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Examen

ATLS POST TEST. MCQ WITH CORRECT VERIFIED ANSWERS (A NEW UPDATED VERSION) LATEST 2025 ALREADY GRADED A+

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ATLS POST TEST. MCQ WITH CORRECT VERIFIED ANSWERS (A NEW UPDATED VERSION) LATEST 2025 ALREADY GRADED A+

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Subido en
25 de abril de 2025
Número de páginas
52
Escrito en
2024/2025
Tipo
Examen
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ATLS POST- S



TEST EXAM|| ACTUAL EXAM ALL QUESTIONS A S S S S S S



ND 100% QUESTIONS AND 100% CORRECT ANS
S S S S S S



WERS ALREADY GRADED A+|| LATEST AND CO S S S S S S



MPLETE UPDATE 2024- S S



2025 WITH VERIFIED SOLUTIONS|| ASSURED PA
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A 22-year-
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old man is hypotensive and tachycardic after a shotgun wound to the left shoulder. H
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is blood pressure is initially 80/40 mm Hg. After 2 liters of crystalloid solution his bl
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ood pressure increases to 122/84 mm Hg. His heart rate is now 100 beats per minute
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and his respiratory rate is 28 breaths per minute. His breath sounds are decreased in t
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he left hemithorax, and after initial IV fluid resuscitation, a closed tube thoracostom
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y is performed for decreased left breath sounds with the return of a small amount of
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blood and no air leak. After chest tube insertion, the most appropriate next step is:
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a) reexamine the chest. S S



b) perform an aortogram. S S




c) obtain a CT scan of the chest.
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d) obtain arterial blood gas analyses - ANSWER: a) reexamine the chest
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Which one of the following physical findings suggests a cause of hypotension other
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than spinal cord injury?S S S




a) priapism.
b) bradycardia.
c) diaphragmatic breathing. S




d) presence of deep tendon reflexes. - S S S S S


ANSWER: d) presence of deep tendon reflexes.
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A construction worker falls two stories from a building and sustains bilateral calcan
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eal fractures. In the emergency department, he is alert, vital signs are normal, and h
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e is complaining of severe pain in both heels and his lower back. Lower extremity p
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ulses are strong and there is no other deformity. The suspected diagnosis is most like
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ly to be confirmed by:
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a) compartment pressures S




b) retrograde urethrogram S




c) Doppler-ultrasound studies S




d) complete spine x-ray series - ANSWER: d) complete spine x-ray series
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In managing the head-injured patient, the most important initial step is to:
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a) obtain c-spine film.S S




b) secure the airway. S S




c) support the circulation.S S




d) control scalp hemorrhage. - ANSWER: b) secure the airway.
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A previously healthy, 70-kg (154-
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pound) man suffers an estimated acute blood loss of 2 liters. Which one of the follow
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ing statements applies to this patient?
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a) His pulse pressure will be widened.
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b) His urinary output will be at the lower limits of normal.
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c) He will have tachycardia, but no change in his systolic blood pressure.
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d) His systolic blood pressure will be decreased with a narrowed pulse pres
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sure. - S


ANSWER: d) His systolic blood pressure will be decreased with a narrowed p
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ulse pressure. S

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The physiologic hypervolemia of pregnancy has clinical significance in the managemen
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t of the severely injured, gravid woman by:
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a) reducing the need for blood transfusion.
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b) increasing the risk of pulmonary edema. S S S S S




c) increasing the volume of blood loss to produce maternal hypotension.
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d) complicating the mangement of closed head injury. - S S S S S S S


ANSWER: c) increasing the volume of blood loss to produce maternal hy
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potension.


The best assessment of fluid resuscitation of the burn patient is:
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a) adequate urinary output. S S




b) reversal of systemic acidosis. S S S




c) normalization of the heart rate. S S S S




d) a normal central venous pressure. - ANSWER: a) adequate urinary output.
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The diagnosis of shock must include:
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a) increased vascular resistance. S S




b) evidence of inadequate organ perfusion.
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c) acidosis.
d) hypoxemia. - ANSWER: b) evidence of inadequate organ perfusion.
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A 7-year-
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old boy is brought to the emergency department by his parents several minutes after
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he fell through a window. He is bleeding profusely from a 6-
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cm wound of his medial right thigh. Immediate management of the wound should c
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onsist of: S

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a) application of a tourniquet. S S S



b) direct pressure on the wound.
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c) packing the wound with gauze.
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d) direct pressure on the femoral artery at the groin. -
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ANSWER: b) direct pressure on the wound.
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For the patient with severe traumatic brain injury, profound hypocarbia should be avoide
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d to prevent:
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a) respiratory acidosis. S



b) metabolic acidosis. S




c) cerebral vasoconstriction with diminished perfusion.
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d) neurogenic pulmonary edema. - S S S


ANSWER: c) cerebral vasoconstriction with diminished perfusion.
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A 25-year-
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old man is brought to a hospital with a general surgeon after being involved in a mot
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or vehicle crash. Computed tomography shows an aortic injury and splenic laceratio
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n with free abdominal fluid. His blood pressure falls to 70 mm Hg after CT. The next
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step is: S




a) contrast angiography. S




b) transfer to a higher level trauma center.
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c) exploratory laparotomy. S




d) infuse additional crystalloids. - ANSWER: c) exploratory laparotomy.
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Which one of the following statements regarding abdominal trauma in the pregnant pati
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ent is TRUE?S S
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