ATLS POST TEST 4 EXAM STUDYGUIDE
QUESTIONS AND CORRECT ANSWERS
The diagnosis of shock must include:
Select one:
a. hypoxemia
b. acidosis
c. hypotension
d. increased vascular resistance
e. evidence of inadequate organ perfusion
e. 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:
Select one:
a.application of a tourniquet
b.direct pressure on the wound
c.packing the wound with gauze
d.direct pressure on the femoral artery at the groin
,e.debridement of devitalized tissue
b.direct pressure on the wound
For the patient with severe traumatic brain injury, profound hypocarbia
should be avoided to prevent:
Select one:
a.respiratory acidosis
b.metabolic acidosis
c.cerebral vasoconstriction with diminished perfusion
d.neurogenic pulmonary edema
e.shift of the oxyhemoglobin dissociation curve
c.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:
Select one:
a.obtain contrast angiography
b.transfer to a higher level trauma center
c.perform an exploratory laparotomy
d.infuse additional crystalloid fluids
, e.Obtain transesophageal echocardiography
c.perform an exploratory laparotomy
Which one of the following statements regarding abdominal trauma in the
pregnant patient is TRUE?
Select one:
a.The fetus is in jeopardy only with major maternal 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.With penetrating trauma, injury to the mother's 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.
b.Leakage of amniotic fluid is an indication for hospital admission.
The first maneuver to improve oxygenation after chest injury is to:
Select one:
a.intubate the patient
b.assess arterial blood gases
c.administer supplemental oxygen
d.ascertain the need for a chest tube
QUESTIONS AND CORRECT ANSWERS
The diagnosis of shock must include:
Select one:
a. hypoxemia
b. acidosis
c. hypotension
d. increased vascular resistance
e. evidence of inadequate organ perfusion
e. 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:
Select one:
a.application of a tourniquet
b.direct pressure on the wound
c.packing the wound with gauze
d.direct pressure on the femoral artery at the groin
,e.debridement of devitalized tissue
b.direct pressure on the wound
For the patient with severe traumatic brain injury, profound hypocarbia
should be avoided to prevent:
Select one:
a.respiratory acidosis
b.metabolic acidosis
c.cerebral vasoconstriction with diminished perfusion
d.neurogenic pulmonary edema
e.shift of the oxyhemoglobin dissociation curve
c.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:
Select one:
a.obtain contrast angiography
b.transfer to a higher level trauma center
c.perform an exploratory laparotomy
d.infuse additional crystalloid fluids
, e.Obtain transesophageal echocardiography
c.perform an exploratory laparotomy
Which one of the following statements regarding abdominal trauma in the
pregnant patient is TRUE?
Select one:
a.The fetus is in jeopardy only with major maternal 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.With penetrating trauma, injury to the mother's 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.
b.Leakage of amniotic fluid is an indication for hospital admission.
The first maneuver to improve oxygenation after chest injury is to:
Select one:
a.intubate the patient
b.assess arterial blood gases
c.administer supplemental oxygen
d.ascertain the need for a chest tube
