COMPLETESOLUTIONSFOR ATLSEXAM pj pj pj pj
QUESTIONSANDANSWERS pj pj
A 23-year-
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old man is brought immediately to the ED from the hospitals parking lot where he was shot in the lower a
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bdomen. Examination reveals a single bullet wound. He is breathing and has a thready pulse. However, he
pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj
is unconsious and has no detectable blood pressure. Optimale immediate management is to:
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A. Perform a FAST pj pj
B. Initiate infusion of packed red blood cells pj pj pj pj pj pj
C. Insert a nasogastric tube and urinary catheter
pj pj pj pj pj pj
D. Transfer the patient to the operating room, while initiating fluid therapy
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E. Initiate fluid therapy to return his blood pressure to normotensive - CORRECT ANSWER -
pj pj pj pj pj pj pj pj pj pj pj pj pj
D. Transfer the patient to the operating room, while initiating fluid therapy
pj pj pj pj pj pj pj pj pj pj pj
A 22 year old male present following a motorcycle crash. He complains of the inability to move his legs. Hi
pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj
s BP is 80/50, HR 70, RR 18 and GCS 15. Oxygen saturation is 99% on 21 nasal prongs. Chest x-
pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj
ray, pelvic x-ray and FAST are normal. Extremities are normal. His management should be:
pj pj pj pj pj pj pj pj pj pj pj pj pj
A: 1L of iv . crystalloid and two units of pRBCs
pj pj pj pj pj pj pj pj pj pj
B. 1L of iv. crystalloid, mannitol and iv steroids
pj pj pj pj pj pj pj pj
C. 1 unit of albumin and compression stockings
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D. Vasopressors and laparotomy
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E. 1 L of cystalloid and vasopressors if blood pressure does not respond - CORRECT ANSWER -
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E. 1 L of cystalloid and vasopressors if blood pressure does not respond
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Which of the following is MOST RELIABLE to confirm endotracheal intubation?
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a. presence of breath sounds bilaterally pj pj pj pj
b. absence of borborygmi in the epigatrium on ascultation pj pj pj pj pj pj pj
, c. presence of CO2 in exhaled air via capnography pj pj pj pj pj pj pj
d. appearance of fog in the endotracheal tube pj pj pj pj pj pj
e. chest xray with endotracheal tube tip appearing above the carina - CORRECT ANSWER -
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e. chest xray with endotracheal tube tip appearing above the carina
pj pj pj pj pj pj pj pj pj pj
A 6 month old infant, being held in her mothers arms, is ejected on impact from a vehicle that is struck h
pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj
ead on by an oncoming car traveling at 64kph. The infant arrives in the ED with multiple facial injuries, is l
pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj
ethargic, and is in severe respiratoy distress. Respiratory support is not effective using a bag mask device
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, and her oxygen saturation is falling. Repeated attempts at orotracheal intubation are unsuccessful. the
pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj
most appropriate procedure to perform next is:
pj pj pj pj pj pj
A. Administer heliox and racemic epinephrine pj pj pj pj
B. Perform nasotracheal intubation pj pj
C. Perform surgical cricothyroidotomy pj pj
D. Repeat orotracheal intubation pj pj
E. Perform needle cricothyroidotomy with jet insufflation - CORRECT ANSWER -
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E. Perform needle cricothyroidotomy with jet insufflation
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A 28 year olf male is brought to the ED. He was involved in a fight, during which he was beaten with a wo
pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj
oden stick. His chest shows multiple severe bruises. His arway is clear, resp rate is 22, hear rate 126, and s
pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj
ystolic blood pressure is 90 mmHG. Which of the following should be performed during the primary surv
pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj
ey
a. glasgow coma pj
b. tetanus status pj
c. cervical spine xray pj pj
d. blood alcohol level pj pj
e. rectal exam - CORRECT ANSWER -a. glasgow coma
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an 18yo male is brought to the emergency department after being dumped by a large wave while surfin
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g. He landed head first on the firm beach sand. His vital signs are blood pressure 85/60 mmHg,
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QUESTIONSANDANSWERS pj pj
A 23-year-
pj
old man is brought immediately to the ED from the hospitals parking lot where he was shot in the lower a
pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj
bdomen. Examination reveals a single bullet wound. He is breathing and has a thready pulse. However, he
pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj
is unconsious and has no detectable blood pressure. Optimale immediate management is to:
pj pj pj pj pj pj pj pj pj pj pj pj pj
A. Perform a FAST pj pj
B. Initiate infusion of packed red blood cells pj pj pj pj pj pj
C. Insert a nasogastric tube and urinary catheter
pj pj pj pj pj pj
D. Transfer the patient to the operating room, while initiating fluid therapy
pj pj pj pj pj pj pj pj pj pj
E. Initiate fluid therapy to return his blood pressure to normotensive - CORRECT ANSWER -
pj pj pj pj pj pj pj pj pj pj pj pj pj
D. Transfer the patient to the operating room, while initiating fluid therapy
pj pj pj pj pj pj pj pj pj pj pj
A 22 year old male present following a motorcycle crash. He complains of the inability to move his legs. Hi
pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj
s BP is 80/50, HR 70, RR 18 and GCS 15. Oxygen saturation is 99% on 21 nasal prongs. Chest x-
pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj
ray, pelvic x-ray and FAST are normal. Extremities are normal. His management should be:
pj pj pj pj pj pj pj pj pj pj pj pj pj
A: 1L of iv . crystalloid and two units of pRBCs
pj pj pj pj pj pj pj pj pj pj
B. 1L of iv. crystalloid, mannitol and iv steroids
pj pj pj pj pj pj pj pj
C. 1 unit of albumin and compression stockings
pj pj pj pj pj pj pj
D. Vasopressors and laparotomy
pj pj pj
E. 1 L of cystalloid and vasopressors if blood pressure does not respond - CORRECT ANSWER -
pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj
E. 1 L of cystalloid and vasopressors if blood pressure does not respond
pj pj pj pj pj pj pj pj pj pj pj pj
Which of the following is MOST RELIABLE to confirm endotracheal intubation?
pj pj pj pj pj pj pj pj pj pj
a. presence of breath sounds bilaterally pj pj pj pj
b. absence of borborygmi in the epigatrium on ascultation pj pj pj pj pj pj pj
, c. presence of CO2 in exhaled air via capnography pj pj pj pj pj pj pj
d. appearance of fog in the endotracheal tube pj pj pj pj pj pj
e. chest xray with endotracheal tube tip appearing above the carina - CORRECT ANSWER -
pj pj pj pj pj pj pj pj pj pj pj pj pj
e. chest xray with endotracheal tube tip appearing above the carina
pj pj pj pj pj pj pj pj pj pj
A 6 month old infant, being held in her mothers arms, is ejected on impact from a vehicle that is struck h
pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj
ead on by an oncoming car traveling at 64kph. The infant arrives in the ED with multiple facial injuries, is l
pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj
ethargic, and is in severe respiratoy distress. Respiratory support is not effective using a bag mask device
pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj
, and her oxygen saturation is falling. Repeated attempts at orotracheal intubation are unsuccessful. the
pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj
most appropriate procedure to perform next is:
pj pj pj pj pj pj
A. Administer heliox and racemic epinephrine pj pj pj pj
B. Perform nasotracheal intubation pj pj
C. Perform surgical cricothyroidotomy pj pj
D. Repeat orotracheal intubation pj pj
E. Perform needle cricothyroidotomy with jet insufflation - CORRECT ANSWER -
pj pj pj pj pj pj pj pj pj
E. Perform needle cricothyroidotomy with jet insufflation
pj pj pj pj pj pj
A 28 year olf male is brought to the ED. He was involved in a fight, during which he was beaten with a wo
pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj
oden stick. His chest shows multiple severe bruises. His arway is clear, resp rate is 22, hear rate 126, and s
pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj
ystolic blood pressure is 90 mmHG. Which of the following should be performed during the primary surv
pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj
ey
a. glasgow coma pj
b. tetanus status pj
c. cervical spine xray pj pj
d. blood alcohol level pj pj
e. rectal exam - CORRECT ANSWER -a. glasgow coma
pj pj pj pj pj pj pj
an 18yo male is brought to the emergency department after being dumped by a large wave while surfin
pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj
g. He landed head first on the firm beach sand. His vital signs are blood pressure 85/60 mmHg,
pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj pj
