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ATLS EXAM ACTUAL QUESTIONS AND ANSWERS
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Terms in this set (257)
Secure airway In managing a patient with severe TBI, the most important
initial step is to ______
_______is defined, in adults, as replacement of >1 blood volume
Massive transfusion
in 24 hours or
>50% of blood volume in 4 hours (adult blood volume is
approximately 70 mL/kg
Massive transfusion is defined, in adults, as replacement of >
1 blood volume, 50
_____________________________________________in 24 hours or
>____% of blood volume in hours (adult blood volume is
approximately 70 mL/kg)
4 Log rolling technique using __ people is a safe approach to
restrict spinal motion
70 mL/kg Adult blood volume is approximately ______
Airway obstruction, Tension Things that will kill a pt if missed in 1˚ survey of trauma pts
pneumothorax, Open *ATOMIC mnemonic*:
pneumothorax, Massive
hemothorax, Intercostal
disruption (chest wall
instability/Flail chest),
Cardiac tamponade
A tube or finger in every What is the theme of the 2˚ survey?
orifice
Inadequate organ perfusion A diagnosis of shock must include:
37-40 The IV fluid warming temperature in shock is from ˚C
Hemorrhage MC cause of shock in the injured/trauma patient
For the patient with severe TBI, profound hypocarbia should
Cerebral vasoconstriction
be avoided to prevent
_____with diminished perfusion
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AM
A 25-year-old man, injured in a
motor vehicular crash, is
admitted to the emergency
department. His pupils react
9 sluggishly and his eyes open
to pressure. He does not
follow commands, but he does
moan periodically. His right arm
is deformed and does not
respond to pressure;
however, his left hand reaches
purposefully toward the
stimulus. Both legs are stiffly
extended. His GCS score is:
In the GCS, a response to pain is purposeful movements
Localizing, 5
towards changing
painful stimuli and is given a score of ______
A 20-year-old woman who is at 32 weeks gestation, is
Needle (or finger) stabbed in the upper right chest. In the emergency
decompression of the department, her blood pressure is 80/60 mm Hg. She
right chest is gasping for breath, extremely anxious, and yelling
for help. Breath sounds are diminished in the right
chest. The most appropriate first step is to perform a
_________
The most important, immediate step in the management of an
Occlusive dressing (over
open pneumothorax
wound)
is:
Moist heat Most effective method for initial treatment of frostbite
A 32-year-old man's right leg is trapped beneath his
overturned car for nearly 2 hours before he is
extricated. On arrival in the emergency department,
Right limb fasciotomy
his right lower extremity is cool, mottled, insensate,
and motionless. Despite normal vital signs, pulses
cannot be palpated below the right femoral artery
and the muscles of the lower extremity are firm and
hard. During the management of this patient, which of
the following is most likely to improve the chances
for limb salvage?
Tachycardia Hemorrhage of 20% of the patient's blood volume is
associated usually with:
Bone marrow For IO infusion, aspiration of confirms appropriate positioning
of the needle
A young woman sustains a severe head injury as
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