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ATLS POST TEST 4 LATEST VERSIONS REAL EXAM 160 QUESTIONS AND CORRECT ANSWERS AGRADE
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ATLS POST TEST 4 LATEST VERSIONS REAL EXAM 160 QUESTIONS AND CORRECT ANSWERS AGRADE
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ATLS POST TEST 4 LATEST VERSIONS 2023-2024 REAL EXAM 160 QUESTIONS ANDCORRECT ANSWERS |AGRADE
A 6-year-old boy walking across the street is struck by the front bumper of a sports
utility vehicle traveling at 32 kph (20 mph). Which one of the following statements is
TRUE about this patient? - ANSA pulmonary contusion may be present in the absence
of rib fractures.
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: -
ANSdirect pressure on the wound
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: - ANSperform needle or finger
decompression of the right chest
A 22-year-old female athlete is stabbed in her left chest at the third interspace in the
anterior axillary line. On admission to the emergency department and 15 minutes after
the incident, she is awake and alert. Her heart rate is 100 beats per minute, blood
pressure 80/60 mm Hg, and respiratory rate 20 breaths per minute. A chest x-ray
reveals a large left hemothorax. A left chest tube is placed with an immediate return of
1600 mL of blood. The next management step for this patient is: - ANSprepare for an
exploratory thoracotomy
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: - ANSre-examine the
chest
A 22-year-old man sustains a gunshot wound to the left chest and is transported to a
small community hospital no surgical capabilities are available. In the emergency
department, a chest tube is inserted and 700 mL of blood is evacuated. The trauma
center accepts the patient in transfer. Just before the patient is placed in the ambulance
for transfer, his blood pressure decreases to 80/68 mm Hg and his heart rate increases
to 136 beats per minute. The next step should be to: - ANSrepeat the primary survey
and proceed with transfer
A 23-year-old man sustains 4 stab wounds to the upper right chest during an altercation
and is brought by ambulance to a hospital that has full surgical capabilities. His wounds
are all above the nipple. He is endotracheally intubated, closed tube thoracostomy is
performed, fluid resuscitation is initiated through 2 large-caliber IVs. FAST exam does
not reveal intraabdominal injuries. His blood pressure now is 60/0 mm Hg, heart rate is
, ATLS POST TEST 4 LATEST VERSIONS 2023-2024 REAL EXAM 160 QUESTIONS AND
CORRECT ANSWERS |AGRADE
160 beats per minute, and respiratory rate is 14 breaths per minute (ventilated with
100% O2). 1500 mL of blood has drained from the right chest. The most appropriate
next step in managing this patient is to: - ANSurgently transfer the patient to the
operating room
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: - ANS9
A 32-year-old man's right leg is trapped beneath his overturned car for nearly 2 hours
before he is extricated. On arrival in the emergency department, his right lower
extremity is cool, mottled, insensate, and motionless. Despite normal vital signs, pulses
cannot be palpated below the right femoral artery and the muscles of the lower
extremity are firm and hard. During the management of this patient, which of the
following is most likely to improve the chances for limb salvage? - ANSsurgical
consultation for right lower extremity fasciotomy
A 33-year-old woman is involved in a head-on motor vehicle crash. It took 30 minutes to
extricate her from the car. Upon arrival in the emergency department, her heart rate is
120 beats per minute, BP is 90/70 mm Hg, respiratory rate is 16 breaths per minute,
and her GCS score is 15. Examination reveals bilaterally equal breath sounds, anterior
chest wall ecchymosis, and distended neck veins. Her abdomen is flat, soft, and not
tender. Her pelvis is stable. Palpable distal pulses are found in all 4 extremities. Of the
following, the most likely diagnosis is: - ANScardiac tamponade
A 39-year-old man is admitted to the emergency department after an automobile
collision. He is cyanotic, has insufficient respiratory effort, and has a GCS score of 6.
His full beard makes it difficult to fit the oxygen facemask to his face. The most
appropriate next step is to: - ANSrestrict cervical motion and attempt orotracheal
intubation using 2 people
A 40-year-old woman who was a restrained driver in a motor vehicle crash is evaluated
in the emergency department. She is hemodynamically normal and found to be
paraplegic at the level of T10. Which of the following are true regarding her evaluation
and management? - ANSLog rolling using 4 people is a safe approach to restrict spinal
motion when moving her.
A 56-year-old man is thrown violently against the steering wheel of his truck during a
motor vehicle crash. On arrival in the emergency department he is diaphoretic and
complaining of chest pain. His blood pressure is 60/40 mm Hg and his respiratory rate is
40 breaths per minute. Which of the following best differentiates cardiac tamponade
from tension pneumothorax as the cause of his hypotension? - ANSbreath sounds
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