ATLS Post Test 2023 QUESTIONS AND ANSWERS(WITH COMPLETE SOLUTION)

ATLS Post Test 2023 QUESTIONS AND ANSWERS(WITH COMPLETE SOLUTION) ATLS Post Test 2023 QUESTIONS AND ANSWERS 1.Theprimaryindicationfortransferringa patienttoahigherleveltraumacenteris: 4. Which one of the following statementsregardingpatientswiththoracicspineinj uriesisTRUE? unavailabilityofasurgeonoroperatingroom iplesysteminjuries,includingsevere headinjury. resourcelimitationsasdeterminedbythe transferringdoctor. resourcelimitationsasdeterminedbythe edmediastinumonchestx-ray followingbluntthoracictrauma. -aged bicycle rider is hit by a trucktraveling at a high rate of speed. In theemergencydepartment,sheisactivelybleedin gfrom open fractures of her legs, and hasabrasionsonherchestandabdominalwall.Her bloodpressureis80/50mmHg,heartrateis140beat sperminute,respiratoryrateis8 breaths per minute, and GCS score is 6.Thefirststepinmanagingthispatientisto: obtainalateralcervicalspinex-ray. insertacentralvenouspressureline. administer2litersofcrystalloidsolution. performendotrachealintubationand  ventilation. applythePASGandinflatetheleg  compartments. 3.Contraindication to nasogastric intubation isthepresenceofa: gastricperforation.  diaphragmaticrupture. opendepressedskullfracture. fractureofthecervicalspine. fracture of the cribriformplate.  Log-rollingmaybedestabilizingto  fracturesfromT-12toL-1. Adequateimmobilizationcanbe  accomplishedwiththescoopstretcher. SpinalcordinjurybelowT-10usuallyspares  bowelandbladderfunction. Hyperflexionfracturesintheupper  thoracicspineareinherentlyunstable. Thesepatientsrarelypresentwithspinal  shockinassociationwithcordinjury. 5. young man sustains a ritle wound to the midabdomen. He is brought promptly to theemergencydepartmentbyprehospital personnel.Hisskiniscoolanddiaphoretic,andhissy stolicbloodpressureis58rnmHg. Warmed crystalloid fluids are initiated withoutimprovementinhisvitalsigns.Thenext, mostappropriatestepistoperform: aceliotomy.  anabdominalCTscan. diagnosticlaparoscopy. abdominalultrasonography.  adiagnosticperitoneallavage. 