ATLS Advanced Trauma Life Support Exam 2023

1. In managing a patient with a severe traumatic brain injury, the most important initial step is to: - Secure the airway 2. The best assessment of fluid resuscitation of the adult burn patient is: - Urinary output of 0.5mg/kg/hr 3. Bronchial intubation of the right or left mainstem bronchus can easily occur during infant endotracheal intubation because: - The trachea is shorter 4. The most important, immediate step in the management of an open pneumothorax is: - Placement of an occlusive dressing 5. Which physical exam finding best differentiates cardiac tamponade from tension pneumothorax in a hypotensive patient? - Breath sounds are absent in tension PTX, but not in tamponade. Both may present with JVD. 6. Which one of the following is the most effective method for initially treating frostbite? - Moist heat 7. Which situation requires Rh immunoglobulin administration to an injured woman? - Positive pregnancy test, Rh negative and torso trauma 8. Clinicians can quickly assess A, B, C, and D in a trauma patient (10-second assessment) by - asking the patient for his or her name, and asking what happened 9. A simple pneumothorax can be converted to a tension pneumothorax when - a patient is intubated (positive pressure) without first decompressing with a chest tube 10.Suspect a urethral injury in the presence of either - blood at the urethral meatus or perineal ecchymosis 11.Abdominal breathing /diaphragmatic breathing is seen with injuries below the level of - C3, due to intact diaphragmatic function but paralysis of accessory/intercostal muscles "C3-4-5 keep the diaphragm alive"