ATLS PRACTICE TEST 2024-2025
ACTUAL EXAM 250 REAL QUESTIONS
AND CORRECT DETAILED ANSWERS
A r22-year-old rman ris rhypotensive rand rtachycardic rafter ra rshotgun rwound rto rthe rleft
rshoulder. rHis rblood rpressure ris rinitially r80/40 rmm rHg. rAfter rinitial rfluid rresuscitation
rhis rblood rpressure rincreases rto r122/84 rmm rHg. rHis rheart rrate ris rnow r100 rbeats rper
rminute rand rhis rrespiratory rrate ris r28 rbreaths rper rminute. rA rtube rthoracostomy ris
rperformed rfor rdecreased rleft rchest rbreath rsounds rwith rthe rreturn rof ra rsmall ramount
rof rblood rand rno rair rleak. rAfter rchest rtube rinsertion, rthe rmost rappropriate rnext rstep
ris: r- rCORRECT✅✅re-examine rthe rchest
A rconstruction rworker rfalls rtwo rstories rfrom ra rbuilding rand rsustains rbilateral
rcalcaneal rfractures. rIn rthe remergency rdepartment, rhe ris ralert, rvital rsigns rare rnormal,
rand rhe ris rcomplaining rof rsevere rpain rin rboth rheels rand rhis rlower rback. rLower
rextremity rpulses rare rstrong rand rthere ris rno rother rdeformity. rThe rsuspected
rdiagnosis ris rmost rlikely rto rbe rconfirmed rby: r- rCORRECT✅✅complete rspine rx-ray
rseries
Which rof rthe rfollowing ris rtrue rregarding rthe rinitial rresuscitation rof ra rtrauma rpatient? r-
rCORRECT✅✅Evidence rof rimproved rperfusion rafter rfluid rresuscitation rcould
rinclude rimprovement rin rGlasgow rComa rScale rscore ron rreevaluation.
In rmanaging ra rpatient rwith ra rsevere rtraumatic rbrain rinjury, rthe rmost rimportant rinitial
rstep ris rto: r- rCORRECT✅✅secure rthe rairway
A rpreviously rhealthy, r70-kg r(154-pound) rman rsuffers ran restimated racute rblood rloss
rof r2 rliters. rWhich rone rof rthe rfollowing rstatements rapplies rto rthis rpatient? r-
rCORRECT✅✅An rABG rwould rdemonstrate ra rbase rdeficit rbetween r-6 rand r-10
rmEq/L.
The rphysiological rhypervolemia rof rpregnancy rhas rclinical rsignificance rin rthe
rmanagement rof rthe rseverely rinjured, rgravid rwoman rby: r- rCORRECT✅✅increasing
rthe rvolume rof rblood rloss rto rproduce rmaternal rhypotension
The rbest rassessment rof rfluid rresuscitation rof rthe radult rburn rpatient ris: r-
rCORRECT✅✅urinary routput rof r0.5 rmL/kg/hr
,The rdiagnosis rof rshock rmust rinclude: r- rCORRECT✅✅evidence rof rinadequate
rorgan rperfusion
A r7-year-old rboy ris rbrought rto rthe remergency rdepartment rby rhis rparents rseveral
rminutes rafter rhe rfell rthrough ra rwindow. rHe ris rbleeding rprofusely rfrom ra r6-cm rwound
rof rhis rmedial rright rthigh. rImmediate rmanagement rof rthe rwound rshould rconsist rof: r-
rCORRECT✅✅direct rpressure ron rthe rwound
For rthe rpatient rwith rsevere rtraumatic rbrain rinjury, rprofound rhypocarbia rshould rbe
ravoided rto rprevent: r- rCORRECT✅✅cerebral rvasoconstriction rwith rdiminished
rperfusion
After rbeing rinvolved rin ra rmotor rvehicle rcrash, ra r25-year-old rman ris rbrought rto ra
rhospital rthat rhas rsurgery rcapabilities ravailable.. rComputed rtomography rof rthe rchest
rand rabdomen rshows ran raortic rinjury rand rsplenic rlaceration rwith rfree rabdominal
rfluid. rHis rblood rpressure rfalls rto r70 rmm rHg rafter rCT. rThe rnext rstep ris: r-
rCORRECT✅✅perform ran rexploratory rlaparotomy
Which rone rof rthe rfollowing rstatements rregarding rabdominal rtrauma rin rthe rpregnant
rpatient ris rTRUE? r- rCORRECT✅✅Leakage rof ramniotic rfluid ris ran rindication rfor
rhospital radmission.
The rfirst rmaneuver rto rimprove roxygenation rafter rchest rinjury ris: r-
rCORRECT✅✅administer rsupplemental roxygen
A r25-year-old rman, rinjured rin ra rmotor rvehicular rcrash, ris radmitted rto rthe remergency
rdepartment. rHis rpupils rreact rsluggishly rand rhis reyes ropen rto rpressure. rHe rdoes rnot
rfollow rcommands, rbut rhe rdoes rmoan rperiodically. rHis rright rarm ris rdeformed rand
rdoes rnot rrespond rto rpressure; rhowever, rhis rleft rhand rreaches rpurposefully rtoward
rthe rstimulus. rBoth rlegs rare rstiffly rextended. rHis rGCS rscore ris: r- rCORRECT✅✅9
A r20-year-old rwoman rwho ris rat r32 rweeks rgestation, ris rstabbed rin rthe rupper rright
rchest. rIn rthe remergency rdepartment, rher rblood rpressure ris r80/60 rmm rHg. rShe ris
rgasping rfor rbreath, rextremely ranxious, rand ryelling rfor rhelp. rBreath rsounds rare
rdiminished rin rthe rright rchest. rThe rmost rappropriate rfirst rstep ris rto: r-
rCORRECT✅✅perform rneedle ror rfinger rdecompression rof rthe rright rchest
Which rone rof rthe rfollowing rfindings rin ran radult ris rmost rlikely rto rrequire rimmediate
rmanagement rduring rthe rprimary rsurvey? r- rCORRECT✅✅respiratory rrate rof r40
rbreaths rper rminute
The rmost rimportant, rimmediate rstep rin rthe rmanagement rof ran ropen rpneumothorax
ris: r- rCORRECT✅✅placement rof ran rocclusive rdressing rover rthe rwound
,The rfollowing rare rcontraindications rfor rtetanus rtoxoid radministration: r-
rCORRECT✅✅history rof rneurological rreaction ror rsevere rhypersensitivity rto rthe
rproduct
A r56-year-old rman ris rthrown rviolently ragainst rthe rsteering rwheel rof rhis rtruck rduring
ra rmotor rvehicle rcrash. rOn rarrival rin rthe remergency rdepartment rhe ris rdiaphoretic
rand rcomplaining rof rchest rpain. rHis rblood rpressure ris r60/40 rmm rHg rand rhis
rrespiratory rrate ris r40 rbreaths rper rminute. rWhich rof rthe rfollowing rbest rdifferentiates
rcardiac rtamponade rfrom rtension rpneumothorax ras rthe rcause rof rhis rhypotension? r-
rCORRECT✅✅breath rsounds
Bronchial rintubation rof rthe rright ror rleft rmainstem rbronchus rcan reasily roccur rduring
rinfant rendotracheal rintubation rbecause: r- rCORRECT✅✅The rtrachea ris rrelatively
rshort.
A r23-year-old rman rsustains r4 rstab rwounds rto rthe rupper rright rchest rduring ran
raltercation rand ris rbrought rby rambulance rto ra rhospital rthat rhas rfull rsurgical
rcapabilities. rHis rwounds rare rall rabove rthe rnipple. rHe ris rendotracheally rintubated,
rclosed rtube rthoracostomy ris rperformed, rfluid rresuscitation ris rinitiated rthrough r2
rlarge-caliber rIVs. rFAST rexam rdoes rnot rreveal rintraabdominal rinjuries. rHis rblood
rpressure rnow ris r60/0 rmm rHg, rheart rrate ris r160 rbeats rper rminute, rand rrespiratory
rrate ris r14 rbreaths rper rminute r(ventilated rwith r100% rO2). r1500 rmL rof rblood rhas
rdrained rfrom rthe rright rchest. rThe rmost rappropriate rnext rstep rin rmanaging rthis
rpatient ris rto: r- rCORRECT✅✅urgently rtransfer rthe rpatient rto rthe roperating rroom
A r39-year-old rman ris radmitted rto rthe remergency rdepartment rafter ran rautomobile
rcollision. rHe ris rcyanotic, rhas rinsufficient rrespiratory reffort, rand rhas ra rGCS rscore rof
r6. rHis rfull rbeard rmakes rit rdifficult rto rfit rthe roxygen rfacemask rto rhis rface. rThe rmost
rappropriate rnext rstep ris rto: r- rCORRECT✅✅restrict rcervical rmotion rand rattempt
rorotracheal rintubation rusing r2 rpeople
A rpatient ris rbrought rto rthe remergency rdepartment rafter ra rmotor rvehicle rcrash. rHe ris
rconscious rand rthere ris rno robvious rexternal rtrauma. rHe rarrives rat rthe rhospital
rcompletely rimmobilized ron ra rlong rspine rboard. rHis rblood rpressure ris r60/40 rmm rHg
rand rhis rheart rrate ris r70 rbeats rper rminute. rHis rskin ris rwarm. rWhich rone rof rthe
rfollowing rstatements ris rTRUE? r- rCORRECT✅✅Flaccidity rof rthe rlower rextremities
rand rloss rof rdeep rtendon rreflexes rare rexpected.
Which rone rof rthe rfollowing ris rthe rmost reffective rmethod rfor rinitially rtreating rfrostbite?
r- rCORRECT✅✅moist rheat
A r32-year-old rman's rright rleg ris rtrapped rbeneath rhis roverturned rcar rfor rnearly r2
rhours rbefore rhe ris rextricated. rOn rarrival rin rthe remergency rdepartment, rhis rright
rlower rextremity ris rcool, rmottled, rinsensate, rand rmotionless. rDespite rnormal rvital
rsigns, rpulses rcannot rbe rpalpated rbelow rthe rright rfemoral rartery rand rthe rmuscles rof
rthe rlower rextremity rare rfirm rand rhard. rDuring rthe rmanagement rof rthis rpatient, rwhich
, rof rthe rfollowing ris rmost rlikely rto rimprove rthe rchances rfor rlimb rsalvage? r-
rCORRECT✅✅surgical rconsultation rfor rright rlower rextremity rfasciotomy
A rpatient rarrives rin rthe remergency rdepartment rafter rbeing rbeaten rabout rthe rhead
rand rface rwith ra rwooden rclub. rHe ris rcomatose rand rhas ra rpalpable rdepressed rskull
rfracture. rHis rface ris rswollen rand recchymotic. rHe rhas rgurgling rrespirations rand
rvomitus ron rhis rface rand rclothing. rThe rmost rappropriate rstep rafter rproviding
rsupplemental roxygen rand relevating rhis rjaw ris rto: r- rCORRECT✅✅suction rthe
roropharynx
A r22-year-old rman rsustains ra rgunshot rwound rto rthe rleft rchest rand ris rtransported rto
ra rsmall rcommunity rhospital rno rsurgical rcapabilities rare ravailable. rIn rthe remergency
rdepartment, ra rchest rtube ris rinserted rand r700 rmL rof rblood ris revacuated. rThe rtrauma
rcenter raccepts rthe rpatient rin rtransfer. rJust rbefore rthe rpatient ris rplaced rin rthe
rambulance rfor rtransfer, rhis rblood rpressure rdecreases rto r80/68 rmm rHg rand rhis
rheart rrate rincreases rto r136 rbeats rper rminute. rThe rnext rstep rshould rbe rto: r-
rCORRECT✅✅repeat rthe rprimary rsurvey rand rproceed rwith rtransfer
A r64-year-old rman rinvolved rin ra rhigh-speed rcar rcrash, ris rresuscitated rinitially rin ra
rsmall rhospital rwithout rsurgical rcapabilities. rHe rhas ra rclosed rhead rinjury rwith ra rGCS
rscore rof r13. rHe rhas ra rwidened rmediastinum ron rchest rx-ray rwith rfractures rof rleft
rribs r2 rthrough r4, rbut rno rpneumothorax. rAfter rinitiating rfluid rresuscitation, rhis rblood
rpressure ris r110/74 rmm rHg, rheart rrate ris r100 rbeats rper rminute, rand rrespiratory rrate
ris r18 rbreaths rper rminute. rHe rhas rgross rhematuria rand ra rpelvic rfracture. rYou rdecide
rto rtransfer rthis rpatient rto ra rfacility rcapable rof rproviding ra rhigher rlevel rof rcare. rThe
rfacility ris r128 rkm r(80 rmiles) raway. rBefore rtransfer, ryou rshould rfirst: r-
rCORRECT✅✅call rthe rreceiving rhospital rand rspeak rto rthe rsurgeon ron rcall
Hemorrhage rof r20% rof rthe rpatient's rblood rvolume ris rassociated rusually rwith: r-
rCORRECT✅✅tachycardia
Which rone rof rthe rfollowing rstatements rconcerning rintraosseous rinfusion ris rTRUE? r-
rCORRECT✅✅Aspiration rof rbone rmarrow rconfirms rappropriate rpositioning rof rthe
rneedle.
A ryoung rwoman rsustains ra rsevere rhead rinjury ras rthe rresult rof ra rmotor rvehicle
rcrash. rIn rthe remergency rdepartment, rher rGCS ris r6. rHer rblood rpressure ris r140/90
rmm rHg rand rher rheart rrate ris r80 rbeats rper rminute. rShe ris rintubated rand
rmechanically rventilated. rHer rpupils rare r3 rmm rin rsize rand requally rreactive rto rlight.
rThere ris rno rother rapparent rinjury. rThe rmost rimportant rprinciple rto rfollow rin rthe rearly
rmanagement rof rher rhead rinjury ris rto: r- rCORRECT✅✅avoid rhypotension
A r33-year-old rwoman ris rinvolved rin ra rhead-on rmotor rvehicle rcrash. rIt rtook r30
rminutes rto rextricate rher rfrom rthe rcar. rUpon rarrival rin rthe remergency rdepartment,
rher rheart rrate ris r120 rbeats rper rminute, rBP ris r90/70 rmm rHg, rrespiratory rrate ris r16
rbreaths rper rminute, rand rher rGCS rscore ris r15. rExamination rreveals rbilaterally requal
ACTUAL EXAM 250 REAL QUESTIONS
AND CORRECT DETAILED ANSWERS
A r22-year-old rman ris rhypotensive rand rtachycardic rafter ra rshotgun rwound rto rthe rleft
rshoulder. rHis rblood rpressure ris rinitially r80/40 rmm rHg. rAfter rinitial rfluid rresuscitation
rhis rblood rpressure rincreases rto r122/84 rmm rHg. rHis rheart rrate ris rnow r100 rbeats rper
rminute rand rhis rrespiratory rrate ris r28 rbreaths rper rminute. rA rtube rthoracostomy ris
rperformed rfor rdecreased rleft rchest rbreath rsounds rwith rthe rreturn rof ra rsmall ramount
rof rblood rand rno rair rleak. rAfter rchest rtube rinsertion, rthe rmost rappropriate rnext rstep
ris: r- rCORRECT✅✅re-examine rthe rchest
A rconstruction rworker rfalls rtwo rstories rfrom ra rbuilding rand rsustains rbilateral
rcalcaneal rfractures. rIn rthe remergency rdepartment, rhe ris ralert, rvital rsigns rare rnormal,
rand rhe ris rcomplaining rof rsevere rpain rin rboth rheels rand rhis rlower rback. rLower
rextremity rpulses rare rstrong rand rthere ris rno rother rdeformity. rThe rsuspected
rdiagnosis ris rmost rlikely rto rbe rconfirmed rby: r- rCORRECT✅✅complete rspine rx-ray
rseries
Which rof rthe rfollowing ris rtrue rregarding rthe rinitial rresuscitation rof ra rtrauma rpatient? r-
rCORRECT✅✅Evidence rof rimproved rperfusion rafter rfluid rresuscitation rcould
rinclude rimprovement rin rGlasgow rComa rScale rscore ron rreevaluation.
In rmanaging ra rpatient rwith ra rsevere rtraumatic rbrain rinjury, rthe rmost rimportant rinitial
rstep ris rto: r- rCORRECT✅✅secure rthe rairway
A rpreviously rhealthy, r70-kg r(154-pound) rman rsuffers ran restimated racute rblood rloss
rof r2 rliters. rWhich rone rof rthe rfollowing rstatements rapplies rto rthis rpatient? r-
rCORRECT✅✅An rABG rwould rdemonstrate ra rbase rdeficit rbetween r-6 rand r-10
rmEq/L.
The rphysiological rhypervolemia rof rpregnancy rhas rclinical rsignificance rin rthe
rmanagement rof rthe rseverely rinjured, rgravid rwoman rby: r- rCORRECT✅✅increasing
rthe rvolume rof rblood rloss rto rproduce rmaternal rhypotension
The rbest rassessment rof rfluid rresuscitation rof rthe radult rburn rpatient ris: r-
rCORRECT✅✅urinary routput rof r0.5 rmL/kg/hr
,The rdiagnosis rof rshock rmust rinclude: r- rCORRECT✅✅evidence rof rinadequate
rorgan rperfusion
A r7-year-old rboy ris rbrought rto rthe remergency rdepartment rby rhis rparents rseveral
rminutes rafter rhe rfell rthrough ra rwindow. rHe ris rbleeding rprofusely rfrom ra r6-cm rwound
rof rhis rmedial rright rthigh. rImmediate rmanagement rof rthe rwound rshould rconsist rof: r-
rCORRECT✅✅direct rpressure ron rthe rwound
For rthe rpatient rwith rsevere rtraumatic rbrain rinjury, rprofound rhypocarbia rshould rbe
ravoided rto rprevent: r- rCORRECT✅✅cerebral rvasoconstriction rwith rdiminished
rperfusion
After rbeing rinvolved rin ra rmotor rvehicle rcrash, ra r25-year-old rman ris rbrought rto ra
rhospital rthat rhas rsurgery rcapabilities ravailable.. rComputed rtomography rof rthe rchest
rand rabdomen rshows ran raortic rinjury rand rsplenic rlaceration rwith rfree rabdominal
rfluid. rHis rblood rpressure rfalls rto r70 rmm rHg rafter rCT. rThe rnext rstep ris: r-
rCORRECT✅✅perform ran rexploratory rlaparotomy
Which rone rof rthe rfollowing rstatements rregarding rabdominal rtrauma rin rthe rpregnant
rpatient ris rTRUE? r- rCORRECT✅✅Leakage rof ramniotic rfluid ris ran rindication rfor
rhospital radmission.
The rfirst rmaneuver rto rimprove roxygenation rafter rchest rinjury ris: r-
rCORRECT✅✅administer rsupplemental roxygen
A r25-year-old rman, rinjured rin ra rmotor rvehicular rcrash, ris radmitted rto rthe remergency
rdepartment. rHis rpupils rreact rsluggishly rand rhis reyes ropen rto rpressure. rHe rdoes rnot
rfollow rcommands, rbut rhe rdoes rmoan rperiodically. rHis rright rarm ris rdeformed rand
rdoes rnot rrespond rto rpressure; rhowever, rhis rleft rhand rreaches rpurposefully rtoward
rthe rstimulus. rBoth rlegs rare rstiffly rextended. rHis rGCS rscore ris: r- rCORRECT✅✅9
A r20-year-old rwoman rwho ris rat r32 rweeks rgestation, ris rstabbed rin rthe rupper rright
rchest. rIn rthe remergency rdepartment, rher rblood rpressure ris r80/60 rmm rHg. rShe ris
rgasping rfor rbreath, rextremely ranxious, rand ryelling rfor rhelp. rBreath rsounds rare
rdiminished rin rthe rright rchest. rThe rmost rappropriate rfirst rstep ris rto: r-
rCORRECT✅✅perform rneedle ror rfinger rdecompression rof rthe rright rchest
Which rone rof rthe rfollowing rfindings rin ran radult ris rmost rlikely rto rrequire rimmediate
rmanagement rduring rthe rprimary rsurvey? r- rCORRECT✅✅respiratory rrate rof r40
rbreaths rper rminute
The rmost rimportant, rimmediate rstep rin rthe rmanagement rof ran ropen rpneumothorax
ris: r- rCORRECT✅✅placement rof ran rocclusive rdressing rover rthe rwound
,The rfollowing rare rcontraindications rfor rtetanus rtoxoid radministration: r-
rCORRECT✅✅history rof rneurological rreaction ror rsevere rhypersensitivity rto rthe
rproduct
A r56-year-old rman ris rthrown rviolently ragainst rthe rsteering rwheel rof rhis rtruck rduring
ra rmotor rvehicle rcrash. rOn rarrival rin rthe remergency rdepartment rhe ris rdiaphoretic
rand rcomplaining rof rchest rpain. rHis rblood rpressure ris r60/40 rmm rHg rand rhis
rrespiratory rrate ris r40 rbreaths rper rminute. rWhich rof rthe rfollowing rbest rdifferentiates
rcardiac rtamponade rfrom rtension rpneumothorax ras rthe rcause rof rhis rhypotension? r-
rCORRECT✅✅breath rsounds
Bronchial rintubation rof rthe rright ror rleft rmainstem rbronchus rcan reasily roccur rduring
rinfant rendotracheal rintubation rbecause: r- rCORRECT✅✅The rtrachea ris rrelatively
rshort.
A r23-year-old rman rsustains r4 rstab rwounds rto rthe rupper rright rchest rduring ran
raltercation rand ris rbrought rby rambulance rto ra rhospital rthat rhas rfull rsurgical
rcapabilities. rHis rwounds rare rall rabove rthe rnipple. rHe ris rendotracheally rintubated,
rclosed rtube rthoracostomy ris rperformed, rfluid rresuscitation ris rinitiated rthrough r2
rlarge-caliber rIVs. rFAST rexam rdoes rnot rreveal rintraabdominal rinjuries. rHis rblood
rpressure rnow ris r60/0 rmm rHg, rheart rrate ris r160 rbeats rper rminute, rand rrespiratory
rrate ris r14 rbreaths rper rminute r(ventilated rwith r100% rO2). r1500 rmL rof rblood rhas
rdrained rfrom rthe rright rchest. rThe rmost rappropriate rnext rstep rin rmanaging rthis
rpatient ris rto: r- rCORRECT✅✅urgently rtransfer rthe rpatient rto rthe roperating rroom
A r39-year-old rman ris radmitted rto rthe remergency rdepartment rafter ran rautomobile
rcollision. rHe ris rcyanotic, rhas rinsufficient rrespiratory reffort, rand rhas ra rGCS rscore rof
r6. rHis rfull rbeard rmakes rit rdifficult rto rfit rthe roxygen rfacemask rto rhis rface. rThe rmost
rappropriate rnext rstep ris rto: r- rCORRECT✅✅restrict rcervical rmotion rand rattempt
rorotracheal rintubation rusing r2 rpeople
A rpatient ris rbrought rto rthe remergency rdepartment rafter ra rmotor rvehicle rcrash. rHe ris
rconscious rand rthere ris rno robvious rexternal rtrauma. rHe rarrives rat rthe rhospital
rcompletely rimmobilized ron ra rlong rspine rboard. rHis rblood rpressure ris r60/40 rmm rHg
rand rhis rheart rrate ris r70 rbeats rper rminute. rHis rskin ris rwarm. rWhich rone rof rthe
rfollowing rstatements ris rTRUE? r- rCORRECT✅✅Flaccidity rof rthe rlower rextremities
rand rloss rof rdeep rtendon rreflexes rare rexpected.
Which rone rof rthe rfollowing ris rthe rmost reffective rmethod rfor rinitially rtreating rfrostbite?
r- rCORRECT✅✅moist rheat
A r32-year-old rman's rright rleg ris rtrapped rbeneath rhis roverturned rcar rfor rnearly r2
rhours rbefore rhe ris rextricated. rOn rarrival rin rthe remergency rdepartment, rhis rright
rlower rextremity ris rcool, rmottled, rinsensate, rand rmotionless. rDespite rnormal rvital
rsigns, rpulses rcannot rbe rpalpated rbelow rthe rright rfemoral rartery rand rthe rmuscles rof
rthe rlower rextremity rare rfirm rand rhard. rDuring rthe rmanagement rof rthis rpatient, rwhich
, rof rthe rfollowing ris rmost rlikely rto rimprove rthe rchances rfor rlimb rsalvage? r-
rCORRECT✅✅surgical rconsultation rfor rright rlower rextremity rfasciotomy
A rpatient rarrives rin rthe remergency rdepartment rafter rbeing rbeaten rabout rthe rhead
rand rface rwith ra rwooden rclub. rHe ris rcomatose rand rhas ra rpalpable rdepressed rskull
rfracture. rHis rface ris rswollen rand recchymotic. rHe rhas rgurgling rrespirations rand
rvomitus ron rhis rface rand rclothing. rThe rmost rappropriate rstep rafter rproviding
rsupplemental roxygen rand relevating rhis rjaw ris rto: r- rCORRECT✅✅suction rthe
roropharynx
A r22-year-old rman rsustains ra rgunshot rwound rto rthe rleft rchest rand ris rtransported rto
ra rsmall rcommunity rhospital rno rsurgical rcapabilities rare ravailable. rIn rthe remergency
rdepartment, ra rchest rtube ris rinserted rand r700 rmL rof rblood ris revacuated. rThe rtrauma
rcenter raccepts rthe rpatient rin rtransfer. rJust rbefore rthe rpatient ris rplaced rin rthe
rambulance rfor rtransfer, rhis rblood rpressure rdecreases rto r80/68 rmm rHg rand rhis
rheart rrate rincreases rto r136 rbeats rper rminute. rThe rnext rstep rshould rbe rto: r-
rCORRECT✅✅repeat rthe rprimary rsurvey rand rproceed rwith rtransfer
A r64-year-old rman rinvolved rin ra rhigh-speed rcar rcrash, ris rresuscitated rinitially rin ra
rsmall rhospital rwithout rsurgical rcapabilities. rHe rhas ra rclosed rhead rinjury rwith ra rGCS
rscore rof r13. rHe rhas ra rwidened rmediastinum ron rchest rx-ray rwith rfractures rof rleft
rribs r2 rthrough r4, rbut rno rpneumothorax. rAfter rinitiating rfluid rresuscitation, rhis rblood
rpressure ris r110/74 rmm rHg, rheart rrate ris r100 rbeats rper rminute, rand rrespiratory rrate
ris r18 rbreaths rper rminute. rHe rhas rgross rhematuria rand ra rpelvic rfracture. rYou rdecide
rto rtransfer rthis rpatient rto ra rfacility rcapable rof rproviding ra rhigher rlevel rof rcare. rThe
rfacility ris r128 rkm r(80 rmiles) raway. rBefore rtransfer, ryou rshould rfirst: r-
rCORRECT✅✅call rthe rreceiving rhospital rand rspeak rto rthe rsurgeon ron rcall
Hemorrhage rof r20% rof rthe rpatient's rblood rvolume ris rassociated rusually rwith: r-
rCORRECT✅✅tachycardia
Which rone rof rthe rfollowing rstatements rconcerning rintraosseous rinfusion ris rTRUE? r-
rCORRECT✅✅Aspiration rof rbone rmarrow rconfirms rappropriate rpositioning rof rthe
rneedle.
A ryoung rwoman rsustains ra rsevere rhead rinjury ras rthe rresult rof ra rmotor rvehicle
rcrash. rIn rthe remergency rdepartment, rher rGCS ris r6. rHer rblood rpressure ris r140/90
rmm rHg rand rher rheart rrate ris r80 rbeats rper rminute. rShe ris rintubated rand
rmechanically rventilated. rHer rpupils rare r3 rmm rin rsize rand requally rreactive rto rlight.
rThere ris rno rother rapparent rinjury. rThe rmost rimportant rprinciple rto rfollow rin rthe rearly
rmanagement rof rher rhead rinjury ris rto: r- rCORRECT✅✅avoid rhypotension
A r33-year-old rwoman ris rinvolved rin ra rhead-on rmotor rvehicle rcrash. rIt rtook r30
rminutes rto rextricate rher rfrom rthe rcar. rUpon rarrival rin rthe remergency rdepartment,
rher rheart rrate ris r120 rbeats rper rminute, rBP ris r90/70 rmm rHg, rrespiratory rrate ris r16
rbreaths rper rminute, rand rher rGCS rscore ris r15. rExamination rreveals rbilaterally requal
