ATLS COMPLETE STUDY GUIDE TEST.

ATLS COMPLETE STUDY GUIDE TEST. 1. Regarding airway compromise, which of the following Decreased pulse pressure. is NOT a sign/symptom of this emergency?: Change in voice tone. Stridor. Decreased pulse pressure. Dyspnea and agitation. Tachypnea. 2. A 26 year • old woman is brought to the Emergency Department after being involved in a motor vehicle crash. She is 30 weeks pregnant. She was restrained with a lap and shoulder belt, and an airbag deployed. Which one of the following statements best describes the risk of injury?: The deployment of the airbag increases the risk of fetal loss. The use of seatbelts is associated with increased risk of maternal death. The mechanism of injury suggests the need for emer- gency caesarean section due to the risk of impending abruptio placentae. The risk of premature fetal delivery and death is re- duced by the use of restraints. The deployment of the airbag increases the risk of maternal abdominal injury. The risk of premature fetal delivery and death is re- duced by the use of re- straints. 3. Regarding cardiac tamponade, which of the following statements is CORRECT?: Is definitively managed by needle pericardiocentesis. Is most common with blunt thoracic trauma and ante- rior rib fractures. Is easily diagnosed by discovery of Beck's triad in the emergency department. Is indicated by Kussmaul breathing. Requires surgical intervention. 4. A 24 year - old man is brought to the Emergency De- Requires surgical inter- vention. Are not needed if she is partment after falling from a bull. He is immobilized on awake, alert, neurological- a long spine board with a hard collar and blocks. Which ly normal, and has no neck of the following statements is CORRECT regarding cer- pain or midline tender- vical spine xrays: Will show cervical spine injury in more than 20% of these patients. Will exclude cervical spine injury if no abnormalities are found on the xrays. Are not needed if she is awake, alert, neurologically normal, and has no neck pain or midline tenderness. Should be performed before addressing potential breathing or circulatory problems. ness. May show atlantooccipital dislocation if the Power's ratio is less than 1. 5. Regarding injuries of solid abdominal organs, which is CT of abdomen and pelvis. the most specific test for their evaluation?: Abdominal x-rays. Abdominal ultrasonography. Diagnostic peritoneal lavage. Frequent abdominal examinations. CT of abdomen and pelvis. 6. A 35 year-old female obese patient, agitated with a Glasgow Coma Scale score of 8 requires to be trans- ferred to have a brain CT Scan. Before transferring to the scanner, which is the main measure you should take care of?: Give more sedative drugs. Insert a multilumen esophageal airway. Insert a definitive airway. Request a lateral cervical spine film. Insert a nasogastric tube. Insert a definitive airway. 7. A 37 y/o construction worker is brought to the ED after Xrays of the chest and falling from a 9 meter (30 feet) scaffolding. Heart rate 140, blood pressure 96/60 mm Hg, and RR 36. He is complaining of lower abdominal and lower limb pain, and has obvious deformity of both lower legs with bilateral open tibial fractures. Which one of the following statements concerning this patient is CORRECT?: pelvis are important ad- juncts in his initial assess- ment.