Exam (elaborations)
ATLS Test 1 Exam 2024/2025 complete questions and answers/GRADED A+
- Course
- Institution
ATLS Test 1 Exam 2024/2025 complete questions and answers/GRADED A+
[Show more]
Seller
Follow
MENTALGIANT
Reviews received
Content preview
ATLS Test 1 Exam 2024/2025 completequestions and answers/GRADED A+
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:
Select one:
a.
reexamine the chest
b.
perform an aortogram
c.
obtain a CT scan of the chest
d.
obtain arterial blood gas analyses
e.
perform transesophageal echocardiography
correct answer- A) Reexamine 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:
Select one:
a.
angiography
b.
compartment pressures
c.
retrograde urethrogram
d.
Doppler ultrasound studies
e.
complete spine x-ray series
correct answer- e) Complete spine x-ray series
Which of the following is true regarding the initial resuscitation of a trauma patient?
Select one:
a.
,A patient that presents with a torso gunshot wound and is hypotensive should receive
crystalloid fluid resuscitation until the blood pressure is normal
b.
Evidence of improved perfusion after fluid resuscitation could include improvement in
Glasgow coma scale score on reevaluation
c.
Massive transfusion is defined as transfusion of more than >10 of packed red blood
cells and plasma in 24 hours
d.
When tranexamic acid is administered by pre-hospital providers a second dose is
required within 24 hours
e.
Fluid resuscitation is far more important than bleeding control in trauma patients
correct answer- b.
Evidence of improved perfusion after fluid resuscitation could include improvement in
Glasgow coma scale score on reevaluation
In managing a patient with a severe traumatic brain injury, the most important initial step
is to:
Select one:
a.
Secure the airway
b.
obtain a c-spine film
c.
support the circulation
d.
control scalp hemorrhage
e.
determine the GCS score
Feedback
Your answer is
correct answer- a.
Secure the airway
A previously healthy, 70-kg (154-pound) man suffers an estimated acute blood loss of 2
liters.
Which one of the following statements applies to this patient?
Select one:
a.
His pulse pressure will be widened.
b.
His urinary output will be at the lower limits of normal.
c.
He will have tachycardia, but no change in his systolic blood pressure.
d.
, An ABG would demonstrate a base deficit between -6 and -10 mEq/L
e.
His systolic blood pressure will be maintained with an elevated diastolic pressure.
correct answer- d.
An ABG would demonstrate a base deficit between -6 and -10 mEq/L
The physiologic hypervolemia of pregnancy has clinical significance in the management
of the severely injured, gravid woman by:
Select one:
a.
reducing the need for blood transfusion
b.
resulting in an elevated hematocrit
c.
complicating the management of closed head injury
d.
reducing the volume of crystalloid required for resuscitation
e.
increasing the volume of blood loss to produce maternal hypotension
correct answer- e.
increasing the volume of blood loss to produce maternal hypotension
The best assessment of fluid resuscitation of the adult burn patient is:
Select one:
a.
Urine output of 0.5 mL/kg/hr
b.
normalization of blood pressure
c.
normalization of the heart rate
d.
measuring a normal central venous pressure
e.
providing 4 mL/kg/percent body burn/24 hours of crystalloid fluid
correct answer- a.
Urine output of 0.5 mL/kg/hr
The diagnosis of shock must include:
Select one:
a.
hypoxemia
b.
acidosis
c.
hypotension
d.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller MENTALGIANT. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
77764 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now