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Actual Questions and Answers
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h 100% Guarantee Pass h h
This Exam contains:
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100% Guarantee Pass.
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Multiple-Choice (A–D), For Each Question.
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Each Question Includes The Correct Answer
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Rationale That Aligns with Atls Post Test 2025 Principles.
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1. Which of the following is the recommended method for treating frostbite?
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A. Vasodilators
B. Warm water immersion at approximately 40°C
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C. Padding and elevation only h h h
D. Application of heat from a hairdryer h h h h h
Answer: B. Warm water immersion at approximately 40°C
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Rationale:
• Rapid rewarming in a circulating water bath at 37–40°C (approx.) is the
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h standard of care for frostbite management.
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• Use of hairdryers or dry heat is contraindicated due to the risk of uneven
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h heating and tissue damage.
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2. Which of the following physical findings suggests a cause of hypotension
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h other than spinal cord injury?
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A. Priapism
B. Bradycardia
C. Diaphragmatic breathing h
D. Presence of deep tendon reflexes h h h h
Answer: D. Presence of deep tendon reflexes
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Rationale:
• Spinal shock typically presents with flaccidity and loss of reflexes below the
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h level of injury.
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• Preserved or brisk deep tendon reflexes suggest that the hypotension is not
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h solely due to spinal cord injury.
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3. The primary indication for transferring a patient to a higher-level trauma
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h center is: h
A. Unavailability of a surgeon or operating staff h h h h h h
B. Multiple system injuries (including severe head injury)
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C. Resource limitations as determined by the transferring doctor
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D. Widened mediastinum on chest X-ray after blunt trauma
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Answer: C. Resource limitations as determined by the transferring doctor
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Rationale:
• Transfer is indicated when the current facility lacks the necessary
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resources— clinical expertise, specialist availability, or equipment—to
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h manage the patient effectively.
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• The decision rests with the physician responsible for the patient’s care, based
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h on local capabilities.
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4. A young man has a gunshot wound to the mid-abdomen. He arrives
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h hypotensive (systolic blood pressure 58 mmHg) and does not improve despite
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h rapid infusion of warmed crystalloid fluids. The next most appropriate step is to:
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A. Immediate laparotomy h
B. Abdominal CT scan h h
C. Abdominal ultrasonography (FAST) h h
D. Diagnostic peritoneal lavage (DPL) h h h
Answer: A. Immediate laparotomy h h h
Rationale:
, • In the setting of penetrating abdominal trauma with persistent hypotension,
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h the priority is to control hemorrhage surgically.
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• Diagnostic imaging (CT, FAST, DPL) is not indicated when the patient is
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profoundly unstable and in obvious need of operative intervention.
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5. A 42-year-old man is trapped for several hours under an overturned tractor.
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h He was alert initially, but now is unconscious and shows no movement of his
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h lower extremities (even to painful stimuli). The most likely cause of this lower-
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extremity finding is: h h
A. Pelvic fracture h
B. Central cord syndrome h h
C. Intracerebral hemorrhage h
D. Bilateral compartment syndrome h h
Answer: D. Bilateral compartment syndrome
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Rationale:
• Prolonged entrapment can lead to crush injury and compartment syndrome in
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the lower extremities.
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• Absence of movement and persistent neurological deficits in both legs can be
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h explained by compromised tissue perfusion and increased compartment
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pressures.
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6. A 6-year-old boy is struck by an automobile and brought to the ED. He is
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h lethargic with a systolic BP of 90 mmHg, HR 140 bpm, and RR 36 breaths
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h per minute. The preferred route of venous access in this child is:
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A. Percutaneous femoral vein cannulation h h h
B. Intraosseous access in the proximal tibia h h h h h
C. Percutaneous peripheral vein in the upper extremities h h h h h h