POST ATLS TEST REVIEW

POST ATLS TEST REVIEW Q: A 42-year-old man is trapped from the waist down beneath his overtumed tractor for several hours before medical assistance arrives. He is awake and alert until just before arriving in the emergency department. He is now unconscious and responds only to painful stimuli by moaning. His pupils are 3 mm in diameter and symmetrically reactive to light. Prehospital personnel indicate that they have not seen the patient move either of his lower extremities. On examination in the emergency department, no movement of his lower extremities is detected, even in response to painful stimuli. The most likely cause for this fmding is A: an epidural hematoma. a pelvic fracture. central cord syndrome. intracerebral hemorrhage. (E) bilateral compartment syndrome. Q: Twenty-seven patients are seriously injured in an aircraft accident at a local airport. The basic principle of triage should be to A: treat the most severely injured patients first. establish a field triage area directed by a doctor. rapidly transport all patients to the nearest appropriate hospital. treat the greatest number of patients in the shortest period of time. produce the greatest number of survivors based on available resources Q: The response to catecholamines in an injured, hypovolemic pregnant woman can be expected to result in A: placental abruption. fetal hypoxia and distress. fetal/maternal dysrhythmia. improved uterine blood flow. increased maternal renal blood flow.