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ATLS PRE TEST 10TH EDITION 2023 A+ GRADED 100% VERIFIED) 250+ QUESTIONS AND ANSWERS

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ATLS PRE TEST 10TH EDITION 2023 A+ GRADED 100% VERIFIED) 250+ QUESTIONS AND ANSWERS ATLS 1. 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 minute 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:: re-examine the chest 2. 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 pulses are strong and there is no other deformity. The suspected diagnosis is most likely to be confirmed by:: complete spine x-ray series 3. What is true regarding the initial resuscitation of a trauma patient?: Evidence of improved perfusion after fluid resuscitation could include improvement in Glasgow Coma Scale score on reevaluation 4. In managing a patient with a severe traumatic brain injury, the most important initial step is to:: secure the airway 5. A previously healthy, 70-kg (154-pound) man suffers an estimated acute blood loss of 2 liters. What applies to this patient?: An ABG would demonstrate a base deficit between -6 and -10 mEq/L. 6. The physiological hypervolemia of pregnancy has clinical significance in the management of the severely injured, gravid woman by:: increasing the volume of blood loss to produce maternal hypotension. 7. The best assessment of fluid resuscitation of the adult burn patient is:: - urinary output of 0.5 mL/kg/hr 8. The diagnosis of shock must include:: evidence of inadequate organ perfusion 9. A 7-year-old boy is brought to the emergency department by his parents several minutes after he fell through a window. He is bleeding profusely from a 6-cm wound of his medial right thigh. Immediate management of the wound should consist of:: direct pressure on the wound 10. For the patient with severe traumatic brain injury, profound hypocarbia should be avoided to prevent:: cerebral vasoconstriction with diminished perfusion 1 / 39 ATLS 11. After being involved in a motor vehicle crash, a 25-year-old man is brought to a hospital that has surgery capabilities available.. Computed tomography of the chest and abdomen shows an aortic injury and splenic laceration with free abdominal fluid. His blood pressure falls to 70 mm Hg after CT. The next step is:: perform an exploratory laparotomy 12. What statements regarding abdominal trauma in the pregnant patient is TRUE?: Leakage of amniotic fluid is an indication for hospital admission. 13. The first maneuver to improve oxygenation after chest injury is:: administer supplemental oxygen 14. A 25-year-old man, injured in a motor vehicular crash, is admitted to the emergency department. His pupils react sluggishly and his eyes open to pressure. He does not follow commands, but he does moan periodically. His right arm is deformed and does not respond to pressure; however, his left hand reaches purposefully toward the stimulus. Both legs are stiffly extended. His GCS score is:: 9 15. A 20-year-old woman who is at 32 weeks gestation, is stabbed in the upper right chest. In the emergency department, her blood pressure is 80/60 mm Hg. She is gasping for breath, extremely anxious, and yelling for help. Breath sounds are diminished in the right chest. The most appropriate first step is to:: perform needle or finger decompression of the right chest 16. What findings in an adult is most likely to require immediate management during the primary survey?: respiratory rate of 40 breaths per minute 17. The most important, immediate step in the management of an open pneumothorax is:: placement of an occlusive dressing over the wound 18. The following are contraindications for tetanus toxoid administration:: - history of neurological reaction or severe hypersensitivity to the product 19. A 56-year-old man is thrown violently against the steering wheel of his truck during a motor vehicle crash. On arrival in the emergency department he is diaphoretic and complaining of chest pain. His blood pressure is 60/40 mm Hg and his respiratory rate is 40 breaths per minute. What best differentiates cardiac tamponade from tension pneumothorax as the cause of his hypotension?: breath sounds 20. Bronchial intubation of the right or left mainstem bronchus can easily

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ATLS PRE TEST 10TH EDITION 2023 A+ GRADED
100% VERIFIED) 250+ QUESTIONS AND ANSWERS

,ATLS PRE TEST 10TH EDITION 2023 A+ GRADED
100% VERIFIED) 250+ QUESTIONS AND ANSWERS.
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 minute 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: - CORRECT ANSWERS re-examine
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 pulses are strong and there is no other deformity. The
suspected diagnosis is most likely to be confirmed by: - CORRECT ANSWERS
complete spine x-ray series


What is true regarding the initial resuscitation of a trauma patient? - CORRECT
ANSWERS Evidence of improved perfusion after fluid resuscitation could
include improvement in Glasgow Coma Scale score on reevaluation


In managing a patient with a severe traumatic brain injury, the most important
initial step is to: - CORRECT ANSWERS secure the airway


A previously healthy, 70-kg (154-pound) man suffers an estimated acute blood
loss of 2 liters. What applies to this patient? - CORRECT ANSWERS An ABG
would demonstrate a base deficit between -6 and -10 mEq/L.


The physiological hypervolemia of pregnancy has clinical significance in the
management of the severely injured, gravid woman by: - CORRECT ANSWERS
increasing the volume of blood loss to produce maternal hypotension.


The best assessment of fluid resuscitation of the adult burn patient is: -
CORRECT ANSWERS urinary output of 0.5 mL/kg/hr

,ATLS PRE TEST 10TH EDITION 2023 A+ GRADED
100% VERIFIED) 250+ QUESTIONS AND ANSWERS.
The diagnosis of shock must include: - CORRECT ANSWERS evidence of
inadequate organ perfusion


A 7-year-old boy is brought to the emergency department by his parents
several minutes after he fell through a window. He is bleeding profusely from a
6-cm wound of his medial right thigh. Immediate management of the wound
should consist of: - CORRECT ANSWERS direct pressure on the wound


For the patient with severe traumatic brain injury, profound hypocarbia should
be avoided to prevent: - CORRECT ANSWERS cerebral vasoconstriction with
diminished perfusion


After being involved in a motor vehicle crash, a 25-year-old man is brought to a
hospital that has surgery capabilities available.. Computed tomography of the
chest and abdomen shows an aortic injury and splenic laceration with free
abdominal fluid. His blood pressure falls to 70 mm Hg after CT. The next step is:
- CORRECT ANSWERS perform an exploratory laparotomy


What statements regarding abdominal trauma in the pregnant patient is TRUE?
- CORRECT ANSWERS Leakage of amniotic fluid is an indication for hospital
admission.


The first maneuver to improve oxygenation after chest injury is: - CORRECT
ANSWERS administer supplemental oxygen


A 25-year-old man, injured in a motor vehicular crash, is admitted to the
emergency department. His pupils react sluggishly and his eyes open to
pressure. He does not follow commands, but he does moan periodically. His
right arm is deformed and does not respond to pressure; however, his left hand
reaches purposefully toward the stimulus. Both legs are stiffly extended. His
GCS score is: - CORRECT ANSWERS 9

, ATLS PRE TEST 10TH EDITION 2023 A+ GRADED
100% VERIFIED) 250+ QUESTIONS AND ANSWERS.
A 20-year-old woman who is at 32 weeks gestation, is stabbed in the upper
right chest. In the emergency department, her blood pressure is 80/60 mm Hg.
She is gasping for breath, extremely anxious, and yelling for help. Breath
sounds are diminished in the right chest. The most appropriate first step is to: -
CORRECT ANSWERS perform needle or finger decompression of the right chest


What findings in an adult is most likely to require immediate management
during the primary survey? - CORRECT ANSWERS respiratory rate of 40 breaths
per minute


The most important, immediate step in the management of an open
pneumothorax is: - CORRECT ANSWERS placement of an occlusive dressing
over the wound


The following are contraindications for tetanus toxoid administration: -
CORRECT ANSWERS history of neurological reaction or severe hypersensitivity
to the product


A 56-year-old man is thrown violently against the steering wheel of his truck
during a motor vehicle crash. On arrival in the emergency department he is
diaphoretic and complaining of chest pain. His blood pressure is 60/40 mm Hg
and his respiratory rate is 40 breaths per minute. What best differentiates
cardiac tamponade from tension pneumothorax as the cause of his
hypotension? - CORRECT ANSWERS breath sounds


Bronchial intubation of the right or left mainstem bronchus can easily occur
during infant endotracheal intubation because: - CORRECT ANSWERS The
trachea is relatively short.


A 23-year-old man sustains 4 stab wounds to the upper right chest during an
altercation and is brought by ambulance to a hospital that has full surgical
capabilities. His wounds are all above the nipple. He is endotracheally
intubated, closed tube thoracostomy is performed, fluid resuscitation is
initiated through 2 large-caliber IVs. FAST exam does not reveal intraabdominal

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