NEW 2023 ATLS Post Test. MCQ With 100% CORRECT VERIFIED Answers
1. A 47-year-old house painter is brought to the hospital after falling 6 meters
... [Show More] (20 feet) from a ladder and landing straddled on a fence. Examination of his perineum reveals extensive ecchymosis. There is a blood in the external urethral meatus. The initial diagnostic study for the evaluation of the urinary tract in this patient should be:
a. cystoscopy
b. cystography
c. intravenous pyelography
d. CT scan
e. retrograde urethrography
2. Neurogenic shock has all of the following classic characteristics except which one?
a. hypotension
b. vasodilation
c. bradycardia
d. neurologic deficit
e. narrowed pulse pressure
3. Which one of the following statements is false concerning Rh isoimmunization in pregnant trauma patients?
a. It occurs in blunt or penetrating abdominal trauma.
b. It is produced by minor degrees of fetomaternal hemorrhage.
c. Rh immunoglobulin therapy should be administered to pregnant females who have sustained a gunshot wound to the leg.
d. This is not a problem in traumatized, Rh-positive pregnant patients.
e. Initiation of Rh immunoglobulin therapy does not require proof of fetomaternal hemorrhage.
4. An 18-year-old motorcyclist sustains massive facial injuries in a head-on crash with a pick-up truck. He is brought to the emergency department completely immobilized on a long spine board and wearing a cervical collar. His blood pressure is 150/88 mmHg, heart rate is 88 beats per minute and regular, and respiratory rate is 26 breaths per minute. His respirations are labored and sonorous. His Glasgow Coma Scale score is 7. Attempts at orotracheal intubation with manual inline stabilization of the c-spine are unsuccessful due to bleeding and distorted anatomy. The patient becomes apneic. The best procedure for airway management in this situation is:
a. nasotracheal intubation
b. emercency tracheostomy
c. surgical cricothyroidotomy
d. placement of an oropharyngeal airway
e. placement of a nasopharyngeal airway
5. a 25-year-old male is brought to the hospital after sustaining partial and full-thickness burns involving 60% of his body surface area. His right arm and hand are severely burned. There are obvious full-thickness burns of the entire right hand and a circumferential burn of the right arm. Pulses are absent at the right wrist and are not detected by Doppler examination. The first step management of the right upper extremity should be:
a. fasciotomy
b. angiography
c. escharotomy
d. heparinization
e. tangential excision [Show Less]