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ATLS 10 Post-Test Exam With Bests Explained Questions and Answers

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ATLS 10 Post-Test Exam With Bests Explained Questions and Answers. Real Exam 1. A 24-year-old male pedestrian, struck by an automobile, is admitted to the emergency department 1 hour after injury. His blood pressure is 80/60 mmHg, heart rate 140 beats per minute and respira...

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  • August 16, 2023
  • 11
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

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ATLS 10 Post-Test Exam With Bests Explained Questions and Answers. Real Exam 1. A 24-year-old male pedestrian, struck by an automobile, is admitted to the emergency department 1 hour after injury. His blood pressure is 80/60 mmHg, heart rate 140 beats per minute and respiratory rate is 36 per minute. He is lethargic. Oxygen is delivered via face mask, and two large-caliber IVs are initiated. Arterial blood gases are obtain ed. His PaO2 is 118 mmHg (15.7 kPa), PaCO2 is 30 mmHg (4.0 kPa), and pH is7.21. The treatment of his acid-base disord er is best accomplished by: a. Hyperventilation b. Restoration of norm al perfusion c. Initiation of low-dose dopamine d. Admin istration of sodium bicarbon ate e. Initiation of phenylepinephrine infusion 2. The highest priority in managing a patient whose injuries include closed extremity fractures is: a. Assesing limb perfusion b. Preventing necrosis of the skin c. Decompr essing compa rtment syndrome d. Addressing respiratory insuf ficiency d. Identifying crush syndrome 3. A 34 -year-old female is involved in a motor vehicle crash is bro ught to the emergency department. She is talking, but her voice is ho arse and on exposure she has diagonal bruising of the chest and anterior neck. What is the next step? a. Direct laryngoscopy to exclude laryngeal trauma b. Oxygen by non-rebreathing mask c. Protecting the spine by making her lie down d. Palpation of the anterior neck e. Attaching a pulse oximeter to her finger 4. A 30 -year-old male sust ains a gunshot wound to the right lower chest, midway between the nipple and the costal m argin. He is brou ght by ambulance to a hospital that h as full sur gical capabilities. In the emergency department he is endotracheally intubated, fluid resuscita tion is initiated th rough two large-
caliber IV lines, and a closed tube tho racostomy is performed, with the return of 200 ml of blood. A chest x- ray reveals correct placement of the chest tube and a small r esidual h emothorax. His blodd pressure is now 70/0 mmHg, and his heart rate is 140 beats per minute. His hypotension is most likely due to: a. Tension pneumothorax b. Massive hemothorax c. Pericardial tampon ade d. Intraabdom inal bleeding e. Insufficient isotonic crystalloid infusion 5. A 20-year-old athlete is involved in a motorcycle crash after having ridd en for hours on a very hot d ay. When he arrives in the emergency department, he shouts that he cannot move his legs. On physical examination, there are no abnorm alities of the chest, abdomen, or pelvis. The patient has no sensation in h is legs and cannot move them, but h is arms are moving. The patient’s r espiratory rate is 22, heart rate is 88, and blood p ressure is 80/60 mmHg. He is pale and sw eaty. What is the most likely cause of his hypotension? a. Neurogenic shock b. Cardiac tampo nade c. Myocardial contusion d. Hyperthermia e. Hemorrhagic shock 6. Comap red with adults, children have: a. A longe r, wider, funnel-shaped airway b. A less pliable, calcified skeleton c. Greater mobility of mediastinal structures d. A relative ly smaller head and larger jaw e. Anterior displacement of C5 on C6 7. Which one of the findings below requires a definitive airway in trauma patients? a. Facial lacerations b. Repeated vomiting c. Partial thickness facial burns, cough, and hoarseness d. Sternal fracture e. Glascow Coma Scale score of 12

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