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ATLS PRACTICE QUESTIONS AND ANSWERS
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ATLS PRACTICE QUESTIONS AND ANSWERS
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ATLS PRACTICE QUESTIONS AND ANSWERSAssessed first in trauma patient - Answers -Airway
(*)Degree of burn that is characterized by bone involvement - Answers -Fourth
Complications of head trauma - Answers -Intracerebral hematoma
Extradural hematoma
Brain abscess
Most common cause of laryngotracheal stenosis - Answers -Trauma
Intervention that can help prevent development of acute renal failure - Answers -
Infusion of normal saline
Which of the following is the least preferred method of administering IV fluids?
A. Cubital veins
B. Cephalic veins
C. Subclavian veins
D. Saphenous vein - Answers -Subclavian veins
Dermatome level for nipple sensation
Dermatome level for umbilicus - Answers -T4
T10
At which temperature would a hypothermic patient stop shivering? - Answers -88
degrees F
What is the energy recommendation for the first defibrillation in an adult (*) - Answers -
300 J
Pharmacologic effects of Morphine - Answers -Behavioral changes
Analgesia
Respiratory depression
NOT diarrhea
A patient with which condition should be triaged to receive medical attention first?
A. Choking
B. Dizziness
C. Leg cramp
D. Vomiting - Answers -A. Choking
,For pediatric patients, what volume of fluid resuscitation should be given initially in the
setting of shock?
A. 750 mL of saline uniformly
B. 1 liter of saline
C. 20 mL/kg of 0.45% NaCl with 5% glucose
D. 10 to 20 mL/kg of Ringers lactate - Answers -D. 10 to 20 mL/kg of Ringers lactate
A patient is found unconscious after a fire in his bedroom. He is found to have severe
burns around his face. What is the first aspect of treatment?
A. Tetanus toxoid
B. Cover the wound
C. Airway
D. Obtain blood work - Answers -C. Airway
Basilar skull fracture - Answers -PE: raccoon eyes, battle sign, CSF ottorrhea
(rhinorrhea), loculated pneumoencephalocele
Bone MC involved = Temporal
A patient with von Willebrand disease is bleeding after sustaining a knife wound. Which
of the following is most appropriate for the treatment of this patient?
A. Vitamin K
B. Cryoprecipitate
C. Protamine
D. DDAVP - Answers -D. DDAVP
What is the total body surface area involved in a burn to both lower extremities? -
Answers -36%
Which injury is most common in rear end motor vehicle accidents?
A. Cervical fractures
B. Hypextension-hyperflexion neck injuries
C. Forearm fractures
D. Rotational neck injuries - Answers -B. Hypextension-hyperflexion neck injuries
What is true about an unrestrained pregnant driver?
A. She is at increased risk of placenta previa
B. She is at increased risk of placental abruption
C. At 33 weeks, her fetus is well protected by an amniotic fluid cushion and thus the
pregnancy is not at risk
D. If the mother's vital signs are stable, complications are unlikely - Answers -B. She is
at increased risk of placental abruption
In adults, an aspirated foreign body is most likely to get stuck in the:
A. Left main bronchus
B. Carina
, C. Right main bronchus
D. Esophagus - Answers -C. Right main bronchus
Skin finding characteristic of second-degree burns - Answers -Blisters
Which is true regarding cervical spine fractures?
A. Seen most commonly in elderly females
B. Athletic activities are the most common cause
C. Falls are the most common cause
D. Methylprednisolone should not be used in associated spinal cord injury in the first 48
hours - Answers -D. Methylprednisolone should not be used in associated spinal cord
injury in the first 48 hours
In which patients can an oropharyngeal airway be used? - Answers -Non-gag reflex
If a trauma patient has clear fluid draining from the nose the provider should do which of
the following?
A. Tilt the head back
B. Apply pressure
C. Collect the fluid
D. Insert nasal tampons - Answers -C. Collect the fluid
What is the estimated time a person's brain can be anoxic from cardiopulmonary failure
and not develop permanent brain damage?
A. 10 minutes
B. 5 minutes
C. 2 minutes
D. 20 minutes - Answers -B. 5 minutes
The laryngeal mask airway is contraindicated in patients with what condition?
A. Spine injury
B. Head trauma
C. Giving birth
D. Propensity to aspirate - Answers -D. Propensity to aspirate
A patient sustains blunt trauma to the back and left leg. Vital signs in the emergency
department show temperature 36 degrees C, BP 120/80 mm Hg, heart rate 92,
respirations 19, GCS 15. There is bilateral lower extremity paraplegia, T12 sensory
level, and decreased rectal tone. Hemoglobin is 14.2 and the same in one hour. Which
of the following tests is best for diagnosing an intraperitoneal bleed?
A. Abdominal ultrasound
B. Laparotomy
C. KUB
D. Diagnostic peritoneal lavage - Answers -A. Abdominal ultrasound
Why is tracheostomy generally not performed at the first cartilage ring
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