Atls Practice Test 2024-2025 Actual Exam
250 Real Questions And Correct Detailed
Answers With Rationales (100% Verified
Answers) |
A v22-year-old vman vis vhypotensive vand vtachycardic vafter va vshotgun vwound vto vthe
vleft vshoulder. vHis vblood vpressure vis vinitially v80/40 vmm vHg. vAfter vinitial vfluid
vresuscitation vhis vblood vpressure vincreases vto v122/84 vmm vHg. vHis vheart vrate vis
vnow v100 vbeats vper vminute vand vhis vrespiratory vrate vis v28 vbreaths vper vminute. vA
vtube vthoracostomy vis vperformed vfor vdecreased vleft vchest vbreath vsounds vwith vthe
vreturn vof va vsmall vamount vof vblood vand vno vair vleak. vAfter vchest vtube vinsertion,
vthe vmost vappropriate vnext vstep vis: v- vCORRECT✅✅re-examine vthe vchest
A vconstruction vworker vfalls vtwo vstories vfrom va vbuilding vand vsustains vbilateral
vcalcaneal vfractures. vIn vthe vemergency vdepartment, vhe vis valert, vvital vsigns vare
vnormal, vand vhe vis vcomplaining vof vsevere vpain vin vboth vheels vand vhis vlower vback.
vLower vextremity vpulses vare vstrong vand vthere vis vno vother vdeformity. vThe
vsuspected vdiagnosis vis vmost vlikely vto vbe vconfirmed vby: v- vCORRECT✅✅complete
vspine vx-ray vseries
Which vof vthe vfollowing vis vtrue vregarding vthe vinitial vresuscitation vof va vtrauma
vpatient? v- vCORRECT✅✅Evidence vof vimproved vperfusion vafter vfluid vresuscitation
vcould vinclude vimprovement vin vGlasgow vComa vScale vscore von vreevaluation.
In vmanaging va vpatient vwith va vsevere vtraumatic vbrain vinjury, vthe vmost vimportant
vinitial vstep vis vto: v- vCORRECT✅✅secure vthe vairway
A vpreviously vhealthy, v70-kg v(154-pound) vman vsuffers van vestimated vacute vblood
vloss vof v2 vliters. vWhich vone vof vthe vfollowing vstatements vapplies vto vthis vpatient? v-
vCORRECT✅✅An vABG vwould vdemonstrate va vbase vdeficit vbetween v-6 vand v-10
vmEq/L.
The vphysiological vhypervolemia vof vpregnancy vhas vclinical vsignificance vin vthe
vmanagement vof vthe vseverely vinjured, vgravid vwoman vby: v-
vCORRECT✅✅increasing vthe vvolume vof vblood vloss vto vproduce vmaternal
vhypotension
The vbest vassessment vof vfluid vresuscitation vof vthe vadult vburn vpatient vis: v-
vCORRECT✅✅urinary voutput vof v0.5 vmL/kg/hr
,The vdiagnosis vof vshock vmust vinclude: v- vCORRECT✅✅evidence vof vinadequate
vorgan vperfusion
A v7-year-old vboy vis vbrought vto vthe vemergency vdepartment vby vhis vparents vseveral
vminutes vafter vhe vfell vthrough va vwindow. vHe vis vbleeding vprofusely vfrom va v6-cm
vwound vof vhis vmedial vright vthigh. vImmediate vmanagement vof vthe vwound vshould
vconsist vof: v- vCORRECT✅✅direct vpressure von vthe vwound
For vthe vpatient vwith vsevere vtraumatic vbrain vinjury, vprofound vhypocarbia vshould vbe
vavoided vto vprevent: v- vCORRECT✅✅cerebral vvasoconstriction vwith vdiminished
vperfusion
After vbeing vinvolved vin va vmotor vvehicle vcrash, va v25-year-old vman vis vbrought vto va
vhospital vthat vhas vsurgery vcapabilities vavailable.. vComputed vtomography vof vthe
vchest vand vabdomen vshows van vaortic vinjury vand vsplenic vlaceration vwith vfree
vabdominal vfluid. vHis vblood vpressure vfalls vto v70 vmm vHg vafter vCT. vThe vnext vstep
vis: v- vCORRECT✅✅perform van vexploratory vlaparotomy
Which vone vof vthe vfollowing vstatements vregarding vabdominal vtrauma vin vthe
vpregnant vpatient vis vTRUE? v- vCORRECT✅✅Leakage vof vamniotic vfluid vis van
vindication vfor vhospital vadmission.
The vfirst vmaneuver vto vimprove voxygenation vafter vchest vinjury vis: v-
vCORRECT✅✅administer vsupplemental voxygen
A v25-year-old vman, vinjured vin va vmotor vvehicular vcrash, vis vadmitted vto vthe
vemergency vdepartment. vHis vpupils vreact vsluggishly vand vhis veyes vopen vto
vpressure. vHe vdoes vnot vfollow vcommands, vbut vhe vdoes vmoan vperiodically. vHis
vright varm vis vdeformed vand vdoes vnot vrespond vto vpressure; vhowever, vhis vleft vhand
vreaches vpurposefully vtoward vthe vstimulus. vBoth vlegs vare vstiffly vextended. vHis vGCS
vscore vis: v- vCORRECT✅✅9
A v20-year-old vwoman vwho vis vat v32 vweeks vgestation, vis vstabbed vin vthe vupper vright
vchest. vIn vthe vemergency vdepartment, vher vblood vpressure vis v80/60 vmm vHg. vShe
vis vgasping vfor vbreath, vextremely vanxious, vand vyelling vfor vhelp. vBreath vsounds vare
vdiminished vin vthe vright vchest. vThe vmost vappropriate vfirst vstep vis vto: v-
vCORRECT✅✅perform vneedle vor vfinger vdecompression vof vthe vright vchest
Which vone vof vthe vfollowing vfindings vin van vadult vis vmost vlikely vto vrequire
vimmediate vmanagement vduring vthe vprimary vsurvey? v- vCORRECT✅✅respiratory
vrate vof v40 vbreaths vper vminute
The vmost vimportant, vimmediate vstep vin vthe vmanagement vof van vopen
vpneumothorax vis: v- vCORRECT✅✅placement vof van vocclusive vdressing vover vthe
vwound
,The vfollowing vare vcontraindications vfor vtetanus vtoxoid vadministration: v-
vCORRECT✅✅history vof vneurological vreaction vor vsevere vhypersensitivity vto vthe
vproduct
A v56-year-old vman vis vthrown vviolently vagainst vthe vsteering vwheel vof vhis vtruck
vduring va vmotor vvehicle vcrash. vOn varrival vin vthe vemergency vdepartment vhe vis
vdiaphoretic vand vcomplaining vof vchest vpain. vHis vblood vpressure vis v60/40 vmm vHg
vand vhis vrespiratory vrate vis v40 vbreaths vper vminute. vWhich vof vthe vfollowing vbest
vdifferentiates vcardiac vtamponade vfrom vtension vpneumothorax vas vthe vcause vof vhis
vhypotension? v- vCORRECT✅✅breath vsounds
Bronchial vintubation vof vthe vright vor vleft vmainstem vbronchus vcan veasily voccur
vduring vinfant vendotracheal vintubation vbecause: v- vCORRECT✅✅The vtrachea vis
vrelatively vshort.
A v23-year-old vman vsustains v4 vstab vwounds vto vthe vupper vright vchest vduring van
valtercation vand vis vbrought vby vambulance vto va vhospital vthat vhas vfull vsurgical
vcapabilities. vHis vwounds vare vall vabove vthe vnipple. vHe vis vendotracheally vintubated,
vclosed vtube vthoracostomy vis vperformed, vfluid vresuscitation vis vinitiated vthrough v2
vlarge-caliber vIVs. vFAST vexam vdoes vnot vreveal vintraabdominal vinjuries. vHis vblood
vpressure vnow vis v60/0 vmm vHg, vheart vrate vis v160 vbeats vper vminute, vand
vrespiratory vrate vis v14 vbreaths vper vminute v(ventilated vwith v100% vO2). v1500 vmL vof
vblood vhas vdrained vfrom vthe vright vchest. vThe vmost vappropriate vnext vstep vin
vmanaging vthis vpatient vis vto: v- vCORRECT✅✅urgently vtransfer vthe vpatient vto vthe
voperating vroom
A v39-year-old vman vis vadmitted vto vthe vemergency vdepartment vafter van vautomobile
vcollision. vHe vis vcyanotic, vhas vinsufficient vrespiratory veffort, vand vhas va vGCS vscore
vof v6. vHis vfull vbeard vmakes vit vdifficult vto vfit vthe voxygen vfacemask vto vhis vface. vThe
vmost vappropriate vnext vstep vis vto: v- vCORRECT✅✅restrict vcervical vmotion vand
vattempt vorotracheal vintubation vusing v2 vpeople
A vpatient vis vbrought vto vthe vemergency vdepartment vafter va vmotor vvehicle vcrash.
vHe vis vconscious vand vthere vis vno vobvious vexternal vtrauma. vHe varrives vat vthe
vhospital vcompletely vimmobilized von va vlong vspine vboard. vHis vblood vpressure vis
v60/40 vmm vHg vand vhis vheart vrate vis v70 vbeats vper vminute. vHis vskin vis vwarm.
vWhich vone vof vthe vfollowing vstatements vis vTRUE? v- vCORRECT✅✅Flaccidity vof
vthe vlower vextremities vand vloss vof vdeep vtendon vreflexes vare vexpected.
Which vone vof vthe vfollowing vis vthe vmost veffective vmethod vfor vinitially vtreating
vfrostbite? v- vCORRECT✅✅moist vheat
A v32-year-old vman's vright vleg vis vtrapped vbeneath vhis voverturned vcar vfor vnearly v2
vhours vbefore vhe vis vextricated. vOn varrival vin vthe vemergency vdepartment, vhis vright
vlower vextremity vis vcool, vmottled, vinsensate, vand vmotionless. vDespite vnormal vvital
vsigns, vpulses vcannot vbe vpalpated vbelow vthe vright vfemoral vartery vand vthe vmuscles
, vof vthe vlower vextremity vare vfirm vand vhard. vDuring vthe vmanagement vof vthis vpatient,
vwhich vof vthe vfollowing vis vmost vlikely vto vimprove vthe vchances vfor vlimb vsalvage? v-
vCORRECT✅✅surgical vconsultation vfor vright vlower vextremity vfasciotomy
A vpatient varrives vin vthe vemergency vdepartment vafter vbeing vbeaten vabout vthe vhead
vand vface vwith va vwooden vclub. vHe vis vcomatose vand vhas va vpalpable vdepressed
vskull vfracture. vHis vface vis vswollen vand vecchymotic. vHe vhas vgurgling vrespirations
vand vvomitus von vhis vface vand vclothing. vThe vmost vappropriate vstep vafter vproviding
vsupplemental voxygen vand velevating vhis vjaw vis vto: v- vCORRECT✅✅suction vthe
voropharynx
A v22-year-old vman vsustains va vgunshot vwound vto vthe vleft vchest vand vis vtransported
vto va vsmall vcommunity vhospital vno vsurgical vcapabilities vare vavailable. vIn vthe
vemergency vdepartment, va vchest vtube vis vinserted vand v700 vmL vof vblood vis
vevacuated. vThe vtrauma vcenter vaccepts vthe vpatient vin vtransfer. vJust vbefore vthe
vpatient vis vplaced vin vthe vambulance vfor vtransfer, vhis vblood vpressure vdecreases vto
v80/68 vmm vHg vand vhis vheart vrate vincreases vto v136 vbeats vper vminute. vThe vnext
vstep vshould vbe vto: v- vCORRECT✅✅repeat vthe vprimary vsurvey vand vproceed vwith
vtransfer
A v64-year-old vman vinvolved vin va vhigh-speed vcar vcrash, vis vresuscitated vinitially vin va
vsmall vhospital vwithout vsurgical vcapabilities. vHe vhas va vclosed vhead vinjury vwith va
vGCS vscore vof v13. vHe vhas va vwidened vmediastinum von vchest vx-ray vwith vfractures
vof vleft vribs v2 vthrough v4, vbut vno vpneumothorax. vAfter vinitiating vfluid vresuscitation,
vhis vblood vpressure vis v110/74 vmm vHg, vheart vrate vis v100 vbeats vper vminute, vand
vrespiratory vrate vis v18 vbreaths vper vminute. vHe vhas vgross vhematuria vand va vpelvic
vfracture. vYou vdecide vto vtransfer vthis vpatient vto va vfacility vcapable vof vproviding va
vhigher vlevel vof vcare. vThe vfacility vis v128 vkm v(80 vmiles) vaway. vBefore vtransfer, vyou
vshould vfirst: v- vCORRECT✅✅call vthe vreceiving vhospital vand vspeak vto vthe
vsurgeon von vcall
Hemorrhage vof v20% vof vthe vpatient's vblood vvolume vis vassociated vusually vwith: v-
vCORRECT✅✅tachycardia
Which vone vof vthe vfollowing vstatements vconcerning vintraosseous vinfusion vis vTRUE?
v- vCORRECT✅✅Aspiration vof vbone vmarrow vconfirms vappropriate vpositioning vof
vthe vneedle.
A vyoung vwoman vsustains va vsevere vhead vinjury vas vthe vresult vof va vmotor vvehicle
vcrash. vIn vthe vemergency vdepartment, vher vGCS vis v6. vHer vblood vpressure vis
v140/90 vmm vHg vand vher vheart vrate vis v80 vbeats vper vminute. vShe vis vintubated vand
vmechanically vventilated. vHer vpupils vare v3 vmm vin vsize vand vequally vreactive vto
vlight. vThere vis vno vother vapparent vinjury. vThe vmost vimportant vprinciple vto vfollow vin
vthe vearly vmanagement vof vher vhead vinjury vis vto: v- vCORRECT✅✅avoid
vhypotension
250 Real Questions And Correct Detailed
Answers With Rationales (100% Verified
Answers) |
A v22-year-old vman vis vhypotensive vand vtachycardic vafter va vshotgun vwound vto vthe
vleft vshoulder. vHis vblood vpressure vis vinitially v80/40 vmm vHg. vAfter vinitial vfluid
vresuscitation vhis vblood vpressure vincreases vto v122/84 vmm vHg. vHis vheart vrate vis
vnow v100 vbeats vper vminute vand vhis vrespiratory vrate vis v28 vbreaths vper vminute. vA
vtube vthoracostomy vis vperformed vfor vdecreased vleft vchest vbreath vsounds vwith vthe
vreturn vof va vsmall vamount vof vblood vand vno vair vleak. vAfter vchest vtube vinsertion,
vthe vmost vappropriate vnext vstep vis: v- vCORRECT✅✅re-examine vthe vchest
A vconstruction vworker vfalls vtwo vstories vfrom va vbuilding vand vsustains vbilateral
vcalcaneal vfractures. vIn vthe vemergency vdepartment, vhe vis valert, vvital vsigns vare
vnormal, vand vhe vis vcomplaining vof vsevere vpain vin vboth vheels vand vhis vlower vback.
vLower vextremity vpulses vare vstrong vand vthere vis vno vother vdeformity. vThe
vsuspected vdiagnosis vis vmost vlikely vto vbe vconfirmed vby: v- vCORRECT✅✅complete
vspine vx-ray vseries
Which vof vthe vfollowing vis vtrue vregarding vthe vinitial vresuscitation vof va vtrauma
vpatient? v- vCORRECT✅✅Evidence vof vimproved vperfusion vafter vfluid vresuscitation
vcould vinclude vimprovement vin vGlasgow vComa vScale vscore von vreevaluation.
In vmanaging va vpatient vwith va vsevere vtraumatic vbrain vinjury, vthe vmost vimportant
vinitial vstep vis vto: v- vCORRECT✅✅secure vthe vairway
A vpreviously vhealthy, v70-kg v(154-pound) vman vsuffers van vestimated vacute vblood
vloss vof v2 vliters. vWhich vone vof vthe vfollowing vstatements vapplies vto vthis vpatient? v-
vCORRECT✅✅An vABG vwould vdemonstrate va vbase vdeficit vbetween v-6 vand v-10
vmEq/L.
The vphysiological vhypervolemia vof vpregnancy vhas vclinical vsignificance vin vthe
vmanagement vof vthe vseverely vinjured, vgravid vwoman vby: v-
vCORRECT✅✅increasing vthe vvolume vof vblood vloss vto vproduce vmaternal
vhypotension
The vbest vassessment vof vfluid vresuscitation vof vthe vadult vburn vpatient vis: v-
vCORRECT✅✅urinary voutput vof v0.5 vmL/kg/hr
,The vdiagnosis vof vshock vmust vinclude: v- vCORRECT✅✅evidence vof vinadequate
vorgan vperfusion
A v7-year-old vboy vis vbrought vto vthe vemergency vdepartment vby vhis vparents vseveral
vminutes vafter vhe vfell vthrough va vwindow. vHe vis vbleeding vprofusely vfrom va v6-cm
vwound vof vhis vmedial vright vthigh. vImmediate vmanagement vof vthe vwound vshould
vconsist vof: v- vCORRECT✅✅direct vpressure von vthe vwound
For vthe vpatient vwith vsevere vtraumatic vbrain vinjury, vprofound vhypocarbia vshould vbe
vavoided vto vprevent: v- vCORRECT✅✅cerebral vvasoconstriction vwith vdiminished
vperfusion
After vbeing vinvolved vin va vmotor vvehicle vcrash, va v25-year-old vman vis vbrought vto va
vhospital vthat vhas vsurgery vcapabilities vavailable.. vComputed vtomography vof vthe
vchest vand vabdomen vshows van vaortic vinjury vand vsplenic vlaceration vwith vfree
vabdominal vfluid. vHis vblood vpressure vfalls vto v70 vmm vHg vafter vCT. vThe vnext vstep
vis: v- vCORRECT✅✅perform van vexploratory vlaparotomy
Which vone vof vthe vfollowing vstatements vregarding vabdominal vtrauma vin vthe
vpregnant vpatient vis vTRUE? v- vCORRECT✅✅Leakage vof vamniotic vfluid vis van
vindication vfor vhospital vadmission.
The vfirst vmaneuver vto vimprove voxygenation vafter vchest vinjury vis: v-
vCORRECT✅✅administer vsupplemental voxygen
A v25-year-old vman, vinjured vin va vmotor vvehicular vcrash, vis vadmitted vto vthe
vemergency vdepartment. vHis vpupils vreact vsluggishly vand vhis veyes vopen vto
vpressure. vHe vdoes vnot vfollow vcommands, vbut vhe vdoes vmoan vperiodically. vHis
vright varm vis vdeformed vand vdoes vnot vrespond vto vpressure; vhowever, vhis vleft vhand
vreaches vpurposefully vtoward vthe vstimulus. vBoth vlegs vare vstiffly vextended. vHis vGCS
vscore vis: v- vCORRECT✅✅9
A v20-year-old vwoman vwho vis vat v32 vweeks vgestation, vis vstabbed vin vthe vupper vright
vchest. vIn vthe vemergency vdepartment, vher vblood vpressure vis v80/60 vmm vHg. vShe
vis vgasping vfor vbreath, vextremely vanxious, vand vyelling vfor vhelp. vBreath vsounds vare
vdiminished vin vthe vright vchest. vThe vmost vappropriate vfirst vstep vis vto: v-
vCORRECT✅✅perform vneedle vor vfinger vdecompression vof vthe vright vchest
Which vone vof vthe vfollowing vfindings vin van vadult vis vmost vlikely vto vrequire
vimmediate vmanagement vduring vthe vprimary vsurvey? v- vCORRECT✅✅respiratory
vrate vof v40 vbreaths vper vminute
The vmost vimportant, vimmediate vstep vin vthe vmanagement vof van vopen
vpneumothorax vis: v- vCORRECT✅✅placement vof van vocclusive vdressing vover vthe
vwound
,The vfollowing vare vcontraindications vfor vtetanus vtoxoid vadministration: v-
vCORRECT✅✅history vof vneurological vreaction vor vsevere vhypersensitivity vto vthe
vproduct
A v56-year-old vman vis vthrown vviolently vagainst vthe vsteering vwheel vof vhis vtruck
vduring va vmotor vvehicle vcrash. vOn varrival vin vthe vemergency vdepartment vhe vis
vdiaphoretic vand vcomplaining vof vchest vpain. vHis vblood vpressure vis v60/40 vmm vHg
vand vhis vrespiratory vrate vis v40 vbreaths vper vminute. vWhich vof vthe vfollowing vbest
vdifferentiates vcardiac vtamponade vfrom vtension vpneumothorax vas vthe vcause vof vhis
vhypotension? v- vCORRECT✅✅breath vsounds
Bronchial vintubation vof vthe vright vor vleft vmainstem vbronchus vcan veasily voccur
vduring vinfant vendotracheal vintubation vbecause: v- vCORRECT✅✅The vtrachea vis
vrelatively vshort.
A v23-year-old vman vsustains v4 vstab vwounds vto vthe vupper vright vchest vduring van
valtercation vand vis vbrought vby vambulance vto va vhospital vthat vhas vfull vsurgical
vcapabilities. vHis vwounds vare vall vabove vthe vnipple. vHe vis vendotracheally vintubated,
vclosed vtube vthoracostomy vis vperformed, vfluid vresuscitation vis vinitiated vthrough v2
vlarge-caliber vIVs. vFAST vexam vdoes vnot vreveal vintraabdominal vinjuries. vHis vblood
vpressure vnow vis v60/0 vmm vHg, vheart vrate vis v160 vbeats vper vminute, vand
vrespiratory vrate vis v14 vbreaths vper vminute v(ventilated vwith v100% vO2). v1500 vmL vof
vblood vhas vdrained vfrom vthe vright vchest. vThe vmost vappropriate vnext vstep vin
vmanaging vthis vpatient vis vto: v- vCORRECT✅✅urgently vtransfer vthe vpatient vto vthe
voperating vroom
A v39-year-old vman vis vadmitted vto vthe vemergency vdepartment vafter van vautomobile
vcollision. vHe vis vcyanotic, vhas vinsufficient vrespiratory veffort, vand vhas va vGCS vscore
vof v6. vHis vfull vbeard vmakes vit vdifficult vto vfit vthe voxygen vfacemask vto vhis vface. vThe
vmost vappropriate vnext vstep vis vto: v- vCORRECT✅✅restrict vcervical vmotion vand
vattempt vorotracheal vintubation vusing v2 vpeople
A vpatient vis vbrought vto vthe vemergency vdepartment vafter va vmotor vvehicle vcrash.
vHe vis vconscious vand vthere vis vno vobvious vexternal vtrauma. vHe varrives vat vthe
vhospital vcompletely vimmobilized von va vlong vspine vboard. vHis vblood vpressure vis
v60/40 vmm vHg vand vhis vheart vrate vis v70 vbeats vper vminute. vHis vskin vis vwarm.
vWhich vone vof vthe vfollowing vstatements vis vTRUE? v- vCORRECT✅✅Flaccidity vof
vthe vlower vextremities vand vloss vof vdeep vtendon vreflexes vare vexpected.
Which vone vof vthe vfollowing vis vthe vmost veffective vmethod vfor vinitially vtreating
vfrostbite? v- vCORRECT✅✅moist vheat
A v32-year-old vman's vright vleg vis vtrapped vbeneath vhis voverturned vcar vfor vnearly v2
vhours vbefore vhe vis vextricated. vOn varrival vin vthe vemergency vdepartment, vhis vright
vlower vextremity vis vcool, vmottled, vinsensate, vand vmotionless. vDespite vnormal vvital
vsigns, vpulses vcannot vbe vpalpated vbelow vthe vright vfemoral vartery vand vthe vmuscles
, vof vthe vlower vextremity vare vfirm vand vhard. vDuring vthe vmanagement vof vthis vpatient,
vwhich vof vthe vfollowing vis vmost vlikely vto vimprove vthe vchances vfor vlimb vsalvage? v-
vCORRECT✅✅surgical vconsultation vfor vright vlower vextremity vfasciotomy
A vpatient varrives vin vthe vemergency vdepartment vafter vbeing vbeaten vabout vthe vhead
vand vface vwith va vwooden vclub. vHe vis vcomatose vand vhas va vpalpable vdepressed
vskull vfracture. vHis vface vis vswollen vand vecchymotic. vHe vhas vgurgling vrespirations
vand vvomitus von vhis vface vand vclothing. vThe vmost vappropriate vstep vafter vproviding
vsupplemental voxygen vand velevating vhis vjaw vis vto: v- vCORRECT✅✅suction vthe
voropharynx
A v22-year-old vman vsustains va vgunshot vwound vto vthe vleft vchest vand vis vtransported
vto va vsmall vcommunity vhospital vno vsurgical vcapabilities vare vavailable. vIn vthe
vemergency vdepartment, va vchest vtube vis vinserted vand v700 vmL vof vblood vis
vevacuated. vThe vtrauma vcenter vaccepts vthe vpatient vin vtransfer. vJust vbefore vthe
vpatient vis vplaced vin vthe vambulance vfor vtransfer, vhis vblood vpressure vdecreases vto
v80/68 vmm vHg vand vhis vheart vrate vincreases vto v136 vbeats vper vminute. vThe vnext
vstep vshould vbe vto: v- vCORRECT✅✅repeat vthe vprimary vsurvey vand vproceed vwith
vtransfer
A v64-year-old vman vinvolved vin va vhigh-speed vcar vcrash, vis vresuscitated vinitially vin va
vsmall vhospital vwithout vsurgical vcapabilities. vHe vhas va vclosed vhead vinjury vwith va
vGCS vscore vof v13. vHe vhas va vwidened vmediastinum von vchest vx-ray vwith vfractures
vof vleft vribs v2 vthrough v4, vbut vno vpneumothorax. vAfter vinitiating vfluid vresuscitation,
vhis vblood vpressure vis v110/74 vmm vHg, vheart vrate vis v100 vbeats vper vminute, vand
vrespiratory vrate vis v18 vbreaths vper vminute. vHe vhas vgross vhematuria vand va vpelvic
vfracture. vYou vdecide vto vtransfer vthis vpatient vto va vfacility vcapable vof vproviding va
vhigher vlevel vof vcare. vThe vfacility vis v128 vkm v(80 vmiles) vaway. vBefore vtransfer, vyou
vshould vfirst: v- vCORRECT✅✅call vthe vreceiving vhospital vand vspeak vto vthe
vsurgeon von vcall
Hemorrhage vof v20% vof vthe vpatient's vblood vvolume vis vassociated vusually vwith: v-
vCORRECT✅✅tachycardia
Which vone vof vthe vfollowing vstatements vconcerning vintraosseous vinfusion vis vTRUE?
v- vCORRECT✅✅Aspiration vof vbone vmarrow vconfirms vappropriate vpositioning vof
vthe vneedle.
A vyoung vwoman vsustains va vsevere vhead vinjury vas vthe vresult vof va vmotor vvehicle
vcrash. vIn vthe vemergency vdepartment, vher vGCS vis v6. vHer vblood vpressure vis
v140/90 vmm vHg vand vher vheart vrate vis v80 vbeats vper vminute. vShe vis vintubated vand
vmechanically vventilated. vHer vpupils vare v3 vmm vin vsize vand vequally vreactive vto
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vthe vearly vmanagement vof vher vhead vinjury vis vto: v- vCORRECT✅✅avoid
vhypotension
