Atls pretest 2022 10th edition

ATLS Pretest 2022 10th Edition
d d d d




1. Ad22-year-
olddmandisdhypotensivedanddtachycardicdafterdadshotgundwounddtodthedleftdshoulder.dHi
sdblooddpressuredisdinitiallyd80/40dmmdHg.dAfterdinitialdfluiddresuscitationdhisdblooddpr
essuredincreasesdtod122/84dmmdHg.dHisdheartdratedisdnowd100dbeatsdperdminutedanddhi
sdrespiratorydratedisd28dbreathsdperdminute.dAdtubedthoracostomydisdperformeddforddec
reaseddleftdchestdbreathdsoundsdwithdthedreturndofdadsmalldamountdofdblooddanddnodairdl
eak.dAfterdchestdtubedinsertion,dthedmostdappropriatednextdstepdis:
- re-examinedthedchest

2. Adconstructiondworkerdfallsdtwodstoriesdfromdadbuildingdanddsustainsdbilateraldcalcanea
ldfractures.dIndthedemergencyddepartment,dhedisdalert,dvitaldsignsdarednormal,danddhedisdco
mplainingdofdseveredpaindindbothdheelsdanddhisdlowerdback.dLowerdextremitydpulsesdaredst
rongdanddtheredisdnodotherddeformity.dThedsuspectedddiagnosisdisdmostdlikelydtodbedconfir
meddby:
- completedspinedx-raydseries

3. Whichdofdthedfollowingdisdtruedregardingdthedinitialdresuscitationdofdadtraumadpatient?
- Evidencedofdimproveddperfusiondafterdfluiddresuscitationdcoulddinclud
edimprovementdindGlasgowdComadScaledscoredondreevaluation.

4. Indmanagingdadpatientdwithdadseveredtraumaticdbraindinjury,dthedmostdimportantdinitiald
stepdisdto:
-dsecuredthedairway

5. Adpreviouslydhealthy,d70-kgd(154-
pound)dmandsuffersdandestimateddacutedblooddlossdofd2dliters.dWhichdonedofdthedfollowingd
statementsdappliesdtodthisdpatient?
- AndABGdwouldddemonstratedadbaseddeficitdbetweend-6dandd-10dmEq/L.

6. Thedphysiologicaldhypervolemiadofdpregnancydhasdclinicaldsignificancedindthed
managementdofdthedseverelydinjured,dgraviddwomandby:
- increasingdthedvolumedofdblooddlossdtodproducedmaternaldhypotension

7. Thedbestdassessmentdofdfluiddresuscitationdofdthedadultdburndpatientdis:
- urinarydoutputdofd0.5dmL/kg/hr

8. Theddiagnosisdofdshockdmustdinclude:
- evidencedofdinadequatedorgandperfusion

9. Ad7-year-
olddboydisdbroughtdtodthedemergencyddepartmentdbydhisdparentsdseveraldminutesdafterdh
edfelldthroughdadwindow.dHedisdbleedingdprofuselydfromdad6-
cmdwounddofdhisdmedialdrightdthigh.dImmediatedmanagementdofdthedwounddshoulddconsi
stdof:
- directdpressuredondthedwound

10. Fordthedpatientdwithdseveredtraumaticdbraindinjury,dprofounddhypocarbiadshoulddbed
avoideddtodprevent:d-dcerebraldvasoconstrictiondwithddiminisheddperfusion

, 11. Afterdbeingdinvolveddindadmotordvehicledcrash,dad25-year-
olddmandisdbroughtdtodadhospitaldthatdhasdsurgerydcapabilitiesdavailable..dComputeddtom
ographydofdthedchestdanddabdomendshowsdandaorticdinjurydanddsplenicdlacerationdwithdfre
edabdominaldfluid.dHisdblooddpressuredfallsdtod70dmmdHgdafterdCT.dThednextdstepdis:
- performdandexploratorydlaparotomy

12. Whichdonedofdthedfollowingdstatementsdregardingdabdominaldtraumadindthedpregnantd
patientdisdTRUE?
- Leakagedofdamnioticdfluiddisdandindicationdfordhospitaldadmission.

13. Thedfirstdmaneuverdtodimprovedoxygenationdafterdchestdinjurydis:
- administerdsupplementaldoxygen

14. Ad25-year-
olddman,dinjureddindadmotordvehiculardcrash,disdadmitteddtodthedemergencyddepartment.d
Hisdpupilsdreactdsluggishlydanddhisdeyesdopendtodpressure.dHeddoesdnotdfollowdcommand
s,dbutdheddoesdmoandperiodically.dHisdrightdarmdisddeformeddandddoesdnotdresponddtodpr
essure;dhowever,dhisdleftdhanddreachesdpurposefullydtowarddthedstimulus.dBothdlegsdareds
tifflydextended.dHisdGCSdscoredis:
-d 9

15. Ad20-year-
olddwomandwhodisdatd32dweeksdgestation,disdstabbeddindthedupperdrightdchest.dIndthede
mergencyddepartment,dherdblooddpressuredisd80/60dmmdHg.dShedisdgaspingdfordbrea
th,dextremelydanxious,danddyellingdfordhelp.dBreathdsoundsdareddiminisheddindthedrig
htdchest.dThedmostdappropriatedfirstdstepdisdto:
- performdneedledordfingerddecompressiondofdthedrightdchest

16. Whichdonedofdthedfollowingdfindingsdindandadultdisdmostdlikelydtodrequiredimmediated
managementdduringdthedprimarydsurvey?
- respiratorydratedofd40dbreathsdperdminute

17. Thedmostdimportant,dimmediatedstepdindthedmanagementdofdandopendpneumothoraxd
is:d-dplacementdofdandocclusiveddressingdoverdthedwound

18. Thedfollowingdaredcontraindicationsdfordtetanusdtoxoiddadministration:
- historydofdneurologicaldreactiondordseveredhypersensitivitydtodthedproduct

19. Ad56-year-
olddmandisdthrowndviolentlydagainstdthedsteeringdwheeldofdhisdtruckdduringdadmotordvehic
ledcrash.dOndarrivaldindthedemergencyddepartmentdhedisddiaphoreticdanddcomplainingdofd
chestdpain.dHisdblooddpressuredisd60/40dmmdHgdanddhisdrespiratorydratedisd40dbreathsdpe
rdminute.dWhichdofdthedfollowingdbestddifferentiatesdcardiacdtamponadedfromdtensiondpn
eumothoraxdasdthedcausedofdhisdhypotension?
- breathdsounds

20. Bronchialdintubationdofdthedrightdordleftdmainstemdbronchusdcandeasilydoccurdduringd
infantdendotrachealdintubationdbecause:
- Thedtracheadisdrelativelydshort.