ATLS Test 1 question and answer 100%correct
C
Terms in this set (40)
A 22-year-old man is hypotensive and A) Reexamine the chest
tachycardic after a shotgun 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 left chest breath
sounds with the return of a small amount of
blood and no air leak. After chest tube
insertion, the most appropriate next step is:
Select one:
a.
reexamine the chest
b.
perform an aortogram
c.
obtain a CT scan of the chest
d.
obtain arterial blood gas analyses
e.
perform transesophageal echocardiography
,A construction worker falls two stories from e) Complete spine x-ray series
a building and sustains bilateral calcaneal
fractures. In the emergency department, he
is alert, vital signs are normal, and he is
complaining of severe pain in both heels
and his lower back. Lower extremity pulses
are strong and there is no other deformity.
The suspected diagnosis is most likely to be
confirmed by:
Select one:
a.
angiography
b.
compartment pressures
c.
retrograde urethrogram
d.
Doppler ultrasound studies
e.
complete spine x-ray series
Which of the following is true regarding the b.
initial resuscitation of a trauma patient? Evidence of improved perfusion after fluid resuscitation could
Select one: include improvement in Glasgow coma scale score on
a. reevaluation
A patient that presents with a torso gunshot
wound and is hypotensive should receive
crystalloid fluid resuscitation until the blood
pressure is normal
b.
Evidence of improved perfusion after fluid
resuscitation could include improvement in
Glasgow coma scale score on reevaluation
c.
Massive transfusion is defined as transfusion
of more than >10 of packed red blood cells
and plasma in 24 hours
d.
When tranexamic acid is administered by
pre-hospital providers a second dose is
required within 24 hours
e.
Fluid resuscitation is far more important than
bleeding control in trauma patients
, In managing a patient with a severe a.
traumatic brain injury, the most important Secure the airway
initial step is to:
Select one:
a.
Secure the airway
b.
obtain a c-spine film
c.
support the circulation
d.
control scalp hemorrhage
e.
determine the GCS score
Feedback
Your answer is corr
A previously healthy, 70-kg (154-pound) d.
man suffers an estimated acute blood loss An ABG would demonstrate a base deficit between -6 and -10
of 2 liters. mEq/L
Which one of the following statements
applies to this patient?
Select one:
a.
His pulse pressure will be widened.
b.
His urinary output will be at the lower limits
of normal.
c.
He will have tachycardia, but no change in
his systolic blood pressure.
d.
An ABG would demonstrate a base deficit
between -6 and -10 mEq/L
e.
His systolic blood pressure will be
maintained with an elevated diastolic
pressure.
C
Terms in this set (40)
A 22-year-old man is hypotensive and A) Reexamine the chest
tachycardic after a shotgun 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 left chest breath
sounds with the return of a small amount of
blood and no air leak. After chest tube
insertion, the most appropriate next step is:
Select one:
a.
reexamine the chest
b.
perform an aortogram
c.
obtain a CT scan of the chest
d.
obtain arterial blood gas analyses
e.
perform transesophageal echocardiography
,A construction worker falls two stories from e) Complete spine x-ray series
a building and sustains bilateral calcaneal
fractures. In the emergency department, he
is alert, vital signs are normal, and he is
complaining of severe pain in both heels
and his lower back. Lower extremity pulses
are strong and there is no other deformity.
The suspected diagnosis is most likely to be
confirmed by:
Select one:
a.
angiography
b.
compartment pressures
c.
retrograde urethrogram
d.
Doppler ultrasound studies
e.
complete spine x-ray series
Which of the following is true regarding the b.
initial resuscitation of a trauma patient? Evidence of improved perfusion after fluid resuscitation could
Select one: include improvement in Glasgow coma scale score on
a. reevaluation
A patient that presents with a torso gunshot
wound and is hypotensive should receive
crystalloid fluid resuscitation until the blood
pressure is normal
b.
Evidence of improved perfusion after fluid
resuscitation could include improvement in
Glasgow coma scale score on reevaluation
c.
Massive transfusion is defined as transfusion
of more than >10 of packed red blood cells
and plasma in 24 hours
d.
When tranexamic acid is administered by
pre-hospital providers a second dose is
required within 24 hours
e.
Fluid resuscitation is far more important than
bleeding control in trauma patients
, In managing a patient with a severe a.
traumatic brain injury, the most important Secure the airway
initial step is to:
Select one:
a.
Secure the airway
b.
obtain a c-spine film
c.
support the circulation
d.
control scalp hemorrhage
e.
determine the GCS score
Feedback
Your answer is corr
A previously healthy, 70-kg (154-pound) d.
man suffers an estimated acute blood loss An ABG would demonstrate a base deficit between -6 and -10
of 2 liters. mEq/L
Which one of the following statements
applies to this patient?
Select one:
a.
His pulse pressure will be widened.
b.
His urinary output will be at the lower limits
of normal.
c.
He will have tachycardia, but no change in
his systolic blood pressure.
d.
An ABG would demonstrate a base deficit
between -6 and -10 mEq/L
e.
His systolic blood pressure will be
maintained with an elevated diastolic
pressure.
