ATLS 10th Edition Post Test 1g g g g g g
gQuestions and Verified Answers g g g g
100% Correct | Grade A+ g g g g
1. Which of the following is the recommended Method for trestemt frostbite?
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A. Vasodilators
B. Anticigulants
C. Warm (40 degrees) water
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D. Padding and elevation
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E. Application of heat from a hairdryer:
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gAnswer> C. Warm (40 degrees) water
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2. Which of the following physical findings suggest a cause of hypotension other than s
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pinal cord injury?
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A. Prispism
B. Bradycardia
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,C. Diaphragmatic breathing g
D. Presence of deep tendon reflexes
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E. Ability to flex forearms but not extend them
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Answer>: D. Presence of deep tendon reflexes. Spinal shock refers to loss of muscle toe (fla
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ccidty) and loss of reflexes.
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3. The primary indication for transferring A patient to a higher level trauma center is
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:
A. Unavailibility of surgeon or operating staff g g g g g
B. Multiple system injuries, including severe head injury
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C. Resource limitations as determined by the transferring doctor
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D. Resource limitations as determined by the hospital administration
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E. Widened mediastinum on chest x-ray following blunt trauma:
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Answer> C. Resource limitations as determined by the transferring doctor (MÅ SJEKKES)
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4. A young man sustains a rifle wound to the mid-
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abdomen. He is brought promptly to the ED by prehospital personnel. His skin is cool and
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diaphoretic, and his systolic blood pressure is 58mmHg. Warmed crystalloid fluids are i
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nitiated without improvement in his vital signs. The next, most appropriate, step is to pe
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rform:
A. a laparotomy
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,B. An abdominal CT-scan g g
C. Diagnostic laparoscopy g
D. Abdominal ultrasonography g
E. A diagnostic peritoneal lavage:
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gAnswer> A. Laparotomy because of hemodynamic ab- normality
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5. A 42-year- g
old man is trapped from the waist down beneath his overturned tractor for several hour
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s before medical assistance arrives. He is awake and alert until just before arriving in the
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ED. He is now unconscious and responds only to painful stimuli by moaning. His pupils a
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re 3mm in diameter and symmetrically reactive to light. Prehospital personnel indicate t
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hat they have
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not seen the patient move either of his lower extremities. On examination in the ED, no m
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ovement of his lower extremities are detected, even in response to painful stimuli. The mos
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t likely cause for this finding is:
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A. An epidural hematoma g g
B. A pelvic fractureg g
C. Central cord syndrome g g
D. Intracerebral hemorrhage g
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, E. Bilateral compartment syndrome: g g
g Answer> D MÅ SJEKKES g g g
6. A 6-year- g
o boy is struck by an automobile and brought to the ED. He is lethargic, but withdraws p
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urposefully from painful stimuli. His blood pressure is 90mmHg systolic, heart rate 140 b
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eats per minute and his respiratory rate is 36 breaths per minute.The preferred route of
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venous access in this patient is:
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A. Percutaneous femoral vein cannulation g g g
B. Cutdown on the saphenous vein at the ankle g g g g g g g
C. Intraosseous catheter placement in the proximal tibia g g g g g g
D. Percutaneous peripheral veins in the upper extremities g g g g g g
E. Central venous access via the subclavian or internal jugular vein:
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g Answer> D. Percu- taneous peripheral veins in the upper extremities
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7. A young man sustains a gunshot wound to the abdomen and is brought promptly to th
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e ED by prehospital personnel. His skin is cool and diaphoretic, and he is confused. His pu
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lse is thready and his femoral pulse is only weakly palpable. The definitive treatment in
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managing this patient is to: g g g g
A. Administer O-negative blood g g
B. Apply external warming devices g g g
4g/g99
gQuestions and Verified Answers g g g g
100% Correct | Grade A+ g g g g
1. Which of the following is the recommended Method for trestemt frostbite?
g g g g g g g g g g
A. Vasodilators
B. Anticigulants
C. Warm (40 degrees) water
g g g
D. Padding and elevation
g g
E. Application of heat from a hairdryer:
g g g g g
gAnswer> C. Warm (40 degrees) water
g g g g g
2. Which of the following physical findings suggest a cause of hypotension other than s
g g g g g g g g g g g g g
pinal cord injury?
g g
A. Prispism
B. Bradycardia
1g/g99
,C. Diaphragmatic breathing g
D. Presence of deep tendon reflexes
g g g g
E. Ability to flex forearms but not extend them
g g g g g g g g
Answer>: D. Presence of deep tendon reflexes. Spinal shock refers to loss of muscle toe (fla
g g g g g g g g g g g g g g g
ccidty) and loss of reflexes.
g g g g
3. The primary indication for transferring A patient to a higher level trauma center is
g g g g g g g g g g g g g
:
A. Unavailibility of surgeon or operating staff g g g g g
B. Multiple system injuries, including severe head injury
g g g g g g
C. Resource limitations as determined by the transferring doctor
g g g g g g g
D. Resource limitations as determined by the hospital administration
g g g g g g g
E. Widened mediastinum on chest x-ray following blunt trauma:
g g g g g g g g
Answer> C. Resource limitations as determined by the transferring doctor (MÅ SJEKKES)
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4. A young man sustains a rifle wound to the mid-
g g g g g g g g g
abdomen. He is brought promptly to the ED by prehospital personnel. His skin is cool and
g g g g g g g g g g g g g g g
diaphoretic, and his systolic blood pressure is 58mmHg. Warmed crystalloid fluids are i
g g g g g g g g g g g g g
nitiated without improvement in his vital signs. The next, most appropriate, step is to pe
g g g g g g g g g g g g g g
rform:
A. a laparotomy
g
2g/g99
,B. An abdominal CT-scan g g
C. Diagnostic laparoscopy g
D. Abdominal ultrasonography g
E. A diagnostic peritoneal lavage:
g g g
gAnswer> A. Laparotomy because of hemodynamic ab- normality
gg g g g g g g
5. A 42-year- g
old man is trapped from the waist down beneath his overturned tractor for several hour
g g g g g g g g g g g g g g
s before medical assistance arrives. He is awake and alert until just before arriving in the
g g g g g g g g g g g g g g g g
ED. He is now unconscious and responds only to painful stimuli by moaning. His pupils a
g g g g g g g g g g g g g g g
re 3mm in diameter and symmetrically reactive to light. Prehospital personnel indicate t
g g g g g g g g g g g g
hat they have
g g
not seen the patient move either of his lower extremities. On examination in the ED, no m
g g g g g g g g g g g g g g g g
ovement of his lower extremities are detected, even in response to painful stimuli. The mos
g g g g g g g g g g g g g g
t likely cause for this finding is:
g g g g g g
A. An epidural hematoma g g
B. A pelvic fractureg g
C. Central cord syndrome g g
D. Intracerebral hemorrhage g
3g/g99
, E. Bilateral compartment syndrome: g g
g Answer> D MÅ SJEKKES g g g
6. A 6-year- g
o boy is struck by an automobile and brought to the ED. He is lethargic, but withdraws p
g g g g g g g g g g g g g g g g g
urposefully from painful stimuli. His blood pressure is 90mmHg systolic, heart rate 140 b
g g g g g g g g g g g g g
eats per minute and his respiratory rate is 36 breaths per minute.The preferred route of
g g g g g g g g g g g g g g g g
venous access in this patient is:
g g g g g
A. Percutaneous femoral vein cannulation g g g
B. Cutdown on the saphenous vein at the ankle g g g g g g g
C. Intraosseous catheter placement in the proximal tibia g g g g g g
D. Percutaneous peripheral veins in the upper extremities g g g g g g
E. Central venous access via the subclavian or internal jugular vein:
g g g g g g g g g
g Answer> D. Percu- taneous peripheral veins in the upper extremities
gg g g g g g g g g
7. A young man sustains a gunshot wound to the abdomen and is brought promptly to th
g g g g g g g g g g g g g g g
e ED by prehospital personnel. His skin is cool and diaphoretic, and he is confused. His pu
g g g g g g g g g g g g g g g g
lse is thready and his femoral pulse is only weakly palpable. The definitive treatment in
g g g g g g g g g g g g g g g
managing this patient is to: g g g g
A. Administer O-negative blood g g
B. Apply external warming devices g g g
4g/g99
