ATLS POST TEST 4 LATEST VERSIONS, EXAMS
QUESTIONS AND VERIFIED ANSWERS, A+
GUIDE LATEST
A teenaged bicycle rider is hit by a truck traveling at high speed. In the
emergency department, she is actively bleeding from open fractures of her
legs, and has abrasions on her chest and abdominal wall. Her blood
pressure is 80/50 mm Hg, heart rate is 140 beats per minute, respiratory
rate is 8 breaths per minute, and GCS score is 6. The first step in
managing this patient is to:
a) obtain a lateral cervical spine xray.
b) administer 2 liters of crystalloid solution.
c) insert a central venous pressure line.
d) perform endotracheal intubation and ventilation. - ✔✔✔ Correct
Answer > D. Perform endotracheal intubation and ventilation
An electrician is eletrocuted by a downed power line after a thunderstorm.
He apparently made contact with the wire at the level of the right mid
thigh. In the ED, his vital signs are normal and no dysrythmia is noted on
ECG. On examination, there is an exit wound on the bottom of the right
foot. His urine is positive for blood by dipstick but not RBCs are seen
microscopically. Initial management should include:
A. Immediate angiography
B. Aggressive fluid infusion
, C. Intravenous pyelography
D. Debridement of necrotic muscle
E. Admission to the ICU for observation - ✔✔✔ Correct Answer > B.
Aggressive fluid infusion - suspected rhabdomyolyse
Which one of the following physical findings suggest the causes of
hypertension, other than spinal cord injury? - ✔✔✔ Correct Answer >
Presence of deep tendon and reflexes
Regarding shock in the child, which of the following is FALSE?
A. Vital signs are age-related
B. Children have greater physiologic reserves than do adults
C. Tachycardia is the primary physiologic response to hypovolemia
D. The absolute volume of blood loss required to produce shock is the
same as in adults
E. An initial fluid bolus for resuscitation should approximate 20ml/kg
Ringers Lactate - ✔✔✔ Correct Answer > D. The absolute volume of
blood loss required to produce shock is the same as in adults
A young man sustains a gunshot wound to the abdomen and is brought
promptly to the ED by prehospital personnel. His skin is cool and
diaphoretic, and he is confused. His pulse is thready and his femoral pulse
is only weakly palpable. The definitive treatment in managing this patient
is to:
A. Administer O-negative blood
B. Apply external warming devices
QUESTIONS AND VERIFIED ANSWERS, A+
GUIDE LATEST
A teenaged bicycle rider is hit by a truck traveling at high speed. In the
emergency department, she is actively bleeding from open fractures of her
legs, and has abrasions on her chest and abdominal wall. Her blood
pressure is 80/50 mm Hg, heart rate is 140 beats per minute, respiratory
rate is 8 breaths per minute, and GCS score is 6. The first step in
managing this patient is to:
a) obtain a lateral cervical spine xray.
b) administer 2 liters of crystalloid solution.
c) insert a central venous pressure line.
d) perform endotracheal intubation and ventilation. - ✔✔✔ Correct
Answer > D. Perform endotracheal intubation and ventilation
An electrician is eletrocuted by a downed power line after a thunderstorm.
He apparently made contact with the wire at the level of the right mid
thigh. In the ED, his vital signs are normal and no dysrythmia is noted on
ECG. On examination, there is an exit wound on the bottom of the right
foot. His urine is positive for blood by dipstick but not RBCs are seen
microscopically. Initial management should include:
A. Immediate angiography
B. Aggressive fluid infusion
, C. Intravenous pyelography
D. Debridement of necrotic muscle
E. Admission to the ICU for observation - ✔✔✔ Correct Answer > B.
Aggressive fluid infusion - suspected rhabdomyolyse
Which one of the following physical findings suggest the causes of
hypertension, other than spinal cord injury? - ✔✔✔ Correct Answer >
Presence of deep tendon and reflexes
Regarding shock in the child, which of the following is FALSE?
A. Vital signs are age-related
B. Children have greater physiologic reserves than do adults
C. Tachycardia is the primary physiologic response to hypovolemia
D. The absolute volume of blood loss required to produce shock is the
same as in adults
E. An initial fluid bolus for resuscitation should approximate 20ml/kg
Ringers Lactate - ✔✔✔ Correct Answer > D. The absolute volume of
blood loss required to produce shock is the same as in adults
A young man sustains a gunshot wound to the abdomen and is brought
promptly to the ED by prehospital personnel. His skin is cool and
diaphoretic, and he is confused. His pulse is thready and his femoral pulse
is only weakly palpable. The definitive treatment in managing this patient
is to:
A. Administer O-negative blood
B. Apply external warming devices
