ATLS Pretest/ 40 Questions With
Answers/ 100% correct.
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
-Which of the following 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. Which one of the following statements 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
-For the patient with severe traumatic brain injury, profound hypocarbia
should be avoided to prevent: - -cerebral vasoconstriction with diminished
perfusion
-After being involved in a motor vehicle crash, a 25-year-old man is brought
to a hospital that has surgery capabilities available.. Computed tomography
of the chest and abdomen shows an aortic injury and splenic laceration with
free abdominal fluid. His blood pressure falls to 70 mm Hg after CT. The next
step is: - -perform an exploratory laparotomy
-Which one of the following statements regarding abdominal trauma in the
pregnant patient is TRUE? - -Leakage of amniotic fluid is an indication for
hospital admission.
Answers/ 100% correct.
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
-Which of the following 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. Which one of the following statements 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
-For the patient with severe traumatic brain injury, profound hypocarbia
should be avoided to prevent: - -cerebral vasoconstriction with diminished
perfusion
-After being involved in a motor vehicle crash, a 25-year-old man is brought
to a hospital that has surgery capabilities available.. Computed tomography
of the chest and abdomen shows an aortic injury and splenic laceration with
free abdominal fluid. His blood pressure falls to 70 mm Hg after CT. The next
step is: - -perform an exploratory laparotomy
-Which one of the following statements regarding abdominal trauma in the
pregnant patient is TRUE? - -Leakage of amniotic fluid is an indication for
hospital admission.
