ATLS EXAM QUESTIONS - -Guaranteed passing score -39 Questions and Ans...

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ATLS EXAM QUESTIONS

Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -39 Questions and Answers

-Format: Multiple-choice / Flashcard

Question 1: Which one of the following statements regarding patients with genitourinary trauma is true?

• Hematuria is present in all patients with significant genitourniary injury
• injuries to the urethra are more common in females than in males
• evaluation of injuries to the urethra always require a CT scan
• blunt renal injuries should always have surgical intervention
• hypotension can be caused by renal injury

Answer:

• hypotension can be caused by renal injury

Question 2: A 6 month old infant, being held in her mothers arms, is ejected on impact from a vehicle that is struck head on by an oncoming car traveling at 64kph. The infant arrives in the ED with multiple facial injuries, is lethargic, and is in severe respiratoy distress. Respiratory support is not effective using a bag mask device, and her oxygen saturation is falling. Repeated attempts at orotracheal intubation are unsuccessful. the most appropriate procedure to perform

next is:

A.Administer heliox and racemic epinephrine

• Perform nasotracheal intubation

C.Perform surgical cricothyroidotomy D.Repeat orotracheal intubation

• Perform needle cricothyroidotomy with jet insufflation

Answer:

• Perform needle cricothyroidotomy with jet insufflation

Question 3: A 15 year old is brought to the ED after being involved in a MVA. He was intubated by emergency medical personnal with subsequent bilateral breath sounds per their report. Upon arrival to the ED the patients O2 saat is 92%, heart 96, and blood pressure 150/85. Breath sounds are decreased in the left side of the thorax. The next step is

• immediate needle cricothyroidotomy
• immediate needle thoracentesis
• chest tube insertion
• reassess the position of the endotracheal tube
• obtain a chest CT

Answer:

• reassess the position of the endotracheal tube

Question 4: Initial treatment of frostbite injuries involve

• application of dry heat
• rapid rewarming of body part
• debridement of hemorrhagic blisters
• early amputation to prevent septic complications
• application of bulk dressing to rewarm the part

Answer:

• rapid rewarming of body part

Question 5: A 22 yo male is brought to the ED after being assaulted in a bar. On intial exam, his vital signs are normal and his Glasgow Coma scale is V5E4M6. A definite indication for a head CT is

• prescence of hemotympanum

• complains of headache
• prescense of 10cm scapl laceration
• prescence of mandibular fracture
• history of assault

Answer:

• prescence of hemotympanum

Question 6: A 28 year olf male is brought to the ED. He was involved in a fight, during which he was beaten with a wooden stick. His chest shows multiple severe bruises. His arway is clear, resp rate is 22, hear rate 126, and systolic blood pressure is 90 mmHG. Which of the following should be performed during the primary survey

• glasgow coma
• tetanus status
• cervical spine xray
• blood alcohol level
• rectal exam

Answer:

• glasgow coma

Question 7: A 30 year old male is brought toe the hospital after falling 6 meters. Inspection reveals an obvious flail chest on the right. Breath sounds on the right are slightly increased.Twelve hours later, the patient is in severe respiratory distress. Arterial blood gas obtained while the patient recieves oxygen by face mask are: pH of 7,47, PaO2 of 45mmHg (6Kpa), PaCO2 of 28mmHg (3,7 Kpa). The component of injury that most likely responsible for abnormalities in

this patients blood gas is:

• pain
• hypovolemia
• PTX
• pulmonary contusion
• chest wall instability

Answer:

• pulmonary contusion

Question 8: A 22 year old male present following a motorcycle crash. He complains of the inability to move his legs. His BP is 80/50, HR 70, RR 18 and GCS 15. Oxygen saturation is 99% on 21 nasal prongs. Chest x-ray, pelvic x-ray and FAST are normal. Extremities are normal. His

management should be:

A: 1L of iv . crystalloid and two units of pRBCs

• 1L of iv. crystalloid, mannitol and iv steroids
• 1 unit of albumin and compression stockings
• Vasopressors and laparotomy
• 1 L of cystalloid and vasopressors if blood pressure does not respond

Answer:

• 1 L of cystalloid and vasopressors if blood pressure does not respond

Question 9: A 15 year old male present following a motorcycle crash. INitial examinations reveals normal vital signs. There is a large bruise over his epigastrium that extends to the left flank. He has no other apparent injuries. A CT-scan of the abdomen demonstrate a ruptured spleen surrounded by a large hematoma and fluid in the pelvis. The next step in the patients

management is:

• Splenic artery embolization
• Pneumococcal vaccine
• Urgent laparotomy
• Surgical consult
• Transfer to a pediatrician

Answer:

• Surgical consult

Question 10: a 28 year old man is brought in after a MVA. His airway is patent and breath sounds are equal. His GCS is E1V2M1. His BP is 146/82; HR is ... . The decision is made to secure his airway. Which of the following is a definitive airway

• LMA