ATLS PRACTICE/234 QUESTIONS AND ANSWERS (A+)

Assessed first in trauma patient - √Answer :Airway Quiz :(*)Degree of burn that is characterized by bone involvement - √Answer :Fourth Quiz :Complications of head trauma - √Answer :Intracerebral hematoma Extradural hematoma Brain abscess Quiz :Most common cause of laryngotracheal stenosis - √Answer :Trauma Quiz :Intervention that can help prevent development of acute renal failure - √Answer :Infusion of normal saline Quiz :A 26-year-old male is resuscitated with blood transfusion after a motor vehicle collision that was complicated by a fractured pelvis. A few hours later, the patient becomes febrile, hypotensive with a normal CVP, and oliguric. Upon examination, the patient is found to be bleeding from the NG tube and IV sites. Which of the following is the most likely diagnosis? A. Hemorrhagic shock B. Acute adrenal insufficiency C. Fat embolism syndrome D. Transfusion reaction - √Answer :D. Transfusion reactionQuiz :Skin antiseptic - √Answer :-Ethanol 70% is an effective skin antiseptic -Acetic acid can be used to treat Gram- skin infections -Salicylic acid is used to treat certain skin yeast infections Quiz :Class IV hemorrhage indicates what % blood loss - √Answer :55% Quiz :How does shivering affect body temperature - √Answer :Increases body temperature Quiz :Class III hemorrhage indicates what % of blood loss - √Answer :35% Quiz :Management of a stable patient with kidney contusion - √Answer :Observation Quiz :Associated with hypovolemic shock - √Answer :- Inadequate tissue perfusion with resultant tissue hypoxia -Blood shunting to vital organs -Decreased circulating blood volume and decreased venous return -Low cardiac output -Loss of less than 20% of the blood volume is usually without symptom except for mild tachycardia -Patients become orthostatic with losses between 20 and 40% -Shock is evidenced by tachycardia, hypotension, oliguria, flat neck veinsQuiz :The most effective method of monitoring the success of resuscitation during CPR? - √Answer :Reactivity of pupils to light Quiz :Used to ensure correct placement of endotracheal tube - √Answer :-Ultrasound -Bilateral breath sounds -Sustained end-tidal CO2 Quiz :Total body surface area involved in a burn in an adult to the anterior chest and abdomen - √Answer :18% Quiz :What is often caused by carotid massage? - √Answer :Bradycardia Quiz :Step in a patient diagnosed with tension pneumothorax - √Answer :1. Needle decompression/ thoracotomy 2. Chest tube Quiz :True statements regarding diaphragmatic injuries - √Answer :-Blunt diaphragmatic injuries are usually associated with skeletal trauma -Penetrating diaphragmatic injuries