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1. A 22-year-old man is hypotensive and tachycardic af- A) Reexamine the chest
ter 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
2. A construction worker falls two stories from a building e) Complete spine x-ray
and sustains bilateral calcaneal fractures. In the emer- series
gency 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.
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angiography
b.
compartment pressures
c.
retrograde urethrogram
d.
Doppler ultrasound studies
e.
complete spine x-ray series
3. Which of the following is true regarding the initial re- b.
suscitation of a trauma patient? Evidence of improved per-
Select one: fusion after fluid resusci-
a. tation could include im-
A patient that presents with a torso gunshot wound provement in Glasgow
and is hypotensive should receive crystalloid fluid re- coma scale score on
suscitation until the blood pressure is normal reevaluation
b.
Evidence of improved perfusion after fluid resuscita-
tion could include improvement in Glasgow coma scale
score on reevaluation
c.
Massive transfusion is defined as transfusion of more
than >10 of packed red blood cells and plasma in 24
hours
d.
When tranexamic acid is administered by pre-hospital
providers a second dose is required within 24 hours
e.
Fluid resuscitation is far more important than bleeding
control in trauma patients
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4. In managing a patient with a severe traumatic brain a.
injury, the most important initial step is to: Secure the airway
Select one:
a.
Secure the airway
b.
obtain a c-spine film
c.
support the circulation
d.
control scalp hemorrhage
e.
determine the GCS score
Feedback
Your answer is corr
5. A previously healthy, 70-kg (154-pound) man suffers d.
an estimated acute blood loss of 2 liters. An ABG would demon-
Which one of the following statements applies to this strate a base deficit be-
patient? tween -6 and -10 mEq/L
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
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1. A 22-year-old man is hypotensive and tachycardic af- A) Reexamine the chest
ter 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
2. A construction worker falls two stories from a building e) Complete spine x-ray
and sustains bilateral calcaneal fractures. In the emer- series
gency 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.
, ATLS Test 1 Questions and Verified Answers () 100% Guarant
Pass
Study online at https://quizlet.com/_h4u0ml
angiography
b.
compartment pressures
c.
retrograde urethrogram
d.
Doppler ultrasound studies
e.
complete spine x-ray series
3. Which of the following is true regarding the initial re- b.
suscitation of a trauma patient? Evidence of improved per-
Select one: fusion after fluid resusci-
a. tation could include im-
A patient that presents with a torso gunshot wound provement in Glasgow
and is hypotensive should receive crystalloid fluid re- coma scale score on
suscitation until the blood pressure is normal reevaluation
b.
Evidence of improved perfusion after fluid resuscita-
tion could include improvement in Glasgow coma scale
score on reevaluation
c.
Massive transfusion is defined as transfusion of more
than >10 of packed red blood cells and plasma in 24
hours
d.
When tranexamic acid is administered by pre-hospital
providers a second dose is required within 24 hours
e.
Fluid resuscitation is far more important than bleeding
control in trauma patients
, ATLS Test 1 Questions and Verified Answers () 100% Guarant
Pass
Study online at https://quizlet.com/_h4u0ml
4. In managing a patient with a severe traumatic brain a.
injury, the most important initial step is to: Secure the airway
Select one:
a.
Secure the airway
b.
obtain a c-spine film
c.
support the circulation
d.
control scalp hemorrhage
e.
determine the GCS score
Feedback
Your answer is corr
5. A previously healthy, 70-kg (154-pound) man suffers d.
an estimated acute blood loss of 2 liters. An ABG would demon-
Which one of the following statements applies to this strate a base deficit be-
patient? tween -6 and -10 mEq/L
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
