est | 2025 Complete ATLS Actual Exam W
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ith Correct Verified Answers | Already Gr
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aded A+ Exam ud ud
1 .Which one of the following should be performed first in any patient
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whose injuries may include multiple closed extremity fractures?
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A. A thorough assessment of four limb perfusion
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B. Maneuvers to prevent necrosis of the skin ud ud ud ud ud ud
C. Extremity compartment syndrome release ud ud ud
D. Ensuring adequate oxygenation and ventilation ud ud ud ud
E. Evaluation for occult crush syndrome - ✔✔✔ ud ud ud ud ud ud
Correct Answer > D. Ensuring adequate oxygenation and ventilati
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on
2 .A patient arrives in the ED after being beaten about the head and f
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ace with a wooden club. He is comatose and has a palpable depressed
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ud skull fracture. His face is swollen and ecchymotic. He has gurgling
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,respirations and vomitus on his face and clothing. The most appropria
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te step after providing supplemental oxygen and elevating his jaw is t
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o:
A. Request a CT-scan ud ud
B. Insert a gastric tube ud ud ud
C. Suction of the oropharynx ud ud ud
D. Obtain a lateral cervical spine x-ray
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E. Ventilate the patient with a bag-mask - ✔✔✔ ud ud ud ud ud ud ud
Correct Answer > C. Suction of the oropharynx
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3 .Neurogenic shock has all of the following classic characteristics exc
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ept which one: ud ud
A. Hypotension
B. Vasodilatation
C. Bradycardia
D. Neurologic deficit ud
E. Narrowed pulse pressure - ✔✔✔ ud ud ud ud
Correct Answer > E. Narrowed pulse pressure
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,4 .Which of the following physical findings suggest a cause of hypote
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nsion other than spinal cord injury?
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A. Prispism
B. Bradycardia
C. Diaphragmatic breathing ud
D. Presence of deep tendon reflexes ud ud ud ud
E. Ability to flex forearms but not extend them - ✔✔✔
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Correct Answer
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> D. Presence of deep tendon reflexes. Spinal shock refers to loss
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of muscle toe (flaccidty) and loss of reflexes.
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5 .The primary indication for transferring A patient to a higher level tra
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uma center is: ud ud
A. Unavailibility of surgeon or operating staff ud ud ud ud ud
B. Multiple system injuries, including severe head injury
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C. Resource limitations as determined by the transferring doctor
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D. Resource limitations as determined by the hospital administration
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, E. Widened mediastinum on chest x-ray following blunt trauma - ✔✔
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✔
ud Correct Answer > C. Resource limitations as determined by the trans
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ferring doctor (MÅ SJEKKES) ud ud ud
6 .A young man sustains a rifle wound to the mid-
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abdomen. He is brought promptly to the ED by prehospital personnel
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. His skin is cool and diaphoretic, and his systolic blood pressure is 58
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mmHg. Warmed crystalloid fluids are initiated without improvement i
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n his vital signs.
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The next, most appropriate, step is to perform:
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A. a laparotomyud
B. An abdominal CT-scan ud ud
C. Diagnostic laparoscopy ud
D. Abdominal ultrasonography ud
E. A diagnostic peritoneal lavage - ✔✔✔
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Correct Answer > A. Laparotomy because of hemodynami
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c abnormality
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7 .A 6-year-
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o boy is struck by an automobile and brought to the ED. He is lethargi
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