ATLS Post Test. MCQ Questions With Answers

Which of the following signs is LEAST reliable for diagnosing esophageal intubation? - ETT above carina on chest x-ray Which of the following signs the necessitates a definitive airway in severe trauma patients? - severe maxillofacial fractures Twenty-seven patients are seriously injured in an aircraft crash at a local airport. The principles of triage include - produce the greatest number of survivors based on available resources Which of the following statements is correct? - . Cerebral contusions may coalesce to form an intracerebral hematoma An 18-ycar-old male is brought to the emergenc} department after having been shot. He has one bullet wound just below the right clavicle and another just below the costal margin in the right posterior axillary line. His blood pressure is110/60 mm Hg. heart rate is 90 beats per minute, and respiratory rate is 34 breaths per minute. After ensuring a patent airway and inserting 2 large caliber IVlines., the next appropriate step is to: - obtain a portable chest x-ray A 47-year-old house painter is brought to the hospital after falling 6 meters (20 feet) from a ladder and landing straddled on a fence. Examination of his perineum reveals extensive ecchymosis. There is a blood in the external urethral meatus. The initial diagnostic study for the evaluation of the urinary tract in this patient should be: - . retrograde urethrography Neurogenic shock has all of the following classic characteristics except which one? - narrowed pulse pressure Which one of the following statements is false concerning Rh isoimmunization in pregnant trauma patients? - Rh immunoglobulin therapy should be administered to pregnant females who have sustained a gunshot wound to the leg. An 18-year-old motorcyclist sustains massive facial injuries in a head-on crash with a pick-up truck. He is brought to the emergency department completely immobilized on a long spine board and wearing a cervical collar. His blood pressure is 150/88 mmHg, heart rate is 88 beats per minute and regular, and respiratory rate is 26 breaths per minute. His respirations are labored and sonorous. His Glasgow Coma Scale score is 7. Attempts at orotracheal intubation with manual inline stabi - surgical cricothyroidotomy a 25-year-old male is brought to the hospital after sustaining partial and full-thickness burns involving 60% of his body surface area. His right arm and hand are severely burned. There are obvious full-thickness burns of the entire right hand and a circumferential burn of the right arm. Pulses are absent at the right wrist and are not detected by Doppler examination. The first step management of the right upper extremity should be: - escharotomy All of the following signs on the chest x-ray of a patient who sustained a blunt injury may suggest aortic rupture except which one? - a. mediastinal emphysema A 30-year-old woman fell down four stairs landing on concrete. Witnesses report she was unconscious for five minutes beginning immediately after the fall. Swith a Glasgow Coma Scale score of 15. Her only complaint is a slight headache. Thirty minutes later, she becomes unresponsive with a Glasgow Coma Scale score of 6. On the exam, her left pupil is large and non-reactive. The right pupil is normal. The one type of neurological injury most consistent with this patient's e - b. an epidural hematoma A 24-year-old male pedestrian, struck by an automobile, is admitted to the emergency department 1 hour after injury. His blood pressure is 80/60 mmHg, heart rate is 140 beats per minute, and respiratory rate is 36 breaths per minute. He is lethargic. Oxygen is delivered via face mask, and two large-caliber IVs are initiated. Arterial blood gases are obtained. His PaO2 is - restoration of normal perfusion Which of the following should be performed first in any patient whose injuries may include multiple closed extremity fractures? - . Ensuring adequate oxygenation and ventilation A 30-year-old male sustains a gunshot wound to the right lower chest, . He is brought by ambulance to a hospital that has full surgical capabilities. In the emergency department he is endotracheally intubated, 2 liters of crystalloid solution are infused rapidly through two large IV,a closed tube thoracost the return of 200 mL of blood. A chest x-ray