ATLS 10th Edition Post Test () Actual
Questions and Verified Answers, 100% Guarantee
Pass Brand New!!!
___________________________________________________________________
An 18-yeard-old, unhelmeted motorcyclist is brought by ambulance to the ED
following a crash. He had decreased level of consciousness at the scene, but
then was alert and conversational during transportation. Now his GCS is only 11.
Which of the following statements is TRUE?
A. Cerebral perfusion is intact
B. Intravascular volume status is normal
C. The patient is in a postictal state
D. Intra-abdominal visceral injury is unlikely
E. The patient probably has an acute epidural hematoma
E. The patient probably has an acute epidural hematoma
A previously healthy, 70kg (175 pound) man suffers an estimated acute blood
loss of two liters. Which one of the following statements apply to this patient?
A. His pulse pressure will be widened
B. His urinary output will be at the lower limits of normal
C. He will have tachycardia, but no change in systolic blood pressure
D. His systolic blood pressure will be decreased with a narrowed, pulse pressure
E. His systolic blood pressure will be maintained with an elevated diastolic
pressure.
,E. His systolic blood pressure will be maintained with an elevated diastolic
pressure.
The physioclogic hypervolemia 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 closed head injury
D. Increasing the volume of blood loss to produce shock/maternal hypotension
E. Reducing the volume of crystalloid required for resuscitation
D. Increasing the volume of blood loss to produce shock
A 17-year-old helmeted motorcyclist loses consciousness when he is struck
broad side by an automobile at an intersection. He arrives in the ED with a
blood pressure of 140/92, pulse rate 88 beats per minute, a respiratory rate of
18 breaths per minue, and a GCS of 7. Appropriate initial immobilization of this
patient should include a semi-rigid cervical collar and:
A. A scoop stretcher
B. A long spine board
C. A short spine board
D. Cervical traction tongs
E. Pneumatic antishock garment
B. A long spine board
During an altercation, a 36-year-old man sustains a gunshot wound above the
nipple line on the right, with an exit wound posteriorly above the scapula on the
right. He is transported by ambulance to a community hospital. He is
,endotracheally intubated, close tube thoracostomy is performed, and 2 liters
Ringers lactate solution are infused via 2 large-caliber IV´s. His blood pressure
now is 60/0mmHg, heart rate is 160 beats per minute, and respiratory rate is 14
breaths per minute (ventilated with 100% O2). The most appropriate next step
in managin this patient is:
A. Laparotomy
B. Diagnostic peritoneal lavage
C. Arterial blood gas determination
D. Administer packed red blood cells
E. Chest X-ray to confirm tube placement
E. Chest X-ray to confirm tube placement
Abscence of breath sounds and dullness to percussion over the left hemithorax
are findings best explained by:
A. Left hemothorax
B. Cardiac contusion
C. Left simple pneumothorax
D. Left diaphragmatic rupture
E. Right tension pneumothorax
A. Left hemothorax
A 23-year-old man is brought immediately to the ED from the hospitals parking
lot where he was shot in the lower abdomen. Examination reveals a single
bullet wound. He is breathing and has a thready pulse. However, he is
unconsious and has no detectable blood pressure. Optimale immediate
management is to:
, A. Perform a diagnostic peritoneal lavage
B. Initiate infusion of packed red blood cells
C. Insert a nasogastric tube and urinary catheter
D. Transfer the patient to the operating room, while initiating fluid therapy
E. Initiate fluid therapy to return his blood pressure to normotensive
D. Transfer the patient to the operating room, while initiating fluid therapy
A teen-aged bicycle rider is hit by a truck traveling at high speed. In the ED, 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 mmHg, 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:
A. Obtain a lateral cervical spine x-ray
B. Insert av central venous pressure line
C. Adminster 2 liters of crystalloid solution
D. Perform endotracheal intubation and ventilation
E. Apply a pneumatic antishock garment (PASG) and inflate the leg
compartments.
D. Perform endotracheal intubation and ventilation
An 8-year-old boy falls 4,5 meters (15 feet) from a tree and is brought to the ED
by his family. His vital signs are normal, but he complains of left upper quadrant
pain. An abdominal CT-scan reveals a moderately severe laceration of the
spleen. The receiving institution does not have 24-hour-a-day operating room
capabilities. The most appropriate management of this patient would be to
A. Type and crossmatch for blood
Questions and Verified Answers, 100% Guarantee
Pass Brand New!!!
___________________________________________________________________
An 18-yeard-old, unhelmeted motorcyclist is brought by ambulance to the ED
following a crash. He had decreased level of consciousness at the scene, but
then was alert and conversational during transportation. Now his GCS is only 11.
Which of the following statements is TRUE?
A. Cerebral perfusion is intact
B. Intravascular volume status is normal
C. The patient is in a postictal state
D. Intra-abdominal visceral injury is unlikely
E. The patient probably has an acute epidural hematoma
E. The patient probably has an acute epidural hematoma
A previously healthy, 70kg (175 pound) man suffers an estimated acute blood
loss of two liters. Which one of the following statements apply to this patient?
A. His pulse pressure will be widened
B. His urinary output will be at the lower limits of normal
C. He will have tachycardia, but no change in systolic blood pressure
D. His systolic blood pressure will be decreased with a narrowed, pulse pressure
E. His systolic blood pressure will be maintained with an elevated diastolic
pressure.
,E. His systolic blood pressure will be maintained with an elevated diastolic
pressure.
The physioclogic hypervolemia 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 closed head injury
D. Increasing the volume of blood loss to produce shock/maternal hypotension
E. Reducing the volume of crystalloid required for resuscitation
D. Increasing the volume of blood loss to produce shock
A 17-year-old helmeted motorcyclist loses consciousness when he is struck
broad side by an automobile at an intersection. He arrives in the ED with a
blood pressure of 140/92, pulse rate 88 beats per minute, a respiratory rate of
18 breaths per minue, and a GCS of 7. Appropriate initial immobilization of this
patient should include a semi-rigid cervical collar and:
A. A scoop stretcher
B. A long spine board
C. A short spine board
D. Cervical traction tongs
E. Pneumatic antishock garment
B. A long spine board
During an altercation, a 36-year-old man sustains a gunshot wound above the
nipple line on the right, with an exit wound posteriorly above the scapula on the
right. He is transported by ambulance to a community hospital. He is
,endotracheally intubated, close tube thoracostomy is performed, and 2 liters
Ringers lactate solution are infused via 2 large-caliber IV´s. His blood pressure
now is 60/0mmHg, heart rate is 160 beats per minute, and respiratory rate is 14
breaths per minute (ventilated with 100% O2). The most appropriate next step
in managin this patient is:
A. Laparotomy
B. Diagnostic peritoneal lavage
C. Arterial blood gas determination
D. Administer packed red blood cells
E. Chest X-ray to confirm tube placement
E. Chest X-ray to confirm tube placement
Abscence of breath sounds and dullness to percussion over the left hemithorax
are findings best explained by:
A. Left hemothorax
B. Cardiac contusion
C. Left simple pneumothorax
D. Left diaphragmatic rupture
E. Right tension pneumothorax
A. Left hemothorax
A 23-year-old man is brought immediately to the ED from the hospitals parking
lot where he was shot in the lower abdomen. Examination reveals a single
bullet wound. He is breathing and has a thready pulse. However, he is
unconsious and has no detectable blood pressure. Optimale immediate
management is to:
, A. Perform a diagnostic peritoneal lavage
B. Initiate infusion of packed red blood cells
C. Insert a nasogastric tube and urinary catheter
D. Transfer the patient to the operating room, while initiating fluid therapy
E. Initiate fluid therapy to return his blood pressure to normotensive
D. Transfer the patient to the operating room, while initiating fluid therapy
A teen-aged bicycle rider is hit by a truck traveling at high speed. In the ED, 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 mmHg, 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:
A. Obtain a lateral cervical spine x-ray
B. Insert av central venous pressure line
C. Adminster 2 liters of crystalloid solution
D. Perform endotracheal intubation and ventilation
E. Apply a pneumatic antishock garment (PASG) and inflate the leg
compartments.
D. Perform endotracheal intubation and ventilation
An 8-year-old boy falls 4,5 meters (15 feet) from a tree and is brought to the ED
by his family. His vital signs are normal, but he complains of left upper quadrant
pain. An abdominal CT-scan reveals a moderately severe laceration of the
spleen. The receiving institution does not have 24-hour-a-day operating room
capabilities. The most appropriate management of this patient would be to
A. Type and crossmatch for blood
