ATLS PRE Test completed 2023 questions
with answers (answers outlined!!)
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: - ✔✔ANSWER✔✔-- *Re-examine the chest*
- Perform an aortogram
- Obtain a CT scan of the chest
- Obtain ABG analysis
- Transesophageal echocardiography
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: - ✔✔ANSWER✔✔-- complete spine x-ray series
Which of the following is true regarding the initial resuscitation of a
trauma patient? - ✔✔ANSWER✔✔-- A patient with a torso gunshot
wound and hypotension should receive crystalloid fluid resuscitation
until the blood pressure is normal
-* Evidence of improved perfusion after fluid resuscitation could
include improvement in Glasgow Coma Scale score on reevaluation*
- Massive transfusion is defined as transfusion of more than 10 units of
packed red blood cells and plasma within 24 hours
- When tranexamic acid is administered by pre-hospital providers, a
second dose is required within 24 hours
- Fluid resuscitation is far more important than bleeding control in
trauma patient
In managing a patient with a severe traumatic brain injury, the most
important initial step is to: - ✔✔ANSWER✔✔-- Secure the airway
A previously healthy, 70-kg (154-pound) man suffers an estimated
acute blood loss of 2 liters. Which one of the following statements
with answers (answers outlined!!)
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: - ✔✔ANSWER✔✔-- *Re-examine the chest*
- Perform an aortogram
- Obtain a CT scan of the chest
- Obtain ABG analysis
- Transesophageal echocardiography
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: - ✔✔ANSWER✔✔-- complete spine x-ray series
Which of the following is true regarding the initial resuscitation of a
trauma patient? - ✔✔ANSWER✔✔-- A patient with a torso gunshot
wound and hypotension should receive crystalloid fluid resuscitation
until the blood pressure is normal
-* Evidence of improved perfusion after fluid resuscitation could
include improvement in Glasgow Coma Scale score on reevaluation*
- Massive transfusion is defined as transfusion of more than 10 units of
packed red blood cells and plasma within 24 hours
- When tranexamic acid is administered by pre-hospital providers, a
second dose is required within 24 hours
- Fluid resuscitation is far more important than bleeding control in
trauma patient
In managing a patient with a severe traumatic brain injury, the most
important initial step is to: - ✔✔ANSWER✔✔-- Secure the airway
A previously healthy, 70-kg (154-pound) man suffers an estimated
acute blood loss of 2 liters. Which one of the following statements
