ATLS TEST 1 LATEST EXAM - ADVANCED TRAUMA LIFE SUPPORT TEST 1 QUESTIONS AND ANSWERS
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Course
ATLS
Institution
ATLS
ATLS TEST 1 LATEST EXAM - ADVANCED TRAUMA LIFE SUPPORT TEST 1 QUESTIONS AND ANSWERS
What do you need to do if someones Glasgow coma scale rating is under 8 --
ANSWER- intubate with endotracheal tube
Ratings of "Eye opening" on GCS --ANSWER- 4- spontaneous
3- to voice
2- to pain
1- none
...
ATLS TEST 1 LATEST EXAM 2024-2025 -
ADVANCED TRAUMA LIFE SUPPORT TEST 1
QUESTIONS AND ANSWERS
What do you need to do if someones Glasgow coma scale rating is under 8 --
ANSWER- intubate with endotracheal tube
Ratings of "Eye opening" on GCS --ANSWER-
4- spontaneous
3- to voice
2- to pain
1- none
Ratings of "verbal response" on GCS
--ANSWER
- 5- normal
4- disoriented/confused
3- words, not coherent
2- no words, but sounds yes
1- nothing
Ratings of "motor response" on GCS --ANSWER- 6- normal
5- localizes to pain
4- withdraws to pain
3- Decorticate flexion posture(Upper brain stem)
2- Decerebrate extension -posture (lower brain stem)
1- flaccid, none
What is the secondary survey and when do you do it? --ANSWER- Head to toe
survey with neurologic exam, performed after the primary survey
What initial xrays do you get in the ER --ANSWER- Lateral, Cspine, AP CXR,
and AP pelvis
What definitive care in the ER can be both diagnostic and therapeutic --
ANSWER- exploratory laparoscopy
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 --ANSWER- A) Reexamine the chest
What is the Golden hour --ANSWER- refers to the first hour after an injury until
definitive care at the Trauma Center
50% of mortality immediately after injury, within the first hour. Most trauma
deaths occur immediately at scene and within the GOLDEN HOUR
How much time, in reality, do you have of the golden hour once a pt hits the
ED door --ANSWER- about 30 minutes, called platinum half hour
When someone has trauma, but they die later from it (within days to weeks)
what is it typically due to? --ANSWER- hemorrhagic shock- most common
Hypovolemic shock
What is the mneumonic for Hand-off to trauma team? --ANSWER- MIST
Mechanism of injury- need high index of suspicion for dx after getting MOI
Injuries found and suspected
Symptoms and signs
Treatment: Usually treat before definitive dx via tests!
Objectives of the Advanced Trauma Life Support (ATLS) --ANSWER-
1. initial evaluation of the trauma pt
2. Identify life threatening injuries and initiate tx
3. Stabilize the trauma pt
, What is the mnemonic for history taking –
ANSWER- "SAMPLE"
Signs/Sx
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