ATLS POST TEST 4 LATEST VERSIONS 2023-2024 REAL
EXAM 160 QUESTIONS AND CORRECT ANSWERS
|AGRADE
A 22-year-old man is hypotensive and tachycardic after 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:
--- re-examine the chest
A construction worker falls two stories from a building and sustains bilateral calcaneal
fractures. In the emergency 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:
--- complete spine x-ray series
What is true regarding the initial resuscitation of a trauma patient? --- Evidence of
improved perfusion after fluid resuscitation could include improvement in Glasgow Coma
Scale score on reevaluation
In managing a patient with a severe traumatic brain injury, the most important initial step is
to:
--- secure the airway
A previously healthy, 70-kg (154-pound) man suffers an estimated acute blood loss of 2
liters. What applies to this patient?
--- An ABG would demonstrate a base deficit between -6 and -10 mEq/L.
The physiological hypervolemia of pregnancy has clinical significance in the management
of the severely injured, gravid woman by: --- increasing the volume of blood loss to
produce maternal hypotension.
The best assessment of fluid resuscitation of the adult burn patient is:
--- urinary output of 0.5 mL/kg/hr
The diagnosis of shock must include:
--- evidence of inadequate organ perfusion
, A 7-year-old boy is brought to the emergency department by his parents several minutes
after he fell through a window. He is bleeding profusely from a 6-cm wound of his medial
right thigh. Immediate management of the wound should consist of:
--- direct pressure on the wound
EXAM 160 QUESTIONS AND CORRECT ANSWERS
|AGRADE
A 22-year-old man is hypotensive and tachycardic after 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:
--- re-examine the chest
A construction worker falls two stories from a building and sustains bilateral calcaneal
fractures. In the emergency 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:
--- complete spine x-ray series
What is true regarding the initial resuscitation of a trauma patient? --- Evidence of
improved perfusion after fluid resuscitation could include improvement in Glasgow Coma
Scale score on reevaluation
In managing a patient with a severe traumatic brain injury, the most important initial step is
to:
--- secure the airway
A previously healthy, 70-kg (154-pound) man suffers an estimated acute blood loss of 2
liters. What applies to this patient?
--- An ABG would demonstrate a base deficit between -6 and -10 mEq/L.
The physiological hypervolemia of pregnancy has clinical significance in the management
of the severely injured, gravid woman by: --- increasing the volume of blood loss to
produce maternal hypotension.
The best assessment of fluid resuscitation of the adult burn patient is:
--- urinary output of 0.5 mL/kg/hr
The diagnosis of shock must include:
--- evidence of inadequate organ perfusion
, A 7-year-old boy is brought to the emergency department by his parents several minutes
after he fell through a window. He is bleeding profusely from a 6-cm wound of his medial
right thigh. Immediate management of the wound should consist of:
--- direct pressure on the wound
