ATLS Pretest + Modules
Study online at https://quizlet.com/_j51bsd
1. complete spine x-ray series A construction worker falls
two stories from a build-
ing and sustains bilater-
al calcaneal fractures. In
the emergency depart-
ment, he is alert, vital
signs are normal, and he
is complaining of severe
pain in both heels and his
lower back. Lower extrem-
ity pulses are strong and
there is no other deformi-
ty. The suspected diagno-
sis is most likely to be con-
firmed by:
2. An ABG would demonstrate a base deficit between -6 A previously healthy, 70-kg
and -10 mEq/L. (154-pound) man suffers
an estimated acute blood
loss of 2 liters. Which
one of the following state-
ments applies to this pa-
tient?
3. increasing the volume of blood loss to produce mater- The physiological hyperv-
nal hypotension olemia of pregnancy has
clinical significance in
the management of the
severely injured, gravid
woman by:
4. evidence of inadequate organ perfusion
, ATLS Pretest + Modules
Study online at https://quizlet.com/_j51bsd
The diagnosis of shock
must include:
5. direct pressure on the wound A 7-year-old boy is
brought to the emergency
department by his parents
several minutes after he
fell through a window. He
is bleeding profusely from
a 6-cm wound of his me-
dial right thigh. Immedi-
ate management of the
wound should consist of:
6. perform an exploratory laparotomy After being involved in
a motor vehicle crash,
a 25-year-old man is
brought to a hospital that
has surgery capabilities
available.. Computed to-
mography of the chest
and abdomen shows an
aortic injury and splenic
laceration with free ab-
dominal fluid. His blood
pressure falls to 70 mm Hg
after CT. The next step is:
7. Leakage of amniotic fluid is an indication for hospital Which one of the follow-
admission. ing statements regarding
abdominal trauma in the
pregnant patient is TRUE?
, ATLS Pretest + Modules
Study online at https://quizlet.com/_j51bsd
8. administer supplemental oxygen The first maneuver to im-
prove oxygenation after
chest injury is:
9. perform needle or finger decompression of the right A 20-year-old woman who
chest is at 32 weeks gestation,
is stabbed in the upper
right chest. In the emer-
gency department, her
blood pressure is 80/60
mm Hg. She is gasping
for breath, extremely anx-
ious, and yelling for help.
Breath sounds are dimin-
ished in the right chest.
The most appropriate first
step is to:
10. breath sounds A 56-year-old man is
thrown violently against
the steering wheel of his
truck during a motor ve-
hicle crash. On arrival in
the emergency depart-
ment he is diaphoretic
and complaining of chest
pain. His blood pressure is
60/40 mm Hg and his res-
piratory rate is 40 breaths
per minute. Which of the
following best differenti-
ates cardiac tamponade
, ATLS Pretest + Modules
Study online at https://quizlet.com/_j51bsd
from tension pneumotho-
rax as the cause of his hy-
potension?
11. urgently transfer the patient to the operating room A 23-year-old man sus-
tains 4 stab wounds to
the upper right chest dur-
ing an altercation and is
brought by ambulance to
a hospital that has full
surgical capabilities. His
wounds are all above the
nipple. He is endotra-
cheally intubated, closed
tube thoracostomy is per-
formed, fluid resuscita-
tion is initiated through
2 large-caliber IVs. FAST
exam does not reveal in-
traabdominal injuries. His
blood pressure now is
60/0 mm Hg, heart rate
is 160 beats per minute,
and respiratory rate is 14
breaths per minute (ven-
tilated with 100% O2).
1500 mL of blood has
drained from the right
chest. The most appropri-
ate next step in managing
this patient is to:
Study online at https://quizlet.com/_j51bsd
1. complete spine x-ray series A construction worker falls
two stories from a build-
ing and sustains bilater-
al calcaneal fractures. In
the emergency depart-
ment, he is alert, vital
signs are normal, and he
is complaining of severe
pain in both heels and his
lower back. Lower extrem-
ity pulses are strong and
there is no other deformi-
ty. The suspected diagno-
sis is most likely to be con-
firmed by:
2. An ABG would demonstrate a base deficit between -6 A previously healthy, 70-kg
and -10 mEq/L. (154-pound) man suffers
an estimated acute blood
loss of 2 liters. Which
one of the following state-
ments applies to this pa-
tient?
3. increasing the volume of blood loss to produce mater- The physiological hyperv-
nal hypotension olemia of pregnancy has
clinical significance in
the management of the
severely injured, gravid
woman by:
4. evidence of inadequate organ perfusion
, ATLS Pretest + Modules
Study online at https://quizlet.com/_j51bsd
The diagnosis of shock
must include:
5. direct pressure on the wound A 7-year-old boy is
brought to the emergency
department by his parents
several minutes after he
fell through a window. He
is bleeding profusely from
a 6-cm wound of his me-
dial right thigh. Immedi-
ate management of the
wound should consist of:
6. perform an exploratory laparotomy After being involved in
a motor vehicle crash,
a 25-year-old man is
brought to a hospital that
has surgery capabilities
available.. Computed to-
mography of the chest
and abdomen shows an
aortic injury and splenic
laceration with free ab-
dominal fluid. His blood
pressure falls to 70 mm Hg
after CT. The next step is:
7. Leakage of amniotic fluid is an indication for hospital Which one of the follow-
admission. ing statements regarding
abdominal trauma in the
pregnant patient is TRUE?
, ATLS Pretest + Modules
Study online at https://quizlet.com/_j51bsd
8. administer supplemental oxygen The first maneuver to im-
prove oxygenation after
chest injury is:
9. perform needle or finger decompression of the right A 20-year-old woman who
chest is at 32 weeks gestation,
is stabbed in the upper
right chest. In the emer-
gency department, her
blood pressure is 80/60
mm Hg. She is gasping
for breath, extremely anx-
ious, and yelling for help.
Breath sounds are dimin-
ished in the right chest.
The most appropriate first
step is to:
10. breath sounds A 56-year-old man is
thrown violently against
the steering wheel of his
truck during a motor ve-
hicle crash. On arrival in
the emergency depart-
ment he is diaphoretic
and complaining of chest
pain. His blood pressure is
60/40 mm Hg and his res-
piratory rate is 40 breaths
per minute. Which of the
following best differenti-
ates cardiac tamponade
, ATLS Pretest + Modules
Study online at https://quizlet.com/_j51bsd
from tension pneumotho-
rax as the cause of his hy-
potension?
11. urgently transfer the patient to the operating room A 23-year-old man sus-
tains 4 stab wounds to
the upper right chest dur-
ing an altercation and is
brought by ambulance to
a hospital that has full
surgical capabilities. His
wounds are all above the
nipple. He is endotra-
cheally intubated, closed
tube thoracostomy is per-
formed, fluid resuscita-
tion is initiated through
2 large-caliber IVs. FAST
exam does not reveal in-
traabdominal injuries. His
blood pressure now is
60/0 mm Hg, heart rate
is 160 beats per minute,
and respiratory rate is 14
breaths per minute (ven-
tilated with 100% O2).
1500 mL of blood has
drained from the right
chest. The most appropri-
ate next step in managing
this patient is to:
