ATLS POST TEST 4 LATEST VERSIONS 2024-2025
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(Advanced trauma life support)
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Which of the following is the C. Warm (40 degrees) water
recommended Method for trestemt
frostbite?
A. Vasodilators
B. Anticigulants
C. Warm (40 degrees) water
D. Padding and elevation
E. Application of heat from a hairdryer
Which of the following physical findings D. Presence of deep tendon reflexes. Spinal shock refers to loss of muscle toe
suggest a cause of hypotension other than (flaccidty) and loss of reflexes.
spinal cord injury?
A. Prispism
B. Bradycardia
C. Diaphragmatic breathing
D. Presence of deep tendon reflexes
E. Ability to flex forearms but not extend
them
,The primary indication for transferring A C. Resource limitations as determined by the transferring doctor (MÅ SJEKKES)
patient to a higher level trauma center is:
A. Unavailibility of surgeon or operating
staff
B. Multiple system injuries, including severe
head injury
C. Resource limitations as determined by
the transferring doctor
D. Resource limitations as determined by
the hospital administration
E. Widened mediastinum on chest x-ray
following blunt trauma
A young man sustains a rifle wound to the A. Laparotomy because of hemodynamic abnormality
mid-abdomen. He is brought promptly to
the ED by prehospital personnel. His skin is
cool and diaphoretic, and his systolic
blood pressure is 58mmHg. Warmed
crystalloid fluids are initiated without
improvement in his vital signs. The next,
most appropriate, step is to perform:
A. a laparotomy
B. An abdominal CT-scan
C. Diagnostic laparoscopy
D. Abdominal ultrasonography
E. A diagnostic peritoneal lavage
A 42-year-old man is trapped from the MÅ SJEKKES
waist down beneath his overturned tractor
for several hours before medical assistance
arrives. He is awake and alert until just
before arriving in the ED. He is now
unconscious and responds only to painful
stimuli by moaning. His pupils are 3mm in
diameter and symmetrically reactive to
light. Prehospital personnel indicate that
they have not seen the patient move either
of his lower extremities. On examination in
the ED, no movement of his lower
extremities are detected, even in response
to painful stimuli. The most likely cause for
this finding is:
A. An epidural hematoma
B. A pelvic fracture
C. Central cord syndrome
D. Intracerebral hemorrhage
E. Bilateral compartment syndrome
, A 6-year-o boy is struck by an automobile D. Percutaneous peripheral veins in the upper extremities
and brought to the ED. He is lethargic, but
withdraws purposefully from painful stimuli.
His blood pressure is 90mmHg systolic,
heart rate 140 beats per minute and his
respiratory rate is 36 breaths per minute.
The preferred route of venous access in
this patient is:
A. Percutaneous femoral vein cannulation
B. Cutdown on the saphenous vein at the
ankle
C. Intraosseous catheter placement in the
proximal tibia
D. Percutaneous peripheral veins in the
upper extremities
E. Central venous access via the subclavian
or internal jugular vein
A young man sustains a gunshot wound to C. Control internal hemorrhage operatively
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
C. Control internal hemorrhage operatively
D. Apply a pneumatic antishock garment
(PASG)
E. Infuse large volumes of intravenous
crystalloid solutions.
Regarding shock in the child, which of the D. The absolute volume of blood loss required to produce shock is the same as in
following is FALSE? adults
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