ATLS TEST 1 LATEST EXAM /ADVANCED TRAUMA LIFE SUPPORT
TEST 1 LATEST QUESTIONS AND ANSWERS
A previously healthy, 70-kg (154-pound) man suffers an estimated acute blood loss
of 2 liters.
Which one of the following statements applies to this patient?
Select one:
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 his systolic blood pressure.
d.
An ABG would demonstrate a base deficit between -6 and -10 mEq/L
e.
His systolic blood pressure will be maintained with an elevated diastolic pressure.
- answers-d.
An ABG would demonstrate a base deficit between -6 and -10 mEq/L
,The physiologic hypervolemia of pregnancy has clinical significance in the
management of the severely injured, gravid woman by:
Select one:
a.
reducing the need for blood transfusion
b.
resulting in an elevated hematocrit
c.
complicating the management of closed head injury
d.
reducing the volume of crystalloid required for resuscitation
e.
increasing the volume of blood loss to produce maternal hypotension - answers-e.
increasing the volume of blood loss to produce maternal hypotension
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:
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 - answers-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 pulses 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 - answers-e) Complete spine x-ray series
Which of the following is true regarding the initial resuscitation of a trauma
patient?
Select one:
a.
A patient that presents with a torso gunshot wound and is hypotensive should
receive crystalloid fluid resuscitation until the blood pressure is normal
b.
TEST 1 LATEST QUESTIONS AND ANSWERS
A previously healthy, 70-kg (154-pound) man suffers an estimated acute blood loss
of 2 liters.
Which one of the following statements applies to this patient?
Select one:
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 his systolic blood pressure.
d.
An ABG would demonstrate a base deficit between -6 and -10 mEq/L
e.
His systolic blood pressure will be maintained with an elevated diastolic pressure.
- answers-d.
An ABG would demonstrate a base deficit between -6 and -10 mEq/L
,The physiologic hypervolemia of pregnancy has clinical significance in the
management of the severely injured, gravid woman by:
Select one:
a.
reducing the need for blood transfusion
b.
resulting in an elevated hematocrit
c.
complicating the management of closed head injury
d.
reducing the volume of crystalloid required for resuscitation
e.
increasing the volume of blood loss to produce maternal hypotension - answers-e.
increasing the volume of blood loss to produce maternal hypotension
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:
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 - answers-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 pulses 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 - answers-e) Complete spine x-ray series
Which of the following is true regarding the initial resuscitation of a trauma
patient?
Select one:
a.
A patient that presents with a torso gunshot wound and is hypotensive should
receive crystalloid fluid resuscitation until the blood pressure is normal
b.
