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Advanced Trauma Life Support Keys Exam Questions And Answers
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Advanced Trauma Life Support Keys Exam QuestionsAnd Answers 2024-2025
Patients with GSC of less than _____ usually require intubation - Answer 8
The "A" in ABCD stands for ______. - Answer Airway maintenance with Cervical SPINE
protection
You should assume that any patient in a multisystem trauma with an altered level of
consciousness or blunt injury above the clavice has what type of injury - Answer Cervical
Spine Injury
Flail chest is invariably accompanied by _______ which can interfere with blood
oxygenation - Answer pulmonary contusion - do NOT over fluid resuscitate these
patients.
Hypotension is caused by ______ until proven otherwise. - Answer hypovolemia
When you dont have a BP what are three things to look for when evaluating perfusion? -
Answer 1. level of consciousness (brain perfusion
2. Skin color (ashen face/grey extremities)
3. Pulse (bilateral femoral - thready/tachy)
Elderly patients have a limited ability to ___________ to compensate for blood loss -
Answer increase heart rate
Resuscitation fluids should be warmed to 39 Celsius - Answer Only for Cyrstalloids, NOT
for blood
,Urinary catheters are good for assessing renal perfusion and volume status. List 5 signs
of urethral injury that might precent you from inserting one - Answer Blood at urethral
meatus, perineal ecchymosis, blood in scrotum, high-riding/non-palpable prostate, pelvic
fracture
Which arm should you NOT put a pulse-ox on? - Answer The arm with the BP cuff
2 anatomical things that can interfere - Answer Obesity and intraluminal bowel gas
When should radiographs be obtained? - Answer During the Secondary survey!
How do get an ample patient history? - Answer Allergies
Medications
PMH/Pregnancy
Last meal
Events/Environment
Why might you want a Bair Hugger for a patient who smells of Alcohol? - Answer
Vasodilation can lead to hypothermia
What things are you looking for when you do a DRE in trauma - Answer Blood, high riding
prostate, sphincter tone,
What should be done for every female patient - Answer Pregnancy test
Adult patients should maintain UOP of at least _____mL/kg/hr. Kids should have at least
______ mL/kg/hr - Answer Adults 0.5 mL/kg.hr
Kids 1.0 mL/kg/hr
, Preventing hypercarbia (hypercapnia) is critical in patients who have sustained a _______
injury - Answer head
What two places would you LOOK at a patient if you suspect hypoxemia? - Answer Lips
and fingernail beds
Patients may be abusive and belligerent because of ______-, so don't just assume its due
to drugs, alcohol, or the fact they they are just inherently a jerk - Answer hypoxia
Can a patient breath on their own after complete cervical cord transection - Answer Yes if
the phrenic nerves (C3-C5 are spared. This will result in 'abdominal' breathing. The
intercostal muscles will be paralyzed though
Can you use an OPA (Guedel) in a conscious patient - Answer No, it could make them
vomit. An NPA (trumpet) would be okay.
Bougies are typically inserted blindly, how do you know you are in the trachea and not
the esophagus? - Answer You can feel the clicks as the distal tip rubs against the
cartilaginous tracheal rings, or it will deviate right or left when entering either bronchus
(at 50 cm)
What do yo NOT want to hear if you auscultate a patient after placement of an ET tube? -
Answer Borborygmi - rumbling or gurgling noices suggest esophageal insertion.
What is the RSI dose for etomidate - Answer 0.3 mg/kg (usually 20 mg)
What is the RSI dose for succinylcholine - Answer 1-2 mg/kg (usually 100 mg)
How does etomidate affect blood pressure - Answer it doesnt -it shouldnt have any effect
on BP. Ketamine will increase BP, and propofol and thiopental will both drop BP.
A RSI dose of succinylcholine usually lasts about ___ minutes - Answer 5
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