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ATLS EXAM FINAL REVIEW/ NEWEST ACTUAL QUESTIONS AND CORRECT DETAILED ANSWERS / .

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ATLS EXAM FINAL REVIEW/ NEWEST ACTUAL QUESTIONS AND CORRECT DETAILED ANSWERS / . Terms in this set (164) True or false? Although the mechanism of injury may be similar to those for the younger population, data shows increased mortality with similar severity of injury in older adults. True In the elderly population, what is decreased physiological reserve? aging is characterized by impaired adaptive and homeostatic mechanisms that caused an increased susceptibility to the stress of injury. Insults tolerated by the younger population can lead to devastating results in elderly patients. Pre-existing conditions that affect morbidity and mortality include: cirrhosis, coagulopathy, COPD, ischemic heart disease, DM What is the most common mechanism of injury in the elderly? Fall. Nonfatal falls are common in women and fractures are common in women who fall. Falls are the most common cause of TBI. In the elderly population, what are risk factors for falls? advanced age, physical impairment, history of previous fall, medication use, dementia, unsteady gait, and visual, cognitive impairment Most of elderly traffic fatalities occur in the daytime and on weekends and typically involve other vehicles. Why? Older people drive on more familiar roads and at lower speeds and tend to drive during the day. Older people have slower reaction time, a larger blind spot, limited cervical mobility, decreased hearing, and cognitive impairment. True or False? Mortality associated with small to moderate sized burns in older adults remains high True

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ATLS EXAM FINAL REVIEW/ NEWEST ACTUAL
QUESTIONS AND CORRECT DETAILED ANSWERS /
2025-2026.


Terms in this set (164)

True or false? Although the True
mechanism of injury may be
similar to those for the
younger population, data
shows increased mortality
with similar severity of injury
in older adults.




In the elderly population, aging is characterized by impaired adaptive and
what is decreased homeostatic mechanisms that caused an increased
physiological reserve? susceptibility to the stress of injury. Insults tolerated by the
younger population can lead to devastating results in
elderly patients.


Pre-existing conditions that cirrhosis, coagulopathy, COPD, ischemic heart disease, DM
affect morbidity and
mortality include:

What is the most common Fall. Nonfatal falls are common in women and fractures are
mechanism of injury in the common in women who fall. Falls are the most common
elderly? cause of TBI.


advanced age, physical impairment, history of previous fall,
In the elderly population,
medication use, dementia, unsteady gait, and visual,
what are risk factors for falls?
cognitive impairment

,Most of elderly traffic Older people drive on more familiar roads and at lower
fatalities occur in the speeds and tend to drive during the day. Older people have
slower reaction time, a larger blind spot, limited cervical
daytime and on weekends
mobility, decreased hearing, and cognitive impairment.
and typically involve other
vehicles. Why?


True or False? Mortality True
associated with small to
moderate sized burns in
older adults remains high


Spilled hot liquids on the leg, this is true
which in younger patients
may reepithelialize due to an
adequate number of hair
follicles, will result in a full
thickness burn in older
patients.



Airway-patients may have bag mask ventilation, as it improves mask fitting.
dentures that may loosen or
obstruct the airway. If
dentures are not obstructing
the airway, leave them in
place for what?




20-40%

When preforming rapid
sequence intubation, the
dose of benzos, barbiturates,
and other sedatives should
be reduced to what
percentage to minimize the
risk of cardiovascular
depression?

,Functional changes in this results in lack of classic response to hypovolemia, risk
cardiac system include for cardiac ischemia, elevated BP at baseline, and increased
declining function, risk of dysrythmias.
decreased sensitivity to
catecholamines,
atherosclerosis of coronary
vessels, increased afterload,
fixed heart rate (beta
blockers)



Functional changes in thus they are at increased risk for respiratory failure,
pulmonary system include increased risk for pneumonia, and poor tolerance to rib
decreased elastic recoil, fractures
reduced residual capacity,
decreased gas exchange and
decreased cough reflex




Functional changes in renal resulting in drug dosing for renal insufficiency, decreased
system include loss of renal ability to concentrate urine, increased risk for AKI and
mass, decreased GFR, and urine flow may be normal with hypovolemia
decreased sensitivity to
ADH and aldosterone




resulting in increased risk for fractures, decreased mobility,
difficulty for oral intubation, risk of skin injury, increased risk
Functional changes to MSK
for hypothermia, challenges in rehabiliation
include loss of lean body
mass, osteoporosis, changes
in joints and cartilage, c spine
degenerative changes and
loss of skin elastin and
subcutaneous fat

, Functional changes in resulting in occult hypothyroidism, relative hypercortisone
Endocrine system include states and increased risk of infection
decreased production and
response to thyroxin and
decreased
dehydroepiandrosterone
(DHEA)

True or false: Arthritis can true
complicate the airway and
cervical spine. Patients can
have multilevel degenerative
changes affecting disk spaces
and posterior elements
associated with severe
central canal stenosis, cord
compression, and
myelomalacia




respiratory failure may present insidiously in older adults.

In elderly population, due to
their changes in pulmonary
system, placing a gauze
between gums and cheek to
achieve seal when using bag
valve mask ventilation is
okay. In addition, because
aging causes a suppressed
heart rate response to
hypoxia......

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