ATLS Post Test Questions with Correct Answers Latest Updated 2024 (Advanced trauma life support) Which one of the following statements regarding patients with thoracic spine
injuries is TRUE?
a. Log-rolling may be d estabilizing to fractures from T-12 to L-1.
b. Adequate immobilization can be ac...
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ATLS Post Test Questions with All correct Answers
(Advanced trauma life support)
1. Cardiac tamponade after trauma
a. is seldom life-threatening
b. can be excluded by an upr ight, AP chest x-ray
c. can be confused with a tension pneum othorax
d. causes a fall in systolic pressure of > 15 mm Hg with expiration
e. most common ly occurs after blunt injury to the anterior chest wall
2. Which one of the following statements regarding patients with thoracic spine
injuries is TRUE?
a. Log-rolling may be d estabilizing to fractures from T-12 to L-1.
b. Adequate immobilization can be accomplished with the scoop s tretcher.
c. Spinal cord injury below T-10 usu ally spares bowel and b ladder f unct ion.
d. Hyperflexion fractures in the upper thoracic spine are inherently
unstable.
e. These patients rarely present with spinal shock in association with cord
injury.
3. Absence of breath sounds and du llness to percussion over the l eft hemithorax
are fmdings best explained by
a. Left hemothorax.
b. cardiac contusion
c. left simple pneumothorax
d. left diaphragmatic rupture
e. right tension pneumothorax.
4. A young man sus tains a gunshot wound to the abdomen and is brough t
promptly to the emergency department by pr ehospital personnel. His skin is
cool and d iaphoretic, and he is confused. His pu lse is thready and h is femoral
, pulse is only weakly palpable. The defmitive treatment in managing this
patient is to
a. administer 0-negative blood
b. applyextemal warming devices.
c. Control internal hemorrhage operativ ely
d. apply the pn eumatic antishock garment
e. infuse large volumes of intravenous crystalloid solution.
5. To establish a diagnosis of shock,
a. systolic blood pressure must be below 90 mm Hg.
b. the presence of a closed head injury should be excluded
c. acidosis should be present by arterial blood \gas analysis
d. the patient must fail to respond to in travenous fluid infusion.
e. clinical evidence of inadequate organ perfusion must be present.
6. A 23-year-old man is brought imm ediately to the emergency department from
the hospital' s parking lot where he was shot in the lower abdomen.
Examination reveals a single bullet wound. He is breathing and has a thready
pulse. However, he is unconsc ious and has no d etectable blood pressure.
Optimal imm ediate management is to
a. perform diagnostic peritoneal lavage.
b. in itiate infusion of packed red blood cells.
c. insert a nasogastric tube and ur inary catheter.
d. transfer the patient to the operating room, while initiating fluid
therapy.
e. initiate fluid therapy to return his blood pressure to normo tensive
7. An electrician is electrocuted by a downed power line after a thunderstorm.
He apparently made contact with the wire at the level of the right mid thigh.
In the emergency department, h is vital signs are normal and no dysrhythm ia
is noted on ECG. On examination, there is an exit wound on the bottom of the
right foot. His urine is positive for blood by dip stick but no RBCs are seen
microscopically. Initial management shou ld include
a. immediate angiography.
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