ATLS Pre-test EXAM 2025 EXAM QUESTIONS |
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Terms in this set (40)
A 22-year-old man is - Re-examine the chest
hypotensive and - Perform an aortogram
tachycardic after a - Obtain a CT scan of the chest
shotgun wound to the left - Obtain ABG analysis
shoulder. His blood - Transesophageal echocardiography
pressure is initially 80/40
mm Hg. After initial fluid
resuscitation his blood
pressure increases to
122/84 mm Hg. His heart
rate is now 100 beats per
minute and his respiratory
rate is 28 breaths per
minute. A tube
thoracostomy is
performed for decreased
left chest breath sounds
with the return of a small
amount of blood and no
air leak. After chest tube
insertion, the most
appropriate next step is:
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A construction worker - complete spine x-ray series
falls two stories from a
building and sustains
bilateral calcaneal
fractures. In the
emergency department,
he is alert, vital signs are
normal, and he is
complaining of severe
pain in both heels and his
lower back. Lower
extremity pulses are
strong and there is no
other deformity. The
suspected diagnosis is
most likely to be
confirmed by:
- A patient with a torso gunshot wound and
hypotension should receive crystalloid fluid
resuscitation until the blood pressure is normal
- Evidence of improved perfusion after fluid
resuscitation could include improvement in Glasgow
Which of the following is Coma Scale score on reevaluation
true regarding the initial - Massive transfusion is defined as transfusion of more
resuscitation of a trauma than 10 units of packed red blood cells and plasma
patient? within 24 hours
- When tranexamic acid is administered by pre-
hospital providers, a second dose is required within
24 hours
- Fluid resuscitation is far more important than
bleeding control in trauma patient
In managing a patient with - Secure the airway
a severe traumatic brain
injury, the most important
initial step is to:
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- His pulse pressure will be widened.
A previously healthy, 70- - His urinary output will be at the lower limits of
kg (154-pound) man normal. xxx
suffers an estimated acute - He will have tachycardia, but no change in his
blood loss of 2 liters. systolic blood pressure.
Which one of the - An ABG would demonstrate a base deficit between
following statements -6 and -10 mEq/L.
applies to this patient? - His systolic blood pressure will be maintained with
an elevated diastolic pressure.
The physiological - increasing the volume of blood loss to produce
hypervolemia of maternal hypotension.
pregnancy has clinical
significance in the
management of the
severely injured, gravid
woman by:
The best assessment of - urinary output of 0.5 mL/kg/hr
fluid resuscitation of the
adult burn patient is:
The diagnosis of shock - evidence of inadequate organ perfusion
must include:
A 7-year-old boy is - direct pressure on the wound
brought to the emergency
department by his parents
several minutes after he
fell through a window. He
is bleeding profusely from
a 6-cm wound of his
medial right thigh.
Immediate management
of the wound should
consist of:
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