Advanced Trauma Life Support -ATLS Post EXAM
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In managing the head-injury patient, the most important initial step is to:
A. Secure the airway
B. Obtain c-spine film
C. Support the circulation
D. Control scalp hemorrhage
E. Determine GCS score - answer>>A. Secure the airway
Initial resuscitation in adult patient should:
A. Be with 1-2L of crystalloid, monitorin the patients response
B. Use crystalloid to normalize BP
C. Use permissive hypotension in patients with head injury
D. Be with a non blood colloid solution
E. Be a minimum of 2L Crystalloid in all trauma patient prior to adminstering blood - answer>>A. Be
with 1-2L of crystalloid, monitoring the patients response
Initial treatment of frostbite injuries involves:
A. application of dry heat
B. Debridement of hemorrhagic blisters
C. Early amputation to prevent septic complications
D Rapid rewarming of the body part in circulation warm water
E. Massage of the affected area - answer>>D Rapid rewarming of the body part in circulation warm
water
Lateral cervical spine film:
,A. Must be performed in the primary survey
B. Can exclude any significant spinal injury
C. Are indicated in all trauma patients
D. Should be combined with clinical exam, AP and odontoid, or CT
E. Require the following films: oblique views, AP, odontoid and flexion extention views prior to spinal
clearance in trauma patients - answer>>D. Should be combined with clinical exam, AP and odontoid, or
CT
Limb-threatening extremity injuries:
A. Require a torniquet
B. Should be defintively managed by application of a traction split.
C. Are rarely present without an open wound
D. Are characterized by the presence of ischemic or crushed tissue.
E. Indicate a different order or priorities for the patients initial assessment and resuscitation. -
answer>>B. Should be defintively managed by application of a traction split.
Neurogenic shock has all of the following classic characteristics except which one:
A. Hypotension
B. Vasodilatation
C. Bradycardia
D. Neurologic deficit
E. Narrowed pulse pressure - answer>>E. Narrowed pulse pressure
Prior to passage of urinary catheter in a man, it is essential to:
A. Examine the abdomen
B. Determine pelvic stability
C. Examine the rectum and perineum
D. Perform a retrograde urethrogram
,E. Know the history and mechanism of injury - answer>>C. Examine the rectum and perineum
Regarding shock in the child, which of the following is FALSE?
A. Vital signs are age-related
B. Children have greater physiologic reserves than do adults
C. Tachycardia is the primary physiologic response to hypervolemia
D. The absolute volume of blood loss required to produce shock is the same as in adults
E. An initial fluid bolus for resuscitation should approximate 20ml/kg of Ringers lactate - answer>>D.
The absolute volume of blood loss required to produce shock is the same as in adults
Regarding shock in the child, which of the following is FALSE?
A. Vital signs are age-related
B. Children have greater physiologic reserves than do adults
C. Tachycardia is the primary physiologic response to hypovolemia
D. The absolute volume of blood loss required to produce shock is the same as in adults
E. An initial fluid bolus for resuscitation should approximate 20ml/kg Ringers Lactate - answer>>D. The
absolute volume of blood loss required to produce shock is the same as in adults
Signs and symptoms of airway compromise include all of the following, EXCEPT:
A. change in voice
B. Stridor
C. Tachypnea
D. Dyspnea and agitation
E. Decreased pulse pressure - answer>>E. Decreased pulse pressure
Supraglottic airway devices:
A. Are equivalent to endotracheal intubation
B. Require neck extension for proper placement
, C. Are preferable to endotracheal intubation in a patient who cannot lie flat
D. Are of value as part of a difficult or failed intubation plan
E. Provide one form of definitive airway - answer>>D. Are of value as part of a difficult or failed
intubation plan
Systolic blood pressure starts to decrease in which class of hemorrhage?
A. Class 0
B. Class 1
C. Class 2
D. Class 3
E. Class 4 - answer>>C. Class 2
Tension pneumothorax can be caused by:
A. Flail chest
B. Cardiac tamponade
C. Clamping of a chest tube
D. All of the above - answer>>D. All of the above
The best guide for adequate fluid resuscitation of the burn patient is:
A. Adequate urinary output
B. Reversal of systemic acidosis
C. Normalization of the heart rate
D. A normal central venous pressure
E. 4ml/kg/percent body burn/24 hours - answer>>A. Adequate urinary output
The driver of a single car crash is orotracheally intubated in the field by prehospital personnel after
they identify a closed head injury and determine that the patient is unable to protect his airway. In the
ED, the patient demonstrate decorticate posturing bilaterally. He is being ventilated with a bag-valve
device, but his breath sounds are absent in the left hemithorax. His blood pressure is 160/80mmHg,
LATEST 180 QUESTIONS AND 100% Verified ANSWERS
JUST RELEASED
In managing the head-injury patient, the most important initial step is to:
A. Secure the airway
B. Obtain c-spine film
C. Support the circulation
D. Control scalp hemorrhage
E. Determine GCS score - answer>>A. Secure the airway
Initial resuscitation in adult patient should:
A. Be with 1-2L of crystalloid, monitorin the patients response
B. Use crystalloid to normalize BP
C. Use permissive hypotension in patients with head injury
D. Be with a non blood colloid solution
E. Be a minimum of 2L Crystalloid in all trauma patient prior to adminstering blood - answer>>A. Be
with 1-2L of crystalloid, monitoring the patients response
Initial treatment of frostbite injuries involves:
A. application of dry heat
B. Debridement of hemorrhagic blisters
C. Early amputation to prevent septic complications
D Rapid rewarming of the body part in circulation warm water
E. Massage of the affected area - answer>>D Rapid rewarming of the body part in circulation warm
water
Lateral cervical spine film:
,A. Must be performed in the primary survey
B. Can exclude any significant spinal injury
C. Are indicated in all trauma patients
D. Should be combined with clinical exam, AP and odontoid, or CT
E. Require the following films: oblique views, AP, odontoid and flexion extention views prior to spinal
clearance in trauma patients - answer>>D. Should be combined with clinical exam, AP and odontoid, or
CT
Limb-threatening extremity injuries:
A. Require a torniquet
B. Should be defintively managed by application of a traction split.
C. Are rarely present without an open wound
D. Are characterized by the presence of ischemic or crushed tissue.
E. Indicate a different order or priorities for the patients initial assessment and resuscitation. -
answer>>B. Should be defintively managed by application of a traction split.
Neurogenic shock has all of the following classic characteristics except which one:
A. Hypotension
B. Vasodilatation
C. Bradycardia
D. Neurologic deficit
E. Narrowed pulse pressure - answer>>E. Narrowed pulse pressure
Prior to passage of urinary catheter in a man, it is essential to:
A. Examine the abdomen
B. Determine pelvic stability
C. Examine the rectum and perineum
D. Perform a retrograde urethrogram
,E. Know the history and mechanism of injury - answer>>C. Examine the rectum and perineum
Regarding shock in the child, which of the following is FALSE?
A. Vital signs are age-related
B. Children have greater physiologic reserves than do adults
C. Tachycardia is the primary physiologic response to hypervolemia
D. The absolute volume of blood loss required to produce shock is the same as in adults
E. An initial fluid bolus for resuscitation should approximate 20ml/kg of Ringers lactate - answer>>D.
The absolute volume of blood loss required to produce shock is the same as in adults
Regarding shock in the child, which of the following is FALSE?
A. Vital signs are age-related
B. Children have greater physiologic reserves than do adults
C. Tachycardia is the primary physiologic response to hypovolemia
D. The absolute volume of blood loss required to produce shock is the same as in adults
E. An initial fluid bolus for resuscitation should approximate 20ml/kg Ringers Lactate - answer>>D. The
absolute volume of blood loss required to produce shock is the same as in adults
Signs and symptoms of airway compromise include all of the following, EXCEPT:
A. change in voice
B. Stridor
C. Tachypnea
D. Dyspnea and agitation
E. Decreased pulse pressure - answer>>E. Decreased pulse pressure
Supraglottic airway devices:
A. Are equivalent to endotracheal intubation
B. Require neck extension for proper placement
, C. Are preferable to endotracheal intubation in a patient who cannot lie flat
D. Are of value as part of a difficult or failed intubation plan
E. Provide one form of definitive airway - answer>>D. Are of value as part of a difficult or failed
intubation plan
Systolic blood pressure starts to decrease in which class of hemorrhage?
A. Class 0
B. Class 1
C. Class 2
D. Class 3
E. Class 4 - answer>>C. Class 2
Tension pneumothorax can be caused by:
A. Flail chest
B. Cardiac tamponade
C. Clamping of a chest tube
D. All of the above - answer>>D. All of the above
The best guide for adequate fluid resuscitation of the burn patient is:
A. Adequate urinary output
B. Reversal of systemic acidosis
C. Normalization of the heart rate
D. A normal central venous pressure
E. 4ml/kg/percent body burn/24 hours - answer>>A. Adequate urinary output
The driver of a single car crash is orotracheally intubated in the field by prehospital personnel after
they identify a closed head injury and determine that the patient is unable to protect his airway. In the
ED, the patient demonstrate decorticate posturing bilaterally. He is being ventilated with a bag-valve
device, but his breath sounds are absent in the left hemithorax. His blood pressure is 160/80mmHg,
