ATLS TEST 1 EXAM LATEST 2024/2025 QUESTION AND CORRECT ANSWERS GRADE A+ A 22 -year -old man is hypotensive and tachycardic after a shotgun wound to the left shoulder. His blood pressure is initially 80/40 mm Hg. After initial fluid resuscitation his blood pressure increases to 122/84 mm Hg. His heart rate is now 100 beats per mi nute and his respiratory rate is 28 breaths per minute. A tube thoracostomy is performed for decreased left chest breath sounds with the return of a small amount of blood and no air leak. After chest tube insertion, the most appropriate next step is: Select one: a. reexamine the chest b. perform an aortogram c. obtain a CT scan of the chest d. obtain arterial blood gas analyses e. perform transesophageal echocardiography - ✔✔ANSWER✔✔-A) Reexamine the chest A construction worker falls two stories from a building and sustains bilateral calcaneal fractures. In the emergency department, he is alert, vital signs are normal, and he is complaining of severe pain in both heels and his lower back. Lower extremity pul ses are strong and there is no other deformity. The suspected diagnosis is most likely to be confirmed by: Select one: a. angiography b. compartment pressures c. retrograde urethrogram d. Doppler ultrasound studies e. complete spine x -ray series - ✔✔ANSWER✔✔-e) Complete spine x -ray series An important, immediate step in the management of an open pneumothorax is: Select one: a. endotracheal intubation b. operation to close the wound c. placing a chest tube through the chest wound d. placement of an occlusive dressing over the wound secured on three sides e. initiation of 2, large -caliber IVs and infusing crystalloid solution - ✔✔ANSWER✔✔-
d. placement of an occlusive dressing over the wound secured on three sides Which of the following is a contraindication for tetanus toxoid administration? Select one: a. history of neurological reaction or severe hypersensitivity to the product b. Local side effects c. muscular spasms d.
d. placement of an occlusive dressing over the wound secured on three sides Which of the following is a contraindication for tetanus toxoid administration? Select one: a. history of neurological reaction or severe hypersensitivity to the product b. Local side effects c. muscular spasms d.
