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Exam (elaborations)

Advanced Trauma Life Support (ATLS) – Test 1 – Complete Updated Solution Guide

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This document contains the updated and complete solution for Test 1 of the Advanced Trauma Life Support (ATLS) course. It includes 40 multiple-choice questions with detailed answer explanations covering core trauma management topics such as airway management, shock, thoracic injuries, and head trauma. The solutions reflect current ATLS guidelines and are ideal for test preparation or course review.

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Institution
Module

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Uploaded on
May 15, 2024
Number of pages
49
Written in
2023/2024
Type
Exam (elaborations)
Contains
Questions & answers

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ATLS Test 1 New
updat
e with
compl
ete
solutio
n

, ATLS Test 1 New update with complete
solution

A 22-year-old man is hypotensive and tachycardic after a shotgun wound to the left
shoulder. His blood 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:

Select one:

a.

reexamine the

chest b.

perform an

aortogram c.

obtain a CT scan of the

chest d.

obtain arterial blood gas

analyses e.

perform transesophageal echocardiography - answerA) Reexamine the chest



A construction worker 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:

Select

one: a.


ATLS Test 1 New update with complete
solution

, ATLS Test 1 New update with complete
solution

angiograp

hy




ATLS Test 1 New update with complete
solution

, ATLS Test 1 New update with complete
solution

b.

compartment

pressures c.

retrograde

urethrogram d.

Doppler ultrasound

studies e.

complete spine x-ray series - answere) Complete spine x-ray series



Which of the following is true regarding the initial resuscitation of a

trauma patient? Select one:

a.

A patient that presents with a torso gunshot wound and is hypotensive should
receive crystalloid fluid resuscitation until the blood pressure is normal

b.

Evidence of improved perfusion after fluid resuscitation could include improvement
in Glasgow coma scale score on reevaluation

c.

Massive transfusion is defined as transfusion of more than >10 of packed red blood
cells and plasma in 24 hours

d.

When tranexamic acid is administered by pre-hospital providers a second dose is
required within 24 hours



ATLS Test 1 New update with complete
solution

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