ATLS Practice questions with complete solutions.

ATLS Practice questions with complete solutions. Definitive scontrol sof sthe sairway sis sachieved sby s____________ s- s s s scorrect sanswer s: sEndotracheal sintubation How sdo syou streat shypothermia sin sthe sED? s- s s s scorrect sanswer s: scrystalloid sfluids sat s102.2 sdegrees sF sand swarmed streatment sarea What sdoes sdefinitive shemorrhage scontrol srefer sto? (3) s- s s s scorrect sanswer s: s1) sPossible ssurgery 2) sStabilizing sof spelvis 3) sAngioembolization What sare srates sof sfluid sadministration smeasured sby? s- s s s scorrect sanswer s: sSize sand slength sof scatheter Minimum sflow srate sof soxygen sreservoir smask s- s s s scorrect sanswer s: s11 sL/min MCC sof sshock sin strauma spt s- s s s scorrect sanswer s: sHypovolemia sdue sto shemorrhage Describe sthe s3 sfor s1 srule s- s s s scorrect sanswer s: sReplace seach smL sof sblood sloss swith s3 sml sof scrystalloid ssolution What smetabolic sstate scan sresult sfrom scontinued shemorrhage sor sdecreased sperfusion? s- s s s scorrect sanswer s: sMetabolic sacidosis In swhat ssurvey, sprimary sor ssecondary, sare sthese sidentified? 1) sSimple sPTX 2) sPulmonary scontusion 3) sTraumatic saortic sdisruption s- s s s scorrect sanswer s: sSecondary s Via sthorough sPE, sCXR, spulse sox, sECG sand sABG What simaging sstudy sis spreferred sfor spenetrating sabdominal strauma? s- s s s scorrect sanswer s: sCT What scan sFAST srapidly sdiagnose? s- s s s scorrect sanswer s: sAbdominal shemorrhage When sis sa slaparotomy sindicated? s- s s s scorrect sanswer s: sFascial spenetration swith sintraperitoneal sbleeding sor speritonitis What sdoes sthe sMonro sKellie sdoctrine sdescribe? s- s s s scorrect sanswer s: sThe srelationship sbetween sIC svolume sand spressure Normal sresting sICP s- s s s scorrect sanswer s: s10 smm sHg How sdo syou sreduce selevated sICP? s- s s s scorrect sanswer s: sMannitol sin sa s20% ssolution How sdo syou stemporarily scontrol spelvic shemorrhage sand sinstability? s- s s s scorrect sanswer s: sInternal straction sand sexternal scounter-pressure How sdo syou sinitially smanage smajor sarterial sinjury? s- s s s scorrect sanswer s: sDirect spressure sand sfluid sresuscitation Full sthickness sburn s- s s s scorrect sanswer s: sThird sdegree sburn What sis sused sto sestimate sthe ssize sand sdepth sof sburns? s- s s s scorrect sanswer s: sRule sof s9's s Head= s9% Each sarm=9% Front sTrunk= s18% Back sTrunk= s18% Upper sleg= s9% Lower sleg= s9% What stype sof sburns sappear swet sand sblistered? s- s s s scorrect sanswer s: sPartial sthickness sburns s(second sdegree) How sdo syou streat sCO sexposed spt? s- s s s scorrect sanswer s: s100% soxygen sflow sthrough snon sre-breather smask What sis sa sreliable smeasure sof scirculating sblood svolumes sin sburn spatients? s- s s s scorrect sanswer s: sHourly surine soutput s *Goal= s0.5-1.0 sml/kg sbody sweight* Hospital sadmission scriteria sfor sburn spt s (8) s- s s s scorrect sanswer s: s1) sPartial-thickness sburns sgreater sthan s10% stotal sBSA s(TBSA) 2) sFull-thickness sburns sgreater sthan s2% sTBSA 3) sBurns sinvolving sthe sface, shands, sgenitalia, sperineum, sor smajor sjoints 4) sCircumferential sextremity sburns 5) sAll shigh-voltage selectrical sburns, sincluding slightning sinjury--Admission sof slow-voltage selectrical sburns sis sselective 6) sChemical sburns 7) sInhalation sinjury 8) sBurn sinjuries sin spatients swith spreexisting smedical sdisorders sthat scould scomplicate smanagement, sprolong srecovery, sor saffect smortality s(eg, sdiabetes, simmunosuppression) Parkland sFormula sfor sFluid sResuscitation sin sBurn spt s- s s s scorrect sanswer s: s3-4 smL sRinger slactate sX sweight s(kg) sX s%TBSA sburned s(second-degree sand sthird sdegree); s *half sadministered sover sthe sfirst s8 shours* s(from stime sof sinjury),* sremaining shalf sadministered sover sthe snext s16 shours* What sinjuries smay snecessitate sinter-hospital stransfer? (3) s- s s s scorrect sanswer s: s1) sHead sor sspinal scord strauma 2) sPulmonary scontusions 3) sSevere sburns s *consider stime sbetween sinjury sand sdefinitive scare sas swell sas sresources savailable sat slocal sfacilities* A s34 syear sold sman sis sinjured sin sa smotor svehicle scollision. sPhysical sexamination sis snormal except sfor sdiffuse sabdominal stenderness. sHe sis sconscious sand svital ssigns sobtained senroute sto sthe shospital sare srespirations s20 sper s,minute, spulse srate sis s120 sper sminute sblood spressure s100/60; sHow sshould sthis spatient sbe smanaged sin sthe sfield? A. sIntravenous sfluid sat sa s"keep sopen" srate B. sIntravenous sfluid sat s20 sml/kg sbolus C. sFentanyl s100 smcg sintravenous D. sInsert san soropharyngeal sairway sand sassist sventilations s- s s s scorrect sanswer s: sA. sIntravenous sfluid sat sa s"keep sopen" srate What sis sSellick's smaneuver? A. sA smethod sallowing sthe srescuer sto shold sa smask son sthe sface swith sboth shands B. sA ssystem sused sto scalculate sminute svolume C. sAnother sname sfor sMallampati D. sPosteriorly sdirected spressure sapplied sto sthe scricoid scartilage s- s s s scorrect sanswer s: sD. sPosteriorly sdirected spressure sapplied sto sthe scricoid scartilage A s16 syear sold sgirl sis srescued sfrom sa sburning shouse. sShe shas s25% spartial sthickness sburns, sand sthe sburned sareas sare shot sto sthe stouch. sWhat sis sthe sappropriate streatment? A. sApply sice sto sburned sareas suntil scool sto stouch B. sApply sclean swater sto sburned sareas sfor sup sto s1-2 sminutes C. sApply siced swater sto sburned sareas suntil scool sto stouch D. sDo snot sapply sanything sto sburned sareas sother sthan sclean ssheets s- s s s scorrect sanswer s: sB. sApply sclean swater sto sburned sareas sfor sup sto s1-2 sminutes What streatment sis sNOT sindicated sin sthe sroutine smanagement sof sthe spatient swith sa shead sinjury? A. sAdministration sof s100% soxygen B. sFluid sresuscitation sto sa sBP sof s110-120 ssystolic sif sthe spatient sis shypotensive s C. sHyperventilating sto sobtain san sEtCO2 sof sless sthan s30 D. sStabilization sof sthe scervical sspine s- s s s scorrect sanswer s: sC. sHyperventilating sto sobtain san sEtCO2 sof sless sthan s30 Which sof sthe sfollowing ssets sof svital ssigns sis smost scompatible swith sa sdiagnosis sof sisolated shead sinjury swith sincreasing sintracranial spressure? A. sBP s170/100, spulse s50/min B. sBP s80/60, spulse s130/min C. sBP s80/60, spulse s50/min D. sBP s170/100, spulse s130/min s- s s s scorrect sanswer s: sA. sBP s170/100, spulse s50/min Which sone sof sthe sfollowing sis sa sreason sto sinterrupt sthe sinitial sassessment? A. sCardiac sarrest B. sMultiple sopen s(compound) sfractures C. sSevere shead sinjury swith sbrain stissue svisible D. sSevere sshock s- s s s scorrect sanswer s: sA. sCardiac sarrest What ssite sis sthe sfirst schoice sfor sintraosseous sinfusion? A. sProximal stibia B. sDistal shumerus C. sProximal sfemur D. sDistal sfibula s- s s s scorrect sanswer s: sA. sProximal stibia A s34 syear sold sman shas sa sgunshot swound sto sthe sright sgroin sarea. sArterial sbleeding, swhich scannot sbe scontrolled swith sdirect spressure, sis scoming sfrom sthe swound. sThe spatient sappears sconfused, sdiaphoretic, sand shas sweak speripheral spulses. sWhat sis sthe sappropriate sfluid sresuscitation sfor sthis spatient? A. sIntravenous sfluid sat sa s"keep sopen" srate B. sApply sa shemostatic sagent sand sgain sintravenous saccess sgiven senough sfluid sto smaintain speripheral spulses C. sIntravenous sfluid sat sa swide sopen srate; sgive sat sleast stwo sliters, sthen sreassess spatient D. sNo sintravenous saccess sshould sbe sestablished sin sthis ssituation s- s s s scorrect sanswer s: sB. sApply sa shemostatic sagent sand sgain sintravenous saccess sgiven senough sfluid sto smaintain speripheral spulses Which sone sof sthe sfollowing sis stypically sassociated swith, spost-traumatic shemorrhage, sEARLY sshock? A. sVentricular sdysrhythmias B. sHypotension C. sLoss sof s30% sto s45% sof sblood svolume D. sNarrowed spulse spressure s- s s s scorrect sanswer s: sD. sNarrowed spulse spressure Among sthe sfollowing, swhat sis sthe smost scommon scause sof spreventable strauma sdeath sin sthe sinjured sadult spatient? A. sAirway sobstruction B. sCardiac stamponade C. sHemorrhagic sshock D. sSpinal sinjury s- s s s scorrect sanswer s: sC. sHemorrhagic sshock Which sof sthe sfollowing sis smost stypical sof searly, sneurogenic sshock?