ATLS Pre-Test Examination NEWEST A+ GRADED

Question:1 A 22-year-old man is hypotensive and tachycardic after a shotgun wound to the left shoulder. Hisblood pressure is initially 80/40 mm Hg. After 2 liters of crystalloid solution his blood pressure increases to122/84 mm Hg. His heart rate is now 100 beats per minute and his respiratory rate is 28 breaths per minute.His breath sounds are decreased in the left hemithorax, and after initial IV fluid resuscitation, a closed tubethoracostomy is performed for decreased left breath sounds with the return of a small amount of blood and noair leak. After chest tube insertion, the most appropriate next step isA) reexamine the chest.B) perform an aortogram.C) obtain a CT scan of the chest.D) obtain arterial blood gas analysesE) perform transesophageal echocardiography.Question:2 A construction worker falls two stories from a building and sustains bilateral calcaneal fractures.In the emergency department, he is alert, vital signs are normal, and he is complaining of severe pain in bothheels and his lower back. Lower extremity pulses are strong and there is no other deformity. The suspecteddiagnosis is most likely to be confirmed byA) angiography.B) compartment pressuresC) retrograde urethrogramD) Doppler-ultrasound studies.E) complete spine x-ray series.Question:3 The principle of balanced resuscitation is:A) Permissive hypotension and early plasma infusionB) Equal amounts of crystalloid and colloidsC) Simultaneous management of breathing