ATLS Pretest Questions and Verified Answers () 100% Guaran
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1. A 22-year-old man is hypotensive and tachycardic af- re-examine 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:
2. A construction worker falls two stories from a building complete spine x-ray se-
and sustains bilateral calcaneal fractures. In the emer- ries
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:
3. Which of the following is true regarding the initial re- Evidence of improved per-
suscitation of a trauma patient? fusion after fluid resusci-
tation could include im-
provement in Glasgow
Coma Scale score on
reevaluation.
4. In managing a patient with a severe traumatic brain secure the airway
injury, the most important initial step is to:
5.
1/9
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A previously healthy, 70-kg (154-pound) man suffers An ABG would demon-
an estimated acute blood loss of 2 liters. Which one of strate a base deficit be-
the following statements applies to this patient? tween -6 and -10 mEq/L.
6. The physiological hypervolemia of pregnancy has clin- increasing the volume of
ical significance in the management of the severely blood loss to produce ma-
injured, gravid woman by: ternal hypotension
7. The best assessment of fluid resuscitation of the adult urinary output of 0.5
burn patient is: mL/kg/hr
8. The diagnosis of shock must include: evidence of inadequate
organ perfusion
9. A 7-year-old boy is brought to the emergency de- direct pressure on the
partment by his parents several minutes after he fell wound
through a window. He is bleeding profusely from a
6-cm wound of his medial right thigh. Immediate man-
agement of the wound should consist of:
10. For the patient with severe traumatic brain injury, pro- cerebral vasoconstriction
found hypocarbia should be avoided to prevent: with diminished perfusion
11. After being involved in a motor vehicle crash, a perform an exploratory la-
25-year-old man is brought to a hospital that has parotomy
surgery capabilities available.. Computed tomography
of the chest and abdomen shows an aortic injury and
splenic laceration with free abdominal fluid. His blood
pressure falls to 70 mm Hg after CT. The next step is:
12. Which one of the following statements regarding ab- Leakage of amniotic fluid
dominal trauma in the pregnant patient is TRUE? is an indication for hospital
admission.
2/9
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1. A 22-year-old man is hypotensive and tachycardic af- re-examine 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:
2. A construction worker falls two stories from a building complete spine x-ray se-
and sustains bilateral calcaneal fractures. In the emer- ries
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:
3. Which of the following is true regarding the initial re- Evidence of improved per-
suscitation of a trauma patient? fusion after fluid resusci-
tation could include im-
provement in Glasgow
Coma Scale score on
reevaluation.
4. In managing a patient with a severe traumatic brain secure the airway
injury, the most important initial step is to:
5.
1/9
, ATLS Pretest Questions and Verified Answers () 100% Guaran
Pass
Study online at https://quizlet.com/_h4u268
A previously healthy, 70-kg (154-pound) man suffers An ABG would demon-
an estimated acute blood loss of 2 liters. Which one of strate a base deficit be-
the following statements applies to this patient? tween -6 and -10 mEq/L.
6. The physiological hypervolemia of pregnancy has clin- increasing the volume of
ical significance in the management of the severely blood loss to produce ma-
injured, gravid woman by: ternal hypotension
7. The best assessment of fluid resuscitation of the adult urinary output of 0.5
burn patient is: mL/kg/hr
8. The diagnosis of shock must include: evidence of inadequate
organ perfusion
9. A 7-year-old boy is brought to the emergency de- direct pressure on the
partment by his parents several minutes after he fell wound
through a window. He is bleeding profusely from a
6-cm wound of his medial right thigh. Immediate man-
agement of the wound should consist of:
10. For the patient with severe traumatic brain injury, pro- cerebral vasoconstriction
found hypocarbia should be avoided to prevent: with diminished perfusion
11. After being involved in a motor vehicle crash, a perform an exploratory la-
25-year-old man is brought to a hospital that has parotomy
surgery capabilities available.. Computed tomography
of the chest and abdomen shows an aortic injury and
splenic laceration with free abdominal fluid. His blood
pressure falls to 70 mm Hg after CT. The next step is:
12. Which one of the following statements regarding ab- Leakage of amniotic fluid
dominal trauma in the pregnant patient is TRUE? is an indication for hospital
admission.
2/9
