ATLS POST 4 TEST ACTUAL QUESTIONS WITH DETAILED ANSWERS
Which of the following is least reliable for diagnosing esophageal intubation? -
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ANSWER✔✔ETT above carina on chest x ray
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Which of the following signs necessitates the need for a definitive airway in sever
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e trauma patient? - ANSWER✔✔Severe maxillofacial trauma
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Twenty seven people are severely injured in an aircraft crash at a local airport.
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The principles of triage include: -
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ANSWER✔✔Produce the greatest number of survivors based on available res
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ources
Which of the following statements are correct? -
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ANSWER✔✔Cerebral contusions may coalesce to form an intracerebral hemat
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oma
The primary indication for transferring a patient to a higher level trauma center i
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s: - ANSWER✔✔Resource limitations as determined by the transferring doctor
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A teenaged bicycle rider is hit by a truck traveling at high speed. In the emergen
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cy department, she is actively bleeding from open fractures of her legs, and has a
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brasions on her chest and abdominal wall. Her blood pressure is 80/50 mm Hg, h
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eart rate is 140 beats per minute, respiratory rate is 8 breaths per minute, and GC
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
S score is 6. The first step in managing this patient is to:
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a) obtain a lateral cervical spine xray. cn cn cn cn cn
b) administer 2 liters of crystalloid solution. cn cn cn cn cn
c) insert a central venous pressure line.
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, d) perform endotracheal intubation and ventilation. - cn cn cn cn cn
ANSWER✔✔D. Perform endotracheal intubation and ventilation
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Which of the following injuries is addressed in the secondary survey? -
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ANSWER✔✔Forearm feavture
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Which of the following statements is true regarding access in pediatric resuscita
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tion? - cn
ANSWER✔✔Good chance you can be delivered through interosseous access
cn cn cn cn cn cn cn cn cn
A 35-year- cn
old female sustained multiple injuries in a motor vehicle vehicle crash was trans
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ferred to a small hospital in full spinal protection. She has a GCS of four is being
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mechanically ventilated. IV access is established and warm Crystalloid is infuse. cn cn cn cn cn cn cn cn cn cn c
She remains hemodynamically normal and full spinal protection is maintained.
n cn cn cn cn cn cn cn cn cn cn
Preparations are made to transfer to another facility for defendant neurosurgica cn cn cn cn cn cn cn cn cn cn
l care. Prior to transport, which of the following test or treatments is mandatory
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? - ANSWER✔✔Chest XR
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A 23-year- cn
old male stabbed below the right nipple. He is alert, and his oxygen is 98%. Che
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
st tube was placed for treatment of hemo pneumothorax. BP 90/60 after one lea
cn cn cn cn cn cn cn cn cn cn cn cn cn
der of crystalline solution. What is the next step in treatment? -
cn cn cn cn cn cn cn cn cn cn cn
ANSWER✔✔Re-examine the chest
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A 22-year- cn
old male is assaulted in a bar. A semi rigid, cervical collar supply, and he is imm
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obilized on a spine board. On initial exam, vital signs are normal, GCS is 15. Wh
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ich of the following is an indication for CT in this patient with possible minor tr
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
aumatic brain injury? - ANSWER✔✔Presence of hemotympanum cn cn cn cn cn cn
Which of the following is least reliable for diagnosing esophageal intubation? -
cn cn cn cn cn cn cn cn cn cn cn
ANSWER✔✔ETT above carina on chest x ray
cn cn cn cn cn cn cn
Which of the following signs necessitates the need for a definitive airway in sever
cn cn cn cn cn cn cn cn cn cn cn cn cn
e trauma patient? - ANSWER✔✔Severe maxillofacial trauma
cn cn cn cn cn cn
Twenty seven people are severely injured in an aircraft crash at a local airport.
cn cn cn cn cn cn cn cn cn cn cn cn cn cn
The principles of triage include: -
cn cn cn cn cn
ANSWER✔✔Produce the greatest number of survivors based on available res
cn cn cn cn cn cn cn cn cn cn
ources
Which of the following statements are correct? -
cn cn cn cn cn cn cn
ANSWER✔✔Cerebral contusions may coalesce to form an intracerebral hemat
cn cn cn cn cn cn cn cn cn
oma
The primary indication for transferring a patient to a higher level trauma center i
cn cn cn cn cn cn cn cn cn cn cn cn cn
s: - ANSWER✔✔Resource limitations as determined by the transferring doctor
cn cn cn cn cn cn cn cn cn
A teenaged bicycle rider is hit by a truck traveling at high speed. In the emergen
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
cy department, she is actively bleeding from open fractures of her legs, and has a
cn cn cn cn cn cn cn cn cn cn cn cn cn cn
brasions on her chest and abdominal wall. Her blood pressure is 80/50 mm Hg, h
cn cn cn cn cn cn cn cn cn cn cn cn cn cn
eart rate is 140 beats per minute, respiratory rate is 8 breaths per minute, and GC
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
S score is 6. The first step in managing this patient is to:
cn cn cn cn cn cn cn cn cn cn cn cn
a) obtain a lateral cervical spine xray. cn cn cn cn cn
b) administer 2 liters of crystalloid solution. cn cn cn cn cn
c) insert a central venous pressure line.
cn cn cn cn cn
, d) perform endotracheal intubation and ventilation. - cn cn cn cn cn
ANSWER✔✔D. Perform endotracheal intubation and ventilation
cn cn cn cn cn cn
Which of the following injuries is addressed in the secondary survey? -
cn cn cn cn cn cn cn cn cn cn cn
ANSWER✔✔Forearm feavture
cn cn
Which of the following statements is true regarding access in pediatric resuscita
cn cn cn cn cn cn cn cn cn cn cn
tion? - cn
ANSWER✔✔Good chance you can be delivered through interosseous access
cn cn cn cn cn cn cn cn cn
A 35-year- cn
old female sustained multiple injuries in a motor vehicle vehicle crash was trans
cn cn cn cn cn cn cn cn cn cn cn cn
ferred to a small hospital in full spinal protection. She has a GCS of four is being
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
mechanically ventilated. IV access is established and warm Crystalloid is infuse. cn cn cn cn cn cn cn cn cn cn c
She remains hemodynamically normal and full spinal protection is maintained.
n cn cn cn cn cn cn cn cn cn cn
Preparations are made to transfer to another facility for defendant neurosurgica cn cn cn cn cn cn cn cn cn cn
l care. Prior to transport, which of the following test or treatments is mandatory
cn cn cn cn cn cn cn cn cn cn cn cn cn
? - ANSWER✔✔Chest XR
cn cn cn
A 23-year- cn
old male stabbed below the right nipple. He is alert, and his oxygen is 98%. Che
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
st tube was placed for treatment of hemo pneumothorax. BP 90/60 after one lea
cn cn cn cn cn cn cn cn cn cn cn cn cn
der of crystalline solution. What is the next step in treatment? -
cn cn cn cn cn cn cn cn cn cn cn
ANSWER✔✔Re-examine the chest
cn cn cn
A 22-year- cn
old male is assaulted in a bar. A semi rigid, cervical collar supply, and he is imm
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
obilized on a spine board. On initial exam, vital signs are normal, GCS is 15. Wh
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
ich of the following is an indication for CT in this patient with possible minor tr
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
aumatic brain injury? - ANSWER✔✔Presence of hemotympanum cn cn cn cn cn cn
