atls_post_test_2021_questions_and_answers

ATLS
POSTTEST
2023
QUESTIONS
&
ANSWERS

, ATLS POST TEST 2023 QUESTIONS & ANSWER
1. The primary indication for transferring a
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patient to a higher level trauma center is:
K K K K K K K K ng patients with thoracic spine i
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unavailabilityK ofK aK surgeonK orK operatingK roomK K actureKofKtheKcribri
staff.Kmulti
pleKsystemKinjuries,KincludingKsevereK
headKinjury.
resourceKlimitationsKasKdeterminedKbyKtheK
transferringKdoctor.
resourceK limitationsK asK determinedK byK theK K
hospitalKadministration.Kwid
enedKmediastinumKonKchestKx-rayK
followingK bluntK thoracicK trauma.



2. teen-
aged bicycle rider is hit by a truck traveling at
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a high rate of speed. In the emergency depart
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ment, she is actively bleeding from open fractur
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es of her legs, and has abrasions on her chest a
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nd abdominal wall. Her blood pressure is 80/5
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0 mm Hg, heart rate is 140 beats per minute, r
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espiratory rate is 8 breaths per minute, and G K K K K K K K K


CS score is 6.
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The first step in managing this patient is to:
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obtainKaKlateralKcervicalKspineKx-ray.
K ins
ertKaKcentralKvenousKpressureKline.
K ad
ministerK2KlitersKofKcrystalloidKsolution.
K per
formKendotrachealKintubationKand
ventilation.
applyKtheKPASGKandKinflateKtheKleg
compartments.



3. Contraindication to nasogastric intubation is K K K K K


the presence of a:
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gastricKperforation.

, Log-rollingKmayKbeK destabilizingKto
fracturesKfromKT-12KtoKL-1.
AdequateKimmobilizationKcanKbe bdom
accomplishedK withK theK scoopK stretcher.
SpinalKcordKinjuryKbelowKT-10KusuallyKspares nosticKlapa
bowelK andK bladderK function.
HyperflexionKfracturesKinKtheKupper ominalKultra
thoracicKspineKareKinherentlyKunstable. aKdiagnosticKperitone
TheseKpatientsKrarelyKpresentKwithKspinal
shockK inKassociationK withK cordK injury.
6. young woman sustains a sev K K K K


Kas the result of a motor vehicu
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5. young man sustains a ritle wound to the mid
K K K K K K K K Kemergency department, her GC K K K


- r blood pressure is 140/90 mm
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Kabdomen. He is brought promptly to the emerg
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ency department by prehospital personnel. His
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skin is cool and diaphoretic, and his systolic blo
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od pressure is 58 rnm Hg. Warmed crystalloid f
K K K K K K K K There is no other apparent inju
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luids are initiated without improvement in his
K K K K K K K mportant principle to follow in K K K K


vital signs. The next, most appropriate step is t
K K K K K K K K gement of her head injury is to
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o perform:
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administerKanKosmoti
preventKsecondaryKbra