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ATLS PRACTICE EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE

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ATLS PRACTICE EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE Terms in this set (59) Definitive control of the airway is achieved by ____________ Endotracheal intubation How do you treat hypothermia in the ED? crystalloid fluids at 102.2 degrees F and warmed treatment area What does definitive hemorrhage control refer to? (3) 1) Possible surgery 2) Stabilizing of pelvis 3) Angioembolization What are rates of fluid administration measured by? Size and length of catheter Minimum flow rate of oxygen reservoir mask 11 L/min MCC of shock in trauma pt Hypovolemia due to hemorrhage Describe the 3 for 1 rule Replace each mL of blood loss with 3 ml of crystalloid solution What metabolic state can result from continued hemorrhage or decreased perfusion? Metabolic acidosis In what survey, primary or secondary, are these identified? 1) Simple PTX 2) Pulmonary contusion 3) Traumatic aortic disruption Secondary Via thorough PE, CXR, pulse ox, ECG and ABG What imaging study is preferred for penetrating abdominal trauma? CT What can FAST rapidly diagnose? Abdominal hemorrhage When is a laparotomy indicated? Fascial penetration with intraperitoneal bleeding or peritonitis What does the Monro Kellie doctrine describe? The relationship between IC volume and pressure Normal resting ICP 10 mm Hg How do you reduce elevated ICP? Mannitol in a 20% solution How do you temporarily control pelvic hemorrhage and instability? Internal traction and external counter-pressure How do you initially manage major arterial injury? Direct pressure and fluid resuscitation Full thickness burn Third degree burn What is used to estimate the size and depth of burns? Rule of 9's Head= 9% Each arm=9% Front Trunk= 18% Back Trunk= 18% Upper leg= 9% Lower leg= 9% What type of burns appear wet and blistered? Partial thickness burns (second degree) How do you treat CO exposed pt? 100% oxygen flow through non re-breather mask What is a reliable measure of circulating blood volumes in burn patients? Hourly urine output Goal= 0.5-1.0 ml/kg body weight Hospital admission criteria for burn pt (8) 1) Partial-thickness burns greater than 10% total BSA (TBSA) 2) Full-thickness burns greater than 2% TBSA 3) Burns involving the face, hands, genitalia, perineum, or major joints 4) Circumferential extremity burns 5) All high-voltage electrical burns, including lightning injury--Admission of low- voltage electrical burns is selective 6) Chemical burns 7) Inhalation injury 8) Burn injuries in patients with preexisting medical disorders that could complicate management, prolong recovery, or affect mortality (eg, diabetes, immunosuppression)

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4/26/25, 9:16
AM



ATLS PRACTICE EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS
VERIFIED LATEST UPDATE




Terms in this set (59)


Definitive control of the Endotracheal intubation
airway is achieved by
____________
How do you treat crystalloid fluids at 102.2 degrees F and warmed
hypothermia in the ED? treatment area
What does definitive 1) Possible surgery

hemorrhage control 2) Stabilizing of pelvis

3) Angioembolization
refer to?
(3)
What are rates of fluid Size and length of catheter
administration
measured by?
Minimum flow rate of 11 L/min
oxygen reservoir mask
MCC of shock in trauma Hypovolemia due to hemorrhage
pt
Describe the 3 for 1 rule Replace each mL of blood loss with 3 ml of crystalloid
solution
What metabolic Metabolic acidosis
state can result from
continued
hemorrhage or
decreased


1/
20

,4/26/25, 9:16
AM
perfusion?
In what survey, primary Secondary
or secondary, are these Via thorough PE, CXR, pulse ox, ECG and ABG
identified?
1) Simple PTX
2) Pulmonary contusion

3) Traumatic aortic

disruption
What imaging study is CT
preferred for
penetrating
abdominal trauma?
What can FAST rapidly Abdominal hemorrhage
diagnose?
When is a laparotomy Fascial penetration with intraperitoneal bleeding or
indicated? peritonitis
What does the Monro The relationship between IC volume and pressure
Kellie doctrine
describe?
Normal resting ICP 10 mm Hg
How do you reduce Mannitol in a 20% solution
elevated ICP?
How do you Internal traction and external counter-pressure
temporarily control
pelvic hemorrhage
and instability?
How do you initially Direct pressure and fluid resuscitation
manage major arterial
injury?
Full thickness burn Third degree burn
Rule of
9's
Head=
What is used to estimate
9% Each
the size and depth of
arm=9%
burns?
2/
20

, 4/26/25, 9:16
AM
Front Trunk= 18%
Back Trunk= 18%
Upper leg= 9%
Lower leg= 9%
What type of burns Partial thickness burns (second degree)
appear wet and
blistered?
How do you treat CO 100% oxygen flow through non re-breather mask
exposed pt?
What is a reliable Hourly urine output
measure of circulating Goal= 0.5-1.0 ml/kg body weight
blood volumes in burn
patients?
1) Partial-thickness burns greater than 10% total BSA
(TBSA)
2) Full-thickness burns greater than 2% TBSA

3) Burns involving the face, hands, genitalia, perineum, or

major joints
4) Circumferential extremity burns
Hospital admission
5) All high-voltage electrical burns, including
criteria for burn pt (8)
lightning injury--Admission of low- voltage
electrical burns is selective
6) Chemical burns

7) Inhalation injury

8) Burn injuries in patients with preexisting

medical disorders that could complicate
management, prolong recovery, or affect
mortality (eg, diabetes,
immunosuppression)
3-4 mL Ringer lactate X weight (kg) X %TBSA
Parkland Formula for burned (second-degree and third degree);
Fluid Resuscitation in half administered over the first 8 hours (from
Burn pt time of injury), remaining half administered over
the next 16 hours
1) Head or spinal cord trauma
What injuries may 2) Pulmonary contusions


3/
20

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