Advanced Trauma Life Support |ATLS Practice Test 4

ATLS Practice Test 4 A 25-year-old man, injured in a motor vehicular crash, is admitted to the emergency department. His pupils react sluggishly and his eyes open to painful stimuli. He does not follow commands, but he does moan periodically. His right arm is deformed and does not respond to painful stimulus; however, his left hand reaches toward it. Both legs are stiffly extended. His Glasgow Coma Scale score is a. two. b. four. c. six. d. nine. e. twelve. 2. Which one of the following statements concerning massive hemothorax is TRUE? a. It is usually caused by blunt thoracic trauma. b. It is commonly confused with a pneumothorax. c. The diagnosis should be confirmed by upright, plain chest roentgenograms prior to treatment. d. The initial draining of 1,000 mL of blood after chest tube insertion requires immediate thoracotomy. e. The condition should be suspected in situations associated with shock and unilateral absent breath sounds. 3. Bronchial intubation of the right or left mainstem bronchus can easily occur during infant endotracheal intubation because a. the trachea is relatively short. b. the distance from the lips to the larynx is relatively short. c. the use of tubes without cuffs allows the tube to slip distally. d. the mainstem bronchi are less angulated in their relation to the trachea. e. so little friction exists between the endotracheal tube and the wall of the trachea. 4. Which one of the following statements regarding abdominal trauma in the pregnant patient is TRUE? a. The fetus is in jeopardy only with major abdominal trauma. b. Leakage of amniotic fluid is an indication for hospital admission. c. Indications for peritoneal lavage are different from those in the nonpregnant patient. d. Penetration of an abdominal hollow viscus is more common in late than in early pregnancy. e. The secondary survey follows a different pattern from that of the nonpregnant patient.