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QUESTION AND ANSWER
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TABLE OF CONTENT v v
ATLS POST TEST 1 v v v
ATLS POST TEST 2
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ATLS POST TEST 3
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ATLS POST TEST 4
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, 1. Which of the following is the recommended Method for treatment of frost- bite?
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A. Vasodilators
B. Anticigulants
C. Warm (40 degrees) water v v v
D. Padding and elevation v v
E. Application of heat from a hairdryer v v v v v
..ANS>> C.Warm (40 degrees) water
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2. The primary indication for transferring A patient to a higher level trauma center is:
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A. Unavailibility of surgeon or operating staff v v v v v
B. Multiple system injuries,including severe head injury
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C. Resource limitations as determined by the transferring doctor
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D. Resource limitations as determined by the hospital administration
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E. Widened mediastinum on chest x-ray following blunt trauma
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..ANS>> C.Resource limitations as determined by the transferring doctor
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3. A young man sustains a rifle wound to the mid-abdomen. He is brought promptlytotheEDby
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prehospitalpersonnel.Hisskiniscooland diaphoretic, and his systolic blood pressure is 58mmHg. Warmed ix v v v v v v v ix
crystalloid fluids are initiated without improvement in his vital signs.The next, most appropriate, step is
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v to perform:
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A. a laparotomy
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B. An abdominalCT-scan
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, C. Diagnostic laparoscopy v
D. Abdominal v ultrasonography
E. A diagnostic peritoneal lavage
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..ANS>> A.Laparotomy because of hemodynamic ab- normality
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4. A 6-year-old boy is struck by an automobile and brought to the ED. He is
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lethargic,butwithdrawspurposefullyfrompainfulstimuli.Hisbloodpressure is 90mmHg systolic, heart rate v v v v v
v 140 beats per minute and his respiratory rate is 36 breaths per minute.The preferred route of venous access in
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v this patient is:
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A. Percutaneous femoral vein cannulation v v v
B. Cutdown on the saphenous vein at the ankle
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C. Intraosseous catheter placement in the proximal tibia
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D. Percutaneous peripheral veins in the upper extremities v v v v v v
E. Centralvenousaccess via the subclavianorinternaljugular vein v ix v v
..ANS>> D.Percu- taneous peripheral veins in the upper extremities
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5. A young man sustains a gunshot wound to the abdomen and is brought promptlytotheEDby
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prehospitalpersonnel.Hisskiniscooland diaphoretic,
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, and he is confused. His pulse is thready and his femoral pulse is only weakly palpable.The definitive
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v treatment in managing this patient is to: v v v v v v
A. Administer O-negative blood v v
B. Apply external warming devices v v v
C. Control internal hemorrhage operatively v v v
D. Apply a pneumatic antishock garment (PASG) v v v v v
E. Infuselargevolumes of intravenouscrystalloid solutions
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..ANS>> C.Controlinternal hemorrhage operatively ix v v
6. Regarding shock in the child,which of the following is FALSE? v v v v v v v v v
A. Vital signs are age-related v v v
B. Children have greater physiologic reserves than do adults
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C. Tachycardia is the primary physiologic response to hypovolemia v v v v v v v
D. The absolute volume of blood loss required to produce shock is the same as in adults
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E. An initial fluidbolus forresuscitation should approximate 20ml/kg Ringers Lactate
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..ANS>> D.The absolutevolumeof bloodlossrequiredto produceshock is the same as in adults
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7. A 33-year-old man is struck by a car travelling at 56km/h (35mph). He has obvious fractures of the left
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v tibia near the knee, pain in the pelvic area, and severe dyspnea. His heart rate is 182 beats per minute,
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v and his respiratory rate is 48 breaths per minute with no breath sounds heard in the left chest. A tension
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v pneumothorax is relieved by immediate needle decompression and tube thoracostomy.Subsequently,his
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