ATLS EXAM TEST QUESTIONS
During pregnancy the heart rate increases to a maximum of 10-15 beats
per minute over baseline by the third trimester. - Correct Answer ✔
️✔️this heart rate must be considered when interpreting a
tachycardic response to hypovolemia.
Blood pressure falls 5-15 mm Hg in systolic and diastolic pressures
during second trimester, although it returns to near normal levels at
term. - Correct Answer ✔️✔️some women experience
hypotension when placed in the supine position due to the
compression of teh inferior vena cava.
hypertension in the pregnant if accompanied by proteinuria may
represent what? - Correct Answer ✔️✔️pre-eclampsia.
,EKG findings in pregnant patient - Correct Answer ✔️✔️Flatted
or inverted T waves in leads III and AVF and the precordial leads may be
normal. Ectopic beats are increased during pregnancy.
Minute ventilation increases primarily due to an increase in tidal
volume. Hypocapnia (30 mm Hg) is common in late pregnancy -
Correct Answer ✔️✔️Monitor ventilation in late pregnancy with
arterial blood gas values. A PaCO2 of 35-40 mm Hg may indicate
impending respiratory failure during pregnancy. Pregnant patients
should be hypocapneic.
Anatomical alterations in the thoracic cavity seem to account for the
decreased residual volume associated with diphragmatic elevation and
chest x ray reveals increased lung marking and prominence of the
pulmonary vessels. - Correct Answer ✔️✔️oxygen consumption
increases during pregnancy and its important when resuscitating
injured pregnant patients to maintain adequate oxygenation above
95%
,In patients with advanced pregnancy, those that require a chest tube
placement, where should the test tube be placed? - Correct Answer
✔️✔️it should be positioned higher to avoid intra-abdominal
placement given the elevation of the diaphragm.
Urinary system: what happens to the GFR, serum creatinine and urea
nitrogen levels? - Correct Answer ✔️✔️GFR and renal blood
increases during pregnancy, whereas levels of the serum creatinine and
urea nitrogen fall to one half of the normal pre pregnancy levels.
Glycosuria is common in pregnancy.
When interpreting x ray films of the pelvis in a pregnant patient, the
symphysis pubis widens 4-8 mm and the sacroiliac joint spaces increase
by the 7th month - Correct Answer ✔️✔️keep this in mind
Eclampsia - Correct Answer ✔️✔️Maintain a high index of
suspicion for eclampsia when seizures are accompanied by HTN,
proteinuria, hyperreflexia, and peripheral edema in pregnant trauma
patients. This can mimic head injury.
, External contusions and abrasions of the abdominal wall are signs of
blunt uterine trauma. - Correct Answer ✔️✔️true. Fetal injuries
can occur when the abdominal wall strikes an object, such as the
dashboard or steering wheel, or when a pregnant patient is struck by a
blunt instrument.
Using a shoulder restraints in conjunction with a lap belt reduces the
likelihood of direct and indirect fetal injury, presumably because the
shoulder belt dissipates deceleration forces over a great surface area
and helps prevent the mother from flexing forward over the gravid
uterus. - Correct Answer ✔️✔️the deployment of air bags in
vehicles does not appear to increase pregnancy specific risks. Using lap
belt alone allows for forward flexion and uterine compression with
possible uterine rupture or placental abruption. Lap belt worn too high
over uterus may produce uterine rupture.
Penetrating injury to pregnant women - Correct Answer ✔️✔️As
uterus grows larger, other viscera are protected from penetrating
During pregnancy the heart rate increases to a maximum of 10-15 beats
per minute over baseline by the third trimester. - Correct Answer ✔
️✔️this heart rate must be considered when interpreting a
tachycardic response to hypovolemia.
Blood pressure falls 5-15 mm Hg in systolic and diastolic pressures
during second trimester, although it returns to near normal levels at
term. - Correct Answer ✔️✔️some women experience
hypotension when placed in the supine position due to the
compression of teh inferior vena cava.
hypertension in the pregnant if accompanied by proteinuria may
represent what? - Correct Answer ✔️✔️pre-eclampsia.
,EKG findings in pregnant patient - Correct Answer ✔️✔️Flatted
or inverted T waves in leads III and AVF and the precordial leads may be
normal. Ectopic beats are increased during pregnancy.
Minute ventilation increases primarily due to an increase in tidal
volume. Hypocapnia (30 mm Hg) is common in late pregnancy -
Correct Answer ✔️✔️Monitor ventilation in late pregnancy with
arterial blood gas values. A PaCO2 of 35-40 mm Hg may indicate
impending respiratory failure during pregnancy. Pregnant patients
should be hypocapneic.
Anatomical alterations in the thoracic cavity seem to account for the
decreased residual volume associated with diphragmatic elevation and
chest x ray reveals increased lung marking and prominence of the
pulmonary vessels. - Correct Answer ✔️✔️oxygen consumption
increases during pregnancy and its important when resuscitating
injured pregnant patients to maintain adequate oxygenation above
95%
,In patients with advanced pregnancy, those that require a chest tube
placement, where should the test tube be placed? - Correct Answer
✔️✔️it should be positioned higher to avoid intra-abdominal
placement given the elevation of the diaphragm.
Urinary system: what happens to the GFR, serum creatinine and urea
nitrogen levels? - Correct Answer ✔️✔️GFR and renal blood
increases during pregnancy, whereas levels of the serum creatinine and
urea nitrogen fall to one half of the normal pre pregnancy levels.
Glycosuria is common in pregnancy.
When interpreting x ray films of the pelvis in a pregnant patient, the
symphysis pubis widens 4-8 mm and the sacroiliac joint spaces increase
by the 7th month - Correct Answer ✔️✔️keep this in mind
Eclampsia - Correct Answer ✔️✔️Maintain a high index of
suspicion for eclampsia when seizures are accompanied by HTN,
proteinuria, hyperreflexia, and peripheral edema in pregnant trauma
patients. This can mimic head injury.
, External contusions and abrasions of the abdominal wall are signs of
blunt uterine trauma. - Correct Answer ✔️✔️true. Fetal injuries
can occur when the abdominal wall strikes an object, such as the
dashboard or steering wheel, or when a pregnant patient is struck by a
blunt instrument.
Using a shoulder restraints in conjunction with a lap belt reduces the
likelihood of direct and indirect fetal injury, presumably because the
shoulder belt dissipates deceleration forces over a great surface area
and helps prevent the mother from flexing forward over the gravid
uterus. - Correct Answer ✔️✔️the deployment of air bags in
vehicles does not appear to increase pregnancy specific risks. Using lap
belt alone allows for forward flexion and uterine compression with
possible uterine rupture or placental abruption. Lap belt worn too high
over uterus may produce uterine rupture.
Penetrating injury to pregnant women - Correct Answer ✔️✔️As
uterus grows larger, other viscera are protected from penetrating
