ATLS practice questions with answer 100%A+
Students also studied
C
Terms in this set (234)
Assessed first in trauma patient Airway
(*)Degree of burn that is characterized by Fourth
bone involvement
Complications of head trauma Intracerebral hematoma
Extradural hematoma
Brain abscess
Most common cause of laryngotracheal Trauma
stenosis
Intervention that can help prevent Infusion of normal saline
development of acute renal failure
A 26-year-old male is resuscitated with D. Transfusion reaction
blood transfusion after a motor vehicle
collision that was complicated by a
fractured pelvis. A few hours later, the
patient becomes febrile, hypotensive with a
normal CVP, and oliguric. Upon
examination, the patient is found to be
bleeding from the NG tube and IV sites.
Which of the following is the most likely
diagnosis?
A. Hemorrhagic shock
B. Acute adrenal insufficiency
C. Fat embolism syndrome
D. Transfusion reaction
,Skin antiseptic -Ethanol 70% is an effective skin antiseptic
-Acetic acid can be used to treat Gram- skin infections
-Salicylic acid is used to treat certain skin yeast infections
Class IV hemorrhage indicates what % 55%
blood loss
How does shivering affect body Increases body temperature
temperature
Class III hemorrhage indicates what % of 35%
blood loss
Management of a stable patient with kidney Observation
contusion
Associated with hypovolemic shock -Inadequate tissue perfusion with resultant tissue hypoxia
-Blood shunting to vital organs
-Decreased circulating blood volume and decreased venous
return
-Low cardiac output
-Loss of less than 20% of the blood volume is usually without
symptom except for mild tachycardia
-Patients become orthostatic with losses between 20 and 40%
-Shock is evidenced by tachycardia, hypotension, oliguria, flat
neck veins
The most effective method of monitoring Reactivity of pupils to light
the success of resuscitation during CPR?
Used to ensure correct placement of -Ultrasound
endotracheal tube -Bilateral breath sounds
-Sustained end-tidal CO2
Total body surface area involved in a burn in 18%
an adult to the anterior chest and abdomen
What is often caused by carotid massage? Bradycardia
Step in a patient diagnosed with tension 1. Needle decompression/ thoracotomy
pneumothorax 2. Chest tube
True statements regarding diaphragmatic -Blunt diaphragmatic injuries are usually associated with
injuries skeletal trauma
-Penetrating diaphragmatic injuries may be missed
-Repair of traumatic diaphragmatic injuries usually does not
require prosthetic material
First priority in the treatment of an Checking the pulse
unconscious patient
,A patient involved in a road accident is C. Intracranial hemorrhage
brought to the emergency department in an
unconscious state. On arrival, her vitals
show a temperature of 96.4 degrees
Fahrenheit, a respiration rate of 24 breaths
per minute, a heart rate of 140 beats per
minute, and a blood pressure of 80/40 mm
Hg. She is cold, shivering, and perspiring
profusely. She has bilateral reactive pupils
but she does not respond to pain. On
physical examination, she has no obvious
sign of external bleeding. Which of the
following cannot be the cause of
hypotension in this patient?
A. Pelvic fracture
B. Fracture of femur
C. Intracranial hemorrhage
D. Hemothorax
A patient suffered a slash to his right neck. C. Take him to the OR
The wound is over the mid-portion of the
sternocleidomastoid. There is a large
hematoma and brisk bleeding when
uncovered. He is stable. What is the next
step in management?
A. Get an angiogram
B. Close the wound in the ER
C. Take him to the operating room
D. CT scan to evaluate neck structure
After abdominal injury, which of the D. Gross hematuria
following urinalysis findings would be an
indication for further testing?
A. 0-5 casts/HPF
B. 5-10 WBC/HPF
C. 10-20 RBC/HPF
D. Gross hematuria
A laceration of the neck superficial to the External jugular vein
deep cervical fascia along the
sternocleidomastoid muscle at its midpoint
would cause bleeding from which
structure?
, Clinical features associated with tension Unilateral decrease in breath sounds
pneumothorax Hyperresonance
Respiratory distress
Tachycardia
Tracheal shift
Desatruation
Decreased breath sounds
Decreased compliance
Asymmetric chest movement
NOT hypertension, audible bronchial sounds
Not recommended as a mode of ventilation A. Bag and mask
for a patient with a diaphragmatic hernia
A. Bag and mask
B. LMA
C. Endotracheal intubation
D. Jet ventilation
What is the next step in the assessment of a Breathing
traumatic patient after airway is established?
Blood group that is considered a universal O
donor
A provider is examining a patient who Brainstem injury
sustained a severe traumatic head injury. He
documents no Doll's eyes. What does this
signify?
Which of the following is the least preferred Subclavian veins
method of administering IV fluids?
A. Cubital veins
B. Cephalic veins
C. Subclavian veins
D. Saphenous vein
Dermatome level for nipple sensation T4
Dermatome level for umbilicus T10
At which temperature would a hypothermic 88 degrees F
patient stop shivering?
What is the energy recommendation for the 300 J
first defibrillation in an adult (*)
Pharmacologic effects of Morphine Behavioral changes
Analgesia
Respiratory depression
NOT diarrhea
Students also studied
C
Terms in this set (234)
Assessed first in trauma patient Airway
(*)Degree of burn that is characterized by Fourth
bone involvement
Complications of head trauma Intracerebral hematoma
Extradural hematoma
Brain abscess
Most common cause of laryngotracheal Trauma
stenosis
Intervention that can help prevent Infusion of normal saline
development of acute renal failure
A 26-year-old male is resuscitated with D. Transfusion reaction
blood transfusion after a motor vehicle
collision that was complicated by a
fractured pelvis. A few hours later, the
patient becomes febrile, hypotensive with a
normal CVP, and oliguric. Upon
examination, the patient is found to be
bleeding from the NG tube and IV sites.
Which of the following is the most likely
diagnosis?
A. Hemorrhagic shock
B. Acute adrenal insufficiency
C. Fat embolism syndrome
D. Transfusion reaction
,Skin antiseptic -Ethanol 70% is an effective skin antiseptic
-Acetic acid can be used to treat Gram- skin infections
-Salicylic acid is used to treat certain skin yeast infections
Class IV hemorrhage indicates what % 55%
blood loss
How does shivering affect body Increases body temperature
temperature
Class III hemorrhage indicates what % of 35%
blood loss
Management of a stable patient with kidney Observation
contusion
Associated with hypovolemic shock -Inadequate tissue perfusion with resultant tissue hypoxia
-Blood shunting to vital organs
-Decreased circulating blood volume and decreased venous
return
-Low cardiac output
-Loss of less than 20% of the blood volume is usually without
symptom except for mild tachycardia
-Patients become orthostatic with losses between 20 and 40%
-Shock is evidenced by tachycardia, hypotension, oliguria, flat
neck veins
The most effective method of monitoring Reactivity of pupils to light
the success of resuscitation during CPR?
Used to ensure correct placement of -Ultrasound
endotracheal tube -Bilateral breath sounds
-Sustained end-tidal CO2
Total body surface area involved in a burn in 18%
an adult to the anterior chest and abdomen
What is often caused by carotid massage? Bradycardia
Step in a patient diagnosed with tension 1. Needle decompression/ thoracotomy
pneumothorax 2. Chest tube
True statements regarding diaphragmatic -Blunt diaphragmatic injuries are usually associated with
injuries skeletal trauma
-Penetrating diaphragmatic injuries may be missed
-Repair of traumatic diaphragmatic injuries usually does not
require prosthetic material
First priority in the treatment of an Checking the pulse
unconscious patient
,A patient involved in a road accident is C. Intracranial hemorrhage
brought to the emergency department in an
unconscious state. On arrival, her vitals
show a temperature of 96.4 degrees
Fahrenheit, a respiration rate of 24 breaths
per minute, a heart rate of 140 beats per
minute, and a blood pressure of 80/40 mm
Hg. She is cold, shivering, and perspiring
profusely. She has bilateral reactive pupils
but she does not respond to pain. On
physical examination, she has no obvious
sign of external bleeding. Which of the
following cannot be the cause of
hypotension in this patient?
A. Pelvic fracture
B. Fracture of femur
C. Intracranial hemorrhage
D. Hemothorax
A patient suffered a slash to his right neck. C. Take him to the OR
The wound is over the mid-portion of the
sternocleidomastoid. There is a large
hematoma and brisk bleeding when
uncovered. He is stable. What is the next
step in management?
A. Get an angiogram
B. Close the wound in the ER
C. Take him to the operating room
D. CT scan to evaluate neck structure
After abdominal injury, which of the D. Gross hematuria
following urinalysis findings would be an
indication for further testing?
A. 0-5 casts/HPF
B. 5-10 WBC/HPF
C. 10-20 RBC/HPF
D. Gross hematuria
A laceration of the neck superficial to the External jugular vein
deep cervical fascia along the
sternocleidomastoid muscle at its midpoint
would cause bleeding from which
structure?
, Clinical features associated with tension Unilateral decrease in breath sounds
pneumothorax Hyperresonance
Respiratory distress
Tachycardia
Tracheal shift
Desatruation
Decreased breath sounds
Decreased compliance
Asymmetric chest movement
NOT hypertension, audible bronchial sounds
Not recommended as a mode of ventilation A. Bag and mask
for a patient with a diaphragmatic hernia
A. Bag and mask
B. LMA
C. Endotracheal intubation
D. Jet ventilation
What is the next step in the assessment of a Breathing
traumatic patient after airway is established?
Blood group that is considered a universal O
donor
A provider is examining a patient who Brainstem injury
sustained a severe traumatic head injury. He
documents no Doll's eyes. What does this
signify?
Which of the following is the least preferred Subclavian veins
method of administering IV fluids?
A. Cubital veins
B. Cephalic veins
C. Subclavian veins
D. Saphenous vein
Dermatome level for nipple sensation T4
Dermatome level for umbilicus T10
At which temperature would a hypothermic 88 degrees F
patient stop shivering?
What is the energy recommendation for the 300 J
first defibrillation in an adult (*)
Pharmacologic effects of Morphine Behavioral changes
Analgesia
Respiratory depression
NOT diarrhea
