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ADVANCED TRAUMA LIFE SUPPORT (ATLS) LATEST
ACTUAL EXAM 3 VERSIONS (VERSION A, B AND C) WITH
150 QUESTIONS EACH AND CORRECT ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+
ADVANCED TRAUMA LIFE SUPPORT VERSION A
A patient with von Willebrand disease is bleeding after sustaining a knife wound. Which of the following is most appropriate for the treatment of this patient?
- Vitamin K
- Cryoprecipitate
- Protamine
D. DDAVP - ANSWER - D. DDAVP
Which injury is most common in rear end motor vehicle accidents?
- Cervical fractures
- Hypertension-hyperflexion neck injuries
- Forearm fractures
- Rotational neck injuries - ANSWER - B. Hypertension-hyperflexion neck
injuries
What is true about an unrestrained pregnant driver?
- She is at increased risk of placenta previa 1 / 4
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- She is at increased risk of placental abruption
- At 33 weeks, her fetus is well protected by an amniotic fluid cushion and
- If the mother's vital signs are stable, complications are unlikely -
thus the pregnancy is not at risk
ANSWER - B. She is at increased risk of placental abruption
In adults, an aspirated foreign body is most likely to get stuck in the:
- Left main bronchus
- Carina
- Right main bronchus
- Esophagus - ANSWER - C. Right main bronchus
If a trauma patient has clear fluid draining from the nose the provider should do which of the following?
- Tilt the head back
- Apply pressure
- Collect the fluid
- Insert nasal tampons - ANSWER - C. Collect the fluid
What is the estimated time a person's brain can be anoxic from cardiopulmonary failure and not develop permanent brain damage?
- 10 minutes
- 5 minutes
- 2 minutes
- 20 minutes - ANSWER - B. 5 minutes
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pg. 3 The laryngeal mask airway is contraindicated in patients with what condition?
- Spine injury
- Head trauma
- Giving birth
- Propensity to aspirate - ANSWER - D. Propensity to aspirate
Laryngeal mask is usually seated over the which structure?
- Tonsils
- Esophagus
- Vallecula
- Pyriform fossa - ANSWER - D. Pyriform fossa
What is the best way to evaluate a cardiac contusion?
- CT scan of the chest
- Echocardiogram
- ECG monitoring x 24 hours
- Cardiac enzymes - ANSWER - C. ECG monitoring x 24 hours
A patient sustains blunt trauma to the back and left leg. Vital signs in the emergency department show temperature 36 degrees C, BP 120/80 mm Hg, heart rate 92, respirations 19, GCS 15. There is bilateral lower extremity paraplegia, T12 sensory level, and decreased rectal tone.Hemoglobin is 14.2 and the same in one hour. Which of the following tests is best for diagnosing an intraperitoneal bleed?
- Abdominal ultrasound
- Laparotomy 3 / 4
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C. KUB
- Diagnostic peritoneal lavage - ANSWER - A. Abdominal ultrasound
Why is tracheostomy generally not performed at the first cartilage ring
- The trachea is too narrow
- A high chance of subglottic stenosis
- A high chance of trachea-innominate artery fistula
- Inability to access the area - ANSWER - B. A high chance of subglottic
stenosis
What does a carotid pulse indicate?
- A functioning pump for blood flow
- The circulating blood volume is reaching end organs
- Diastolic blood pressure
- None of the above - ANSWER - B. The circulating blood volume is
reaching end organs
Which of the following generally causes hemorrhage associated with pelvic fractures?
- Obturator artery injury
- Superior gluteal artery
- Lateral sacral artery injury
- Venous bleeding - ANSWER - D. Venous bleeding
Which of the following injuries is most critical?
- Fractured femur
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