atls_post_test_2021_questions_and_answers.pdf

ATLSPOST j1




TEST2026
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QUESTIONS
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&
ANSWERS

, ATLS POST TEST 2026 QUESTIONS & ANSWER j1 j1 j1 j1 j1 j1




1. The primary indication for transferring a
j1 j1 j1 j1 j1 4. Which one of the following stat
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patient to a higher level trauma center is:
j1 j1 j1 j1 j1 j1 j1 j1 patients with thoracic spine injur
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unavailability of a surgeon or operating room j1 j1 j1 j1 j1 j1 j 1 j 1 Log-rollingmaybe destab j1 j1 j1




staff. fracturesfromT-1 j1 j1




j1 multiple system injuries, including severe j1 j1 j1 j1 j 1 Adequate immobilizatio j1




head injury. j1 accomplished with the scoop j1 j1 j1




resource limitations as determined by the j1 j1 j1 j1 j1 j 1 Spinal cord injury below T-10 usually j1 j1 j1 j1 j1




transferringdoctor. j1 bowel and bladde j1 j1




resource limitations as determined by the j1 j1 j1 j1 j1 j 1 j 1 Hyperflexionfracturesinth j1 j1 j1




hospitaladministration. j1 thoracicspineareinherentlyu j1 j1 j1 j1




j1 widened mediastinum on chest x-ray j1 j1 j1 j1 j 1 These patients rarely present wit j1 j1 j1 j1




following blunt thoracic trauma. j 1 j 1 j 1 shock in association with c j1 j1 j1 j1




2. teen-aged bicycle rider is hit by a truck j1 j1 j1 j1 j1 j1 j1 5. young man sustains a ritle wou j1 j1 j1 j1 j1




traveling at a high rate of speed. In the
j1 j1 j1 j1 j1 j1 j1 j 1 j1 abdomen. He is brought promptl
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emergency department, she is actively bleeding
j1 j1 j1 j1 j1 j1 emergency department by preho
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from open fractures of her legs, and has
j1 j1 j1 j1 j1 j1 j1 j1 His skin is cool and diaphoretic, a
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abrasions on her chest and abdominal wall. Her
j1 j1 j1 j1 j1 j1 j 1 j1 blood pressure is 58 rnm Hg. War
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blood pressure is 80/50 mm Hg, heart rate is 140
j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 fluids are initiated without impr
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beatsperminute,respiratoryrateis8 breaths
j1 j1 j1 j1 j1 j1 j1 j1 vital signs. The next, most approp
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per minute, and GCS score is 6.
j1 j1 j1 j1 j1 j1 j1 perform:
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The first step in managing this patient is to:
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j 1 an abdomi j1




obtain a lateral cervical spine x-ray. j1 j1 j1 j1 j1 j 1 diagnostic laparo j1




j 1 insert a central venous pressure line. j1 j1 j1 j1 j1 j 1 abdominalultraso j1




j 1 administer 2liters ofcrystalloidsolution. j1 j1 j1 j1 j1 a diagnostic peritone
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j 1 perform endotracheal intubation and j1 j1 j1




ventilation.
apply the PASG and inflate the leg j1 j1 j1 j1 j1 j1
6. young woman sustains a seve j1 j1 j1 j1




compartments. as the result of a motor vehicula
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emergencydepartment,herGCS
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bloodpressureis140/90mmHg
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3. Contraindication to nasogastric intubation is j1 j1 j1 j1 rate is 80 beats per minute. She is
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the presence of a:
j1 j1 j1 j1 beingmechanicallyventilated.H
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gastric perforation. j1 mm in size and equally reactive
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diaphragmaticrupture. j1 no other apparent injury. The m
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j 1 opendepressedskullfracture. j1 j1 j1 principle to follow in the early m
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j 1 fractureofthecervicalspine. j1 j1 j1 j1 her head injury is to:
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j 1 fracture ofthecribriform plate. j1 j1 j1 j1

, aggressively treat systemic hypertension. j1 j1 j1 9.8-year-oldgirlisanunrestrain
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reducemetabolicrequirementsofthe j1 j1 j1 j1 a vehicle struck from behind. In
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brain. department,herbloodpressure
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j1 distinguishbetweenintracranialhematoma j1 j1 j1 heart rate is 80 beats per minute
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and cerebral edema. j1 j1 rateis16breathsperminute. Her
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She complains that her legs feel
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won't move right;" however, h
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7. 22-year-old man is brought to the hospital
do not show a fracture or disloc
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after crashing his motorcycle into a telephone
cord injury in this child:
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pole.Heisunconsciousandinprofoundshock.
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ismostlikelyacentralcordsyn
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He has no open wounds or obvious fractures.
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must be diagnosed by magnetic re j1 j1 j1 j1 j1


The cause of his shock is MOST LIKELY
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j caused by:
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a subdural hematoma.j1 j1 j 1 j 1 j 1

can be excluded by obtaining a CT
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an epidural hematoma. j1 j1 j1

en
j 1 a transected lumbar spinal cord.
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mayexistintheabsenceofobj j1 j1 j1 j1 j1 j1



j 1 a transected cervical spinal cord.
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findings on x-ra j1 j1

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hemorrhage into the chest or abdomen. j1 j1 j1 j1 j1
is unlikely because of the inco
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calcification of the vertebr j 1 j 1 j 1




8. 30-year-old man is struck by a car
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traveling at 56 kph (35 mph). He has obvious
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10. Immediate chest tube inserti j1 j1 j1




fractures of the left tibia near the knee, pain in the
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for which of the following condi
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pelvic area, and severe dyspnea. His heart rate is
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Pne
180 beats per minute, and his respiratory rate is
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j 1 Pneumom
48 breaths per minute with no breath sounds
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j 1 Massive h j1




heard in the left chest. A tension pneumothorax is
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j 1 Diaphragm
relieved by immediate needle decompression and
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tube thoracostomy. Subsequently, his heart rate
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decreases to 140 beats per minute, his
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11. 18-year-old, helmeted moto
respiratory rate decreases to 36 breaths per
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brought by ambulance to the em
minute, and his blood pressure is 80/50 inm Hg.
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department following a high-sp
Warmed Ringer's lactate is administered
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Prehospitalpersormelreporttha
intravenously. The next priority should be to:
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15 meters (50 feet) off his bfice.
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perform a urethrogram and cystogram. j1 j1 j1 j1


ofhypotensionprior to arrivalin
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j 1 perform external fixation of the pelvis. j1 j1 j1 j1 j1


department, but is now awake, al
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j 1 obtainabdominalandpelvicCTscans. j1 j1 j1 j1 j1


conversational. Which of the fol
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j 1 perform arterial embolization of the pelvic j1 j1 j1 j1 j1


statements is TRUE?
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vessels.