ATLS Exam with Questions and Answers

ATLS Exam with Questions and Answers A 26-year-old male is resuscitated with blood transfusion after a motor vehicle collision that was complicated by a fractured pelvis. A few hours later, the patient becomes febrile, hypotensive with a normal CVP, and oliguric. Upon examination, the patient is found to be bleeding from the NG tube and IV sites. Which of the following is the most likely diagnosis? A. Hemorrhagic shock B. Acute adrenal insufficiency C. Fat embolism syndrome D. Transfusion reaction ANSWER D. Transfusion reaction Skin antiseptic ANSWER -Ethanol 70% is an effective skin antiseptic -Acetic acid can be used to treat Gram- skin infections -Salicylic acid is used to treat certain skin yeast infections Class IV hemorrhage indicates what % blood loss ANSWER 55% How does shivering affect body temperature ANSWER Increases body temperature Class III hemorrhage indicates what % of blood loss ANSWER 35% Management of a stable patient with kidney contusion ANSWER Observation Associated with hypovolemic shock ANSWER -Inadequate tissue perfusion with resultant tissue hypoxia