ATLS Post Test 2023 QUESTIONS AND
... [Show More] ANSWERS
1.Theprimaryindicationfortransferringa
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. [Show Less]