ATLS practice questions With Verified Solutions 2023

ATLS practice questions With Verified Solutions 2023 Assessed first in trauma patient - ANS Airway (*)Degree of burn that is characterized by bone involvement - ANS Fourth Complications of head trauma - ANS Intracerebral hematoma Extradural hematoma Brain abscess Most common cause of laryngotracheal stenosis - ANS Trauma Intervention that can help prevent development of acute renal failure - ANS Infusion of normal saline A 26-year-old male is resuscitated with blood transfusion after a motor vehicle collision that was complicated by a fractured pelvis. A few hours later, the patient becomes febrile, hypotensive with a normal CVP, and oliguric. Upon examination, the patient is found to be bleeding from the NG tube and IV sites. Which of the following is the most likely diagnosis? A. Hemorrhagic shock B. Acute adrenal insufficiency C. Fat embolism syndrome D. Transfusion reaction - ANS D. Transfusion reaction Skin antiseptic - ANS -Ethanol 70% is an effective skin antiseptic -Acetic acid can be used to treat Gram- skin infections -Salicylic acid is used to treat certain skin yeast infections Class IV hemorrhage indicates what % blood loss - ANS 55% How does shivering affect body temperature - ANS Increases body temperature Class III hemorrhage indicates what % of blood loss - ANS 35% Management of a stable patient with kidney contusion - ANS Observation Associated with hypovolemic shock - ANS -Inadequate tissue perfusion with resultant tissue hypoxia -Blood shunting to vital organs -Decreased circulating blood volume and decreased venous return -Low cardiac output -Loss of less than 20% of the blood volume is usually without symptom except for mild tachycardia -Patients become orthostatic with losses between 20 and 40% -Shock is evidenced by tachycardia, hypotension, oliguria, flat neck veins The most effective method of monitoring the success of resuscitation during CPR? - ANS Reactivity of pupils to light Used to ensure correct placement of endotracheal tube - ANS -Ultrasound -Bilateral breath sounds -Sustained end-tidal CO2 Total body surface area involved in a burn in an adult to the anterior chest and abdomen - ANS 18% What is often caused by carotid massage? - ANS Bradycardia Step in a patient diagnosed with tension pneumothorax - ANS 1. Needle decompression/ thoracotomy 2. Chest tube