Atls Post Test Questions

ATLS Post Test QUESTIONS AND ANSWERS LATEST UPDATE GRADED /A COMPLETE SOLUTIONS 1. The primary indication for transferring a patient to a higher-level trauma center is: unavailability of a surgeon or operating room staff. multiple system injuries, including severe head injury. resource limitations as determined by the transferring doctor. resource limitations as determined by the hospital administration. widened mediastinum on chest x-ray following blunt thoracic trauma. -aged bicycle rider is hit by a truck traveling at a high rate of speed. In the emergency department, she is actively bleeding from open fractures of her legs, and has abrasions on her chest and abdominal wall. Her blood pressure is 80/50 mm Hg, heart rate is 140 beats per minute, respiratory rate is 8 breaths per minute, and GCS score is 6. The first step in managing this patient is to: obtain a lateral cervical spine x-ray. insert a central venous pressure line. administer 2 liters of crystalloid solution. perform endotracheal intubation and ventilation. apply the PASG and inflate the leg compartments. 3.Contraindication to nasogastric intubation is thf4. Which one of the following regarding patients with thoracicTRUE? Log-rolling may be destafractures from T-Adequate immobilizataccomplished with the scoopSpinal cord injury below T-10 usuabowel and bladdeHyperflexion fractures inthoracic spine are inherentlyThese patients rarely present wshock in association with man sustains a ritle woabdomen. He is brought prompemergency department by prehpersonnel. His skin is cool and his systolic blood pressure is 58Warmed crystalloid fluids are iimprovement in his vital priate step is to perform: a an abdominadiagnostic lapabdominal ultrasoa diagnostic woman sustains a seveas the result of a motor vehiculemergency department, her GCblood pressure is 140/90 mm Hrate is 80 beats per minute. She ibihillildS - The Marketplace to Buy and Sell your Study Material Downloaded by: pdfseller | Distribution of this document is illegal Want to earn $1.236 extra per year? S - The Marketplace to Buy and Sell your Study Material administer an osmotic nt secondary brain injury. Downloaded by: pdfseller | Distribution of this document is illegal Want to earn $1.236 extra per year? S - The Marketplace to Buy and Sell your Study Material aggressively treat systemic hypertension. reduce metabolic requirements of the brain. distinguish between intracranial hematoma and cerebral edema. 7.22-year-old man is brought to the hospital after crashing his motorcycle into a telephone pole. He is unconscious and in profound shock. He has no open wounds or obvious fractures. The cause of his shock is MOST LIKELY caused by: a subdural hematoma. an epidural hematoma. a transected lumbar spinal cord. a transected cervical spinal cord. hemorrhage into the chest or abdomen. 8. 30-year-old man is struck by a car traveling at 56 kph (35 mph). He has obvious fractures of the left tibia near the knee, pain in the pelvic area, and severe dyspnea. His heart rate is 180 beats per minute, and his respiratory rate is 48 breaths per minute with no breath sounds heard in the left chest. A tension pneumothorax is relieved by immediate needle decompression and tube thoracostomy. Subsequently, his heart rate decreases to 140 beats per minute, his respiratory rate decreases to 36 breaths per minute, and his blood pressure is 80/50 inm Hg. Warmed Ringer's lactate is administered intravenously. The next priority should be to: perform a urethrogram and cystogram. perform external fixation of the pelvis. obtain abdominal and pelvic CT scans. perform arterial embolization of the pelvic 9. 8-year-old girl is an unrestraiin a vehicle struck from behind. emergency department, her blo80/60 mm Hg, heart rate is 80 band respiratory rate is 16 breathHer GCS score is 14. She compllegs feel "funny and won't movehowever, her spine x-rays do nofracture or dislocation. A spinal this child: is most likely a central cord must be diagnosed by magnetic can be excluded by obtaining aenmay exist in the absence offindings on x-ris unlikely because of the icalcification of the vertebral10.Immediate chest tube insertifor which of the following condPneuPneumomedMassive hDiaphragmatSubcutaneous e11. 18-year-old, helmeted motobrought by ambulance to the emdepartment following a high-spPrehospital persormel report tha15 meters (50 feet) off his bficehistory of hypotension prior to emergency department, but is nand conversational. Which of thDownloaded by: pdfseller | Distribution of this document