ATLS Post Test Complete Exam 2024|25 QUESTIONS WITH
VERIFIED ANSWERS
1. Which of the following is the recommended Method for trestemt frostbite?
` ` ` ` ` ` ` ` ` `
A. Vasodilators
B. Anticigulants
C. Warm (40 degrees) water ` ` `
D. Padding and elevation ` `
E. Application of heat from a hairdryer ` ` ` ` `
- C. Warm (40 degrees) water ` ` ` `
2. Which of the following physical findings suggest a cause of hypotension other
` ` ` ` ` ` ` ` ` ` `
than spinal cord injury?
` ` ` `
A. Prispism
B. Bradycardia
C. Diaphragmatic breathing `
D. Presence of deep tendon reflexes ` ` ` `
E. Ability to flex forearms but not extend them ` ` ` ` ` ` `
- D. Presence of deep tendon reflexes. Spinal shock refers to loss of ` ` ` ` ` ` ` ` ` ` `
muscle toe (flaccidty) and loss of reflexes. ` ` ` ` ` ` `
3. The primary indication for transferring A patient to a higher level trauma center is:
` ` ` ` ` ` ` ` ` ` ` ` `
A. Unavailibility of surgeon or operating staff ` ` ` ` `
B. Multiple system injuries, including severe head injury ` ` ` ` ` `
C. Resource limitations as determined by the transferring doctor ` ` ` ` ` ` `
D. Resource limitations as determined by the hospital administration ` ` ` ` ` ` `
E. Widened mediastinum on chest x-ray following blunt trauma ` ` ` ` ` ` `
- C. Resource limitations as determined by the transferring doctor (MÅ ` ` ` ` ` ` ` ` `
SJEKKES) `
4. A young man sustains a rifle wound to the mid-abdomen. He is brought promptly to
` ` ` ` ` ` ` ` ` ` ` ` ` `
the ED by prehospital personnel. His skin is cool and diaphoretic, and his systolic
` ` ` ` ` ` ` ` ` ` ` ` ` `
blood pressure is 58mmHg. Warmed crystalloid fluids are initiated without
` ` ` ` ` ` ` ` ` `
improvement in his vital signs. The next, most appropriate, step is to perform:
` ` ` ` ` ` ` ` ` ` ` ` `
A. a laparotomy `
B. An abdominal CT-scan ` `
C. Diagnostic laparoscopy `
D. Abdominal ultrasonography `
E. A diagnostic peritoneal lavage ` ` `
- A. Laparotomy because of hemodynamic abnormality ` ` ` ` `
5. A 42-year-old man is trapped from the waist down beneath his overturned tractor for
` ` ` ` ` ` ` ` ` ` ` ` `
several hours before medical assistance arrives. He is awake and alert until just
` ` ` ` ` ` ` ` ` ` ` ` `
before arriving in the ED. He is now unconscious and responds only to painful
` ` ` ` ` ` ` ` ` ` ` ` ` `
stimuli by moaning. His pupils are 3mm in diameter and symmetrically
` ` ` ` ` ` ` ` ` ` `
, reactive to light. Prehospital personnel indicate that they have not seen the patient
` ` ` ` ` ` ` ` ` ` ` `
move either of his lower extremities. On examination in the ED, no movement of his
` ` ` ` ` ` ` ` ` ` ` ` ` ` `
lower extremities are detected, even in response to painful stimuli. The most likely
` ` ` ` ` ` ` ` ` ` ` ` `
cause for this finding is:
` ` ` ` `
A. An epidural hematoma ` `
B. A pelvic fracture ` `
C. Central cord syndrome ` `
D. Intracerebral hemorrhage `
E. Bilateral compartment syndrome ` `
- MÅ SJEKKES `
6. A 6-year-o boy is struck by an automobile and brought to the ED. He is lethargic, but
` ` ` ` ` ` ` ` ` ` ` ` ` ` ` `
withdraws purposefully from painful stimuli. His blood pressure is 90mmHg
` ` ` ` ` ` ` ` ` `
systolic, heart rate 140 beats per minute and his respiratory rate is 36 breaths per
` ` ` ` ` ` ` ` ` ` ` ` ` ` `
minute. The preferred route of venous access in this patient is:
` ` ` ` ` ` ` ` ` ` `
A. Percutaneous femoral vein cannulation ` ` `
B. Cutdown on the saphenous vein at the ankle ` ` ` ` ` ` `
C. Intraosseous catheter placement in the proximal tibia ` ` ` ` ` `
D. Percutaneous peripheral veins in the upper extremities ` ` ` ` ` `
E. Central venous access via the subclavian or internal jugular vein ` ` ` ` ` ` ` ` `
- D. Percutaneous peripheral veins in the upper extremities ` ` ` ` ` ` `
7. A young man sustains a gunshot wound to the abdomen and is brought promptly to
` ` ` ` ` ` ` ` ` ` ` ` ` `
the ED by prehospital personnel. His skin is cool and diaphoretic, and he is
` ` ` ` ` ` ` ` ` ` ` ` ` `
confused. His pulse is thready and his femoral pulse is only weakly palpable. The
` ` ` ` ` ` ` ` ` ` ` ` ` `
definitive treatment in managing this patient is to:
` ` ` ` ` ` ` `
A. Administer O-negative blood ` `
B. Apply external warming devices ` ` `
C. Control internal hemorrhage operatively ` ` `
D. Apply a pneumatic antishock garment (PASG) ` ` ` ` `
E. Infuse large volumes of intravenous crystalloid solutions. ` ` ` ` ` `
- C. Control internal hemorrhage operatively ` ` ` `
8. Regarding shock in the child, which of the following is FALSE?
` ` ` ` ` ` ` ` ` `
A. Vital signs are age-related ` ` `
B. Children have greater physiologic reserves than do adults ` ` ` ` ` ` `
C. Tachycardia is the primary physiologic response to hypovolemia ` ` ` ` ` ` `
D. The absolute volume of blood loss required to produce shock is ` ` ` ` ` ` ` ` ` `
the same as in adults ` ` ` ` `
E. An initial fluid bolus for resuscitation should approximate 20ml/kg
` ` ` ` ` ` ` `
Ringers Lactate ` `
- D. The absolute volume of blood loss required to produce shock is the
` ` ` ` ` ` ` ` ` ` ` `
same as in adults ` ` ` `
9. A 33-year-old man is struck by a car travelling at 56km/h (35mph). He has
` ` ` ` ` ` ` ` ` ` ` ` `
obvious fractures of the left tibia near the knee, pain in the pelvic area, and
` ` ` ` ` ` ` ` ` ` ` ` ` ` `
, severe dyspnea. His heart rate is 182 beats per minute, and his respiratory rate is 48
` ` ` ` ` ` ` ` ` ` ` ` ` ` `
breaths per minute with no breath sounds heard in the left chest. A tension
` ` ` ` ` ` ` ` ` ` ` ` ` `
pneumothorax is relieved by immediate needle decompression and tube
` ` ` ` ` ` ` ` `
thoracostomy. Subsequently, his heart rate decreases to 144 beats per minute, his
` ` ` ` ` ` ` ` ` ` ` `
respirartory rate decreases to 36 breaths per minute and his blood pressure is
` ` ` ` ` ` ` ` ` ` ` ` `
81/53 mmHg. Warmed Ringers lactate is adminstered intravenously. The next
` ` ` ` ` ` ` ` ` `
priority should be to:
` ` ` `
A. Perform external fixation of the pelvis ` ` ` ` `
B. Obtain abdominal and pelvic CT-scans ` ` ` `
C. Perform arterial embolization of the pelvic vessel ` ` ` ` ` `
D. Perform diagnostic peritoneal lavage or FAST ` ` ` ` `
E. Perform a urethrogram and cystogram ` ` ` `
- D. Perform diagnostic peritoneal lavage or FAST ` ` ` ` ` `
10. A 42-year-old man, injured in a motor vehicle crash, suffers a closed head injury,
` ` ` ` ` ` ` ` ` ` ` ` `
`multiple palpable left rib fractures, and bilateral femur fractures. He is intubated
` ` ` ` ` ` ` ` ` ` `
`orotracheally without difficulty. Initially, his ventilations are easily assisted with a
` ` ` ` ` ` ` ` ` `
`bag-mask device. It becomes more difficult to ventilate the patient over the next 5
` ` ` ` ` ` ` ` ` ` ` ` `
`minutes, and his hemoglobin oxygen saturation level decreases from 98% to 89%.
` ` ` ` ` ` ` ` ` ` `
`The most appropriate next step is to:
` ` ` ` ` `
A. Obtain a chest x-ray ` ` `
B. Decrease the tidal volume ` ` `
C. Decrease PEEP `
D. Increase the rate of assisted ventilations ` ` ` ` `
E. Perform needle decompression of the left chest. ` ` ` ` ` `
- A. Obtain a chest x-ray (MÅ SJEKKES) ` ` ` ` ` `
11. A 30-year-old man sustains a severely comminuted, open, distal right femur
` ` ` ` ` ` ` ` ` `
`fracture in a motorcycle crash. The wound is actively bleeding. Normal sensation is
` ` ` ` ` ` ` ` ` ` ` `
`present over the lateral aspect of the foot but decreased over the medial foot and
` ` ` ` ` ` ` ` ` ` ` ` ` `
`great toe. Normal motion of the foot is observed. Dorsalis pedis and posterior tibial
` ` ` ` ` ` ` ` ` ` ` ` `
`pulses are easily palpable on the left, but heard only by Doppler on the right.
` ` ` ` ` ` ` ` ` ` ` ` ` `
`Immediate efforts to improve circulation to the injured extremity should involve:
` ` ` ` ` ` ` ` ` `
A. Immediate angiography `
B. Tamponade of the wound with a pressure dressing ` ` ` ` ` ` `
C. Wound exploration and removal of bony fragments ` ` ` ` ` `
D. Realignment of the fracture segments with a traction splint ` ` ` ` ` ` ` `
E. Fasciotomy of all four compartments in the lower extremity ` ` ` ` ` ` ` `
- B. Tamponade of the wound with a pressure dressing ` ` ` ` ` ` ` `
12. An 18-yeard-old, unhelmeted motorcyclist is brought by ambulance to the ED
` ` ` ` ` ` ` ` ` `
`following a crash. He had decreased level of consciousness at the scene, but then
` ` ` ` ` ` ` ` ` ` ` ` `
`was alert and conversational during transportation. Now his GCS is only 11. Which
` ` ` ` ` ` ` ` ` ` ` `
`of the following statements is TRUE?
` ` ` ` `
A. Cerebral perfusion is intact ` ` `
, B. Intravascular volume status is normal ` ` ` `
C. The patient is in a postictal state ` ` ` ` ` `
D. Intra-abdominal visceral injury is unlikely ` ` ` `
E. The patient probably has an acute epidural hematoma
` ` ` ` ` ` `
- E. The patient probably has an acute epidural hematoma
` ` ` ` ` ` ` `
13. A previously healthy, 70kg (175 pound) man suffers an estimated acute blood
` ` ` ` ` ` ` ` ` ` `
`loss of two liters. Which one of the following statements apply to this patient?
` ` ` ` ` ` ` ` ` ` ` ` `
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 systolic blood pressure ` ` ` ` ` ` ` ` ` `
D. His systolic blood pressure will be decreased with a narrowed, pulse ` ` ` ` ` ` ` ` ` `
pressure `
E. His systolic blood pressure will be maintained with an elevated ` ` ` ` ` ` ` ` `
diastolic pressure. ` `
- E. His systolic blood pressure will be maintained with an elevated ` ` ` ` ` ` ` ` ` `
diastolic pressure. ` `
14. The physioclogic hypervolemia of pregnancy has clinical significance in the
` ` ` ` ` ` ` ` `
`management of the severely injured gravid woman by ` ` ` ` ` ` `
A. Reducing the need for blood transfusion ` ` ` ` `
B. Increasing the risk of pulmonary edema ` ` ` ` `
C. Complicating the management of closed head injury ` ` ` ` ` `
D. Increasing the volume of blood loss to produce shock/maternal ` ` ` ` ` ` ` `
hypotension `
E. Reducing the volume of crystalloid required for resuscitation ` ` ` ` ` ` `
- D. Increasing the volume of blood loss to produce shock ` ` ` ` ` ` ` ` `
15. A 17-year-old helmeted motorcyclist loses consciousness when he is struck broad
` ` ` ` ` ` ` ` ` `
`side by an automobile at an intersection. He arrives in the ED with a blood pressure
` ` ` ` ` ` ` ` ` ` ` ` ` ` `
`of 140/92, pulse rate 88 beats per minute, a respiratory rate of 18 breaths per
` ` ` ` ` ` ` ` ` ` ` ` ` `
`minue, and a GCS of 7. Appropriate initial immobilization of this patient should
` ` ` ` ` ` ` ` ` ` ` `
`include a semi-rigid cervical collar and:
` ` ` ` `
A. A scoop stretcher ` `
B. A long spine board ` ` `
C. A short spine board ` ` `
D. Cervical traction tongs ` `
E. Pneumatic antishock garment ` `
- B. A long spine board ` ` ` `
16. During an altercation, a 36-year-old man sustains a gunshot wound above the
` ` ` ` ` ` ` ` ` ` `
`nipple line on the right, with an exit wound posteriorly above the scapula on the
` ` ` ` ` ` ` ` ` ` ` ` ` `
`right. He is transported by ambulance to a community hospital. He is
` ` ` ` ` ` ` ` ` ` `
`endotracheally intubated, close tube thoracostomy is performed, and 2 liters ` ` ` ` ` ` ` ` `
`Ringers lactate solution are infused via 2 large-caliber IV´s. His blood pressure
` ` ` ` ` ` ` ` ` ` `
`now is 60/0mmHg, heart rate is 160 beats per minute, and respiratory rate is 14
` ` ` ` ` ` ` ` ` ` ` ` ` `
VERIFIED ANSWERS
1. Which of the following is the recommended Method for trestemt frostbite?
` ` ` ` ` ` ` ` ` `
A. Vasodilators
B. Anticigulants
C. Warm (40 degrees) water ` ` `
D. Padding and elevation ` `
E. Application of heat from a hairdryer ` ` ` ` `
- C. Warm (40 degrees) water ` ` ` `
2. Which of the following physical findings suggest a cause of hypotension other
` ` ` ` ` ` ` ` ` ` `
than spinal cord injury?
` ` ` `
A. Prispism
B. Bradycardia
C. Diaphragmatic breathing `
D. Presence of deep tendon reflexes ` ` ` `
E. Ability to flex forearms but not extend them ` ` ` ` ` ` `
- D. Presence of deep tendon reflexes. Spinal shock refers to loss of ` ` ` ` ` ` ` ` ` ` `
muscle toe (flaccidty) and loss of reflexes. ` ` ` ` ` ` `
3. The primary indication for transferring A patient to a higher level trauma center is:
` ` ` ` ` ` ` ` ` ` ` ` `
A. Unavailibility of surgeon or operating staff ` ` ` ` `
B. Multiple system injuries, including severe head injury ` ` ` ` ` `
C. Resource limitations as determined by the transferring doctor ` ` ` ` ` ` `
D. Resource limitations as determined by the hospital administration ` ` ` ` ` ` `
E. Widened mediastinum on chest x-ray following blunt trauma ` ` ` ` ` ` `
- C. Resource limitations as determined by the transferring doctor (MÅ ` ` ` ` ` ` ` ` `
SJEKKES) `
4. A young man sustains a rifle wound to the mid-abdomen. He is brought promptly to
` ` ` ` ` ` ` ` ` ` ` ` ` `
the ED by prehospital personnel. His skin is cool and diaphoretic, and his systolic
` ` ` ` ` ` ` ` ` ` ` ` ` `
blood pressure is 58mmHg. Warmed crystalloid fluids are initiated without
` ` ` ` ` ` ` ` ` `
improvement in his vital signs. The next, most appropriate, step is to perform:
` ` ` ` ` ` ` ` ` ` ` ` `
A. a laparotomy `
B. An abdominal CT-scan ` `
C. Diagnostic laparoscopy `
D. Abdominal ultrasonography `
E. A diagnostic peritoneal lavage ` ` `
- A. Laparotomy because of hemodynamic abnormality ` ` ` ` `
5. A 42-year-old man is trapped from the waist down beneath his overturned tractor for
` ` ` ` ` ` ` ` ` ` ` ` `
several hours before medical assistance arrives. He is awake and alert until just
` ` ` ` ` ` ` ` ` ` ` ` `
before arriving in the ED. He is now unconscious and responds only to painful
` ` ` ` ` ` ` ` ` ` ` ` ` `
stimuli by moaning. His pupils are 3mm in diameter and symmetrically
` ` ` ` ` ` ` ` ` ` `
, reactive to light. Prehospital personnel indicate that they have not seen the patient
` ` ` ` ` ` ` ` ` ` ` `
move either of his lower extremities. On examination in the ED, no movement of his
` ` ` ` ` ` ` ` ` ` ` ` ` ` `
lower extremities are detected, even in response to painful stimuli. The most likely
` ` ` ` ` ` ` ` ` ` ` ` `
cause for this finding is:
` ` ` ` `
A. An epidural hematoma ` `
B. A pelvic fracture ` `
C. Central cord syndrome ` `
D. Intracerebral hemorrhage `
E. Bilateral compartment syndrome ` `
- MÅ SJEKKES `
6. A 6-year-o boy is struck by an automobile and brought to the ED. He is lethargic, but
` ` ` ` ` ` ` ` ` ` ` ` ` ` ` `
withdraws purposefully from painful stimuli. His blood pressure is 90mmHg
` ` ` ` ` ` ` ` ` `
systolic, heart rate 140 beats per minute and his respiratory rate is 36 breaths per
` ` ` ` ` ` ` ` ` ` ` ` ` ` `
minute. The preferred route of venous access in this patient is:
` ` ` ` ` ` ` ` ` ` `
A. Percutaneous femoral vein cannulation ` ` `
B. Cutdown on the saphenous vein at the ankle ` ` ` ` ` ` `
C. Intraosseous catheter placement in the proximal tibia ` ` ` ` ` `
D. Percutaneous peripheral veins in the upper extremities ` ` ` ` ` `
E. Central venous access via the subclavian or internal jugular vein ` ` ` ` ` ` ` ` `
- D. Percutaneous peripheral veins in the upper extremities ` ` ` ` ` ` `
7. A young man sustains a gunshot wound to the abdomen and is brought promptly to
` ` ` ` ` ` ` ` ` ` ` ` ` `
the ED by prehospital personnel. His skin is cool and diaphoretic, and he is
` ` ` ` ` ` ` ` ` ` ` ` ` `
confused. His pulse is thready and his femoral pulse is only weakly palpable. The
` ` ` ` ` ` ` ` ` ` ` ` ` `
definitive treatment in managing this patient is to:
` ` ` ` ` ` ` `
A. Administer O-negative blood ` `
B. Apply external warming devices ` ` `
C. Control internal hemorrhage operatively ` ` `
D. Apply a pneumatic antishock garment (PASG) ` ` ` ` `
E. Infuse large volumes of intravenous crystalloid solutions. ` ` ` ` ` `
- C. Control internal hemorrhage operatively ` ` ` `
8. Regarding shock in the child, which of the following is FALSE?
` ` ` ` ` ` ` ` ` `
A. Vital signs are age-related ` ` `
B. Children have greater physiologic reserves than do adults ` ` ` ` ` ` `
C. Tachycardia is the primary physiologic response to hypovolemia ` ` ` ` ` ` `
D. The absolute volume of blood loss required to produce shock is ` ` ` ` ` ` ` ` ` `
the same as in adults ` ` ` ` `
E. An initial fluid bolus for resuscitation should approximate 20ml/kg
` ` ` ` ` ` ` `
Ringers Lactate ` `
- D. The absolute volume of blood loss required to produce shock is the
` ` ` ` ` ` ` ` ` ` ` `
same as in adults ` ` ` `
9. A 33-year-old man is struck by a car travelling at 56km/h (35mph). He has
` ` ` ` ` ` ` ` ` ` ` ` `
obvious fractures of the left tibia near the knee, pain in the pelvic area, and
` ` ` ` ` ` ` ` ` ` ` ` ` ` `
, severe dyspnea. His heart rate is 182 beats per minute, and his respiratory rate is 48
` ` ` ` ` ` ` ` ` ` ` ` ` ` `
breaths per minute with no breath sounds heard in the left chest. A tension
` ` ` ` ` ` ` ` ` ` ` ` ` `
pneumothorax is relieved by immediate needle decompression and tube
` ` ` ` ` ` ` ` `
thoracostomy. Subsequently, his heart rate decreases to 144 beats per minute, his
` ` ` ` ` ` ` ` ` ` ` `
respirartory rate decreases to 36 breaths per minute and his blood pressure is
` ` ` ` ` ` ` ` ` ` ` ` `
81/53 mmHg. Warmed Ringers lactate is adminstered intravenously. The next
` ` ` ` ` ` ` ` ` `
priority should be to:
` ` ` `
A. Perform external fixation of the pelvis ` ` ` ` `
B. Obtain abdominal and pelvic CT-scans ` ` ` `
C. Perform arterial embolization of the pelvic vessel ` ` ` ` ` `
D. Perform diagnostic peritoneal lavage or FAST ` ` ` ` `
E. Perform a urethrogram and cystogram ` ` ` `
- D. Perform diagnostic peritoneal lavage or FAST ` ` ` ` ` `
10. A 42-year-old man, injured in a motor vehicle crash, suffers a closed head injury,
` ` ` ` ` ` ` ` ` ` ` ` `
`multiple palpable left rib fractures, and bilateral femur fractures. He is intubated
` ` ` ` ` ` ` ` ` ` `
`orotracheally without difficulty. Initially, his ventilations are easily assisted with a
` ` ` ` ` ` ` ` ` `
`bag-mask device. It becomes more difficult to ventilate the patient over the next 5
` ` ` ` ` ` ` ` ` ` ` ` `
`minutes, and his hemoglobin oxygen saturation level decreases from 98% to 89%.
` ` ` ` ` ` ` ` ` ` `
`The most appropriate next step is to:
` ` ` ` ` `
A. Obtain a chest x-ray ` ` `
B. Decrease the tidal volume ` ` `
C. Decrease PEEP `
D. Increase the rate of assisted ventilations ` ` ` ` `
E. Perform needle decompression of the left chest. ` ` ` ` ` `
- A. Obtain a chest x-ray (MÅ SJEKKES) ` ` ` ` ` `
11. A 30-year-old man sustains a severely comminuted, open, distal right femur
` ` ` ` ` ` ` ` ` `
`fracture in a motorcycle crash. The wound is actively bleeding. Normal sensation is
` ` ` ` ` ` ` ` ` ` ` `
`present over the lateral aspect of the foot but decreased over the medial foot and
` ` ` ` ` ` ` ` ` ` ` ` ` `
`great toe. Normal motion of the foot is observed. Dorsalis pedis and posterior tibial
` ` ` ` ` ` ` ` ` ` ` ` `
`pulses are easily palpable on the left, but heard only by Doppler on the right.
` ` ` ` ` ` ` ` ` ` ` ` ` `
`Immediate efforts to improve circulation to the injured extremity should involve:
` ` ` ` ` ` ` ` ` `
A. Immediate angiography `
B. Tamponade of the wound with a pressure dressing ` ` ` ` ` ` `
C. Wound exploration and removal of bony fragments ` ` ` ` ` `
D. Realignment of the fracture segments with a traction splint ` ` ` ` ` ` ` `
E. Fasciotomy of all four compartments in the lower extremity ` ` ` ` ` ` ` `
- B. Tamponade of the wound with a pressure dressing ` ` ` ` ` ` ` `
12. An 18-yeard-old, unhelmeted motorcyclist is brought by ambulance to the ED
` ` ` ` ` ` ` ` ` `
`following a crash. He had decreased level of consciousness at the scene, but then
` ` ` ` ` ` ` ` ` ` ` ` `
`was alert and conversational during transportation. Now his GCS is only 11. Which
` ` ` ` ` ` ` ` ` ` ` `
`of the following statements is TRUE?
` ` ` ` `
A. Cerebral perfusion is intact ` ` `
, B. Intravascular volume status is normal ` ` ` `
C. The patient is in a postictal state ` ` ` ` ` `
D. Intra-abdominal visceral injury is unlikely ` ` ` `
E. The patient probably has an acute epidural hematoma
` ` ` ` ` ` `
- E. The patient probably has an acute epidural hematoma
` ` ` ` ` ` ` `
13. A previously healthy, 70kg (175 pound) man suffers an estimated acute blood
` ` ` ` ` ` ` ` ` ` `
`loss of two liters. Which one of the following statements apply to this patient?
` ` ` ` ` ` ` ` ` ` ` ` `
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 systolic blood pressure ` ` ` ` ` ` ` ` ` `
D. His systolic blood pressure will be decreased with a narrowed, pulse ` ` ` ` ` ` ` ` ` `
pressure `
E. His systolic blood pressure will be maintained with an elevated ` ` ` ` ` ` ` ` `
diastolic pressure. ` `
- E. His systolic blood pressure will be maintained with an elevated ` ` ` ` ` ` ` ` ` `
diastolic pressure. ` `
14. The physioclogic hypervolemia of pregnancy has clinical significance in the
` ` ` ` ` ` ` ` `
`management of the severely injured gravid woman by ` ` ` ` ` ` `
A. Reducing the need for blood transfusion ` ` ` ` `
B. Increasing the risk of pulmonary edema ` ` ` ` `
C. Complicating the management of closed head injury ` ` ` ` ` `
D. Increasing the volume of blood loss to produce shock/maternal ` ` ` ` ` ` ` `
hypotension `
E. Reducing the volume of crystalloid required for resuscitation ` ` ` ` ` ` `
- D. Increasing the volume of blood loss to produce shock ` ` ` ` ` ` ` ` `
15. A 17-year-old helmeted motorcyclist loses consciousness when he is struck broad
` ` ` ` ` ` ` ` ` `
`side by an automobile at an intersection. He arrives in the ED with a blood pressure
` ` ` ` ` ` ` ` ` ` ` ` ` ` `
`of 140/92, pulse rate 88 beats per minute, a respiratory rate of 18 breaths per
` ` ` ` ` ` ` ` ` ` ` ` ` `
`minue, and a GCS of 7. Appropriate initial immobilization of this patient should
` ` ` ` ` ` ` ` ` ` ` `
`include a semi-rigid cervical collar and:
` ` ` ` `
A. A scoop stretcher ` `
B. A long spine board ` ` `
C. A short spine board ` ` `
D. Cervical traction tongs ` `
E. Pneumatic antishock garment ` `
- B. A long spine board ` ` ` `
16. During an altercation, a 36-year-old man sustains a gunshot wound above the
` ` ` ` ` ` ` ` ` ` `
`nipple line on the right, with an exit wound posteriorly above the scapula on the
` ` ` ` ` ` ` ` ` ` ` ` ` `
`right. He is transported by ambulance to a community hospital. He is
` ` ` ` ` ` ` ` ` ` `
`endotracheally intubated, close tube thoracostomy is performed, and 2 liters ` ` ` ` ` ` ` ` `
`Ringers lactate solution are infused via 2 large-caliber IV´s. His blood pressure
` ` ` ` ` ` ` ` ` ` `
`now is 60/0mmHg, heart rate is 160 beats per minute, and respiratory rate is 14
` ` ` ` ` ` ` ` ` ` ` ` ` `
