ATLS Pretest Questions with Expert Solutions

Complete spine x-ray series A construction worker falls two stories from a building and sustains bilateral calcaneal fractures. In the emergency department, he is alert, vital signs are normal, and he is complaining of severe pain in both heels and his lower back. Lower extremity pulses are strong and there is no other deformity. The suspected diagnosis is most likely to be confirmed by: An ABG would demonstrate a base deficit between -6 and -10 mEq/L A previously healthy, 70-kg (154-pound) man suffers an estimated acute blood loss of 2 liters. Which one of the following statements applies to this patient? Increasing the volume of blood loss to produce maternal hypotension The physiological hypervolemia of pregnancy has clinical significance in the management of the severely injured, gravid woman by: urinary output of 0.5 mL/kg/hr The best assessment of fluid resuscitation of the adult burn patient is: evidence of inadequate organ perfusion The diagnosis of shock MUST include: cerebral vasoconstriction with diminished perfusion For the patient with severe traumatic brain injury, profound hypocarbia should be avoided to prevent: perform an exploratory laparotomy After being involved in a motor vehicle crash, a 25-year-old man is brought to a hospital that has surgery capabilities available.. Computed tomography of the chest and abdomen shows an aortic injury and splenic laceration with free abdominal fluid. His blood pressure falls to 70 mm Hg after CT. The next step is: Leakage of amniotic fluid is an indication for hospital admission Which one of the following statements regarding abdominal trauma in the pregnant patient is TRUE? ascertain the need for a chest tube The first maneuver to improve oxygenation after chest injury is: placement of an occlusive dressing over the wound The most important immediate step in the management of an open pneumothorax is: Breath sounds Which of the following best differentiates cardiac tamponade from tension pneumothorax as the cause of his hypotension? The trachea is relatively short Bronchial intubation of the right or left mainstem bronchus can easily occur during infant endotracheal intubation because: