(Advanced trauma life support) with detailed answers
Terms in this set (104)
A 22 year old male is E. Tracheobronchial injury
brought by ambulance to a
small community hospital
after falling from the top of
an 8 foot ladder. Initially,
he was found to have a
large right pneumothorax.
A chest tube was inserted
and connected to an
underwater seal drainage
collection system with
negative pressure. A
repeat CXR demonstrates
a residual, large right
pneumothorax. After
transferring the patient to a
verified trauma center, a
third chest x-ray reveals a
persistent right
pneumothorax. The chest
tube appears to be
functioning and in good
position. He remains
hemodynamically normal
with no signs of respiratory
distress. The most likely
cause for the persistent
right pneumothorax is:
A. Flail chest
B. Diaphragmatic injury
,C. Pulmonary contusion
D. Esophageal perforation
E. Tracheobronchial injury
,Which of the following is D. oxygen saturation >92%
LEAST reliable for -> if it says ESOPHAGEAL, go with this answer
diagnosing ESOPHAGEAL
intubation?
A. symmetrical chest wall
movement
B. end-tidal CO2
C. bilateral breath sounds
D. oxygen saturation >92%
E. ETT above carina on chest
x-ray
Which of the following C. Severe maxillofacial trauma
signs necessitates the
need for a definitive airway
in severe trauma patient?
A. facial lacerations
B. repeated vomiting
C. severe maxillofacial trauma
D. sternal fracture
E. GCS 12
Twenty seven people are E. Produce the greatest number of survivors based on available
severely injured in an resources
aircraft crash at a local
airport. The principles of
triage include:
A. establish a triage site
within the internal
perimeter of the crash site
B. treat only the most
severely injured
patients first
C. immediately transport all
patients to the nearest
hospital
D. treat the greatest number
of patients in the shortest
period of time
E. produce the greatest
number of survivors
, based on available
resources
Which of the following A. Cerebral contusions may coalesce to form an
statements are correct? intracerebral hematoma EM: Epidural, middle
A. Cerebral contusions meningeal
may coalesce to form an SuB: Subdural, Bridging veins
intracerebral hematoma
B. Epidural hematomas are
usually seen in the frontal
region
C. Subdural hematomas
are caused by injury to
the middle meningeal
artery
D. Subdural hematomas
typically have a lenticular
shape on CT
E. The associated brain
damage is more severe in
epidural hematomas
An 18 year old male is A. Obtain a portable chest x-ray
brought to the ED after need more info on chest, not abdomen
being shot. He has one
bullet wound just below the
right clavicle and another
just below the costal
margin in the right
posterior axillary line. His
blood pressure is 110/60,
heart rate of 90, and