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ATLS TEST REAL EXAM QUESTIONS WITH 100% CORRECT ANSWERS LATEST UPDATE 2024 /2025 |RATED A
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ATLS TEST REAL EXAMQUESTIONS WITH 100%
CORRECT ANSWERS LATEST
UPDATE 2024 /2025 |RATED A
A 22-year-old man is hypotensive and tachycardic a5er a shotgun wound to the
le5 shoulder. His blood pressure is ini<ally 80/40 mm Hg. A5er ini<al fluid
resuscita<on 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 le5 chest breath sounds with
the return of a small amount of blood and no air leak. A5er chest tube
inser<on, 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
A) Reexamine the chest
A construc<on worker falls two stories from a building and sustains bilateral
calcaneal fractures. In the emergency department, he is alert, vital signs are
,normal, and he is complaining of severe pain in both heels and his lower back.
Lower extremity pulses are strong and there is no other deformity. The
suspected diagnosis is most likely to be confirmed by:
Select one:
a.
Angiography
b.
Compartment pressures
c.
Retrograde urethrogram
d.
Doppler ultrasound studies
e.
Complete spine x-ray series
E) Complete spine x-ray series
Which of the following is true regarding the ini<al resuscita<on of a trauma
pa<ent?
Select one:
a.
A pa<ent that presents with a torso gunshot wound and is hypotensive should
receive crystalloid fluid resuscita<on un<l the blood pressure is normal
b.
Evidence of improved perfusion a5er fluid resuscita<on could include
improvement in Glasgow coma scale score on reevalua<on
c.
Massive transfusion is defined as transfusion of more than >10 of packed red
blood cells and plasma in 24 hours
,d.
When tranexamic acid is administered by pre-hospital providers a second dose
is required within 24 hours
e.
Fluid resuscita<on is far more important than bleeding control in trauma
pa<ents
B.
Evidence of improved perfusion a5er fluid resuscita<on could include
improvement in Glasgow coma scale score on reevalua<on
In managing a pa<ent with a severe trauma<c brain injury, the most important
ini<al step is to:
Select one:
a.
Secure the airway
b.
Obtain a c-spine film
c.
Support the circula<on
d.
Control scalp hemorrhage
e.
Determine the GCS score
Feedback
Your answer is corr
A.
Secure the airway
, A previously healthy, 70-kg (154-pound) man suffers an es<mated acute blood
loss of 2 liters.
Which one of the following statements applies to this pa<ent?
Select one:
a.
His pulse pressure will be widened.
B.
His urinary output will be at the lower limits of normal.
C.
He will have tachycardia, but no change in his systolic blood pressure.
D.
An ABG would demonstrate a base deficit between -6 and -10 meq/L
e.
His systolic blood pressure will be maintained with an elevated diastolic
pressure.
D.
An ABG would demonstrate a base deficit between -6 and -10 meq/L
The physiologic hypervolemia of pregnancy has clinical significance in the
management of the severely injured, gravid woman by:
Select one:
a.
Reducing the need for blood transfusion
b.
Resul<ng in an elevated hematocrit
c.
Complica<ng the management of closed head injury
d.
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