Exam (elaborations)
ATLS EXAM QUESTIONS WITH COMPLETE SOLUTIONS
- Course
- Institution
ATLS EXAM QUESTIONS WITH COMPLETE SOLUTIONS
[Show more]
Content preview
ATLS PRACTICEQUESTIONSQUESTIONS WITH
COMPLETE SOLUTIONS
Assessedafirstainatraumaapatienta-acorrectaanswera✔✔Airway
(*)Degreeaofaburnathataisacharacterizedabyaboneainvolvementa-acorrectaanswera✔✔Fourth
Complicationsaofaheadatraumaa-acorrectaanswera✔✔Intracerebralahematoma
Extraduralahematoma
Brainaabscess
Mostacommonacauseaofalaryngotrachealastenosisa-acorrectaanswera✔✔Trauma
Interventionathatacanahelpapreventadevelopmentaofaacutearenalafailurea-
acorrectaanswera✔✔Infusionaofanormalasaline
Aa26-year-
oldamaleaisaresuscitatedawithabloodatransfusionaafteraaamotoravehicleacollisionathatawasaco
mplicatedabyaaafracturedapelvis.aAafewahoursalater,atheapatientabecomesafebrile,ahypotensiv
eawithaaanormalaCVP,aandaoliguric.aUponaexamination,atheapatientaisafoundatoabeableedingaf
romatheaNGatubeaandaIVasites.aWhichaofatheafollowingaisatheamostalikelyadiagnosis?
A.aHemorrhagicashock
B.aAcuteaadrenalainsufficiency
C.aFataembolismasyndrome
D.aTransfusionareactiona-acorrectaanswera✔✔D.aTransfusionareaction
Skinaantiseptica-acorrectaanswera✔✔-Ethanola70%aisaanaeffectiveaskinaantiseptic
-AceticaacidacanabeausedatoatreataGram-askinainfections
-Salicylicaacidaisausedatoatreatacertainaskinayeastainfections
ClassaIVahemorrhageaindicatesawhata%abloodalossa-acorrectaanswera✔✔55%
Howadoesashiveringaaffectabodyatemperaturea-
acorrectaanswera✔✔Increasesabodyatemperature
ClassaIIIahemorrhageaindicatesawhata%aofabloodalossa-acorrectaanswera✔✔35%
Managementaofaaastableapatientawithakidneyacontusiona-acorrectaanswera✔✔Observation
Associatedawithahypovolemicashocka-acorrectaanswera✔✔-
Inadequateatissueaperfusionawitharesultantatissueahypoxia
,-Bloodashuntingatoavitalaorgans
-Decreasedacirculatingabloodavolumeaandadecreasedavenousareturn
-Lowacardiacaoutput
-
Lossaofalessathana20%aofatheabloodavolumeaisausuallyawithoutasymptomaexceptaforamildatac
hycardiaa
-Patientsabecomeaorthostaticawithalossesabetweena20aanda40%a
-Shockaisaevidencedabyatachycardia,ahypotension,aoliguria,aflataneckaveins
TheamostaeffectiveamethodaofamonitoringatheasuccessaofaresuscitationaduringaCPR?a-
acorrectaanswera✔✔Reactivityaofapupilsatoalight
Usedatoaensureacorrectaplacementaofaendotrachealatubea-acorrectaanswera✔✔-Ultrasounda
-Bilateralabreathasounds
-Sustainedaend-tidalaCO2
Totalabodyasurfaceaareaainvolvedainaaaburnainaanaadultatoatheaanteriorachestaandaabdomena-
acorrectaanswera✔✔18%
Whataisaoftenacausedabyacarotidamassage?a-acorrectaanswera✔✔Bradycardia
Stepainaaapatientadiagnosedawithatensionapneumothoraxa-
acorrectaanswera✔✔1.aNeedleadecompression/athoracotomy
2.aChestatube
Trueastatementsaregardingadiaphragmaticainjuriesa-acorrectaanswera✔✔-
Bluntadiaphragmaticainjuriesaareausuallyaassociatedawithaskeletalatraumaa
-Penetratingadiaphragmaticainjuriesamayabeamissed
-Repairaofatraumaticadiaphragmaticainjuriesausuallyadoesanotarequireaprostheticamaterial
Firstapriorityainatheatreatmentaofaanaunconsciousapatienta-
acorrectaanswera✔✔Checkingatheapulse
Aapatientainvolvedainaaaroadaaccidentaisabroughtatoatheaemergencyadepartmentainaanauncon
sciousastate.aOnaarrival,aheravitalsashowaaatemperatureaofa96.4adegreesaFahrenheit,aaaresp
irationarateaofa24abreathsaperaminute,aaaheartarateaofa140abeatsaperaminute,aandaaabloodapre
ssureaofa80/40ammaHg.aSheaisacold,ashivering,aandaperspiringaprofusely.aSheahasabilateralar
eactiveapupilsabutasheadoesanotarespondatoapain.aOnaphysicalaexamination,asheahasanoaob
viousasignaofaexternalableeding.aWhichaofatheafollowingacannotabeatheacauseaofahypotensio
nainathisapatient?
A.aPelvicafracture
B.aFractureaofafemur
C.aIntracranialahemorrhage
D.aHemothoraxa-acorrectaanswera✔✔C.aIntracranialahemorrhage
,Aapatientasufferedaaaslashatoahisarightaneck.aTheawoundaisaoveratheamid-
portionaofatheasternocleidomastoid.aThereaisaaalargeahematomaaandabriskableedingawhenau
ncovered.aHeaisastable.aWhataisatheanextastepainamanagement?
A.aGetaanaangiogram
B.aCloseatheawoundainatheaER
C.aTakeahimatoatheaoperatingaroom
D.aCTascanatoaevaluateaneckastructurea-acorrectaanswera✔✔C.aTakeahimatoatheaOR
Afteraabdominalainjury,awhichaofatheafollowingaurinalysisafindingsawouldabeaanaindicationafor
afurtheratesting?
A.a0-5acasts/HPF
B.a5-10aWBC/HPF
C.a10-20aRBC/HPF
D.aGrossahematuriaa-acorrectaanswera✔✔D.aGrossahematuria
Aalacerationaofatheaneckasuperficialatoatheadeepacervicalafasciaaalongatheasternocleidomast
oidamuscleaataitsamidpointawouldacauseableedingafromawhichastructure?a-
acorrectaanswera✔✔Externalajugularavein
Clinicalafeaturesaassociatedawithatensionapneumothoraxa-
acorrectaanswera✔✔Unilateraladecreaseainabreathasounds
Hyperresonance
Respiratoryadistress
Tachycardia
Trachealashift
Desatruation
Decreasedabreathasounds
Decreasedacompliance
Asymmetricachestamovement
NOTahypertension,aaudibleabronchialasounds
Notarecommendedaasaaamodeaofaventilationaforaaapatientawithaaadiaphragmaticahernia
A.aBagaandamask
B.aLMA
C.aEndotrachealaintubation
D.aJetaventilationa-acorrectaanswera✔✔A.aBagaandamask
Whataisatheanextastepainatheaassessmentaofaaatraumaticapatientaafteraairwayaisaestablished?
a-acorrectaanswera✔✔Breathing
Bloodagroupathataisaconsideredaaauniversaladonora-acorrectaanswera✔✔O
Aaprovideraisaexaminingaaapatientawhoasustainedaaasevereatraumaticaheadainjury.aHeadocu
mentsanoaDoll'saeyes.aWhatadoesathisasignify?a-acorrectaanswera✔✔Brainstemainjury
, WhichaofatheafollowingaisathealeastapreferredamethodaofaadministeringaIVafluids?
A.aCubitalaveins
B.aCephalicaveins
C.aSubclavianaveins
D.aSaphenousaveina-acorrectaanswera✔✔Subclavianaveins
Dermatomealevelaforanippleasensation
Dermatomealevelaforaumbilicusa-acorrectaanswera✔✔T4
T10
Atawhichatemperatureawouldaaahypothermicapatientastopashivering?a-
acorrectaanswera✔✔88adegreesaF
Whataisatheaenergyarecommendationaforatheafirstadefibrillationainaanaadulta(*)a-
acorrectaanswera✔✔300aJ
PharmacologicaeffectsaofaMorphinea-acorrectaanswera✔✔Behavioralachanges
Analgesia
Respiratoryadepression
NOTadiarrhea
Aapatientawithawhichaconditionashouldabeatriagedatoareceiveamedicalaattentionafirst?
A.aChoking
B.aDizzinessa
C.aLegacrampa
D.aVomitinga-acorrectaanswera✔✔A.aChoking
Forapediatricapatients,awhatavolumeaofafluidaresuscitationashouldabeagivenainitiallyainatheaset
tingaofashock?
A.a750amLaofasalineauniformlya
B.a1aliteraofasalinea
C.a20amL/kgaofa0.45%aNaClawitha5%aglucosea
D.a10atoa20amL/kgaofaRingersalactatea-
acorrectaanswera✔✔D.a10atoa20amL/kgaofaRingersalactate
Aapatientaisafoundaunconsciousaafteraaafireainahisabedroom.aHeaisafoundatoahaveasevereabur
nsaaroundahisaface.aWhataisatheafirstaaspectaofatreatment?
A.aTetanusatoxoid
B.aCoveratheawounda
C.aAirwaya
D.aObtainabloodaworka-acorrectaanswera✔✔C.aAirway
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 AGRADEPROMASTER. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
80202 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now