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ATLS Pretest Exam Newest Questions and answers Updated 2024/25
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ATLS Pretest Exam Newest Questions and answers Updated 2024/25
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ATLS Pretest Exam Newest Questionsand answers Updated 2024/25
A 22-year-old man is hypotensive and tachycardic after a shotgun wound to the left
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shoulder. His blood pressure is initially 80/40 mm Hg. After initial fluid resuscitation his
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blood pressure increases to 122/84 mm Hg. His heart rate is now 100 beats per minute and
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his respiratory rate is 28 breaths per minute. A tube thoracostomy is performed for
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decreased left chest breath sounds with the return of a small amount of blood and no air
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leak. After chest tube insertion, the most appropriate next step is: - re-examine the chest
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A construction worker falls two stories from a building and sustains bilateral calcaneal
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fractures. In the emergency department, he is alert, vital signs are normal, and he is
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complaining of severe pain in both heels and his lower back. Lower extremity pulses are
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strong and there is no other deformity. The suspected diagnosis is most likely to be
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confirmed by: - complete spine x-ray series
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Which of the following is true regarding the initial resuscitation of a trauma patient? -
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Evidence of improved perfusion after fluid resuscitation could include improvement in
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Glasgow Coma Scale score on reevaluation.
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In managing a patient with a severe traumatic brain injury, the most important initial step is
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to: - secure the airway
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A previously healthy, 70-kg (154-pound) man suffers an estimated acute blood loss of 2
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liters. Which one of the following statements applies to this patient? - An ABG would
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demonstrate a base deficit between -6 and -10 mEq/L.
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The physiological hypervolemia of pregnancy has clinical significance in the management
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of the severely injured, gravid woman by: - increasing the volume of blood loss to produce
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maternal hypotension
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The best assessment of fluid resuscitation of the adult burn patient is: - urinary output of
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0.5 mL/kg/hr
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ii The diagnosis of shock must include: - evidence of inadequate organ perfusion
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A 7-year-old boy is brought to the emergency department by his parents several minutes
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after he fell through a window. He is bleeding profusely from a 6-cm wound of his medial
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right thigh. Immediate management of the wound should consist of: - direct pressure on
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the wound
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For the patient with severe traumatic brain injury, profound hypocarbia should be avoided
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to prevent: - cerebral vasoconstriction with diminished perfusion
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, After being involved in a motor vehicle crash, a 25-year-old man is brought to a hospital
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that has surgery capabilities available.. Computed tomography of the chest and abdomen
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shows an aortic injury and splenic laceration with free abdominal fluid. His blood pressure
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falls to 70 mm Hg after CT. The next step is: - perform an exploratory laparotomy
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Which one of the following statements regarding abdominal trauma in the pregnant patient
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is TRUE? - Leakage of amniotic fluid is an indication for hospital admission.
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The first maneuver to improve oxygenation after chest injury is: - administer
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supplemental oxygen
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A 25-year-old man, injured in a motor vehicular crash, is admitted to the emergency
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department. His pupils react sluggishly and his eyes open to pressure. He does not follow
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commands, but he does moan periodically. His right arm is deformed and does not
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respond to pressure; however, his left hand reaches purposefully toward the stimulus.
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Both legs are stiffly extended. His GCS score is: - 9
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A 20-year-old woman who is at 32 weeks gestation, is stabbed in the upper right chest. In
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the emergency department, her blood pressure is 80/60 mm Hg. She is gasping for breath,
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extremely anxious, and yelling for help. Breath sounds are diminished in the right chest.
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The most appropriate first step is to: - perform needle or finger decompression of the right
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chest
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Which one of the following findings in an adult is most likely to require immediate
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management during the primary survey? - respiratory rate of 40 breaths per minute
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The most important, immediate step in the management of an open pneumothorax is: -
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placement of an occlusive dressing over the wound
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The following are contraindications for tetanus toxoid administration: - history of
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neurological reaction or severe hypersensitivity to the product
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A 56-year-old man is thrown violently against the steering wheel of his truck during a motor
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vehicle crash. On arrival in the emergency department he is diaphoretic and complaining
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of chest pain. His blood pressure is 60/40 mm Hg and his respiratory rate is 40 breaths per
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minute. Which of the following best differentiates cardiac tamponade from tension
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pneumothorax as the cause of his hypotension? - breath sounds
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Bronchial intubation of the right or left mainstem bronchus can easily occur during infant
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endotracheal intubation because: - The trachea is relatively short.
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A 23-year-old man sustains 4 stab wounds to the upper right chest during an altercation
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and is brought by ambulance to a hospital that has full surgical capabilities. His wounds are
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all above the nipple. He is endotracheally intubated, closed tube thoracostomy is
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performed, fluid resuscitation is initiated through 2 large-caliber IVs. FAST exam does not
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reveal intraabdominal injuries. His blood pressure now is 60/0 mm Hg, heart rate is 160
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