ATLS Pretest Final Exam.
1. A 22-year-old man is hypotensive and
re-examine the chest
tachycardic af- ter 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:
2. A construction worker falls two stories from a building complete
spine x-ray se-
and sustains bilateral calcaneal fractures. In the
emer- ries gency 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:
3. Which of the following is true regarding the 5. A previously
initial re- suscitation of a trauma patient? healthy, 70-
kg (154-
pound) man
suffers
4. In managing a patient with a severe traumatic
brain injury, the most important initial step
is to:
1/
16
, ATLS Pretest Final Exam.
Evidence of improved per- fusion after fluid resusci- tation could include secure the airway
im- provement in Glasgow Coma Scale score on reevaluation.
An ABG would demon-
an estimated acute blood loss of 2 liters. Which one of strate a base
deficit be-
the following statements applies to this patient? tween -6 and -10
mEq/L.
2/
16
, ATLS Pretest Final Exam.
6. The physiological hypervolemia of pregnancy has clin- increasing the
volume of
ical significance in the management of the blood loss to produce ma-
severely injured, gravid woman by: ternal hypotension
7. The best assessment of fluid resuscitation of the adult urinary
output of 0.5
burn patient is: mL/kg/hr
8. The diagnosis of shock must include: evidence of
inadequate organ
perfusion
9. A 7-year-old boy is brought to the direct pressure on the
emergency de- partment by his parents wound
several minutes after he fell through a
window. He is bleeding profusely from a
6-cm wound of his medial right thigh. Immediate
man- agement of the wound should consist
of:
10. For the patient with severe traumatic brain injury, pro- cerebral
vasoconstriction
found hypocarbia should be avoided to prevent: regarding
ab-
11. After being involved in a motor vehicle dominal
crash, a 25-year-old man is brought to a trauma in
hospital that has the
surgery capabilities available.. Computed pregnant
tomography of the chest and abdomen shows patient is
an aortic injury and splenic laceration with free TRUE?
abdominal fluid. His blood pressure falls to 70
mm Hg after CT. The next step is:
12. Which one of the following statements
3/
16
1. A 22-year-old man is hypotensive and
re-examine the chest
tachycardic af- ter 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:
2. A construction worker falls two stories from a building complete
spine x-ray se-
and sustains bilateral calcaneal fractures. In the
emer- ries gency 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:
3. Which of the following is true regarding the 5. A previously
initial re- suscitation of a trauma patient? healthy, 70-
kg (154-
pound) man
suffers
4. In managing a patient with a severe traumatic
brain injury, the most important initial step
is to:
1/
16
, ATLS Pretest Final Exam.
Evidence of improved per- fusion after fluid resusci- tation could include secure the airway
im- provement in Glasgow Coma Scale score on reevaluation.
An ABG would demon-
an estimated acute blood loss of 2 liters. Which one of strate a base
deficit be-
the following statements applies to this patient? tween -6 and -10
mEq/L.
2/
16
, ATLS Pretest Final Exam.
6. The physiological hypervolemia of pregnancy has clin- increasing the
volume of
ical significance in the management of the blood loss to produce ma-
severely injured, gravid woman by: ternal hypotension
7. The best assessment of fluid resuscitation of the adult urinary
output of 0.5
burn patient is: mL/kg/hr
8. The diagnosis of shock must include: evidence of
inadequate organ
perfusion
9. A 7-year-old boy is brought to the direct pressure on the
emergency de- partment by his parents wound
several minutes after he fell through a
window. He is bleeding profusely from a
6-cm wound of his medial right thigh. Immediate
man- agement of the wound should consist
of:
10. For the patient with severe traumatic brain injury, pro- cerebral
vasoconstriction
found hypocarbia should be avoided to prevent: regarding
ab-
11. After being involved in a motor vehicle dominal
crash, a 25-year-old man is brought to a trauma in
hospital that has the
surgery capabilities available.. Computed pregnant
tomography of the chest and abdomen shows patient is
an aortic injury and splenic laceration with free TRUE?
abdominal fluid. His blood pressure falls to 70
mm Hg after CT. The next step is:
12. Which one of the following statements
3/
16
