ATLS PRE TEST 1 – 4 Q U I Z / ATLS PRE TEST 1 – 4 E X A M / 3 2 0 QUESTIONS AND CORRECT ANSWERS GRADED A+

A 30-year-old man sustains a severely comminuted, open, distal right femur fracture in a motorcycle crash. The wound is actively bleeding. Normal sensation is present over the lateral aspect of the foot but decreased over the medial foot and great toe. Normal motion of the foot is observed. Dorsalis pedis and posterior tibial pulses are easily palpable on the left, but heard only by Doppler on the right. Immediate efforts to improve circulation to the injured extremity should involve: A. Immediate angiography B. Tamponade of the wound with a pressure dressing C. Wound exploration and removal of bony fragments D. Realignment of the fracture segments with a traction splint E. Fasciotomy of all four compartments in the lower extremity -ANSWER- B. Tamponade of the wound with a pressure dressing An 18-yeard-old, unhelmeted motorcyclist