ATLS EXAM
Study online at https://quizlet.com/_8hduzg
1. True or false? Al- True
though the mecha-
nism of injury may
be similar to those
for the younger pop-
ulation, data shows
increased mortality
with similar severi-
ty of injury in older
adults.
2. In the elderly pop- aging is characterized by impaired adaptive and homeostatic mechanisms
ulation, what is de- that caused an increased susceptibility to the stress of injury. Insults toler-
creased physiologi- ated by the younger population can lead to devastating results in elderly
cal reserve? patients.
3. Pre-existing condi- cirrhosis, coagulopathy, COPD, ischemic heart disease, DM
tions that affect mor-
bidity and mortality
include:
4. What is the most Fall. Nonfatal falls are common in women and fractures are common in
common mecha- women who fall. Falls are the most common cause of TBI.
nism of injury in the
elderly?
5. In the elderly popu- advanced age, physical impairment, history of previous fall, medication use,
lation, what are risk dementia, unsteady gait, and visual, cognitive impairment
factors for falls?
6. Most of elderly traf- Older people drive on more familiar roads and at lower speeds and tend to
fic fatalities occur in drive during the day. Older people have slower reaction time, a larger blind
the daytime and on spot, limited cervical mobility, decreased hearing, and cognitive impairment.
, ATLS EXAM
Study online at https://quizlet.com/_8hduzg
weekends and typ-
ically involve other
vehicles. Why?
7. True or False? Mor- True
tality associated with
small to moderate
sized burns in older
adults remains high
8. Spilled hot liquids this is true
on the leg, which
in younger patients
may re-epithelialize
due to an adequate
number of hair folli-
cles, will result in a
full thickness burn in
older patients.
9. Airway-patients may bag mask ventilation, as it improves mask fitting.
have dentures that
may loosen or ob-
struct the airway. If
dentures are not ob-
structing the airway,
leave them in place
for what?
10. When preforming 20-40%
rapid sequence in-
tubation, the dose
of benzos, barbi-
, ATLS EXAM
Study online at https://quizlet.com/_8hduzg
turates, and other
sedatives should be
reduced to what per-
centage to minimize
the risk of cardiovas-
cular depression?
11. Functional changes this results in lack of classic response to hypovolemia, risk for cardiac is-
in cardiac system in- chemia, elevated BP at baseline, and increased risk of dysrythmias.
clude declining func-
tion, decreased sen-
sitivity to cate-
cholamines, athero-
sclerosis of coronary
vessels, increased af-
terload, fixed heart
rate (beta blockers)
12. Functional changes thus they are at increased risk for respiratory failure, increased risk for
in pulmonary sys- pneumonia, and poor tolerance to rib fractures
tem include de-
creased elastic re-
coil, reduced resid-
ual capacity, de-
creased gas ex-
change and de-
creased cough reflex
13. Functional changes resulting in drug dosing for renal insufficiency, decreased ability to con-
in renal system in- centrate urine, increased risk for AKI and urine flow may be normal with
clude loss of re- hypovolemia
nal mass, decreased
, ATLS EXAM
Study online at https://quizlet.com/_8hduzg
GFR, and decreased
sensitivity to ADH
and aldosterone
14. Functional changes resulting in increased risk for fractures, decreased mobility, difficulty for oral
to MSK include intubation, risk of skin injury, increased risk for hypothermia, challenges in
loss of lean body rehabiliation
mass, osteoporosis,
changes in joints and
cartilage, c spine de-
generative changes
and loss of skin
elastin and subcuta-
neous fat
15. Functional changes resulting in occult hypothyroidism, relative hypercortisone states and in-
in Endocrine system creased risk of infection
include decreased
production and
response to thyroxin
and decreased
dehydroepiandros-
terone (DHEA)
16. True or false: Arthri- true
tis can complicate
the airway and
cervical spine. Pa-
tients can have
multilevel degenera-
tive changes affect-
ing disk spaces and
Study online at https://quizlet.com/_8hduzg
1. True or false? Al- True
though the mecha-
nism of injury may
be similar to those
for the younger pop-
ulation, data shows
increased mortality
with similar severi-
ty of injury in older
adults.
2. In the elderly pop- aging is characterized by impaired adaptive and homeostatic mechanisms
ulation, what is de- that caused an increased susceptibility to the stress of injury. Insults toler-
creased physiologi- ated by the younger population can lead to devastating results in elderly
cal reserve? patients.
3. Pre-existing condi- cirrhosis, coagulopathy, COPD, ischemic heart disease, DM
tions that affect mor-
bidity and mortality
include:
4. What is the most Fall. Nonfatal falls are common in women and fractures are common in
common mecha- women who fall. Falls are the most common cause of TBI.
nism of injury in the
elderly?
5. In the elderly popu- advanced age, physical impairment, history of previous fall, medication use,
lation, what are risk dementia, unsteady gait, and visual, cognitive impairment
factors for falls?
6. Most of elderly traf- Older people drive on more familiar roads and at lower speeds and tend to
fic fatalities occur in drive during the day. Older people have slower reaction time, a larger blind
the daytime and on spot, limited cervical mobility, decreased hearing, and cognitive impairment.
, ATLS EXAM
Study online at https://quizlet.com/_8hduzg
weekends and typ-
ically involve other
vehicles. Why?
7. True or False? Mor- True
tality associated with
small to moderate
sized burns in older
adults remains high
8. Spilled hot liquids this is true
on the leg, which
in younger patients
may re-epithelialize
due to an adequate
number of hair folli-
cles, will result in a
full thickness burn in
older patients.
9. Airway-patients may bag mask ventilation, as it improves mask fitting.
have dentures that
may loosen or ob-
struct the airway. If
dentures are not ob-
structing the airway,
leave them in place
for what?
10. When preforming 20-40%
rapid sequence in-
tubation, the dose
of benzos, barbi-
, ATLS EXAM
Study online at https://quizlet.com/_8hduzg
turates, and other
sedatives should be
reduced to what per-
centage to minimize
the risk of cardiovas-
cular depression?
11. Functional changes this results in lack of classic response to hypovolemia, risk for cardiac is-
in cardiac system in- chemia, elevated BP at baseline, and increased risk of dysrythmias.
clude declining func-
tion, decreased sen-
sitivity to cate-
cholamines, athero-
sclerosis of coronary
vessels, increased af-
terload, fixed heart
rate (beta blockers)
12. Functional changes thus they are at increased risk for respiratory failure, increased risk for
in pulmonary sys- pneumonia, and poor tolerance to rib fractures
tem include de-
creased elastic re-
coil, reduced resid-
ual capacity, de-
creased gas ex-
change and de-
creased cough reflex
13. Functional changes resulting in drug dosing for renal insufficiency, decreased ability to con-
in renal system in- centrate urine, increased risk for AKI and urine flow may be normal with
clude loss of re- hypovolemia
nal mass, decreased
, ATLS EXAM
Study online at https://quizlet.com/_8hduzg
GFR, and decreased
sensitivity to ADH
and aldosterone
14. Functional changes resulting in increased risk for fractures, decreased mobility, difficulty for oral
to MSK include intubation, risk of skin injury, increased risk for hypothermia, challenges in
loss of lean body rehabiliation
mass, osteoporosis,
changes in joints and
cartilage, c spine de-
generative changes
and loss of skin
elastin and subcuta-
neous fat
15. Functional changes resulting in occult hypothyroidism, relative hypercortisone states and in-
in Endocrine system creased risk of infection
include decreased
production and
response to thyroxin
and decreased
dehydroepiandros-
terone (DHEA)
16. True or false: Arthri- true
tis can complicate
the airway and
cervical spine. Pa-
tients can have
multilevel degenera-
tive changes affect-
ing disk spaces and
