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ATLSTest1Questions&Answers 1.shoulder.Hisbloodpressureisinitially80/40mmHg.Afterinitialfluidresuscitationhis bloodpressureincreasesto122/84mmHg.Hisheartrateisnow100beatsperminute andhisrespiratoryrateis28breathsperminute.Atubethoracostomyisperformedfor decreasedleftchestbreathsoundswiththereturnofasmallamountofbloodandnoair
leak.Afterchesttubeinsertion,themostappropriatenextstepis:
Selectone:
a.reexaminethechestb.performanaortogramc.obtainaCTscanofthechestd.obtainarterialbloodgasanalysese.performtransesophagealechocardiography:Answer ATLS Test 1.pdffile:///C:/Users/HP/Desktop/New%20folder%20(4)/ATLS%20Test%201.pdf
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2.fractures.Intheemergencydepartment,heisalert,vitalsignsarenormal,andheis complainingofseverepaininbothheelsandhislowerback.Lowerextremitypulsesare strongandthereisnootherdeformity.Thesuspecteddiagnosisismostlikelytobe
confirmedby:
Selectone:
a.angiography b.compartmentpressuresc.retrogradeurethrogramd.Dopplerultrasoundstudiese.
completespinex-rayseries:Answer
3.
Selectone:
a.Apatientthatpresentswithatorsogunshotwoundandishypotensiveshould ATLS Test 1.pdffile:///C:/Users/HP/Desktop/New%20folder%20(4)/ATLS%20Test%201.pdf
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receivecrystalloidfluidresuscitationuntilthebloodpressureisnormalb.Evidenceofimprovedperfusionafterfluidresuscitationcouldincludeim-provementin Glasgowcomascalescoreonreevaluation c.Massivetransfusionisdefinedastransfusionofmorethan>10ofpackedredbloodcells andplasmain24hours d.Whentranexamicacidisadministeredbypre-hospitalprovidersaseconddoseisrequired within24hours e.
Fluidresuscitationisfarmoreimportantthanbleedingcontrolintraumapatients:
b.EvidenceofimprovedperfusionafterfluidresuscitationcouldincludeimprovementinGlasgow comascalescoreonreevaluation 4.stepisto: ATLS Test 1.pdffile:///C:/Users/HP/Desktop/New%20folder%20(4)/ATLS%20Test%201.pdf
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Selectone:
a.Securetheairwayb.obtainac-spinefilmc.supportthecirculationd.controlscalphemorrhagee.determinetheGCSscoreFeedback
Youransweriscorr:Answer
a.Securetheairway 5.of2liters.
Whichoneofthefollowingstatementsappliestothispatient?Selectone:
a.Hispulsepressurewillbewidened.b.Hisurinaryoutputwillbeatthelowerlimitsofnormal. ATLS Test 1.pdffile:///C:/Users/HP/Desktop/New%20folder%20(4)/ATLS%20Test%201.pdf
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