ATLS Test 1 Questions And Answers Verified And Updated.

ATLS Test 1 Questions And Answers Verified And Updated. A d22-year-old dman dis dhypotensive dand dtachycardic dafter da dshotgun dwound dto dthe dleft dshoulder. dHis dblood dpressure dis dinitially d80/40 dmm dHg. dAfter dinitial dfluid dresuscitation dhis dblood dpressure dincreases dto d122/84 dmm dHg. dHis dheart drate dis dnow d100 dbeats dper dminute dand dhis drespiratory drate dis d28 dbreaths dper dminute. dA dtube dthoracostomy dis dperformed dfor ddecreased dleft dchest dbreath dsounds dwith dthe dreturn dof da dsmall damount dof dblood dand dno dair dleak. dAfter dchest dtube dinsertion, dthe dmost dappropriate dnext dstep dis: Select done: a. reexamine dthe dchest b. perform dan daortogram c. obtain da dCT dscan dof dthe dchest d. obtain darterial dblood dgas danalyses e. perform dtransesophageal dechocardiography d- d d d dcorrect danswer.A) dReexamine dthe dchest A dconstruction dworker dfalls dtwo dstories dfrom da dbuilding dand dsustains dbilateral dcalcaneal dfractures. dIn dthe demergency ddepartment, dhe dis dalert, dvital dsigns dare dnormal, dand dhe dis dcomplaining dof dsevere dpain din dboth dheels dand dhis dlower dback. dLower dextremity dpulses dare dstrong dand dthere dis dno dother ddeformity. dThe dsuspected ddiagnosis dis dmost dlikely dto dbe dconfirmed dby: Select done: a. angiography b. compartment dpressures c. retrograde durethrogram d. Doppler dultrasound dstudies e. complete dspine dx-ray dseries d- d d d dcorrect danswer.e) dComplete dspine dx-ray dseries Which dof dthe dfollowing dis dtrue dregarding dthe dinitial dresuscitation dof da dtrauma dpatient? Select done: a. A dpatient dthat dpresents dwith da dtorso dgunshot dwound dand dis dhypotensive dshould dreceive dcrystalloid dfluid dresuscitation duntil dthe dblood dpressure dis dnormal b. Evidence dof dimproved dperfusion dafter dfluid dresuscitation dcould dinclude dimprovement din dGlasgow dcoma dscale dscore don dreevaluation c. Massive dtransfusion dis ddefined das dtransfusion dof dmore dthan d10 dof dpacked dred dblood dcells dand dplasma din d24 dhours d. When dtranexamic dacid dis dadministered dby dpre-hospital dproviders da dsecond ddose dis drequired dwithin d24 dhours e. Fluid dresuscitation dis dfar dmore dimportant dthan dbleeding dcontrol din dtrauma dpatients d- d d d dcorrect danswer.b. Evidence dof dimproved dperfusion dafter dfluid dresuscitation dcould dinclude dimprovement din dGlasgow dcoma dscale dscore don dreevaluation In dmanaging da dpatient dwith da dsevere dtraumatic dbrain dinjury, dthe dmost dimportant dinitial dstep dis dto: Select done: a. Secure dthe dairway b. obtain da dc-spine dfilm c. support dthe dcirculation d. control dscalp dhemorrhage e. determine dthe dGCS dscore Feedback Your danswer dis dcorr d- d d d dcorrect danswer.a. Secure dthe dairway A dpreviously dhealthy, d70-kg d(154-pound) dman dsuffers dan destimated dacute dblood dloss dof d2 dliters. Which done dof dthe dfollowing dstatements dapplies dto dthis dpatient? Select done: a. His dpulse dpressure dwill dbe dwidened. b. His durinary doutput dwill dbe dat dthe dlower dlimits dof dnormal. c. He dwill dhave dtachycardia, dbut dno dchange din dhis dsystolic dblood dpressure. d. An dABG dwould ddemonstrate da dbase ddeficit dbetween d-6 dand d-10 dmEq/L e. His dsystolic dblood dpressure dwill dbe dmaintained dwith dan delevated ddiastolic dpressure. d- d d d dcorrect danswer.d. An dABG dwould ddemonstrate da dbase ddeficit dbetween d-6 dand d-10 dmEq/L The dphysiologic dhypervolemia dof dpregnancy dhas dclinical dsignificance din dthe dmanagement dof dthe dseverely dinjured, dgravid dwoman dby: Select done: a. reducing dthe dneed dfor dblood dtransfusion b. resulting din dan delevated dhematocrit c. complicating dthe dmanagement dof dclosed dhead dinjury d. reducing dthe dvolume dof dcrystalloid drequired dfor dresuscitation e. increasing dthe dvolume dof dblood dloss dto dproduce dmaternal dhypotension d- d d d dcorrect danswer.e. increasing dthe dvolume dof dblood dloss dto dproduce dmaternal dhypotension The dbest dassessment dof dfluid dresuscitation dof dthe dadult dburn dpatient dis: Select done: a. Urine doutput dof d0.5 dmL/kg/hr b. normalization dof dblood dpressure c. normalization dof dthe dheart drate d. measuring da dnormal dcentral dvenous dpressure e. providing d4 dmL/kg/percent dbody dburn/24 dhours dof dcrystalloid dfluid d- d d d dcorrect danswer.a. Urine doutput dof d0.5 dmL/kg/hr The ddiagnosis dof dshock dmust dinclude: Select done: a. hypoxemia b. acidosis c. hypotension d. increased dvascular dresistance e. evidence dof dinadequate dorgan dperfusion d- d d d dcorrect danswer.e. evidence dof dinadequate dorgan dperfusion A d7-year-old dboy dis dbrought dto dthe demergency ddepartment dby dhis dparents dseveral dminutes dafter dhe dfell dthrough da dwindow. dHe dis dbleeding dprofusely dfrom da d6-cm dwound dof dhis dmedial dright dthigh. dImmediate dmanagement dof dthe dwound dshould dconsist dof: Select done: a. application dof da dtourniquet b. direct dpressure don dthe dwound c. packing dthe dwound dwith dgauze d. direct dpressure don dthe dfemoral dartery dat dthe dgroin e. debridement dof ddevitalized dtissue d- d d d dcorrect danswer.b. direct dpressure don dthe dwound For dthe dpatient dwith dsevere dtraumatic dbrain dinjury, dprofound dhypocarbia dshould dbe davoided dto dprevent: Select done: a. respiratory dacidosis b. metabolic dacidosis c. cerebral dvasoconstriction dwith ddiminished dperfusion d. neurogenic dpulmonary dedema e. shift dof dthe doxyhemoglobin ddissociation dcurve d- d d d dcorrect danswer.c. cerebral dvasoconstriction dwith ddiminished dperfusion After dbeing dinvolved din da dmotor dvehicle dcrash, da d25-year-old dman dis dbrought dto da dhospital dthat dhas dsurgery dcapabilities davailable.. dComputed dtomography dof dthe dchest dand dabdomen dshows dan daortic dinjury dand dsplenic dlaceration dwith dfree dabdominal dfluid. dHis dblood dpressure dfalls dto d70 dmm dHg dafter dCT. dThe dnext dstep dis: Select done: a. obtain dcontrast dangiography b. transfer dto da dhigher dlevel dtrauma dcenter c. perform dan dexploratory dlaparotomy d. infuse dadditional dcrystalloid dfluids e. Obtain dtransesophageal dechocardiography d- d d d dcorrect danswer.c. perform dan dexploratory dlaparotomy Which done dof dthe dfollowing dstatements dregarding dabdominal dtrauma din dthe dpregnant dpatient dis dTRUE? Select done: a. The dfetus dis din djeopardy donly dwith dmajor dmaternal dabdominal dtrauma. b. Leakage dof damniotic dfluid dis dan dindication dfor dhospital dadmission. c. Indications dfor dperitoneal dlavage dare ddifferent dfrom dthose din dthe dnonpregnant dpatient. d. With dpenetrating dtrauma, dinjury dto dthe dmother's dabdominal dhollow dviscus dis dmore dcommon din dlate dthan din dearly dpregnancy. e. The dsecondary dsurvey dfollows da ddifferent dpattern dfrom dthat dof dthe dnonpregnant dpatient. d- d d d dcorrect danswer.b. Leakage dof damniotic dfluid dis dan dindication dfor dhospital dadmission. The dfirst dmaneuver dto dimprove doxygenation dafter dchest dinjury dis dto: Select done: a. intubate dthe dpatient b. assess darterial dblood dgases c. administer dsupplemental doxygen d. ascertain dthe dneed dfor da dchest dtube e. obtain da dchest dx-ray d- d d d dcorrect danswer.c. administer dsupplemental doxygen A d25-year-old dman, dinjured din da dmotor dvehicular dcrash, dis dadmitted dto dthe demergency ddepartment. dHis dpupils dreact dsluggishly dand dhis deyes dopen dto dpressure. dHe ddoes dnot dfollow dcommands, dbut dhe ddoes dmoan dperiodically. dHis dright darm dis ddeformed dand ddoes dnot drespond dto dpressure; dhowever, dhis dleft dhand dreaches dpurposefully dtoward dthe dstimulus. dBoth dlegs dare dstiffly dextended. dHis dGCS dscore dis: Select done: a: d2 b: d4 c: d6 d: d9 e: d12 d- d d d dcorrect danswer.d: d9 Which done dof dthe dfollowing dfindings din dan dadult dis dmost dlikely dto drequire dimmediate dmanagement dduring dthe dprimary dsurvey? Select done: a. distended dabdomen b. Glasgow dComa dScale dscore dof d11 c. temperature dof d36.5°C d(97.8°F) d. deformity dof dthe dright dthigh e. respiratory drate dof d40 dbreaths dper dminute d- d d d dcorrect danswer.e. respiratory drate dof d40 dbreaths dper dminute A d20-year-old dwoman dthat dis d32 dweeks dgestation d, dis dstabbed din dthe dupper dright dchest. dIn dthe demergency ddepartment, dher dblood dpressure dis d80/60 dmm dHg. dShe dis dgasping dfor dbreath, dextremely danxious, dand dyelling dfor dhelp. dBreath dsounds dare ddiminished din dthe dright dchest. dThe dmost dappropriate dfirst dstep dis dto: Select done: a. perform dtracheal dintubation b. insert dan doropharyngeal dairway c. perform dneedle dor dfinger ddecompression dof dthe dright dchest d. manually ddisplace dthe dgravid duterus dto dthe dleft dside dof dthe dabdomen e. initiate d2, dlarge-caliber dperipheral dIV dlines dand dcrystalloid dinfusion d- d d d dcorrect danswer.c. perform dneedle dor dfinger ddecompression dof dthe dright dchest An dimportant, dimmediate dstep din dthe dmanagement dof dan dopen dpneumothorax dis: Select done: a. endotracheal dintubation b. operation dto dclose dthe dwound c. placing da dchest dtube dthrough dthe dchest dwound d. placement dof dan docclusive ddressing dover dthe dwound dsecured don dthree dsides e. initiation dof d2, dlarge-caliber dIVs dand dinfusing dcrystalloid dsolution d- d d d dcorrect danswer.d. placement dof dan docclusive ddressing dover dthe dwound dsecured don dthree dsides Which dof dthe dfollowing dis da dcontraindication dfor dtetanus dtoxoid dadministration? Select done: a. history dof dneurological dreaction dor dsevere dhypersensitivity dto dthe dproduct b. Local dside deffects c. muscular dspasms d. pregnancy e. all dof dthe dabove d- d d d dcorrect danswer.a. history dof dneurological dreaction dor dsevere dhypersensitivity dto dthe dproduct A d56-year-old dman dis dthrown dviolently dagainst dthe dsteering dwheel dof dhis dtruck dduring da dmotor dvehicle dcrash. dOn darrival dto dthe demergency ddepartment dhe dis ddiaphoretic dand dcomplaining dof dchest dpain. dHis dblood dpressure dis d60/40 dmm dHg dand dhis drespiratory drate dis d40 dbreaths dper dminute. dWhich dof dthe dfollowing dbest ddifferentiates dcardiac dtamponade dfrom dtension dpneumothorax das dthe dcause dof dhis dhypotension? Select done: a. tachycardia b. pulse dvolume c. breath dsounds d. pulse dpressure e. jugular dvenous dpressure d- d d d dcorrect danswer.c. breath dsounds Bronchial dintubation dof dthe dright dor dleft dmainstem dbronchus dcan deasily doccur dduring dinfant dendotracheal dintubation dbecause: Select done: a. The dtrachea dis drelatively dshort. b. The ddistance dfrom dthe dlips dto dthe dlarynx dis drelatively dshort. c. The duse dof dcuffed dendotracheal dtubes deliminates dthis dissue. d. The dmainstem dbronchi dare dless dangulated din dtheir drelation dto dthe dtrachea. e. So dlittle dfriction dexists dbetween dthe dendotracheal dtube dand dthe dwall dof dthe dtrachea. d- d d d dcorrect danswer.a. The dtrachea dis drelatively dshort. A d23-year-old dman dsustains d4 dstab dwounds dto dthe dupper dright dchest dduring dan daltercation dand dis dbrought dby dambulance dto da dhospital dthat dhas dfull dsurgical dcapabilities. dHis dwounds dare dall dabove dthe dnipple. dHe dis dendotracheally dintubated, dclosed dtube dthoracostomy dis dperformed, dfluid dresuscitation dis dinitiated dthrough d2 dlarge-caliber dIVs. dFAST dexam ddoes dnot dreveal dintraabdominal dinjuries. dHis dblood dpressure dnow dis d60/0 dmm dHg, dheart drate dis d160 dbeats dper dminute, dand drespiratory drate dis d14 dbreaths dper dminute d(ventilated dwith d100% dO2). d1500 dmL dof dblood dhas ddrained dfrom dthe dright dchest. dThe dmost dappropriate dnext dstep din dmanaging dthis dpatient dis dto Select done: a. perform ddiagnostic dperitoneal dlavage b. obtain da dCT dof dthe dchest c. perform dan dangiography d. urgently dtransfer dthe dpatient dto dthe doperating droom e. immediately dtransfer dthe dpatient dto da dtrauma dcenter d- d d d dcorrect danswer.d. urgently dtransfer dthe dpatient dto dthe doperating droom A d39-year-old dman dis dadmitted dto dthe demergency ddepartment dafter dan dautomobile dcollision. dHe dis dcyanotic, dhas dinsufficient drespiratory deffort, dand dhas da dGCS dscore dof d6. dHis dfull dbeard dmakes dit ddifficult dto dfit dthe doxygen dfacemask dto dhis dface. dThe dmost dappropriate dnext dstep dis dto Select done: a. perform da dsurgical dcricothyroidotomy b. attempt dnasotracheal dintubation c. ventilate dhim dwith da dbag-mask ddevice duntil dc-spine dinjury dcan dbe dexcluded d. restrict dcervical dmotion dand dattempt dorotracheal dintubation dusing d2 dpeople e. ventilate dthe dpatient dwith da dbag-mask ddevice duntil dhis dbeard dcan dbe dshaved dfor dbetter dmask dfit a. perform da dsurgical dcricothyroidotomy b. attempt dnasotracheal dintubation c. ventilate dhim dwith da dbag-mask ddevice duntil dc-spine dinjury dcan dbe dexcluded d. restrict dcervical dmotion dand dattempt dorotracheal dintubation dusing d2 dpeople e. ventilate dthe dpatient dwith da dbag-mask ddevice duntil dhis dbeard dcan dbe dshaved dfor d- d d d dcorrect danswer.d. restrict dcervical dmotion dand dattempt dorotracheal dintubation dusing d2 dpeople A dpatient dis dbrought dto dthe demergency ddepartment dafter da dmotor dvehicle dcrash. dHe dis dconscious dand dthere dis dno dobvious dexternal dtrauma. dHis dblood dpressure dis d60/40 dmm dHg dand dhis dheart drate dis d70 dbeats dper dminute. dHis dskin dis dwarm. dWhich done dof dthe dfollowing dstatements dis dTRUE? Select done: a. Vasoactive dmedications dhave dno drole din dthis dpatient's dmanagement. b. The dhypotension dshould dbe dmanaged dwith dvolume dresuscitation dalone. c. Flexion dand dextension dviews dof dthe dc-spine dshould dbe dperformed dearly. d. Abdominal dvisceral dinjuries dcan dbe dexcluded das da dcause dof dhypotension. e. Flaccidity dof dthe dlower dextremities dand dloss dof ddeep dtendon dreflexes dare dexpected. d- d d d dcorrect danswer.e. Flaccidity dof dthe dlower dextremities dand dloss dof ddeep dtendon dreflexes dare dexpected Which done dof dthe dfollowing dis dthe dmost deffective dmethod dfor dinitially dtreating dfrostbite? Select done: a. moist dheat b. early damputation c. padding dand delevation d. vasodilators dand dheparin e. topical dapplication dof dsilver dsulfadiazine d- d d d dcorrect danswer.a. moist dheat A d32-year-old dman's dright dleg dis dtrapped dbeneath dhis doverturned dcar dfor dnearly d2 dhours dbefore dhe dis dextricated. dOn darrival dto dthe demergency ddepartment, dhis dright dlower dextremity dis dcool, dmottled, dinsensate, dand dmotionless. dDespite dnormal dvital dsigns, da dpulse dcannot dbe dpalpated dbelow dthe dright dfemoral dartery dand dthe dmuscles dof dthe dlower dextremity dare dfirm dand dhard. dDuring dthe dmanagement dof dthis dpatient, dwhich dof dthe dfollowing dis dmost dlikely dto dimprove dthe dchances dfor dlimb dsalvage? Select done: a. applying dskeletal dtraction b. administering danticoagulant ddrugs c. administering dthrombolytic dtherapy d. surgical dconsultation dfor dright dlower dextremity dfasciotomy e. transferring dthe dpatient dto dthe dtrauma dcenter d120 dkm daway d- d d d dcorrect danswer.d. surgical dconsultation dfor dright dlower dextremity dfasciotomy A dpatient darrives din dthe demergency ddepartment dafter dbeing dbeaten dabout dthe dhead dand dface dwith da dwooden dclub. dHe dis dcomatose dand dhas da dpalpable ddepressed dskull dfracture. dHis dface dis dswollen dand decchymotic. dHe dhas dgurgling drespirations dand dvomitus don dhis dface dand dclothing. dThe dmost dappropriate dstep dafter dproviding dsupplemental doxygen dand delevating dhis djaw dis dto: Select done: a. request da dCT dscan b. insert da dgastric dtube c. suction dthe doropharynx d. obtain da dlateral dcervical dspine dx-ray e. ventilate dthe dpatient dwith da dbag-mask d- d d d dcorrect danswer.c. suction dthe doropharynx A d22-year-old dman dsustains da dgunshot dwound dto dthe dleft dchest dand dis dtransported dto da dsmall dcommunity dhospital; dno dsurgical dcapabilities dare davailable. dIn dthe demergency ddepartment, da dchest dtube dis dinserted dand d700 dmL dof dblood dis devacuated. dThe dtrauma dcenter daccepts dthe dpatient din dtransfer. dJust dbefore dthe dpatient dis dplaced din dthe dambulance dfor dtransfer, dhis dblood dpressure ddecreases dto d80/68 dmm dHg dand dhis dheart drate dincreases dto d136 dbeats dper dminute. dThe dnext dstep dshould dbe dto: Select done: a. clamp dthe dchest dtube b. cancel dthe dpatient's dtransfer