Actual Questions and Answers
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This Exam contains:
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Multiple-Choice (A–D), For Each Question.
Each Question Includes The Correct Answer
Rationale That Aligns with Atls Post Test ' '( Principles.
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) A ''-year-old man is hypotensive and tachycardic after a shotgun
wound to the left shoulder. After initial fluid resuscitation and chest
tube insertion for diminished left breath sounds (with minimal blood
drainage, no air leak), his BP has improved to ''/23 mm Hg and HR
is beats/min. The next best step in management is:
A. Re-examine the chest
B. Obtain an aortogram
C. Obtain a CT scan of the chest
D. Obtain arterial blood gas analyses
Answer: A (Re-examine the chest)
Rationale: After placing a chest tube, the immediate step is to
reassess tube position, breath sounds, and any ongoing issue in the
chest to ensure no new or missed findings.
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') A construction worker falls two stories and sustains bilateral
calcaneal fractures. He complains of severe heel and lower back pain;
, vital signs are normal, and distal pulses are intact. The most likely
associated injury is best confirmed by:
A. Angiography
B. Measurement of compartment pressures
C. Retrograde urethrogram
D. Complete spine x-ray series
Answer: D (Complete spine x-ray series)
Rationale: Bilateral calcaneal (heel) fractures often correlate with
lumbar spine compression fractures. A full spine x-ray series is
indicated to evaluate potential vertebral injuries.
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;) Which statement is TRUE regarding the initial fluid resuscitation of
a trauma patient?
A. In a hypotensive patient with a torso gunshot wound, infuse
crystalloids until blood pressure fully normalizes.
B. Improvement in the Glasgow Coma Scale (GCS) score can indicate
improved end-organ perfusion.
C. Massive transfusion is defined as > units of packed red blood cells
given over '3 hours.