2024 ATLS Practice Exam New Latest Version Best Last-Minute Studying Material with All Questions and 100% Correct Answers
2024 ATLS Practice Exam New Latest Version
Best Last-Minute Studying Material with All
Questions and 100% Correct Answers
The best assessment of fluid resuscitation of the adult burn patient is:
Select one:
a.
Urine output of 0.5 mL/kg/hr
b.
normalization of blood pressure
c.
normalization of the heart rate
d.
measuring a normal central venous pressure
e.
providing 4 mL/kg/percent body burn/24 hours of crystalloid fluid ——– Correct Answer
——— a.
Urine output of 0.5 mL/kg/hr
The diagnosis of shock must include:
Select one:
a.
hypoxemia
b.
acidosis
c.
hypotension
d.
increased vascular resistance
e.
evidence of inadequate organ perfusion ——– Correct Answer ——— e.
evidence of inadequate organ perfusion
What is DEFINITIVE airway? ——— Correct Answer ——– Tube in trachea BELOW
vocal cords
WHEN is surgical airway indicated? ——— Correct Answer ——– When you CANNOT
do any other form of airway (2 attempts typically)
What is contraindicated with suspicion of basilar skull frx? ——— Correct Answer ——–
OPA, put in gastric tube for suction because it can go through up into cranium thru
cribiform plate
Peds kid with bicycle trauma is most likely goin to be? ——— Correct Answer ——–
PANCREATIC injury
A 7-year-old boy is brought to the emergency department by his parents several
minutes after he fell through a window. He is bleeding profusely from a 6-cm wound of
his medial right thigh. Immediate management of the wound should consist of:
Select one:
a.
application of a tourniquet
b.
direct pressure on the wound
c.
packing the wound with gauze
d.
direct pressure on the femoral artery at the groin
e.
debridement of devitalized tissue ——– Correct Answer ——— b.
direct pressure on the wound
For the patient with severe traumatic brain injury, profound hypocarbia should be
avoided to prevent:
Select one:
a.
respiratory acidosis
b.
metabolic acidosis
c.
cerebral vasoconstriction with diminished perfusion
d.
neurogenic pulmonary edema
e.
shift of the oxyhemoglobin dissociation curve ——– Correct Answer ——— c.
cerebral vasoconstriction with diminished perfusion
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:
Select one:
a.
obtain contrast angiography
b.
transfer to a higher level trauma center
c.
perform an exploratory laparotomy
d.
infuse additional crystalloid fluids
e.
Obtain transesophageal echocardiography ——– Correct Answer ——— c.
perform an exploratory laparotomy
Which one of the following statements regarding abdominal trauma in the pregnant
patient is TRUE?
Select one:
a.
The fetus is in jeopardy only with major maternal abdominal trauma.
b.
Leakage of amniotic fluid is an indication for hospital admission.
c.
Indications for peritoneal lavage are different from those in the nonpregnant patient.
d.
With penetrating trauma, injury to the mother’s abdominal hollow viscus is more
common in late than in early pregnancy.
e.
The secondary survey follows a different pattern from that of the nonpregnant patient. —
—— Correct Answer ——— b.
Leakage of amniotic fluid is an indication for hospital admission.
The first maneuver to improve oxygenation after chest injury is to:
Select one:
a.
intubate the patient
b.
assess arterial blood gases
c.
administer supplemental oxygen
d.
ascertain the need for a chest tube
e.
obtain a chest x-ray ——– Correct Answer ——— c.
administer supplemental oxygen
A 25-year-old man, injured in a motor vehicular crash, is admitted to the emergency
department. His pupils react sluggishly and his eyes open to pressure. He does not
follow commands, but he does moan periodically. His right arm is deformed and does
not respond to pressure; however, his left hand reaches purposefully toward the
stimulus. Both legs are stiffly extended. His GCS score is:
Select one:
a: 2
b: 4
c: 6
d: 9
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