ATLS 10TH EDITION POST TEST
EXAM WITH ACTUAL
QUESTIONS AND COMPLETE
100% CORRECT ANSWERS
WITH VERIFIED AND WELL
EXPLAINED RATIONALES
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EXPERTS | LATEST VERSION
2024 WITH GUARANTEED
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,
, B. Tamponade of the wound with a pressure dressing 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
E. The patient probably has an acute epidural hematoma An 18-yeard-old, unhelmeted
motorcyclist is brought by ambulance to the ED following a crash. He had decreased level of
consciousness at the scene, but then was alert and conversational during transportation. Now his GCS is
only 11. Which of the following statements is TRUE?
A. Cerebral perfusion is intact
B. Intravascular volume status is normal
C. The patient is in a postictal state
D. Intra-abdominal visceral injury is unlikely
E. The patient probably has an acute epidural hematoma
E. His systolic blood pressure will be maintained with an elevated diastolic pressure. A previously
healthy, 70kg (175 pound) man suffers an estimated acute blood loss of two liters. Which one of the
following statements apply to this patient?
A. His pulse pressure will be widened
B. His urinary output will be at the lower limits of normal
C. He will have tachycardia, but no change in systolic blood pressure
D. His systolic blood pressure will be decreased with a narrowed, pulse pressure
E. His systolic blood pressure will be maintained with an elevated diastolic pressure.
D. Increasing the volume of blood loss to produce shock The physioclogic hypervolemia of pregnancy has
clinical significance in the management of the severely injured gravid woman by
A. Reducing the need for blood transfusion
B. Increasing the risk of pulmonary edema
C. Complicating the management of closed head injury
, D. Increasing the volume of blood loss to produce shock/maternal hypotension
E. Reducing the volume of crystalloid required for resuscitation
B. A long spine board A 17-year-old helmeted motorcyclist loses consciousness when he is struck
broad side by an automobile at an intersection. He arrives in the ED with a blood pressure of 140/92,
pulse rate 88 beats per minute, a respiratory rate of 18 breaths per minue, and a GCS of 7. Appropriate
initial immobilization of this patient should include a semi-rigid cervical collar and:
A. A scoop stretcher
B. A long spine board
C. A short spine board
D. Cervical traction tongs
E. Pneumatic antishock garment
E. Chest X-ray to confirm tube placement During an altercation, a 36-year-old man sustains a
gunshot wound above the nipple line on the right, with an exit wound posteriorly above the scapula on
the right. He is transported by ambulance to a community hospital. He is endotracheally intubated, close
tube thoracostomy is performed, and 2 liters Ringers lactate solution are infused via 2 large-caliber IV´s.
His blood pressure now is 60/0mmHg, heart rate is 160 beats per minute, and respiratory rate is 14
breaths per minute (ventilated with 100% O2). The most appropriate next step in managin this patient
is:
A. Laparotomy
B. Diagnostic peritoneal lavage
C. Arterial blood gas determination
D. Administer packed red blood cells
E. Chest X-ray to confirm tube placement
A. Left hemothorax Abscence of breath sounds and dullness to percussion over the left hemithorax
are findings best explained by:
A. Left hemothorax
B. Cardiac contusion
C. Left simple pneumothorax
D. Left diaphragmatic rupture
E. Right tension pneumothorax
D. Transfer the patient to the operating room, while initiating fluid therapy A 23-year-old man is
brought immediately to the ED from the hospitals parking lot where he was shot in the lower abdomen.
EXAM WITH ACTUAL
QUESTIONS AND COMPLETE
100% CORRECT ANSWERS
WITH VERIFIED AND WELL
EXPLAINED RATIONALES
ALREADY GRADED A+ BY
EXPERTS | LATEST VERSION
2024 WITH GUARANTEED
SUCCESS AFTER DOWNLOAD
ALREADY PASSED!!!!!!! (
PROVEN ITS ALL YOU NEED TO
EXCEL IN YOUR EXAMS)
,
, B. Tamponade of the wound with a pressure dressing 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
E. The patient probably has an acute epidural hematoma An 18-yeard-old, unhelmeted
motorcyclist is brought by ambulance to the ED following a crash. He had decreased level of
consciousness at the scene, but then was alert and conversational during transportation. Now his GCS is
only 11. Which of the following statements is TRUE?
A. Cerebral perfusion is intact
B. Intravascular volume status is normal
C. The patient is in a postictal state
D. Intra-abdominal visceral injury is unlikely
E. The patient probably has an acute epidural hematoma
E. His systolic blood pressure will be maintained with an elevated diastolic pressure. A previously
healthy, 70kg (175 pound) man suffers an estimated acute blood loss of two liters. Which one of the
following statements apply to this patient?
A. His pulse pressure will be widened
B. His urinary output will be at the lower limits of normal
C. He will have tachycardia, but no change in systolic blood pressure
D. His systolic blood pressure will be decreased with a narrowed, pulse pressure
E. His systolic blood pressure will be maintained with an elevated diastolic pressure.
D. Increasing the volume of blood loss to produce shock The physioclogic hypervolemia of pregnancy has
clinical significance in the management of the severely injured gravid woman by
A. Reducing the need for blood transfusion
B. Increasing the risk of pulmonary edema
C. Complicating the management of closed head injury
, D. Increasing the volume of blood loss to produce shock/maternal hypotension
E. Reducing the volume of crystalloid required for resuscitation
B. A long spine board A 17-year-old helmeted motorcyclist loses consciousness when he is struck
broad side by an automobile at an intersection. He arrives in the ED with a blood pressure of 140/92,
pulse rate 88 beats per minute, a respiratory rate of 18 breaths per minue, and a GCS of 7. Appropriate
initial immobilization of this patient should include a semi-rigid cervical collar and:
A. A scoop stretcher
B. A long spine board
C. A short spine board
D. Cervical traction tongs
E. Pneumatic antishock garment
E. Chest X-ray to confirm tube placement During an altercation, a 36-year-old man sustains a
gunshot wound above the nipple line on the right, with an exit wound posteriorly above the scapula on
the right. He is transported by ambulance to a community hospital. He is endotracheally intubated, close
tube thoracostomy is performed, and 2 liters Ringers lactate solution are infused via 2 large-caliber IV´s.
His blood pressure now is 60/0mmHg, heart rate is 160 beats per minute, and respiratory rate is 14
breaths per minute (ventilated with 100% O2). The most appropriate next step in managin this patient
is:
A. Laparotomy
B. Diagnostic peritoneal lavage
C. Arterial blood gas determination
D. Administer packed red blood cells
E. Chest X-ray to confirm tube placement
A. Left hemothorax Abscence of breath sounds and dullness to percussion over the left hemithorax
are findings best explained by:
A. Left hemothorax
B. Cardiac contusion
C. Left simple pneumothorax
D. Left diaphragmatic rupture
E. Right tension pneumothorax
D. Transfer the patient to the operating room, while initiating fluid therapy A 23-year-old man is
brought immediately to the ED from the hospitals parking lot where he was shot in the lower abdomen.
