ATLS Pretest Study Guide | Advanced Trauma Life
Support Practice Questions & High-Yield Exam
Review||Newest Exam!!!
A 22-year-old man is hypotensive and tachycardic after a
shotgun wound to the left shoulder. His blood pressure is
initially 80/40 mm Hg. After initial fluid resuscitation his
blood pressure increases to 122/84 mm Hg. His heart rate
is now 100 beats per minute and his respiratory rate is 28
breaths per minute. A tube thoracostomy is performed for
decreased left chest breath sounds with the return of a
small amount of blood and no air leak. After chest tube
insertion, the most appropriate next step is: - Answers-re-
examine the chest
A construction worker falls two stories from a building and
sustains bilateral calcaneal fractures. In the emergency
department, he is alert, vital signs are normal, and he is
complaining of severe pain in both heels and his lower
back. Lower extremity pulses are strong and there is no
other deformity. The suspected diagnosis is most likely to
be confirmed by: - Answers-complete spine x-ray series
Which of the following is true regarding the initial
resuscitation of a trauma patient? - Answers-Evidence of
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improved perfusion after fluid resuscitation could include
improvement in Glasgow Coma Scale score on
reevaluation.
In managing a patient with a severe traumatic brain injury,
the most important initial step is to: - Answers-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? - Answers-An
ABG would demonstrate a base deficit between -6 and -10
mEq/L.
The physiological hypervolemia of pregnancy has clinical
significance in the management of the severely injured,
gravid woman by: - Answers-increasing the volume of
blood loss to produce maternal hypotension
The best assessment of fluid resuscitation of the adult
burn patient is: - Answers-urinary output of 0.5 mL/kg/hr