est | 2025 Complete ATLS Actual Exam Wi
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th Correct Verified Answers | Already Gra
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ded A+ Exam ju ju
1 .Which one of the following should be performed first in any patient w
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hose 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 ju ju ju ju ju ju
C. Extremity compartment syndrome release ju ju ju
D. Ensuring adequate oxygenation and ventilation ju ju ju ju
E. Evaluation for occult crush syndrome - ✔✔ ju ju ju ju ju ju
✔ Correct Answer > D. Ensuring adequate oxygenation and ventila
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tion
2 .A patient arrives in the ED after being beaten about the head and fac
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e with a wooden club. He is comatose and has a palpable depressed sku
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ll fracture. His face is swollen and ecchymotic. He has gurgling
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,respirations and vomitus on his face and clothing. The most appropriate
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step after providing supplemental oxygen and elevating his jaw is to:
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A. Request a CT-scan ju ju
B. Insert a gastric tube
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C. Suction of the oropharynx ju ju ju
D. Obtain a lateral cervical spine x-ray
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E. Ventilate the patient with a bag-mask - ✔✔ ju ju ju ju ju ju ju
✔ Correct Answer > C. Suction of the oropharynx
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3 .Neurogenic shock has all of the following classic characteristics exce
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pt which one:
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A. Hypotension
B. Vasodilatation
C. Bradycardia
D. Neurologic deficit ju
E. Narrowed pulse pressure - ✔✔ ju ju ju ju
✔ Correct Answer > E. Narrowed pulse pressure
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,4 .Which of the following physical findings suggest a cause of hypotensi
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on other than spinal cord injury?
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A. Prispism
B. Bradycardia
C. Diaphragmatic breathing ju
D. Presence of deep tendon reflexes ju ju ju ju
E. Ability to flex forearms but not extend them - ✔✔✔ Correct Answer
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> D. Presence of deep tendon reflexes. Spinal shock refers to loss of
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muscle toe (flaccidty) and loss of reflexes.
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5 .The primary indication for transferring A patient to a higher level trau
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ma center is: ju ju
A. Unavailibility of surgeon or operating staff ju ju ju ju ju
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 - ✔✔ ju ju ju ju ju ju ju ju ju
✔
Correct Answer > C. Resource limitations as determined by the transf
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erring doctor (MÅ SJEKKES) ju ju ju
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 58mm
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Hg. Warmed crystalloid fluids are initiated without improvement in his
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vital signs. ju
The next, most appropriate, step is to perform:
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A. a laparotomy ju
B. An abdominal CT-scan ju ju
C. Diagnostic laparoscopy ju
D. Abdominal ultrasonography ju
E. A diagnostic peritoneal lavage - ✔✔
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✔ Correct Answer > A. Laparotomy because of hemodynam
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ic 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 lethargic,
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