MEDICINE 256 /ATLS Test 1 Latest With Complete Solution

A 22-year-old man is hypotensive and 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 Correct answers - a Reexamine the chest correct answerers A construction worker falls two stories from 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 Correct answers – e Complete spine x-ray series correct answerer – Which of the following is true regarding the initial resuscitation of a trauma patient?