ATLS Study Cards | Pre – Test Completed 2022

ATLS Study Cards | Pre – Test Completed 2022. Thoracic trauma. Chest tube insertion. A 22 year old man :is hypotensive and tachycarclic after a shotgun wound to the left shoulder. His blood after initial N fluid resuscitation, a closed tube thoracostomy :is performed for decreased 1eft breath sounds a) reexamine the chest b) perform an aortogram c) obtain a CT scan of the chest d) obtain arterial blood gas analyses e) perform tranesohageal echocardiography answer: a. info: chest tube insertion, p. 108. 2. Musculoskeletaltrauma. Extremity trauma. A construction worker falls two stories from a building and sustains bilateral cakaneal fractures. In the emergency department, he :is alert, vital signs are normal, and he :is complaining of severe pain in both heels and h:is lower back. Lower extremity pulses are strong and there is no other deformity. The suspected diagnos:is:is most likelyto be confirmed by a) ang iography b) compartment pre ssures c) retrograde urethrogram d) Doppler-ultrasound studies e) complete spine x-ray series answer: e. 3. Trauma in women. During the third trimester of pregnancy, all of the following changes occur normallyEXCEPT a a) decrease in PaC02 b) decrease in leukocyte count c) reduced gastric emptying rate d) diminished res:idual lung volume e) diminished elvic ligament tension answer: b. info: p. 261. 2 4. Head Trauma. In managing the head injured patient, the most important initial step is to a) secure the airway b) obtain c-spine film c) support circu1ation c) control scalp hemorrhage e) determine the GCS score answer: a. info: p. 154. 5. Shock. A previously hea lthy, 70kg (154 pound) man suffers an estimated acute blood 1oss of 2 liters. Which one of the following statements applies to this patient? a) his pu1se pressure will be widened b) his urinary output will be at the 1ower limits of normal c) he will have tachycardia, but no change in his systolic b1ood pressure d) his systolic blood pressure will be decreased with a narrowed pu1se ressure (true) e) his systolic blood pressure will be maintained with an elevated diastolic pressure answer: d. info: p. 61. 6. Trauma in Women. The physio1ogic hypervolem:ia of pregnancy has clinical significance in the management of the severely injured, gravid woman by a) reducing the need for blood transfusion b) increasing the risk of pulmonary edema c) complicating the management of cJosed head injury d) reducing the volume of crystalloid required for resuscitation e) increasing the vo1ume of b1ood 1oss to produce maternal hypotension answer: e. info: p. 261. 7. Thermal Injuries. Injury Due to Burn and Cold. The best guide for adequate fluid resuscitation of the burn patient is 3 a) adequate urinary output b) reversal of systemic acidosis c) normalization of the heart rate d) a normal central venous pressure e) 4mL/kg/percent body burn/24 hours answer: a. info: p. 216-217. 8. Shock. Establishing a diagnosis of shock must include a) hypoxemia b) acidosis c) hypotension d) increased vascular resistance e) evidence of inadequate organ perfusion answer: e. info: p. 58. 9. Musculoskeletaltrauma. Extremity Trauma. A 7 year old boy is brought to the emergency department by his parents several minutes after he fell through a window. He is b1eeding profuse ly from a 6-cm wound of his medial right thigh. Immediate management of the wound should consist of a) application of a tourniqu et 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 answer: b info: p. 79. 10. Head injury. For the patient with severe traumatic brain injury, profound hypocarbia shou1d be avo:ided to prevent a) resp:iratory alkalosis b) metabolic acidosis c) cerebral vasoconstriction with diminished perfusion d) neurogenic puhnonary edema. We offer online tutoring and help with assignments for all majors with a guaranteed pass. For further assistance contact alpha tutors: