ATLS 10th Edition Post Test 1xc xc xc xc xc xc
xc Questions and Verified Answers xc xc xc xc
100% Correct | rade A+ xc xc xcXC xc
1. Which of the followin is the recommended Method for trestemt frostbite?
xc xc xc xcxc xc xc xc xc xc xc
A. Vasodilators
B. Antici ulants
xc
C. Warm (40 de rees) water
xc xc xc xc
D. Paddin and elevation
xcxc xc
E. Application of heat from a hairdryer: xc xc xc xc xc
xc Answer> C. Warm (40 de rees) water
xc xc xc xc xc xc
2. Which of the followin physical findin s su est a cause of hypotension other than s
xc xc xc xcxc xc xc xc xcxc xc xc xc xc xc xc xc
pinal cord injury?
xc xc
A. Prispism
B. Bradycardia
,C. Diaphra matic breathin xc xc xc
D. Presence of deep tendon reflexes
xc xc xc xc
E. Ability to flex forearms but not extend them
xc xc xc xc xc xc xc xc
Answer>: D. Presence of deep tendon reflexes. Spinal shock refers to loss of muscle toe (
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
flaccidty) and loss of reflexes.
xc xc xc xc
3. The primary indication for transferrin A patient to a hi her level trauma center i
xc xc xc xc xcxc xc xc xc xc xc xc xc xc xc
s:
A. Unavailibility of sur eon or operatin staff xc xc xc xc xc xcxc
B. Multiple system injuries, includin severe head injury
xc xc xc xcxc xc xc
C. Resource limitations as determined by the transferrin doctor
xc xc xc xc xc xc xcxc
D. Resource limitations as determined by the hospital administration
xc xc xc xc xc xc xc
E. Widened mediastinum on chest x-ray followin blunt trauma:
xc xc xc xc xc xcxc xc xc
Answer> C. Resource limitations as determined by the transferrin doctor (MÅ SJEKKE
xcxc xc xc xc xc xc xc xc xcxc xc xc
S)
4. A youn man sustains a rifle wound to the mid-
xc xcxc xc xc xc xc xc xc xc
abdomen. He is brou ht promptly to the ED by prehospital personnel. His skin is cool an
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
d diaphoretic, and his systolic blood pressure is 58mmH . Warmed crystalloid fluids ar
xc xc xc xc xc xc xc xc xc xc xc xc xc
e initiated without improvement in his vital si ns.The next, most appropriate, step is t
xc xc xc xc xc xc xc xc c
x xc xc xc xc xc xc
o perform:
xc
,A. a laparotomy
xc
B. An abdominal CT-scanxc xc
C. Dia nostic laparoscopy xc xc
D. Abdominal ultrasono raphy xc xc
E. A dia nostic peritoneal lava e:
xc xc xc xc xc
xc Answer> A. Laparotomy because of hemodynamic ab- normality
xcxc xc xc xc xc xc xc
5. A 42-year-xc
old man is trapped from the waist down beneath his overturned tractor for several ho
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
urs before medical assistance arrives. He is awake and alert until just before arrivin in
xc xc xc xc xc xc xc xc xc xc xc xc xc xcxc
the ED. He is now unconscious and responds only to painful stimuli by moanin . His pu
c xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
pils are 3mm in diameter and symmetrically reactive to li ht. Prehospital personnel in
xc xc xc xc xc xc xc xc xc xc xc xc xc
dicate that they have xc xc xc
not seen the patient move either of his lower extremities. On examination in the ED, no
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
movement of his lower extremities are detected, even in response to painful stimuli.The
xc xc xc xc xc xc xc xc xc xc xc xc c
x
most likely cause for this findin is:
xc xc xc xc xc xcxc
A. An epidural hematomaxc xc
B. A pelvic fracture
xc xc
C. Central cord syndrome xc xc
, D. Intracerebral hemorrha e xc xc
E. Bilateral compartment syndrome: xc xc
xc Answer> D MÅ SJEKKES xc xc xc
6. A 6-year- xc
o boy is struck by an automobile and brou ht to the ED. He is lethar ic, but withdraws
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
purposefully from painful stimuli. His blood pressure is 90mmH systolic, heart rate 14
xc xc xc xc xc xc xc xc xcxc xc xc xc
0 beats per minute and his respiratory rate is 36 breaths per minute.The preferred ro
xc xc xc xc xc xc xc xc xc xc xc xc c
x xc xc
ute of venous access in this patient is:
xc xc xc xc xc xc xc
A. Percutaneous femoral vein cannulation xc xc xc
B. Cutdown on the saphenous vein at the ankle xc xc xc xc xc xc xc
C. Intraosseous catheter placement in the proximal tibia xc xc xc xc xc xc
D. Percutaneous peripheral veins in the upper extremities xc xc xc xc xc xc
E. Central venous access via the subclavian or internal ju ular vein:
xc xc xc xc xc xc xc xc xc xc
xc Answer> D. Percu- taneous peripheral veins in the upper extremities
xcxc xc xc xc xc xc xc xc xc
7. A youn man sustains a unshot wound to the abdomen and is brou ht promptly to t
xc xcxc xc xc xcxc xc xc xc xc xc xc xc xc xc xc xc
he ED by prehospital personnel. His skin is cool and diaphoretic, and he is confused. His
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
pulse is thready and his femoral pulse is only weakly palpable.The definitive treatment
xc xc xc xc xc xc xc xc xc xc xc xc xc
xc in mana in this patient is to:
xc xc xcxc xc xc xc
A. Administer O-ne ative blood xc xc xc
xc Questions and Verified Answers xc xc xc xc
100% Correct | rade A+ xc xc xcXC xc
1. Which of the followin is the recommended Method for trestemt frostbite?
xc xc xc xcxc xc xc xc xc xc xc
A. Vasodilators
B. Antici ulants
xc
C. Warm (40 de rees) water
xc xc xc xc
D. Paddin and elevation
xcxc xc
E. Application of heat from a hairdryer: xc xc xc xc xc
xc Answer> C. Warm (40 de rees) water
xc xc xc xc xc xc
2. Which of the followin physical findin s su est a cause of hypotension other than s
xc xc xc xcxc xc xc xc xcxc xc xc xc xc xc xc xc
pinal cord injury?
xc xc
A. Prispism
B. Bradycardia
,C. Diaphra matic breathin xc xc xc
D. Presence of deep tendon reflexes
xc xc xc xc
E. Ability to flex forearms but not extend them
xc xc xc xc xc xc xc xc
Answer>: D. Presence of deep tendon reflexes. Spinal shock refers to loss of muscle toe (
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
flaccidty) and loss of reflexes.
xc xc xc xc
3. The primary indication for transferrin A patient to a hi her level trauma center i
xc xc xc xc xcxc xc xc xc xc xc xc xc xc xc
s:
A. Unavailibility of sur eon or operatin staff xc xc xc xc xc xcxc
B. Multiple system injuries, includin severe head injury
xc xc xc xcxc xc xc
C. Resource limitations as determined by the transferrin doctor
xc xc xc xc xc xc xcxc
D. Resource limitations as determined by the hospital administration
xc xc xc xc xc xc xc
E. Widened mediastinum on chest x-ray followin blunt trauma:
xc xc xc xc xc xcxc xc xc
Answer> C. Resource limitations as determined by the transferrin doctor (MÅ SJEKKE
xcxc xc xc xc xc xc xc xc xcxc xc xc
S)
4. A youn man sustains a rifle wound to the mid-
xc xcxc xc xc xc xc xc xc xc
abdomen. He is brou ht promptly to the ED by prehospital personnel. His skin is cool an
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
d diaphoretic, and his systolic blood pressure is 58mmH . Warmed crystalloid fluids ar
xc xc xc xc xc xc xc xc xc xc xc xc xc
e initiated without improvement in his vital si ns.The next, most appropriate, step is t
xc xc xc xc xc xc xc xc c
x xc xc xc xc xc xc
o perform:
xc
,A. a laparotomy
xc
B. An abdominal CT-scanxc xc
C. Dia nostic laparoscopy xc xc
D. Abdominal ultrasono raphy xc xc
E. A dia nostic peritoneal lava e:
xc xc xc xc xc
xc Answer> A. Laparotomy because of hemodynamic ab- normality
xcxc xc xc xc xc xc xc
5. A 42-year-xc
old man is trapped from the waist down beneath his overturned tractor for several ho
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
urs before medical assistance arrives. He is awake and alert until just before arrivin in
xc xc xc xc xc xc xc xc xc xc xc xc xc xcxc
the ED. He is now unconscious and responds only to painful stimuli by moanin . His pu
c xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
pils are 3mm in diameter and symmetrically reactive to li ht. Prehospital personnel in
xc xc xc xc xc xc xc xc xc xc xc xc xc
dicate that they have xc xc xc
not seen the patient move either of his lower extremities. On examination in the ED, no
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
movement of his lower extremities are detected, even in response to painful stimuli.The
xc xc xc xc xc xc xc xc xc xc xc xc c
x
most likely cause for this findin is:
xc xc xc xc xc xcxc
A. An epidural hematomaxc xc
B. A pelvic fracture
xc xc
C. Central cord syndrome xc xc
, D. Intracerebral hemorrha e xc xc
E. Bilateral compartment syndrome: xc xc
xc Answer> D MÅ SJEKKES xc xc xc
6. A 6-year- xc
o boy is struck by an automobile and brou ht to the ED. He is lethar ic, but withdraws
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
purposefully from painful stimuli. His blood pressure is 90mmH systolic, heart rate 14
xc xc xc xc xc xc xc xc xcxc xc xc xc
0 beats per minute and his respiratory rate is 36 breaths per minute.The preferred ro
xc xc xc xc xc xc xc xc xc xc xc xc c
x xc xc
ute of venous access in this patient is:
xc xc xc xc xc xc xc
A. Percutaneous femoral vein cannulation xc xc xc
B. Cutdown on the saphenous vein at the ankle xc xc xc xc xc xc xc
C. Intraosseous catheter placement in the proximal tibia xc xc xc xc xc xc
D. Percutaneous peripheral veins in the upper extremities xc xc xc xc xc xc
E. Central venous access via the subclavian or internal ju ular vein:
xc xc xc xc xc xc xc xc xc xc
xc Answer> D. Percu- taneous peripheral veins in the upper extremities
xcxc xc xc xc xc xc xc xc xc
7. A youn man sustains a unshot wound to the abdomen and is brou ht promptly to t
xc xcxc xc xc xcxc xc xc xc xc xc xc xc xc xc xc xc
he ED by prehospital personnel. His skin is cool and diaphoretic, and he is confused. His
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
pulse is thready and his femoral pulse is only weakly palpable.The definitive treatment
xc xc xc xc xc xc xc xc xc xc xc xc xc
xc in mana in this patient is to:
xc xc xcxc xc xc xc
A. Administer O-ne ative blood xc xc xc
