ATLS PRE TEST 1 – 4 QUESTIONS AND CORRECT ANSWERS 320+ QUESTIONS AND ANSWERS| GRADED A

ATLS PRE TEST 1 – 4 QUESTIONS AND CORRECT ANSWERS 320+ QUESTIONS AND ANSWERS|\ GRADED A
Which of the following physical findings suggest a cause of hypotension other than
spinal cord injury?
A. Prispism B.
Bradycardia
C. Diaphragmatic breathing
D. Presence of deep tendon reflexes
E. Ability to flex forearms but not extend them -ANSWER- D. Presence of deep
tendon reflexes. Spinal shock refers to loss of muscle toe (flaccidty) and loss of
reflexes.
The primary indication for transferring A patient to a higher level trauma center is:
A. Unavailibility of surgeon or operating staff
B. Multiple system injuries, including severe head injury
C. Resource limitations as determined by the transferring doctor
D. Resource limitations as determined by the hospital administration
E. Widened mediastinum on chest x-ray following blunt trauma -ANSWER- C.
Resource limitations as determined by the transferring doctor (MÅ SJEKKES)
A young man sustains a rifle wound to the mid-abdomen. He is brought promptly to
the ED by prehospital personnel. His skin is cool and diaphoretic, and his systolic
blood pressure is 58mmHg. Warmed crystalloid fluids are initiated without
improvement in his vital signs. The next, most appropriate, step is to perform:
A. a laparotomy
B. An abdominal CT-scan
C. Diagnostic laparoscopy
D. Abdominal ultrasonography
E. A diagnostic peritoneal lavage -ANSWER- A. Laparotomy because of
hemodynamic abnormality
A 42-year-old man is trapped from the waist down beneath his overturned tractor
for several hours before medical assistance arrives. He is awake and alert until just
before arriving in the ED. He is now unconscious and responds only to painful
stimuli by moaning. His pupils are 3mm in diameter and symmetrically reactive to
light. Prehospital personnel indicate that they have not seen the patient move either
of his lower extremities. On examination in the ED, no movement of his lower

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