ATLS P OST TEST 4 – Latest Version | Real
Exam with 160 Questions and Correct
Answers | A
+ Graded.
A 22-year-old man ishypotensive andtachycardic after shotgun
a wound to the
left shoulder. His
blood pressure is initially 80/40 mm Hg. After initial fluid resuscitation his blood pressure increases to
122/84 mm Hg. His heart rate is now 100 beats per minute and his respiratory rate is 28 breaths per
minute. A tube thoracostomy is performed for decreased
leftchestbreathsoundswiththereturnof a
small amountof bloodand no air leak. After chest tube insertion, the most appropriate next step is:
Selectone:
a.
reexaminethechestb.
perform an aortogram c. obtain
a
CT scanof thechestd.
obtainarterialbloodgasanalysese.
performtransesophageal
echocardiography- A) Reexaminethechest
A construction worker falls two stories from a building and sustains bilateral calcaneal
fractures.
In theemergencydepartment,he is alert,vital signs arenormal, and he is complaining of severe
pain in both heels and his lower back. Lower extremity
pulsesarestrongand thereis no other
deformity.The suspecteddiagnosis is most likely to be confirmed by:
Selectone:
a.angiography
b.
compartmentpressuresc.
retrograde urethrogram d.
Dopplerultrasoundstudies
, ATLS P OST TEST 4 – Latest Version | Real
Exam with 160 Questions and Correct
Answers | A
+ Graded.
e.
completespinex-rayseries- e) Completespinex-rayseries
Which of thefollowingis trueregardingtheinitial resuscitationof a traumapatient? Select one:
a.
A patientthatpresentswitha torsogunshotwoundandis hypotensiveshouldreceive crystalloid fluid
resuscitation until the blood pressure is normal
b.
Evidenceof improvedperfusionafterfluid resuscitationcouldincludeimprovementin Glasgow coma
scale score on reevaluation
c.
Massivetransfusionis definedastransfusionof morethan>10 of packedredblood cells and plasma
in 24 hours
d.
Whentranexamicacid is administeredby pre-hospitalprovidersa seconddoseis required within 24
hours
e.
Fluid resuscitation isfar more important than bleeding control in trauma patients
- b. Evidenceof
improvedperfusionafterfluid resuscitationcouldincludeimprovementin Glasgow coma scale score
on reevaluation
In managinga patientwitha severetraumaticbrain injury, themostimportantinitial step is to:
Selectone:
a.
Securetheairwayb.
obtain a c-spine film c. support
the circulation d. control
scalp
hemorrhagee.
, ATLS P OST TEST 4 – Latest Version | Real
Exam with 160 Questions and Correct
Answers | A
+ Graded.
determinetheGCS score
Feedback
Your answeris corr - a. Securethe
airway
A previouslyhealthy,70-kg (154-pound)man suffersan estimatedacutebloodlossof 2 liters.
Which oneof thefollowingstatementsappliesto this patient?Selectone:
a.
His pulsepressurewill bewidened.b.
His urinaryoutputwill beat thelowerlimits of normal.c.
He will havetachycardia,butno changein his systolicbloodpressure.d. An ABG would
demonstratea basedeficitbetween-6 and -10 mEq/L e.
His systolicbloodpressurewill bemaintainedwithan elevateddiastolicpressure.- d. An ABG would
demonstrate a base deficit between
-6 and-10 mEq/L
The physiologichypervolemiaof pregnancyhasclinical significancein themanagement of the severely
injured, gravid woman by:
Selectone:
a.
reducingtheneedfor bloodtransfusionb. resulting
in an elevated hematocrit c.
complicating the management of closed head injury d. reducing
the
volumeof crystalloidrequiredfor resuscitatione.
increasingthevolumeof bloodlossto producematernalhypotension- e. increasing the volume of
blood loss to produce maternal hypotension
, ATLS P OST TEST 4 – Latest Version | Real
Exam with 160 Questions and Correct
Answers | A
+ Graded.
The bestassessmentof fluid resuscitationof theadultburn patientis: Select one:
a.
Urine output of 0.5 mL/kg/hr b.
normalizationof bloodpressure c.
normalization of the heart rate d.
measuringa normalcentralvenouspressuree.
providing4 mL/kg/percentbodyburn/24hoursof crystalloidfluid - a. Urine output of
0.5 mL/kg/hr
The diagnosisof shockmustinclude:
Selectone:
a.hypoxemia
b.
acidosis
c.
hypotensiond.
increasedvascularresistancee.
evidenceof inadequateorganperfusion- e. evidence
of inadequate organ perfusion
A 7-year-old boyis broughtto theemergencydepartmentby his parentsseveralminutes after he fell
through a window. He is bleeding profusely from-cm
a 6wound of hismedial right thigh. Immediate
management of the wound should consist of:
Selectone:
a.
applicationof a tourniquet
Exam with 160 Questions and Correct
Answers | A
+ Graded.
A 22-year-old man ishypotensive andtachycardic after shotgun
a wound to the
left shoulder. His
blood pressure is initially 80/40 mm Hg. After initial fluid resuscitation his blood pressure increases to
122/84 mm Hg. His heart rate is now 100 beats per minute and his respiratory rate is 28 breaths per
minute. A tube thoracostomy is performed for decreased
leftchestbreathsoundswiththereturnof a
small amountof bloodand no air leak. After chest tube insertion, the most appropriate next step is:
Selectone:
a.
reexaminethechestb.
perform an aortogram c. obtain
a
CT scanof thechestd.
obtainarterialbloodgasanalysese.
performtransesophageal
echocardiography- A) Reexaminethechest
A construction worker falls two stories from a building and sustains bilateral calcaneal
fractures.
In theemergencydepartment,he is alert,vital signs arenormal, and he is complaining of severe
pain in both heels and his lower back. Lower extremity
pulsesarestrongand thereis no other
deformity.The suspecteddiagnosis is most likely to be confirmed by:
Selectone:
a.angiography
b.
compartmentpressuresc.
retrograde urethrogram d.
Dopplerultrasoundstudies
, ATLS P OST TEST 4 – Latest Version | Real
Exam with 160 Questions and Correct
Answers | A
+ Graded.
e.
completespinex-rayseries- e) Completespinex-rayseries
Which of thefollowingis trueregardingtheinitial resuscitationof a traumapatient? Select one:
a.
A patientthatpresentswitha torsogunshotwoundandis hypotensiveshouldreceive crystalloid fluid
resuscitation until the blood pressure is normal
b.
Evidenceof improvedperfusionafterfluid resuscitationcouldincludeimprovementin Glasgow coma
scale score on reevaluation
c.
Massivetransfusionis definedastransfusionof morethan>10 of packedredblood cells and plasma
in 24 hours
d.
Whentranexamicacid is administeredby pre-hospitalprovidersa seconddoseis required within 24
hours
e.
Fluid resuscitation isfar more important than bleeding control in trauma patients
- b. Evidenceof
improvedperfusionafterfluid resuscitationcouldincludeimprovementin Glasgow coma scale score
on reevaluation
In managinga patientwitha severetraumaticbrain injury, themostimportantinitial step is to:
Selectone:
a.
Securetheairwayb.
obtain a c-spine film c. support
the circulation d. control
scalp
hemorrhagee.
, ATLS P OST TEST 4 – Latest Version | Real
Exam with 160 Questions and Correct
Answers | A
+ Graded.
determinetheGCS score
Feedback
Your answeris corr - a. Securethe
airway
A previouslyhealthy,70-kg (154-pound)man suffersan estimatedacutebloodlossof 2 liters.
Which oneof thefollowingstatementsappliesto this patient?Selectone:
a.
His pulsepressurewill bewidened.b.
His urinaryoutputwill beat thelowerlimits of normal.c.
He will havetachycardia,butno changein his systolicbloodpressure.d. An ABG would
demonstratea basedeficitbetween-6 and -10 mEq/L e.
His systolicbloodpressurewill bemaintainedwithan elevateddiastolicpressure.- d. An ABG would
demonstrate a base deficit between
-6 and-10 mEq/L
The physiologichypervolemiaof pregnancyhasclinical significancein themanagement of the severely
injured, gravid woman by:
Selectone:
a.
reducingtheneedfor bloodtransfusionb. resulting
in an elevated hematocrit c.
complicating the management of closed head injury d. reducing
the
volumeof crystalloidrequiredfor resuscitatione.
increasingthevolumeof bloodlossto producematernalhypotension- e. increasing the volume of
blood loss to produce maternal hypotension
, ATLS P OST TEST 4 – Latest Version | Real
Exam with 160 Questions and Correct
Answers | A
+ Graded.
The bestassessmentof fluid resuscitationof theadultburn patientis: Select one:
a.
Urine output of 0.5 mL/kg/hr b.
normalizationof bloodpressure c.
normalization of the heart rate d.
measuringa normalcentralvenouspressuree.
providing4 mL/kg/percentbodyburn/24hoursof crystalloidfluid - a. Urine output of
0.5 mL/kg/hr
The diagnosisof shockmustinclude:
Selectone:
a.hypoxemia
b.
acidosis
c.
hypotensiond.
increasedvascularresistancee.
evidenceof inadequateorganperfusion- e. evidence
of inadequate organ perfusion
A 7-year-old boyis broughtto theemergencydepartmentby his parentsseveralminutes after he fell
through a window. He is bleeding profusely from-cm
a 6wound of hismedial right thigh. Immediate
management of the wound should consist of:
Selectone:
a.
applicationof a tourniquet
