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1. Which of the following is least reliable for diagnosing ETT above carina on chest
esophageal intubation? x ray
2. Which of the following signs necessitates the need for Severe maxillofacial trau-
a definitive airway in severe trauma patient? ma
3. Twenty seven people are severely injured in an aircraft Produce the greatest
crash at a local airport. The principles of triage include: number of survivors based
on available resources
4. Which of the following statements are correct? Cerebral contusions may
coalesce to form an intrac-
erebral hematoma
5. The primary indication for transferring a patient to a Resource limitations as
higher level trauma center is: determined by the trans-
ferring doctor
6. A teenaged bicycle rider is hit by a truck traveling at D. Perform endotracheal
high speed. In the emergency department, she is ac- intubation and ventilation
tively bleeding from open fractures of her legs, and has
abrasions on her chest and abdominal wall. Her blood
pressure is 80/50 mm Hg, heart rate is 140 beats per
minute, respiratory rate is 8 breaths per minute, and
GCS score is 6. The first step in managing this patient
is to:
a) obtain a lateral cervical spine xray.
b) administer 2 liters of crystalloid solution.
c) insert a central venous pressure line.
d) perform endotracheal intubation and ventilation.
7.
, ATLS Post Test
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Contraindication to nasogastric intubation is the pres- Fracture of the cribiform
ence of a: plate
8. Which of the following statements regarding patients Log rolling may be desta-
with thoracic spine injuries is true? bilizing to fractures from
T12-L1
9. A young man sustains a rifle wound to the mid-ab- A celiotomy
domen. He is brought promptly to the ED by prehospi-
tal personnel. His skin is cool and diaphoretic, and his
systolic blood pressure is 58mmHg. Warmed crystal-
loid fluids are initiated without improvement in his vital
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
10. Young women sustains a severe head injury as the Prevent secondary brain
result of a motor vehicle crash. In the emergency de- injury
partment her GCS is 6. Her BP is 140/90 mmHg and her
HR is 80. She is intubated and is being mechanically
ventilated. Her pupils are 3 mm in size and equally
reactive to light. There is no other apparent injury.
The more important principle to follow in the early
management of her head injury is to:
11. 22 year old man is brought to the hospital after crash- Hemorrhage into the chest
ing his motorcycle into a telephone pole. He is uncon- of abdomen
scious and in profound shock. He has no open wounds
or obvious fractures. The cause of his shocks is most
likely caused by: