Atls Test Exam (Questions And Answers) Verrified Exam

ATLS TEST EXAM (QUESTIONS AND ANSWERS) VERRIFIED EXAM When something crashes in secondary survey, you... - CORRECT ASWER-GO BACK TO PRIAMRY SURVEY If the question says you do not have capabilities, you will most likely - CORRECT ASWER-PREPARE FOR AND DO NOT DELAY TRANSPORT How much blood can femur lose - CORRECT ASWER-2L What is always going to be the shock type to pick - CORRECT ASWER-Hemorrhagic What are the classes of hemorrhagic shock - CORRECT ASWER-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 ASWER-Narrowed pulse pressure in class 2 What will be base deficit for class 2 shock? - CORRECT ASWER--2 to -6 meQ What will be the deficit for class 4? - CORRECT ASWER--10 or less When will urine output start to decrease in shock? - CORRECT ASWER-Class 3 and 4 When does BP start to fall in shock - CORRECT ASWER-Class 3 What is GCS? - CORRECT ASWER-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 ASWER-TBI Hemorrhagic shock Why do you want to put in chest tube before needle decompression? - CORRECT ASWER-SIMPLE PTX can turn into TENSION PTX When is DPL useful over fast? - CORRECT ASWER-No ultrasound available. What is LEMON for airway patency - CORRECT ASWER-Look Evaluate Malay-ATI Obstruction Neck mobility What is DEFINITIVE airway? - CORRECT ASWER-Tube in trachea BELOW vocal cords WHEN is surgical airway indicated? - CORRECT ASWER-When you CANNOT do any other form of airway (2 attempts typically) What is contraindicated with suspicion of basilar skull frx? - CORRECT ASWER-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 ASWERPANCREATIC injury Organ tear is more common with? - CORRECT ASWER-Penetrating injury What type of pelvic fracture is binder indicated in - CORRECT ASWER-Open book If there is BLOOD at the meatus, then what do you need to do? - CORRECT ASWERRUG 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 ASWER-EMERGENT laparotomy What lab value is good for assessing hydration in burn patient? - CORRECT ASWERURINE OUTPUT How do you determine difference between PTX and tamponade? - CORRECT ASWERBREATH SOUNDS Blowing air leak on chest tube is sign of? - CORRECT ASWER-TRACHEOBRONCHIAL RUPTURE Bowel sounds on chest auscultation are reflective of - CORRECT ASWER-Diaphragm injury Apical capping and widened mediastinum are reflective of what? - CORRECT ASWERAortic trauma Circumferential burn? - CORRECT ASWER-Escharotomy What is main goal of priamry brain injury? - CORRECT ASWER-Preventing secondary brain injury 2 big causes of secondary brain injury? - CORRECT ASWER-HYPOVOLEMIA and HYPOXEMIA Girl falls on her head, loses consciousness, and is now unstable. What kind of hematoma is this? - CORRECT ASWER-EPIDURAL, *lucid interval* is common between time of injury and presentation What is more common, subdural or epidural - CORRECT ASWER-Subdural What is considered mid TBI? - CORRECT ASWER-13-15 T/o secondary management of mild TBI? - CORRECT ASWER-CT repeat if first is abnormal OR GCS persists at under 15. Serial exams Initial management of TBI? - CORRECT ASWER-elevate head NS (3%) Indications of transport to higher Level of care with TBI? - CORRECT ASWERWorsening GCS, GCS 8. Lesions on CT Above what level can you get neurogenic shock - CORRECT ASWER-T6 Description of neurogenic shock patient? - CORRECT ASWER- What is bulbovesicular reflex indicative of? - CORRECT ASWER-NOT qualify as sacral sparing. If there is ANY motor or sensory function below level of injury, constitutes as incomplete injury and should be documented appropriately T/F: Stridor is LATE finding of airway damage in burn pt? - CO