ATLS (Advanced Trauma Life Support)
Pretest + All Modules Complete Mock
Exam [100% correctly Solved] Graded
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What is the most important priority in managing a patient with suspected spinal injury?
Maintain spinal immobilization and protect the airway.
Spinal immobilization ensures no f...
ATLS (Advanced Trauma Life Support)
Pretest + All Modules Complete Mock
Exam [100% correctly Solved] Graded
A+
What is the most important priority in managing a patient with suspected spinal injury?
Maintain spinal immobilization and protect the airway.
Spinal immobilization ensures no further injury occurs while other critical interventions are
performed.
A 25-year-old patient arrives after a motor vehicle collision with decreased breath sounds on one
side, hypotension, and tracheal deviation. What is your immediate management?
Perform needle decompression followed by chest tube placement.
These signs indicate tension pneumothorax, requiring immediate decompression.
What is the most common cause of preventable death in trauma patients?
Uncontrolled hemorrhage.
Hemorrhage is the leading cause of preventable death, which can be managed with rapid
intervention.
How should a patient with a penetrating abdominal injury and hemodynamic instability be
managed?
Immediate laparotomy.
1
,Hemodynamically unstable patients with penetrating abdominal trauma require surgical
exploration.
A trauma patient presents with a pelvic fracture and hypotension. What is your initial
intervention?
Apply a pelvic binder to stabilize the fracture and control bleeding.
A pelvic binder helps reduce bleeding from a fractured pelvis and stabilize the injury.
What is the primary goal in the management of a trauma patient with an altered level of
consciousness?
Secure the airway to protect against aspiration and ensure oxygenation.
An altered level of consciousness can compromise the airway, necessitating early intervention.
What is the treatment for flail chest in a trauma patient?
Pain management, oxygen therapy, and sometimes mechanical ventilation.
Flail chest compromises breathing, so proper oxygenation and pain control are crucial.
What clinical signs indicate the presence of a cardiac tamponade in a trauma patient?
Hypotension, jugular venous distension, and muffled heart sounds.
These are the key signs of cardiac tamponade, also known as Beck’s triad.
How is pericardial tamponade confirmed in a trauma setting?
Using ultrasound (FAST exam) to detect pericardial fluid.
2
, The FAST exam is a quick, non-invasive way to identify pericardial fluid accumulation.
What is the first-line treatment for massive hemothorax in trauma patients?
Insertion of a large-bore chest tube.
A chest tube helps evacuate the blood and allows the lung to re-expand.
How do you manage a trauma patient with a confirmed open pneumothorax?
Place a sterile occlusive dressing over the wound and insert a chest tube.
The occlusive dressing prevents more air from entering the pleural space, while the chest tube
drains the trapped air.
In blunt abdominal trauma, what is the most commonly injured solid organ?
The spleen.
The spleen is frequently injured in blunt trauma, particularly from motor vehicle collisions.
What is the definitive treatment for a trauma patient with pericardial tamponade?
Pericardiocentesis or emergency thoracotomy to relieve pressure on the heart.
These procedures drain the fluid around the heart, preventing cardiac arrest.
What signs would indicate the presence of a basilar skull fracture in a trauma patient?
Battle's sign (bruising behind the ears) and raccoon eyes (periorbital bruising).
These are classic signs of a fracture at the base of the skull.
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