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Post-Test-ATLS 2021 GRADED A+ 
 
1.	Which of the following signs is LEAST reliable for diagnosing esophageal intubation? 
a	Symmetrical chest wall movement b 	End tidal CO2 presence by colorimetry c 	Bilateral breath sounds d 	Oxygen saturation >92% e 	ETT above carina on chest x-ray 
2.	Which one of the following signs necessitates a definitive airway in severe trauma patients? a Facial lacerations b Repeated vomiting c Severe maxillofacial fractures d Sternal fracture e GCS score of 12 
...
CSD 212 
Clinical Case Study #3 
I. Mr. Westrich (pages 345-346) 20 pts. 
Mr. Westrich, age 76, reported that he has difficulty understanding his wife and grandchildren when they talk. 
He also has difficulty understanding speakers on television. He suggested that “all newscasters must go to the 
same school of mumbling.” At family gatherings, he relies on his wife to repeat what people have said and 
often gets left out of conversations. He was a pilot in the military for thirty years and e...
Q: 
A 42-year-old man is trapped from the waist down beneath his overtumed tractor for several hours before medical 
assistance arrives. He is awake and alert until just before arriving in the emergency department. He is now 
unconscious and responds only to painful stimuli by moaning. His pupils are 3 mm in diameter and symmetrically 
reactive to light. Prehospital personnel indicate that they have not seen the patient move either of his lower 
extremities. On examination in the emergency depar...
CSD 212 
Clinical Case Study #3 
I. Mr. Westrich (pages 345-346) 20 pts. 
Mr. Westrich, age 76, reported that he has difficulty understanding his wife and grandchildren when they talk. 
He also has difficulty understanding speakers on television. He suggested that “all newscasters must go to the 
same school of mumbling.” At family gatherings, he relies on his wife to repeat what people have said and 
often gets left out of conversations. He was a pilot in the military for thirty years and e...
1. Which of the following signs is LEAST reliable for diagnosing esophageal 
intubation? 
a Symmetrical chest wall movement 
b End tidal CO2 presence by colorimetry 
c Bilateral breath sounds 
d Oxygen saturation >92% 
e ETT above carina on chest x-ray 
2. Which one of the following signs necessitates a definitive airway in severe 
trauma patients? 
a Facial lacerations 
b Repeated vomiting 
c Severe maxillofacial fractures 
d Sternal fracture 
e GCS score of 12 
3. Twenty seven patients are ...
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