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Summary ATLS Test 1 with Questions &Verified
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Answers
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A 22-year-old man is hypotensive and tachycardic after a shotgun
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wound to the left shoulder. His blood pressure is initially 80/40 mm Hg.
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After initial fluid resuscitation his blood pressure increases to 122/84
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mm Hg. His heart rate is now 100 beats per minute and his respiratory
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rate is 28 breaths per minute. A tube thoracostomy is performed for
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decreased left chest breath sounds with the return of a small amount of
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blood and no air leak. After chest tube insertion, the most appropriate
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next step is:
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Select one:
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a.
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reexamine the chest
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b.
perform an aortogram
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c.
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obtain a CT scan of the chest
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d.
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obtain arterial blood gas analyses
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e.
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perform transesophageal echocardiography - ANSWER-A) Reexamine
the chest
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A construction worker falls two stories from a building and sustains
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bilateral calcaneal fractures. In the emergency department, he is alert,
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vital signs are normal, and he is complaining of severe pain in both heels
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and his lower back. Lower extremity pulses are strong and there is no
other deformity. The suspected diagnosis is most likely to be confirmed
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by:
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Select one:
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a.
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angiography
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b.
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compartment pressures
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c.
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Summary ATLS Test 1 with Questions &Verified
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Answers
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retrograde urethrogram
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d.
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Doppler ultrasound studies
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complete spine x-ray series - ANSWER-e) Complete spine x-ray series
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Which of the following is true regarding the initial resuscitation of a
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trauma patient?
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Select one:
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a.
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A patient that presents with a torso gunshot wound and is hypotensive
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should receive crystalloid fluid resuscitation until the blood pressure is
normal
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Sp
b.
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Evidence of improved perfusion after fluid resuscitation could include
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improvement in Glasgow coma scale score on reevaluation
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c.
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Massive transfusion is defined as transfusion of more than >10 of
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packed red blood cells and plasma in 24 hours
d.
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When tranexamic acid is administered by pre-hospital providers a
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second dose is required within 24 hours
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e.
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Fluid resuscitation is far more important than bleeding control in trauma
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patients - ANSWER-b.
Evidence of improved perfusion after fluid resuscitation could include
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improvement in Glasgow coma scale score on reevaluation
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Sp
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In managing a patient with a severe traumatic brain injury, the most
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important initial step is to:
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Select one:
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a.
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Secure the airway
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Summary ATLS Test 1 with Questions &Verified
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Answers
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b.
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obtain a c-spine film
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c.
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support the circulation
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d.
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control scalp hemorrhage
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e.
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determine the GCS score
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Feedback
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Your answer is corr - ANSWER-a.
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Secure the airway
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A previously healthy, 70-kg (154-pound) man suffers an estimated acute
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blood loss of 2 liters.
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Which one of the following statements applies to this patient?
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Select one:
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a.
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His pulse pressure will be widened.
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b.
His urinary output will be at the lower limits of normal.
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c.
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He will have tachycardia, but no change in his systolic blood pressure.
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d.
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An ABG would demonstrate a base deficit between -6 and -10 mEq/L
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e.
His systolic blood pressure will be maintained with an elevated diastolic
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pressure. - ANSWER-d.
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An ABG would demonstrate a base deficit between -6 and -10 mEq/L
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a
The physiologic hypervolemia of pregnancy has clinical significance in
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the management of the severely injured, gravid woman by:
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Select one:
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a.
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Summary ATLS Test 1 with Questions &Verified
sh
Answers
ne
A 22-year-old man is hypotensive and tachycardic after a shotgun
la
tz
wound to the left shoulder. His blood pressure is initially 80/40 mm Hg.
sh
Sp
After initial fluid resuscitation his blood pressure increases to 122/84
ne
mm Hg. His heart rate is now 100 beats per minute and his respiratory
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rate is 28 breaths per minute. A tube thoracostomy is performed for
sh
decreased left chest breath sounds with the return of a small amount of
Sp
blood and no air leak. After chest tube insertion, the most appropriate
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next step is:
la
tz
Select one:
sh
Sp
a.
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reexamine the chest
la
b.
perform an aortogram
sh
Sp
c.
ne
obtain a CT scan of the chest
la
d.
tz
sh
obtain arterial blood gas analyses
Sp
ne
e.
la
perform transesophageal echocardiography - ANSWER-A) Reexamine
the chest
sh
Sp
ne
A construction worker falls two stories from a building and sustains
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bilateral calcaneal fractures. In the emergency department, he is alert,
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sh
vital signs are normal, and he is complaining of severe pain in both heels
Sp
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and his lower back. Lower extremity pulses are strong and there is no
other deformity. The suspected diagnosis is most likely to be confirmed
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by:
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Sp
Select one:
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a.
a
angiography
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b.
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compartment pressures
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c.
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Sp
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Sp
, ne
Summary ATLS Test 1 with Questions &Verified
sh
Answers
ne
retrograde urethrogram
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d.
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Sp
Doppler ultrasound studies
e.
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complete spine x-ray series - ANSWER-e) Complete spine x-ray series
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Sp
Which of the following is true regarding the initial resuscitation of a
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trauma patient?
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tz
Select one:
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Sp
a.
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A patient that presents with a torso gunshot wound and is hypotensive
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should receive crystalloid fluid resuscitation until the blood pressure is
normal
sh
Sp
b.
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Evidence of improved perfusion after fluid resuscitation could include
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improvement in Glasgow coma scale score on reevaluation
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sh
c.
Sp
ne
Massive transfusion is defined as transfusion of more than >10 of
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packed red blood cells and plasma in 24 hours
d.
sh
Sp
When tranexamic acid is administered by pre-hospital providers a
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second dose is required within 24 hours
la
e.
tz
sh
Fluid resuscitation is far more important than bleeding control in trauma
Sp
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patients - ANSWER-b.
Evidence of improved perfusion after fluid resuscitation could include
la
improvement in Glasgow coma scale score on reevaluation
sh
Sp
ne
In managing a patient with a severe traumatic brain injury, the most
a
important initial step is to:
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l
sh
Select one:
Sp
a.
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Secure the airway
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sh
Sp
la
Sp
, ne
Summary ATLS Test 1 with Questions &Verified
sh
Answers
ne
b.
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tz
obtain a c-spine film
sh
Sp
c.
ne
support the circulation
la
d.
sh
control scalp hemorrhage
Sp
e.
ne
determine the GCS score
la
tz
Feedback
sh
Sp
Your answer is corr - ANSWER-a.
ne
Secure the airway
la
A previously healthy, 70-kg (154-pound) man suffers an estimated acute
sh
Sp
blood loss of 2 liters.
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Which one of the following statements applies to this patient?
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Select one:
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sh
a.
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His pulse pressure will be widened.
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b.
His urinary output will be at the lower limits of normal.
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Sp
c.
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He will have tachycardia, but no change in his systolic blood pressure.
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d.
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sh
An ABG would demonstrate a base deficit between -6 and -10 mEq/L
Sp
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e.
His systolic blood pressure will be maintained with an elevated diastolic
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pressure. - ANSWER-d.
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Sp
An ABG would demonstrate a base deficit between -6 and -10 mEq/L
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a
The physiologic hypervolemia of pregnancy has clinical significance in
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the management of the severely injured, gravid woman by:
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Select one:
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a.
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Sp
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Sp
