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ATLS 10 NEWEST 2024 TEST BANK WITH QUESTIONS WITH DETAILED ANSWERS
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ATLS 10 NEWEST 2024 TEST BANK WITH QUESTIONS WITH DETAILED ANSWERS
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ATLS 10 NEWEST 2024 TEST BANKWITH QUESTIONS WITH DETAILED
ANSWERS
In the elderly population, what is decreased
V V V V V V
Vphysiological reserve? - ANSWER-aging is V V V VV V
Vcharacterized by impaired adaptive and V V V V
Vhomeostatic mechanisms that caused an V V V V
Vincreased susceptibility to the stress of injury.
V V V V V V
VInsults tolerated by the younger population can
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Vlead to devastating results in elderly patients.
V V V V V V
Pre-existing conditions that affect morbidity and
V V V V V
mortality include: - ANSWER-cirrhosis,
V V V V
Vcoagulopathy, COPD, ischemic heart disease, DM V V V V V
True or false? Although the mechanism of
V V V V V V
Vinjury may be similar to those for the younger
V V V V V V V V
population, data shows increased mortality with
V V V V V V
similar severity of injury in older adults. -
V V V V V V V V
ANSWER-True
V
What is the most common mechanism of injury in
V V V V V V V V
the elderly? - ANSWER-Fall. Nonfatal falls are
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common in women and fractures are common in
V V V V V V V V
women who fall. Falls are the most common
V V V V V V V V
cause of TBI.
V V V
,In the elderly population, what are risk factors for
V V V V V V V V
Vfalls? - ANSWER-advanced age, physical
V V V V
Vimpairment, history of previous fall, medication
V V V V V
Vuse, dementia, unsteady gait, and visual,
V V V V V
Vcognitive impairment
V
,Most of elderly traffic fatalities occur in the
V V V V V V V
Vdaytime and on weekends and typically involve
V V V V V V
Vother vehicles. Why?
V V
- ANSWER- Older people drive on more familiar
V V V V V V V
Vroads and at lower speeds and tend to drive
V V V V V V V V
Vduring the day. Older people have slower
V V V V V V
Vreaction time, a larger blind spot, limited cervical
V V V V V V V
Vmobility, decreased hearing, and cognitive
V V V V
Vimpairment.
True or False? Mortality associated with small
V V V V V V
to moderate sized burns in older adults
V V V V V V V
remains high - ANSWER-True
V V V V
, Spilled hot liquids on the leg, which in younger
V V V V V V V V
patients may re- epithelialize due to an adequate
V V V V V V V V
number of hair follicles, will result in a full
V V V V V V V V V
thickness burn in older patients. - ANSWER-this is
V V V V V V V V
true
V
Airway-patients may have dentures that may V V V V V
Vloosen or obstruct the airway. If dentures are not
V V V V V V V V
obstructing the airway, leave them in place for
V V V V V V V V
what? - ANSWER-bag mask ventilation, as it
V V V V V V V
improves mask fitting.
V V V
When preforming rapid sequence intubation,
V V V V
the dose of benzos, barbiturates, and other
V V V V V V V
sedatives should be reduced to what percentage
V V V V V V V
to minimize the risk of cardiovascular
V V V V V V
depression? - ANSWER-20-40%
V V V
Functional changes in cardiac system include
V V V V V
Vdeclining function, decreased sensitivity to
V V V V
catecholamines, atherosclerosis of coronary
V V V V
vessels, increased afterload, fixed heart rate (beta
V V V V V V V
blockers) - ANSWER-this results in lack of classic
V V V V V V V V
response to hypovolemia, risk for cardiac ischemia,
V V V V V V V
Velevated BP at baseline, and increased risk of
V V V V V V V
dysrythmias.
V
Functional changes in pulmonary system include
V V V V V
decreased elastic recoil, reduced residual
V V V V V
capacity, decreased gas exchange and
V V V V V
Vdecreased cough reflex - ANSWER-thus they V V V V V
Vare at increased risk for respiratory failure,
V V V V V V
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