ATLS EXAM/ 164 Q&A/ Already Graded A+/ . Terms like:
True or false: Arthritis can complicate the airway and cervical spine. Patients can have multilevel degenerative changes affecting disk spaces and posterior elements associated with severe central canal stenosis, cord compression, and myeloma...
ATLS EXAM/ 164 Q&A/ Already Graded A+/
2024-2025.
True or false: Arthritis can complicate the airway and cervical spine. Patients can have multilevel
degenerative changes affecting disk spaces and posterior elements associated with severe
central canal stenosis, cord compression, and myelomalacia - Answer: true
In elderly population, due to their changes in pulmonary system, placing a gauze between gums
and cheek to achieve seal when using bag valve mask ventilation is okay. In addition, because
aging causes a suppressed heart rate response to hypoxia...... - Answer: respiratory failure may
present insidiously in older adults.
Age related changes in the cardiovascular system place the elderly trauma patient at significant
risk for being inaccurately categorized as hemodynamically stable. - Answer: Elderly patients
have a fixed heart rate and fixed cardiac output, thus, their response to hypovolemia will involve
increasing their systemic vascular resistance. Furthermore, since older patients have HTN, an
acceptable BP may truly reflect a hypotensive state. A systolic BP of 110 is to be utilized as the
threshold for identifying hypotension in patients 65 and older.
Page 1 of 30
,Do no equate blood pressure with shock in older patients - Answer: BP in older patients may
look normal due to the medications they are on. Use lactate and base deficit to evaluate for
evidence of shock
what 2 factors place elderly patients at risk for intracranial hemorrhage? - Answer: aging causes
dura to become more adherent to the skull increasing risk of injury and older patients are on
anticoagulant and antiplatelet medications.
Loss of subcutaneous fat, nutritional deficiencies, chronic medical conditions place elderly
patients as risk for hypothermia and complications for immobility. - Answer: Rapid evaluation
and when possible early liberation from spine boards and cervical collars will minimize
complications.
True or False: Fall prevention is the mainstay of reducing the mortality associated with pelvic
fractures. - Answer: true
poor hygiene, dehydration, oral injury, contusions affecting the inner arms, inner thighs, palms,
soles, scalp, ear, nasal bridge and temple injury from being struck while wearing glasses, contact
burns and scalds. These are all signs of.......? - Answer: Elder maltreatment. The presence of
physical findings of maltreatment should prompt a detailed history. if history conflicts with
findings, immediately report findings to authorities.
True of false: early activation of the trauma team may be required for elderly patients who do
not meet traditional criteria for activation - Answer: True. A simple injury such as an open tibia
fracture in a frail elderly patient may become life threatening.
Common mechanisms of injury include falls, MVC, burns, and penetrating injuries - Answer:
common injuries in the elderly include rib fractures, TBI, pelvic fractures
Page 2 of 30
, The best initial treatment for the fetus is to provide optimal resuscitation of the mother. True or
False? - Answer: True. Also if xray examination is indicated during the pregnant patient's
treatment, it should not be withheld because of the pregnancy.
What happens as the uterus enlarged and the bowel is pushed cephalad. - Answer: When the
uterus enlarges it pushes the bowel cephalad and the uterus lies in the upper abdomen. As a
result, the bowel is somewhat protected from blunt abdominal trauma, whereas the uterus and
its contents (fetus and placenta) become more vulnerable. Uterus remains intrapelvic until 12
weeks and then at 20 weeks it is at the umbilicus, and at 34-36 weeks it reaches the costal
margin.
Amniotic fluid can cause amniotic fluid embolism and disseminated intravascular coagulation
following trauma if fluid enters maternal intravascular space. True or False - Answer: True
By the third trimester, what is the complication of trauma to the pelvis of the mother? -
Answer: by the third trimester, the uterus is large and thin walled. In vertex presentation, fetal
head is usually in the pelvis and the remainder of the fetus is exposed above the pelvic brim.
Pelvic fractures in late gestation can result in skull fracture or intracranial injury to the fetus.
Also we can have a placental abruption due to its little elasticity and vulnerability to sheer
forces.
An abrupt decrease in maternal intravascular volume can result in a profound increase in
uterine vascular resistance reducing fetal oxygenation despite reasonably normal maternal vital
signs. - Answer: this is true
Physiological anemia of pregnancy - Answer: A smaller increase in red blood cell volume can
occur resulting in a decreased hematocrit level. Thus, in late pregnancy a hematocrit of 31-33%
is normal.
Page 3 of 30
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Benzo. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $8.99. You're not tied to anything after your purchase.
