AND CORRECT ANSWERS |A GRADE
1. Which of the following is the recom- C. Warm (40 degrees) water
mended Method for trestemt frostbite?
A. Vasodilators
B. Anticigulants
C. Warm (40 degrees) water
D. Padding and elevation
E. Application of heat from a hairdryer
2. Which of the following physical findings D. Presence of deep tendon reflexes. Spinal
suggest a cause of hypotension other shock refers to loss of muscle toe (flaccidty) and
than spinal cord injury? loss of reflexes.
A. Prispism
B. Bradycardia
C. Diaphragmatic breathing
D. Presence of deep tendon reflexes
E. Ability to flex forearms but not extend
them
3. The primary indication for transferring C. Resource limitations as determined by the
A patient to a higher level trauma center transferring doctor (MÅ SJEKKES)
is:
A. Unavailibility of surgeon or operating
staff
B. Multiple system injuries, including se-
vere head injury
C. Resource limitations as determined
by the transferring doctor
D. Resource limitations as determined
by the hospital administration
, ATLS POST TEST 4 LATEST VERSIONS 2024-2025 REAL EXAM 160 QUESTIO
AND CORRECT ANSWERS |A GRADE
E. Widened mediastinum on chest x-ray
following blunt trauma
, ATLS POST TEST 4 LATEST VERSIONS 2024-2025 REAL EXAM 160 QUESTIO
AND CORRECT ANSWERS |A GRADE
4. A young man sustains a rifle wound A. Laparotomy because of hemodynamic ab-
to the mid-abdomen. He is brought normality
promptly to the ED by prehospital per-
sonnel. His skin is cool and diaphoret-
ic, and his systolic blood pressure is
58mmHg. Warmed crystalloid fluids are
initiated without improvement in his vi-
tal signs. The next, most appropriate,
step is to perform:
A. a laparotomy
B. An abdominal CT-scan
C. Diagnostic laparoscopy
D. Abdominal ultrasonography
E. A diagnostic peritoneal lavage
5. A 42-year-old man is trapped from the MÅ SJEKKES
waist down beneath his overturned trac-
tor for several hours before medical as-
sistance arrives. He is awake and alert
until just before arriving in the ED. He
is now unconscious and responds only
to painful stimuli by moaning. His pupils
are 3mm in diameter and symmetrically
reactive to light. Prehospital personnel
indicate that they have not seen the pa-
tient move either of his lower extremi-
ties. On examination in the ED, no move-
ment of his lower extremities are detect-
ed, even in response to painful stimuli.
The most likely cause for this finding is:
, ATLS POST TEST 4 LATEST VERSIONS 2024-2025 REAL EXAM 160 QUESTIO
AND CORRECT ANSWERS |AGRADE
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A. An epidural hematoma
B. A pelvic fracture
C. Central cord syndrome
D. Intracerebral hemorrhage
E. Bilateral compartment syndrome
6. A 6-year-o boy is struck by an automo- D. Percutaneous peripheral veins in the upper
bile and brought to the ED. He is lethar- extremities
gic, but withdraws purposefully from
painful stimuli. His blood pressure is
90mmHg systolic, heart rate 140 beats
per minute and his respiratory rate is 36
breaths per minute. The preferred route
of venous access in this patient is:
A. Percutaneous femoral vein cannula-
tion
B. Cutdown on the saphenous vein at
the ankle
C. Intraosseous catheter placement in
the proximal tibia
D. Percutaneous peripheral veins in the
upper extremities
E. Central venous access via the subcla-
vian or internal jugular vein
7. A young man sustains a gunshot wound C. Control internal hemorrhage operatively
to the abdomen and is brought prompt-
ly to the ED by prehospital personnel.
His skin is cool and diaphoretic, and he
is confused. His pulse is thready and his
femoral pulse is only weakly palpable.