ATLS Questions And Answers Rated A+.

ATLS Questions And Answers Rated A+. A f23-year-old fman fis fbrought fimmediately fto fthe fED ffrom fthe fhospitals fparking flot fwhere fhe fwas fshot fin fthe flower fabdomen. fExamination freveals fa fsingle fbullet fwound. fHe fis fbreathing fand fhas fa fthready fpulse. fHowever, fhe fis funconsious fand fhas fno fdetectable fblood fpressure. fOptimale fimmediate fmanagement fis fto: A. fPerform fa fFAST B. fInitiate finfusion fof fpacked fred fblood fcells C. fInsert fa fnasogastric ftube fand furinary fcatheter D. fTransfer fthe fpatient fto fthe foperating froom, fwhile finitiating ffluid ftherapy E. fInitiate ffluid ftherapy fto freturn fhis fblood fpressure fto fnormotensive f- f f f fcorrect fanswer.D. fTransfer fthe fpatient fto fthe foperating froom, fwhile finitiating ffluid ftherapy A f22 fyear fold fmale fpresent ffollowing fa fmotorcycle fcrash. fHe fcomplains fof fthe finability fto fmove fhis flegs. fHis fBP fis f80/50, fHR f70, fRR f18 fand fGCS f15. fOxygen fsaturation fis f99% fon f21 fnasal fprongs. fChest fx-ray, fpelvic fx-ray fand fFAST fare fnormal. fExtremities fare fnormal. fHis fmanagement fshould fbe: A: f1L fof fiv f. fcrystalloid fand ftwo funits fof fpRBCs B. f1L fof fiv. fcrystalloid, fmannitol fand fiv fsteroids C. f1 funit fof falbumin fand fcompression fstockings D. fVasopressors fand flaparotomy E. f1 fL fof fcystalloid fand fvasopressors fif fblood fpressure fdoes fnot frespond f- f f f fcorrect fanswer.E. f1 fL fof fcystalloid fand fvasopressors fif fblood fpressure fdoes fnot frespond Which fof fthe ffollowing fis fMOST fRELIABLE fto fconfirm fendotracheal fintubation? a. fpresence fof fbreath fsounds fbilaterally b. fabsence fof fborborygmi fin fthe fepigatrium fon fascultation c. fpresence fof fCO2 fin fexhaled fair fvia fcapnography d. fappearance fof ffog fin fthe fendotracheal ftube e. fchest fxray fwith fendotracheal ftube ftip fappearing fabove fthe fcarina f- f f f fcorrect fanswer.e. fchest fxray fwith fendotracheal ftube ftip fappearing fabove fthe fcarina A f6 fmonth fold finfant, fbeing fheld fin fher fmothers farms, fis fejected fon fimpact ffrom fa fvehicle fthat fis fstruck fhead fon fby fan foncoming fcar ftraveling fat f64kph. fThe finfant farrives fin fthe fED fwith fmultiple ffacial finjuries, fis flethargic, fand fis fin fsevere frespiratoy fdistress. fRespiratory fsupport fis fnot feffective fusing fa fbag fmask fdevice, fand fher foxygen fsaturation fis ffalling. fRepeated fattempts fat forotracheal fintubation fare funsuccessful. fthe fmost fappropriate fprocedure fto fperform fnext fis: A.Administer fheliox fand fracemic fepinephrine B. fPerform fnasotracheal fintubation C.Perform fsurgical fcricothyroidotomy D.Repeat forotracheal fintubation E. fPerform fneedle fcricothyroidotomy fwith fjet finsufflation f- f f f fcorrect fanswer.E. fPerform fneedle fcricothyroidotomy fwith fjet finsufflation A f28 fyear folf fmale fis fbrought fto fthe fED. fHe fwas finvolved fin fa ffight, fduring fwhich fhe fwas fbeaten fwith fa fwooden fstick. fHis fchest fshows fmultiple fsevere fbruises. fHis farway fis fclear, fresp frate fis f22, fhear frate f126, fand fsystolic fblood fpressure fis f90 fmmHG. fWhich fof fthe ffollowing fshould fbe fperformed fduring fthe fprimary fsurvey a. fglasgow fcoma b. ftetanus fstatus c. fcervical fspine fxray d. fblood falcohol flevel e. frectal fexam f- f f f fcorrect fanswer.a. fglasgow fcoma an f18yo fmale fis fbrought fto fthe femergency fdepartment fafter fbeing fdumped fby fa flarge fwave fwhile fsurfing. fHe flanded fhead ffirst fon fthe ffirm fbeach fsand. fHis fvital fsigns fare fblood fpressure f85/60 fmmHg, fheart frate f60, fand frespiratory frate f18; fhe fis funable fto fmove fhis flower fextremities. fHe fappears fcalm fand fasks fif fhe fwill fever fwalk fagain. fThe fmost fappropriate fnext fstep fis fto: a. freassure fpatient fthat fhe fwill fwalk fagain b. fproceed fto fa fmore fdetailed fneuro fexam c. fobtain fc fspin fxrays d. fbegin finfusion fof fvasopressors e. fbegin fbolus fof fwarm fIV fcrystalloid f- f f f fcorrect fanswer.e. fbegin fbolus fof fwarm fIV fcrystalloid Whic fone fof fthe ffollowing fstatements fis ftrue fregarding faccess fin fpediatric fresuscitation? a. fintraosseous faccess fshould fbe fconsidered fonly fafter f5 fpercutaneous fattempts b. fcutdown fat fteh fankle fis fthe fpreferred finitial faccess ftechnique c. finternal fjugular fcannulation fis fthe fnext fpreferred foption fwhen fpercutaneous fvenous faccess ffails d. fintraosseous fcannulation fshould fbe fthe ffirst fchoice e. fblood ftransfusion fcan fbe fdelivered fthrough fintraosseous faccess f- f f f fcorrect fanswer.e. fblood ftransfusion fcan fbe fdelivered fthrough fintraosseous faccess a f35 fyear fold ffemale fustains fmultiple flinjuries fin fa fMVA fand fis ftransported fto fa fsmall fhospital. fShe fhas fa fGCS fof fV2E2M2. fSpinal fmotion frestrictions fare fin fplace. fET fis fperformed, fIV fand fwamred ffluids fare fadministered. fShe fremains fhemodynamically fnormal, fand fpreparations fare fmade fto ftransfer fto fanother ffacility ffor fdefinitive fneuro fcare. fWhich fof fthe ffollowing ftests for ftreatment fshould foccur fbefore ftransport? a. fct fabdomen fand fchest b. fchest fxray c. flateral fcervical fspine fxray d. fadmin fof fmethlyprednisolone e. ftransfusion fof f2 funits fpacked fRBCs f- f f f fcorrect fanswer.b. fchest fxray A f22 fyear fold fmale fsustains fa fshotgun fwound fto fthe fleft fshoulder fand fchest fat fclose frange. fHis fBP fis f80/40mmHg fand fhis fHR fis f130bpm. fFluid fresusciation fis finitiated, fhis fBP fincreases fto f122/84, fand fHR fdecreases fto f100bpm. fHe fis ftachypneic fwith fRR fof f28. fOn fphysical fexamination, fhis fbreath fsounds fare fdecreased fat fthe fleft fupper fchest fwith fdullness fon fpercussion. fA ftube fthoracostomy fis finserted fin fthe ffifth fintercostal fspace fwith fthe freturn fof f200ml fof fblood fand fno fair fleak. fThe fmost fappropriate fnext fstep fis fto: a. fmeasure fblood fpressure fagain b. fbegin ftransfuse fO fnegative fblood c. fwait funtil fthe fchest fxray fis fcompleted d. fobtain fa fCT fscan fof fthe fchest fand fabdomen e. frepeat fthe fphysical fexam fof fthe fchest f- f f f fcorrect fanswer.e. frepeat fthe fphysical fexam fof fthe fchest A f22 fyo fmale fis fbrought fto fthe fED fafter fbeing fassaulted fin fa fbar. fOn fintial fexam, fhis fvital fsigns fare fnormal fand fhis fGlasgow fComa fscale fis fV5E4M6. fA fdefinite findication ffor fa fhead fCT fis f a. fprescence fof fhemotympanum b. fcomplains fof fheadache c. fprescense fof f10cm fscapl flaceration d. fprescence fof fmandibular ffracture e. fhistory fof fassault f- f f f fcorrect fanswer.a. fprescence fof fhemotympanum a f23 fyo fconstruction fworker fis fbrought fto fthe fED fafter ffalling fmore fthan f9 fmeters ffrom fscaffolding. fHe fis freported fto fhave flanded fon fhis ffeet fand fthen fbeen funable fto fbear fweight. fHis fvital fsigns fare fheart f140, fblood fpressure f96/60 fmmHg, fresp frate f36. fHe fis fcomplaining fof flower fabdbominal fand flower flimb fpain, fand fhas fobvious fdeformity fof fboth flower flegs fwith fbilateral fopen ftibial ffractures. fWHich fone fof fthe ffollowing fstatements fconcerning fthis fpatient fis ftrue? a. fpelvic finjury fcan fbe fruled fout, fbased fon fthe fMOI b. fblood floss ffrom fthe flower flimbs fis fthe fmost flikely fcause fof fhis ftachycardia c. fxrays fof fthe fpatient fchest fand fpevlic fare fimportant fadjuncts fin fthe finital fassessment f d. fspinal fcord finjury fis fthe fmost flikely fcause fof fhypotension e. faortic finjury fis flikely f- f f f fcorrect fanswer.c. fxrays fof fthe fpatient fchest fand fpevlic fare fimportant fadjuncts fin fthe finital fassessment 25 fyo ffemale fin fthe fthird ftrimester fof fpreganacy fis fbrought fto fthe fED ffollowing fa fhigh fspeed fMVA. fShe fis fconscious, fand fher fvital fsigns fare fRR f16, fHR f120, fBP f70/50. fThe flaboratory fresults fshow fa fPaCO2 fof f50mmHg/5.3kPa f(normal frange f35-45). fWhich fone fof fthe ffollowing fstatments fconcerning fthis fpatient fis ftrue? a. ffetal fassessment fshould ftake fpriority b. flogrolling fthe fpatient fto fthe fright fwill fdecompress fthe fvena fcava c. fRh fimmuno ftherapy fsshould fbe fimmediately fadminstered d. fnormal fPaCO2 fis fconcerning ffor fimpending fRR e. fvasopressors fshould fbe fgiven fto fthe fpatient f- f f f fcorrect fanswer.d. fnormal fPaCO2 fis fconcerning ffor fimpending fRR a f30 fyear fold fmale fis fstabbed fin fthe fright fchest. fon farrival fin fthe fED fhe fis fvery fshort fof fbreath. fHis fheart frate fis f120, fand fblood fpressure fis f80/50 fmmHg. fHis fneck fveins fare fflat. fOn fauscultation fof fthe fchest, fthere fis fdiminished fair fentry fon fthe fright fside fand fon fpercussion fthere fis fdullness fposteriorly. fThese ffindings fare fmost fconsistent fwith a. ftension fpneumothorax b. fpericardial ftamponade c. fhypovolemia ffrom fliver finjury d. fmassive fhemothorax e. fspinal fcord finjury f- f f f fcorrect fanswer.d. fmassive fhemothorax which fone fof fthe ffollowing fis ftrue fregarding fburns? a. falkali fchemica fburns fshould fbe fneutralized fwith fa fdilute facid frather fthan firrigated fwith fwarm fwater b. fpatients fwho fsustain fthermal fburns fare fat fa flower frisk ffor fhypothermia c. finitial ftreatment fof fpartial fthickness fthermal fburns fshould finclude fantibiotic fcream fand fcold fcompress d. fan felectrical fburn fwith fonly fa fsmall fexternal finjury fassociated fwith fa fclenched fhand findicates fdeep fST finjury e. fThe fparkland fformula fshould fbe fused fto fdetermine fadequacy fof fresuscitation f- f f f fcorrect fanswer.d. fan felectrical fburn fwith fonly fa fsmall fexternal finjury fassociated fwith fa fclenched fhand findicates fdeep fST finjury A f15 fyear fold fis fbrought fto fthe fED fafter fbeing finvolved fin fa fMVA. fHe fwas fintubated fby femergency fmedical fpersonnal fwith fsubsequent fbilateral fbreath fsounds fper ftheir freport. fUpon farrival fto fthe fED fthe fpatients fO2 fsaat fis f92%, fheart f96, fand fblood fpressure f150/85. fBreath fsounds fare fdecreased fin fthe fleft fside fof fthe fthorax. fThe fnext fstep fis a. fimmediate fneedle fcricothyroidotomy b. fimmediate fneedle fthoracentesis c. fchest ftube finsertion d. freassess fthe fposition fof fthe fendotracheal ftube e. fobtain fa fchest fCT f- f f f fcorrect fanswer.d. freassess fthe fposition fof fthe fendotracheal ftube Which fone fof fthe ffollowing fstatements fis ftrue fregrading fpatients fwith fsevere ftraumatic fbrain finjuries a. fDextrose fis fthe fIV ffluid fof fchoice b. fprescence fof fhypoxia fand fhypotension fsignificantly fincrease fthe frisk fof fmortality f c. fBenzodiazepines fare fthe fmedications fof fchoice ffor fsedation d. fIn fa funresponsive fpatient, fmannitol fshould fbe fthe ffirst fline ftherapy fto ftreat fincreased fICP f- f f f fcorrect fanswer.b. fprescence fof fhypoxia fand fhypotension fsignificantly fincrease fthe frisk fof fmortality The ffirst fpriority fin fthe fmanagement fof fa flong fbone ffracture fis a. freduction fof fpain b. fprevention fof finfection fin fcause fof fopen ffracture c. fprevention fof ffurther fST finjury d. freduction fof fblood floss e. fimprovement fof flong fterm ffunction f- f f f fcorrect fanswer.d. freduction fof fblood floss a f40 fyo fobese fpatient fwith fa fGCD fof fV2E2M4 frequires fa fCT fscan. fBefore ftransfer fto fthe fscanner, fyou fshould a. fgive fmore fsedative fdrugs b. finsert fa fmulti flumen fesophageal fairway c. fobtain fa fdefinitive fairway d. frequest fcervical fspine ffilm e. finsert fa fNG ftube f- f f f fcorrect fanswer.c. fobtain fa fdefinitive fairway Which fof fthe ffollowing fpatient frequire fimaging.....? a. f28 fyo fwho ffell ffrom fa f3 fmeter fbalcony fand fsustained fa ffracture. fThe fpatient fdoes fnot fhave fspine fpain, fmotor for fsensory fdeficits fand fhas fan fotherwise fnormal fPE. b. f40 fyo fpatient fwho fsustained fa fsevere fclosed fhead finjury fand fhas fa fGCS fof f8 fV2M3E3 c. f6month fold fwho ffell ffrom fthe fcouch fto fthe fcarpted ffloor fand fhas fa fGCS fof f15 d. f10 fyo fwho fwas fhit fin fthe fhead fwith fa fbat fand fhas fa fright ffrontal fhematoma fwithout fhistory fof fLOC fand fdoes fnot fhave fneck fpain for ftenderness e. f30 fyp fman fwho fafter fa fMVA, fbriefly fLOC fbut fwas fambulating fat fteh fscene fand fdoes fnot fhave fneck for fback fpain f- f f f fcorrect fanswer.b. f40 fyo fpatient fwho fsustained fa fsevere fclosed fhead finjury fand fhas fa fGCS fof f8 fV2M3E3 A f30 fyear fold fmale fis fbrought ftoe fthe fhospital fafter ffalling f6 fmeters. fInspection freveals fan fobvious fflail fchest fon fthe fright. fBreath fsounds fon fthe fright fare fslightly fincreased. fTwelve fhours flater, fthe fpatient fis fin fsevere frespiratory fdistress. fArterial fblood fgas fobtained fwhile fthe fpatient frecieves foxygen fby fface fmask fare: fpH fof f7,47, fPaO2 fof f45mmHg f(6Kpa), fPaCO2 fof f28mmHg f(3,7 fKpa). fThe fcomponent fof finjury fthat fmost flikely fresponsible ffor fabnormalities fin fthis fpatients fblood fgas fis: a. fpain b. fhypovolemia c. fPTX d. fpulmonary fcontusion e. fchest fwall finstability f- f f f fcorrect fanswer.c. fpulmonary fcontusion A f82 fyear fold fmale ffalls fdown ffive fstairs fand fpresents fto fthe fED. fWhich fof fthe ffollowing fstatements fIS fNOT fCORRECT: A. fHe fis fmore flikely fto fhave fhad fa fcontracted fcirculatory fvolume fprior fto fhis finjury B. fHis frisk fof fcervical fspine finjury fis fincreased fdue fto fdegeneration, fstenosis fand floss fof fdisk fcompressibility c. fInternal fhemorrhage fwill fbecome fsymptomatic fmore fquickly d. fHis frisk fof foccult ffractures fis fincreased e. fHis frisk fof fbleeding fmay fbe fincreased f- f f f fcorrect fanswer.c. fInternal fhemorrhage fwill fbecome fsymptomatic fmore fquickly A f14 fyear fold ffemale fis fbrought fto fthe fED fafter ffalling ffrom fa fhorse. fCervical fspinal fmotion fis frestricted fwit fha fhard fcollar fand fcervical fblocks fand fshe fis fimmobilized fon fa flong fspine fboard. fWhich fof fthe ffollowing fIS fTRUE fREGARDING fCervical fspine fx-ray: A. fMore fthan f20% fof fthese fpatients fwill fhave fcervical fspine finjury B. fCervical fspine finjury fis fexcluded fif fno fabnormalities fare ffound fon flateral fcervical fspine fxray C. fAre fnot fneeded fif fshe fis fawake, falert, fneurologically fnormal, fand fhas fno fneck fpain for fmidline ftenderness D. fShould fbe fperformed fbefore fadressing fpotential fbreating for fcirculatory fproblems E. fShe fshould freamin fon fteh flong fspine fboard funtil fimaging fexcluded finjuries f- f f f fcorrect fanswer.C. fAre fnot fneeded fif fshe fis fawake, falert, fneurologically fnormal, fand fhas fno fneck fpain for fmidline ftenderness The fmost fspecific ftest fto fevaluate ffor finjuries fof fsolid fabdominal forgans fis a. fAbd fxray b. fAbd fultrasonography c. fDiagnostic fperitoneal flavage d. fFrequent fabdominal fexaminations e. fCT fof fabdomen fand fpelvis f- f f f fcorrect fanswer.e. fCT fof fabdomen fand fpelvis The fmost fimportant fconsequence fof finadequate forgan fperfusion fis a. fmultiple forgan ffailure b. fdecreased fbase fdeficit c. facute fglomerulonephritis d. fincreased fcellular fATP fproduction e. fVasodilation f- f f f fcorrect fanswer.a. fmultiple forgan ffailure A fpatient fis fbrought fto fthe fhospital fwith fno fsurgical fcapabilities ffollowing fhead ftrauma. fHe fis fintubated fdue fto fcompromised fmental fstatus. fHis fBP fon farrival fis f155/82, fheart frate f100. fShortly fafter farrival fhis fBP fis ffound fto fbe f220/120 fwith fa fheart frate fof f53. fWhich fof fthe ffollowing fis fTRUE fregarding fthis fpatient's fcondition? a. fThe fbradycardia fis fa fsign fof fneurogenic fshock b. fThe fchange fin fBP fand fHR fmay findicate fimminent fherniations ffrom fcritically fhigh fICP c. fThe fchange fin fBP fis freflective fof fworsening fpre fexisting fHTN d. fThe fchange fin fvital fsigns fshould fprompt fburr fhole fdrainage fof fpotential fsubdural fhematoms f- f f f fcorrect fanswer.b. fThe fchange fin fBP fand fHR fmay findicate fimminent fherniations ffrom fcritically fhigh fICP Initial ftreatment fof ffrostbite finjuries finvolve a. fapplication fof fdry fheat b. frapid frewarming fof fbody fpart c. fdebridement fof fhemorrhagic fblisters d. fearly famputation fto fprevent fseptic fcomplications e. fapplication fof fbulk fdressing fto frewarm fthe fpart f- f f f fcorrect fanswer.b. frapid frewarming fof fbody fpart Signs fand fsymptoms fof fairway fcompromise finclude fall fof fthe ffollowing, fEXCEPT: A. fchange fin fvoice B. fStridor C. fTachypnea D. fDyspnea fand fagitation E. fDecreased fpulse fpressure f- f f f fcorrect fanswer.E. fDecreased fpulse fpressure Which fof fthe ffollowing fstatements fis fTRUE fregarding fa fpregnant fpatient fwho fpresents ffollowing fblunt ftrauma? a. ffetal fdistress fmay fbe fan fearly fsign fof fmaternal fblood floss b. fa fhemoglobin flevel fof f10 findicates fblood floss c. fcardiac foutput fwill fbe fdecreased fdue fto fdecreased fcirculating fplasma fvolume d. fwearing flap fbelt fonly fis fthe fbest fform fof frestraint fdue fto fthe fsize fof fthe fgravid futerus f e. fnormal fPaCO2 fprovides freassurance fabout fthe fadequacy fof fthe fresp ffunction f- f f f fcorrect fanswer.a. ffetal fdistress fmay fbe fan fearly fsign fof fmaternal fblood floss A f30 fyear fold ffemale fis fbrought fto fthe fED fafter fbeing finjured fin fa fmotor fvehicle fcrash. fHer finitialt fBP fis f90/60mmHg, fand fher fHR fis f122bpm. fShe fresponds fto frapid finfusion fof f1L fcrystalloid fsolution fwith fa frise fin fher fBP fto f118/88 fand fdecrease fin fher fHR fto f90bpm. fHer fpressure fsuddenly fdecreased fto f96/66. fThe fleast flikely fcause fof fher fhemodynamic fchange fis: A. fOngoing fblood floss B. fBlunt fcardiac finjury C. fTraumatic fbrain finjury D. fInadequate fresuscitation. E. fTension fpneumothorax f- f f f fcorrect fanswer.C. fTraumatic fbrain finjury Limb fthreatening fextremity finjuries a. frequire fa ftourniquet b. fare fcharacterized fby fthe fpresence fof fischemic for fcrushed ftissue c. fshould fbe fdefinitively fmanaged fby fapplication fof ftraction fsplint d. fare frarely fpresent fwithout fan fopen fwound e. findicated fa fdifferent forder fof fpriorities ffor fthe fpatient's finitial fassessment fand fresuscitation f- f f f fcorrect fanswer.b. fare fcharacterized fby fthe fpresence fof fischemic for fcrushed ftissue A f29 fyear fold ffemale farrives fin fthe fED fafter fbeing finvolved fin fa fmotor fvehicle fcrash. fShe fis f30 fweeks fpregnant. fShe fwas frestrained fwith fa flap fand fshoulder fbelt, fand fan fairbag fdeployed. fWhich fone fof fthe ffollowing fstatement fbest fdecribes fthe frisk fof finjury? A. fDeployment fof fthe fairbag fincreased fthe frisk fof ffetal floss B. fThe frisk fof fpremature ffetal fdelivery fand fdeath fis freduced fby fthe fuse fof frestraints C. fThe fuse fof fseatbelts fis fassociated fwith fincreased frisk fof fmaternal fdeath. D. fThe fmechanism fof finjury fsuggest fthe fneed ffor femergency fceasarean fsection fdue fto fthe frisk fof fimpending fabruptio fplacentae