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ATLS MCQ best for 2023

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ATLS MCQ #1 A 22 year old man is hypotensive and tachycardic after a shotgun wound to the left shoulder. His blood pressure is initially 80/40 mmHg. After 2 liters of crystalloid solution his blood pressure increases to 122/84 mmHg His heart rate is now 100 beats per minute and his respiratory rate is 28 breaths per minute. His breath sounds are decreased in the left hemithorax, and after initial IV fluid resuscitation, a closed tube thoracostomy is performed for decreased left breath sounds with the return of a small amount of blood and no air leak. After chest tube insertion, the most approriate next step is ATLS MCQ #3 During the third trimester of pregnancy, all of the following changesoccur normally EXCEPT a ATLS MCQ # A previously healthy, 70kg (154 pound) man suffers an estimated acute blood loss of 2 liters. Which one of the following statements applies to this patient? The physiologic hypervolemia of pregnancy has clinical significance in the management of the severely injured, gravid woman by

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ATLS MCQ best for 2023

, ATLS MCQ #1
A 22 year old man is hypotensive and tachycardic after a shotgun wound to
the left shoulder. His blood pressure is initially 80/40 mmHg. After 2 liters
of crystalloid solution his blood pressure increases to 122/84 mmHg His
heart rate is now 100 beats per minute and his respiratory rate is 28
breaths per minute. His breath sounds are decreased in the left hemithorax,
and after initial IV fluid resuscitation, a closed tube thoracostomy is
performed for decreased left breath sounds with the return of a small
amount of blood and no air leak. After chest tube insertion, the most
approriate next step is
a) reexamine the chest
b) perform an aortogram
c) obtain a CT scan of the chest
d) Obtain arterial blood gas analyses
e) perform tranesohageal echocardiography
the answer is d ; but a website said a
(and a makes more sense to me. so i'll go with a)
info: chest tube insertion, p.108

ATLS MCQ #3
During the third trimester of pregnancy, all of the following changesoccur normally
EXCEPT a
a) decrease in PaCO2
b) decrease in leukocyte count
c) reduced gastric emptying rate
d) diminished residual lung volume
e) diminished elvic ligament tension
the answer is b.
info: page 261

ATLS MCQ #4
In managing the head injured patient,the most important initial step is to
a) secure the airway
b. obtain c-spine film
c) support circulation
c) control scalp hemorrhage
e) determine the GCS score
the answer is a.
info: p.154

ATLS MCQ #5
A previously healthy, 70kg (154 pound) man suffers an estimated acute blood
loss of 2 liters. Which one of the following statements applies to this patient?
a) his pulse pressure will be widened
b) his urinary output will be at the lower limits of normal
c) he will have tachycardia, but no change in his systolic blood pressure
d) his systolic blood pressure will be decreased with a narrowed pulse ressure (true)
e) his systolic blood pressure will be maintained with an elevated diastolicpressure
the answer is d.
info. page 61

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