ATLS POST TEST ACTUAL
FINAL EXAM. GRADED A+.
WITH 100% VERIFIED
ANSWERS. REAL EXAM!!!
leakage of amniotic fluid - ANS✔✔-Abdominal trauma in a pregnant patient -->
_________ is an indication for hospital admission.
administer supplemental oxygen - ANS✔✔-What is the first maneuver to improve
oxygenation after chest injury?
9 (eyes = 2, verbal = 2, motor = 5) - ANS✔✔-A 25-year old man, injured in a
MVA, is admitted to the emergency department. His pupils react sluggishly and
his eyes open to painful stimuli. He does not follow commands, but he does
moan periodically. His right arm is deformed and does not respond to painful
stimulus; however, his left hand reaches purposefully toward the painful
stimulus. Both legs are stiffly extended. His GCS score is ________.
decompressing the pneumothorax with a chest tube - ANS✔✔-A simple
pneumothorax can be converted to a tension pneumothorax when a patient is
intubated and positive pressure ventilation is provided before __________.
Foley, FAST exam, x-rays, gastric tubes - ANS✔✔-What are the primary survey
adjuncts?
allergies, meds, past medical history, last meal, events/environment related to
the injury (eg blunt trauma vs penetrating trauma vs thermal injury,
,environmental hazards, etc.) - ANS✔✔-To collect a history, use the acronym
AMPLE:
mechanism (and time) of injury, injuries found/suspected, symptoms and signs,
treatment initiated - ANS✔✔-What does MIST stand for?
Supplementary O2 - ANS✔✔-_______ must be administered to all severely
injured trauma patients.
cuffed tube placed in the trachea, inflated below the vocal cords, connected to
oxygen - ANS✔✔-What is the definition of a definitive airway?
hoarseness (dysphonia), subcutaneous emphysema, palpable fracture - ANS✔✔-
What is the triad of clinical signs indicating laryngeal trauma?
hypoxia, hypercarbia - ANS✔✔-Airway: agitation suggests ________; obtunded
suggests ________.
hypoxic - ANS✔✔-Abusive and belligerent patients may in fact be _______; do
not assume intoxication.
capnography (ETCO2) - ANS✔✔-_______ is the best way to confirm advanced
airway placement.
RR of 40 BPM - ANS✔✔-Which one of the following findings in an adult is most
likely to require immediate management during the primary survey: distended
abdomen, GCS score of 11, deforming of the right thigh, RR of 40 BPM.
placement of an occlusive dressing over the wound - ANS✔✔-The most
important, immediate step in the management of an open pneumothorax is
_________.
history of neurological reaction or severe hypersensitivity to the product -
ANS✔✔-The following are contraindications for tetanus toxoid administration:
history of neurological reaction or severe hypersensitivity to the product, local
side effects, muscular spasms, pregnancy, or all of the above.
, breath sounds - ANS✔✔-A 56-year-old man is thrown violently against the
steering wheel of his truck during a motor vehicle crash. On arrival in the
emergency department, he is diaphoretic and complaining of chest pain. His BP
is 60/40 mm Hg and his RR is 40 breaths per minute. Which of the following best
differentiates cardiac tamponade from tension pneumothorax as the cause of his
hypotension?
the trachea is relatively short - ANS✔✔-Bronchial intubation of the right or left
mainstem bronchus can easily occur during infant ET intubation because
_______.
urgently transfer the patient to the operating room - ANS✔✔-A 23-year-old man
sustains 4 stab wounds to the upper right chest during an altercation and is
brought by ambulance to a hospital that has full surgical capabilities. His wounds
are all above the nipple. He is endotracheally intubated, closed tube
thoracostomy is performed, and 2 liters of crystalloid solution are infused
through 2 large-caliber IVs. His blood pressure is now 60/0 mm Hg. Heart rate is
160 bpm, and RR is 14 breaths per minute (ventilated with 100% O2). 1500 cc
of blood has drained from the right chest. The most appropriate next step in
managing this patient is to ______.
attempt orotracheal intubation using 2 people and inline stabilization of the
cervical spine - ANS✔✔-A 39-year-old man is admitted to the emergency
department after an automobile collision. He is cyanotic, has insufficient
respiratory effort, and has a GCS Score of 6. His full beard makes it difficult to fit
the oxygen facemask to his face. The most appropriate next step is to _______.
flaccidity of the lower extremities and loss of deep tendon reflexes are expected
- ANS✔✔-A patient is brought to the emergency department after a motor
vehicle crash. He is conscious and there is no obvious external trauma. He
arrives at the hospital completely immobilized on a long spine board. His BP is
60/40 mm Hg and his heart rate is 70 beats per minute. His skin is warm. Which
one of the following statements is TRUE?
moist heat - ANS✔✔-What is the most effective method for initially treating
frostbite?
re-examine the chest - ANS✔✔-A 22-year-old man is hypotensive and
tachycardic after a shotgun wound to the left shoulder. His BP is initially 80/40
FINAL EXAM. GRADED A+.
WITH 100% VERIFIED
ANSWERS. REAL EXAM!!!
leakage of amniotic fluid - ANS✔✔-Abdominal trauma in a pregnant patient -->
_________ is an indication for hospital admission.
administer supplemental oxygen - ANS✔✔-What is the first maneuver to improve
oxygenation after chest injury?
9 (eyes = 2, verbal = 2, motor = 5) - ANS✔✔-A 25-year old man, injured in a
MVA, is admitted to the emergency department. His pupils react sluggishly and
his eyes open to painful stimuli. He does not follow commands, but he does
moan periodically. His right arm is deformed and does not respond to painful
stimulus; however, his left hand reaches purposefully toward the painful
stimulus. Both legs are stiffly extended. His GCS score is ________.
decompressing the pneumothorax with a chest tube - ANS✔✔-A simple
pneumothorax can be converted to a tension pneumothorax when a patient is
intubated and positive pressure ventilation is provided before __________.
Foley, FAST exam, x-rays, gastric tubes - ANS✔✔-What are the primary survey
adjuncts?
allergies, meds, past medical history, last meal, events/environment related to
the injury (eg blunt trauma vs penetrating trauma vs thermal injury,
,environmental hazards, etc.) - ANS✔✔-To collect a history, use the acronym
AMPLE:
mechanism (and time) of injury, injuries found/suspected, symptoms and signs,
treatment initiated - ANS✔✔-What does MIST stand for?
Supplementary O2 - ANS✔✔-_______ must be administered to all severely
injured trauma patients.
cuffed tube placed in the trachea, inflated below the vocal cords, connected to
oxygen - ANS✔✔-What is the definition of a definitive airway?
hoarseness (dysphonia), subcutaneous emphysema, palpable fracture - ANS✔✔-
What is the triad of clinical signs indicating laryngeal trauma?
hypoxia, hypercarbia - ANS✔✔-Airway: agitation suggests ________; obtunded
suggests ________.
hypoxic - ANS✔✔-Abusive and belligerent patients may in fact be _______; do
not assume intoxication.
capnography (ETCO2) - ANS✔✔-_______ is the best way to confirm advanced
airway placement.
RR of 40 BPM - ANS✔✔-Which one of the following findings in an adult is most
likely to require immediate management during the primary survey: distended
abdomen, GCS score of 11, deforming of the right thigh, RR of 40 BPM.
placement of an occlusive dressing over the wound - ANS✔✔-The most
important, immediate step in the management of an open pneumothorax is
_________.
history of neurological reaction or severe hypersensitivity to the product -
ANS✔✔-The following are contraindications for tetanus toxoid administration:
history of neurological reaction or severe hypersensitivity to the product, local
side effects, muscular spasms, pregnancy, or all of the above.
, breath sounds - ANS✔✔-A 56-year-old man is thrown violently against the
steering wheel of his truck during a motor vehicle crash. On arrival in the
emergency department, he is diaphoretic and complaining of chest pain. His BP
is 60/40 mm Hg and his RR is 40 breaths per minute. Which of the following best
differentiates cardiac tamponade from tension pneumothorax as the cause of his
hypotension?
the trachea is relatively short - ANS✔✔-Bronchial intubation of the right or left
mainstem bronchus can easily occur during infant ET intubation because
_______.
urgently transfer the patient to the operating room - ANS✔✔-A 23-year-old man
sustains 4 stab wounds to the upper right chest during an altercation and is
brought by ambulance to a hospital that has full surgical capabilities. His wounds
are all above the nipple. He is endotracheally intubated, closed tube
thoracostomy is performed, and 2 liters of crystalloid solution are infused
through 2 large-caliber IVs. His blood pressure is now 60/0 mm Hg. Heart rate is
160 bpm, and RR is 14 breaths per minute (ventilated with 100% O2). 1500 cc
of blood has drained from the right chest. The most appropriate next step in
managing this patient is to ______.
attempt orotracheal intubation using 2 people and inline stabilization of the
cervical spine - ANS✔✔-A 39-year-old man is admitted to the emergency
department after an automobile collision. He is cyanotic, has insufficient
respiratory effort, and has a GCS Score of 6. His full beard makes it difficult to fit
the oxygen facemask to his face. The most appropriate next step is to _______.
flaccidity of the lower extremities and loss of deep tendon reflexes are expected
- ANS✔✔-A patient is brought to the emergency department after a motor
vehicle crash. He is conscious and there is no obvious external trauma. He
arrives at the hospital completely immobilized on a long spine board. His BP is
60/40 mm Hg and his heart rate is 70 beats per minute. His skin is warm. Which
one of the following statements is TRUE?
moist heat - ANS✔✔-What is the most effective method for initially treating
frostbite?
re-examine the chest - ANS✔✔-A 22-year-old man is hypotensive and
tachycardic after a shotgun wound to the left shoulder. His BP is initially 80/40
