ATLS FULL TESTS WITH COMPLETE SOLUTION

ATLS FULL TESTS WITH COMPLETE SOLUTION When something crashes in secondary survey, you... - CORRECT ANSWERS GO BACK TO PRIAMRY SURVEY If the question says you do not have capabilities, you will most likely - CORRECT ANSWERS PREPARE FOR AND DO NOT DELAY TRANSPORT How much blood can femur lose - CORRECT ANSWERS 2L What is always going to be the shock type to pick - CORRECT ANSWERS Hemorrhagic What are the classes of hemorrhagic shock - CORRECT ANSWERS 0-15% is class 1 15-30 is class 2 30-40% is class 3 >40% is class 4 What is the EARLIEST predictor of shock at what class - CORRECT ANSWERS Narrowed pulse pressure in class 2 What will be base deficit for class 2 shock? - CORRECT ANSWERS -2 to -6 meQ What will be the deficit for class 4? - CORRECT ANSWERS -10 or less When will urine output start to decrease in shock? - CORRECT ANSWERS Class 3 and 4 When does BP start to fall in shock - CORRECT ANSWERS Class 3 What is GCS? - CORRECT ANSWERS E-4 V-5 M-6 Eye spont 4 To command 3 To pain 2 None 1 Verbal spont is 5 Verbal confused is 4 Inappropriate 3 Garbling is 2 None is 1 Motor spont is 6 Localize pain is 5 Withdrawal pain is 4 Decorticating (flexion) is 3 Decebrate (extension) is 2 None is 1 Two main reasons to think about why GCS goes down? - CORRECT ANSWERS TBI Hemorrhagic shock Why do you want to put in chest tube before needle decompression? - CORRECT ANSWERS SIMPLE PTX can turn into TENSION PTX When is DPL useful over fast? - CORRECT ANSWERS No ultrasound available. What is LEMON for airway patency - CORRECT ANSWERS Look Evaluate Malay-ATI Obstruction Neck mobility What is DEFINITIVE airway? - CORRECT ANSWERS Tube in trachea BELOW vocal cords WHEN is surgical airway indicated? - CORRECT ANSWERS When you CANNOT do any other form of airway (2 attempts typically) What is contraindicated with suspicion of basilar skull frx? - CORRECT ANSWERS OPA, put in gastric tube for suction because it can go through up into cranium thru cribiform plate Peds kid with bicycle trauma is most likely goin to be? - CORRECT ANSWERS PANCREATIC injury Organ tear is more common with? - CORRECT ANSWERS Penetrating injury What type of pelvic fracture is binder indicated in - CORRECT ANSWERS Open book If there is BLOOD at the meatus, then what do you need to do? - CORRECT ANSWERS RUG first, because if you do a cyst gram you will be spilling into the abd cavity If patient is unstable, free air/blood on CT, peritoneal signs yield what? - CORRECT ANSWERS EMERGENT laparotomy What lab value is good for assessing hydration in burn patient? - CORRECT ANSWERS URINE OUTPUT How do you determine difference between PTX and tamponade? - CORRECT ANSWERS BREATH SOUNDS Blowing air leak on chest tube is sign of? - CORRECT ANSWERS TRACHEOBRONCHIAL RUPTURE Bowel sounds on chest auscultation are reflective of - CORRECT ANSWERS Diaphragm injury Apical capping and widened mediastinum are reflective of what? - CORRECT ANSWERS Aortic trauma Circumferential burn? - CORRECT ANSWERS Escharotomy What is main goal of priamry brain injury? - CORRECT ANSWERS Preventing secondary brain injury 2 big causes of secondary brain injury? - CORRECT ANSWERS HYPOVOLEMIA and HYPOXEMIA Girl falls on her head, loses consciousness, and is now unstable. What kind of hematoma is this? - CORRECT ANSWERS EPIDURAL, *lucid interval* is common between time of injury and presentation What is more common, subdural or epidural - CORRECT ANSWERS Subdural What is considered mid TBI?