ATLS PRE-TEST & POST EXAM STUDY GUIDE
ATLS PRE-TEST & POST EXAM
STUDY GUIDE. GRADED A+.
QUESTIONS AND 100%
VERIFIED ANSWERS. LATEST
UPDATE
A 22-year-old man is hypotensive and tachycardic after a shotgun wound to
the left shoulder. His blood pressure is initially 80/40 mm Hg. After initial
fluid resuscitation his blood pressure increases to 122/84 mm Hg. His heart
rate is now 100 beats per minute and his respiratory rate is 28 breaths per
minute. A tube thoracostomy is performed for decreased left chest breath
sounds with the return of a small amount of blood and no air leak. After
chest tube insertion, the most appropriate next step is:
--- re-examine the chest
A construction worker falls two stories from a building and sustains bilateral
calcaneal fractures. In the emergency department, he is alert, vital signs are
normal, and he is complaining of severe pain in both heels and his lower
back. Lower extremity pulses are strong and there is no other deformity. The
suspected diagnosis is most likely to be confirmed by:
--- complete spine x-ray series
What is true regarding the initial resuscitation of a trauma patient? ---
Evidence of improved perfusion after fluid resuscitation could include
improvement in Glasgow Coma Scale score on reevaluation
,ATLS PRE-TEST & POST EXAM STUDY GUIDE
In managing a patient with a severe traumatic brain injury, the most
important initial step is to:
--- secure the airway
A previously healthy, 70-kg (154-pound) man suffers an estimated acute
blood loss of 2 liters. What applies to this patient?
--- An ABG would demonstrate a base deficit between -6 and -10 mEq/L.
The physiological hypervolemia of pregnancy has clinical significance in the
management of the severely injured, gravid woman by: --- increasing the
volume of blood loss to produce maternal hypotension.
The best assessment of fluid resuscitation of the adult burn patient is:
--- urinary output of 0.5
mL/kg/hr The diagnosis of
shock must include:
--- evidence of inadequate organ perfusion
,ATLS PRE-TEST & POST EXAM STUDY GUIDE
A 7-year-old boy is brought to the emergency department by his parents
several minutes after he fell through a window. He is bleeding profusely from
a 6-cm wound of his medial right thigh. Immediate management of the
wound should consist of:
`
, ATLS PRE-TEST & POST EXAM STUDY GUIDE
For the patient with severe traumatic brain injury, profound hypocarbia
should be avoided to prevent:
--- cerebral vasoconstriction with diminished perfusion
After being involved in a motor vehicle crash, a 25-year-old man is brought
to a hospital that has surgery capabilities available.. Computed tomography
of the chest and abdomen shows an aortic injury and splenic laceration with
free abdominal fluid. His blood pressure falls to 70 mm Hg after CT. The next
step is:
--- perform an exploratory laparotomy
What statements regarding abdominal trauma in the pregnant patient is TRUE?
--- Leakage of amniotic fluid is an indication for hospital
admission. The first maneuver to improve oxygenation
after chest injury is:
--- administer supplemental oxygen
A 25-year-old man, injured in a motor vehicular crash, is admitted to the
emergency department. His pupils react 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:
--- 9
A 20-year-old woman who is at 32 weeks gestation, is stabbed in the upper
right chest. In the emergency department, her blood pressure is 80/60 mm
Hg. She 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 needle or finger decompression of the right chest
What findings in an adult is most likely to require immediate management
during the primary survey?
ATLS PRE-TEST & POST EXAM
STUDY GUIDE. GRADED A+.
QUESTIONS AND 100%
VERIFIED ANSWERS. LATEST
UPDATE
A 22-year-old man is hypotensive and tachycardic after a shotgun wound to
the left shoulder. His blood pressure is initially 80/40 mm Hg. After initial
fluid resuscitation his blood pressure increases to 122/84 mm Hg. His heart
rate is now 100 beats per minute and his respiratory rate is 28 breaths per
minute. A tube thoracostomy is performed for decreased left chest breath
sounds with the return of a small amount of blood and no air leak. After
chest tube insertion, the most appropriate next step is:
--- re-examine the chest
A construction worker falls two stories from a building and sustains bilateral
calcaneal fractures. In the emergency department, he is alert, vital signs are
normal, and he is complaining of severe pain in both heels and his lower
back. Lower extremity pulses are strong and there is no other deformity. The
suspected diagnosis is most likely to be confirmed by:
--- complete spine x-ray series
What is true regarding the initial resuscitation of a trauma patient? ---
Evidence of improved perfusion after fluid resuscitation could include
improvement in Glasgow Coma Scale score on reevaluation
,ATLS PRE-TEST & POST EXAM STUDY GUIDE
In managing a patient with a severe traumatic brain injury, the most
important initial step is to:
--- secure the airway
A previously healthy, 70-kg (154-pound) man suffers an estimated acute
blood loss of 2 liters. What applies to this patient?
--- An ABG would demonstrate a base deficit between -6 and -10 mEq/L.
The physiological hypervolemia of pregnancy has clinical significance in the
management of the severely injured, gravid woman by: --- increasing the
volume of blood loss to produce maternal hypotension.
The best assessment of fluid resuscitation of the adult burn patient is:
--- urinary output of 0.5
mL/kg/hr The diagnosis of
shock must include:
--- evidence of inadequate organ perfusion
,ATLS PRE-TEST & POST EXAM STUDY GUIDE
A 7-year-old boy is brought to the emergency department by his parents
several minutes after he fell through a window. He is bleeding profusely from
a 6-cm wound of his medial right thigh. Immediate management of the
wound should consist of:
`
, ATLS PRE-TEST & POST EXAM STUDY GUIDE
For the patient with severe traumatic brain injury, profound hypocarbia
should be avoided to prevent:
--- cerebral vasoconstriction with diminished perfusion
After being involved in a motor vehicle crash, a 25-year-old man is brought
to a hospital that has surgery capabilities available.. Computed tomography
of the chest and abdomen shows an aortic injury and splenic laceration with
free abdominal fluid. His blood pressure falls to 70 mm Hg after CT. The next
step is:
--- perform an exploratory laparotomy
What statements regarding abdominal trauma in the pregnant patient is TRUE?
--- Leakage of amniotic fluid is an indication for hospital
admission. The first maneuver to improve oxygenation
after chest injury is:
--- administer supplemental oxygen
A 25-year-old man, injured in a motor vehicular crash, is admitted to the
emergency department. His pupils react 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:
--- 9
A 20-year-old woman who is at 32 weeks gestation, is stabbed in the upper
right chest. In the emergency department, her blood pressure is 80/60 mm
Hg. She 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 needle or finger decompression of the right chest
What findings in an adult is most likely to require immediate management
during the primary survey?
