ATLS PRACTICE TEST 70

ATLS PRACTICE TEST 70

REAL QUESTIONS AND CORRECT nswers (100%

VERIFIED ANSWERWERS) |ALREADY GRADED A+

A 23 year old female has won the "Let's-see-who-can-lean-the-farthest-backward-over- the- secondstorybalcony-railing contest. You arrive to find her boyfriend standing over her, holding two beers, as she lies on the grass under the balcony. She opens her eyes to voice, her skin is cool, clammy and ashen, respirations are rapid and shallow, radial pulses are too rapid to count and thready. There is no external bleeding. She has flat neck veins, a normal chest and abdomen and pelvis. Her boyfriend tells you that she has some kind of heart problem but he doesn't know what. Placed on the monitor, she shows a wide-complex tachycardia of about 280. What kind of shock is she suffering?

• Hypovolemic shock
• Relative hypovolemic (high-space) shock
• Mechanical (obstructive) shock
• Cardiogenic shock - ANSWERWER-D. Cardiogenic shock

Which of the following would be the most compelling reason to intubate a patient immediately?

• Snoring respirations
• Gurgling respirations
• Inability to ventilate (achieve chest rise)
• Traumatic arrest - ANSWERWER-C. Inability to ventilate (achieve chest rise)

Which of the following may affect the reliability of a pulse oxymetry reading?

• Cyanide poisoning
• High ambient light
• Carbon monoxide poisoning
• All of the above - ANSWERWER-D. All of the above

Which of the following conditions is your FIRST priority in management of a trauma patient? 1 / 4

• Open the airway and assess for breathing
• Provide ventilator support for your patient
• Control major external bleeding
• Begin chest compressions if pulses are absent - ANSWERWER-C. Control major external bleeding

Not sure why this is the ANSWERwer since we were taught Airway is first but okay...

In the absence of herniation syndrome, adult head injured patients should be:

• ventilated at a rate of 8-10 per minute
• ventilated at a rate of 12-14 per minute
• ventilated at a rate of 16-18 per minute
• ventilated at a rate of 20 per minute - ANSWERWER-A. ventilated at a rate of 8-10 per minute

Tourniquet application should be limited to less than:

• 1 hour
• 2 hours
• 3 hours
• 4 hours - ANSWERWER-B. 2 hours

Hemostatic agents applied directly to the source of bleeding must be used in conjunction with:

• direct pressure to the wound
• tourniquets proximal to the wound
• pressure points to arteries proximal to the wound
• elevation of the wound above the level of the heart - ANSWERWER-A. direct pressure to the wound

Which assessment tool(s) may assist in predicting patient deterioration for someone who otherwise appears stable? 2 / 4

• Serum lactate levels
• Blood sugar levels
• Abdominal ultrasound
• A&C - ANSWERWER-D. A&C

You have a patient with an isolated stab wound to the lateral chest. According to recent studies, which of the following procedures should be avoided?

• Assisting ventilations
• Supplemental oxygen
• Occlusive dressing
• Spinal motion restriction - ANSWERWER-D. Spinal motion restriction

The "Golden Period" begins:

• at the time of injury
• at the time your unit is dispatched
• when your unit arrives on scene
• when your unit leaves the scene for the hospital - ANSWERWER-A. at the time of injury

Pulsus paradoxus is best described by which of the following?

• The radial pulse disappears upon inspiration
• The radial pulse is absent
• The radial pulse is stronger than the carotid pulse
• There are unequal radial pulses - ANSWERWER-A. The radial pulse disappears upon inspiration

You respond to an adult patient who has a respiratory rate of 36 per minute, end tidal carbon dioxide level of 30 mmHg and an oxygen saturation of 80%. You should administer oxygen via:

• Non-rebreather mask at 12 liters per minute 3 / 4

• Nasal cannula at 6 liters per minute
• Venturi mask at 40%
• Bag-valve-mask ventilation with supplemental oxygen - ANSWERWER-D. Bag-valve-mask ventilation

with supplemental oxygen

Which of the following findings would be a reason to interrupt the primary survey?

• Airway obstruction
• Gasping respirations
• Impaled object in abdomen
• Very weak pulse - ANSWERWER-A. Airway obstruction

Changes in which of the following is most useful to follow in the child with head injury?

• Frequency of vomiting
• Level of consciousness
• Reflexes
• Sensory exam - ANSWERWER-B. Level of consciousness

Weakness, fast pulse, and normal blood pressure suggest what condition?

• Compensated hypovolemic shock
• Decompensated neurogenic shock
• Late burn shock
• Late hemorrhagic shock - ANSWERWER-A. Compensated hypovolemic shock

Which one of the following mnemonics can be used to help predict which patients might potentially have difficult bag mask ventilation?

A. MMAP

B. IPPV

• RSI
• / 4