
c. normalization of the heart rate d.
measuring a normal central venous pressure
e.
providing 4 mL/kg/percent body burn/24 hours of crystalloid fluid - a.
Urine output of 0.5 mL/kg/hr
The diagnosis of shock must include:
Select one: a.
hypoxemia
b. acidosis c.
hypotension
d. increased vascular resistance e.
evidence of inadequate organ perfusion - e. evidence of inadequate organ perfusion
A 7-year-old boy is brought to the emergency department by his parents several minutes after he fell through a window. He is bleeding profusely from a 6-cm wound of his medial right thigh. Immediate management of the wound should consist of:
Select one: a.
application of a tourniquet b.
direct pressure on the wound
c.
packing the wound with gauze
d.
direct pressure on the femoral artery at the groin e.
debridement of devitalized tissue - b.
direct pressure on the wound
For the patient with severe traumatic brain injury, profound hypocarbia should be avoided to prevent:
Select one: a.
respiratory acidosis b. metabolic acidosis
c. cerebral vasoconstriction with diminished perfusion d.
neurogenic pulmonary edema
e.
shift of the oxyhemoglobin dissociation curve - c. cerebral vasoconstriction with diminished perfusion
After being involved in a motor vehicle crash, a 25-year-old man is brought to a hospital that has surgery capabilities available.. Computed tomography of the chest and abdomen shows an aortic injury and splenic laceration with free abdominal fluid. His blood pressure falls to 70 mm Hg after CT. The next step is:
Select one: a. obtain contrast angiography b.
transfer to a higher level trauma center c.
perform an exploratory laparotomy d.
infuse additional crystalloid fluids e.
Obtain transesophageal echocardiography - c.
perform an exploratory laparotomy
Which one of the following statements regarding abdominal trauma in the pregnant patient is TRUE?
Select one: a.
The fetus is in jeopardy only with major maternal abdominal trauma. b.
Leakage of amniotic fluid is an indication for hospital admission. c.
Indications for peritoneal lavage are different from those in the nonpregnant patient. d.
With penetrating trauma, injury to the mother's abdominal hollow viscus is more common in late than in early pregnancy. e.
The secondary survey follows a different pattern from that of the nonpregnant patient. - b.
Leakage of amniotic fluid is an indication for hospital admission.
The first maneuver to improve oxygenation after chest injury is to:
Select one: a.
intubate the patient b. assess arterial blood gases c.
administer supplemental oxyge [Show Less]