ATLS Pretest Questions And Answers

ATLS Pretest Questions And Answers
Question 1: A 22-year-old man is hypotensive and
tachycardic after a shotgun wound to the left shoulder. His
blood pressure is initially 80/40 mm Hg. After initial fluid
resuscitation his blood pressure increases to 122/84 mm Hg.
His heart rate is now 100 beats per minute and his respiratory
rate is 28 breaths per minute. A tube thoracostomy is
performed for decreased left chest breath sounds with the
return of a small amount of blood and no air leak. After chest
tube insertion, the most appropriate next step is:
CORRECT ANSWER: re-examine the chest
Question 2: A construction worker falls two stories from a
building and sustains bilateral calcaneal fractures. In the
emergency department, he is alert, vital signs are normal, and
he is complaining of severe pain in both heels and his lower
back. Lower extremity pulses are strong and there is no other
deformity. The suspected diagnosis is most likely to be
confirmed by:
CORRECT ANSWER: complete spine x-ray series

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