FREE SURGERY AND STUDY GAMES ABOUT ATLS

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FREE SURGERY AND STUDY GAMES ABOUT ATLS

CHAPTERS 1-3 EXAM QUESTIONS

Actual Qs and Ans Expert-Verified Explanation

This Exam contains:

-Guarantee passing score -77 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation Question 1: A Class ___ Hemorrhage represents the smallest volume of blood loss that is consistently associated wiht a drop in systolic blood pressure.

Answer:

III

Question 2: What is the RSI dose for sux?

Answer:

1-2 mg/kg (usually 100 mg) Question 3: "Transient responders" are associated with Class ___ Hemorrhage.

Answer:

II or III

Question 4: Hypotension is caused by _____ until proven otherwise.

Answer:

hypovolemia

Question 5: Immediate thoracic decompression is warranted for anyone with absent breath sounds, hyperresonance to percussion, tracheal deviation, ____, and ____.

Answer:

Acute respiratory distress & subcutaneous emphysema

Question 6: What size LMA do you use for kid, woman/small man, large woman/man?

Answer:

Kid: 3, Woman/small man: 4, Large woman/man: 5 (C3,4,5 keep the diaphragm alive)

Question 7: When should radiographs be obtained?

Answer:

During the SECONDARY survey.

Question 8: How do you treat a Class I Hemorrhage?

Answer:

You don't (usually). Transcapillary refill and other compensatory mechanisms usually restore blood volume within 24 hours.

Question 9: What is the RSI dose for etomidate?

Answer:

0.3 mg/kg (usually 20 mg) Question 10: Elderly patients have a limited ability to ______ to compensate for blood loss.

Answer:

increase heart rate

Question 11: What should you do for every female patient?

Answer:

Pregnancy test (females of childbearing age) Question 12: Adult patients should maintain UOP of at least ___ mL/kg/hr. Kids should have at least ___ mL/kg/hr.

Answer:

Adults 0.5 mL/kg/hr, Kids 1.0 ml/kg/hr

Question 13: How do you get an ample patient history?

Answer:

A=Allergies, M=Medications, P=PMH/Pregnancy, L=Last meal, E=Events/Environment of injury

Question 14: For children UNDER 1 year of age, UOP should be ___ mL/kg/hr.

Answer:

2 Question 15: You should assume that any patient in a multisystem trauma with an altered level of consciousness or blunt injury above the clavicle has what type of injury?

Answer:

Cervical spine injury Question 16: Unexplained hypotension or cardiac dysrhythmias (usually bradycardia from excessive vagal stimulation) are often caused by ______, especially in children.

Answer:

gastric distention Question 17: Loss of more than ___% of blood volume results in loss of consciousness.

Answer:

50

Question 18: How do you calculate total blood volume in an child?

Answer:

Body weight in kg x 80-90 mL Question 19: Patients with a tension pneumo and patients with cardiac tamponade may present with many of the same signs. What findings will you see with a tension pneumo that you will NOT see with tamponade?

Answer:

Absent breath sounds and hyperresonance to percussion over the affected hemithorax.

Question 20: What size cuffed endotracheal tube do you use for an emergency

cricothyroidotomy?

Answer:

• or 6

Question 21: What hypnotic/sedative/induction agent do you NOT want to use for a severely burned patient?

Answer:

SUX - patients with severe burns, crush injuries, hyperkalemia, or chronic paralytic/neuromuscular diseases should NOT get sux because of hyperkalemia risk.Question 22: Preventing hypercarbia is critical in patients who have sustained a _____ injury.

Answer:

head Question 23: Patients may be abusive and belligerent because of _____, so don't just assume it's due to drugs, alcohol, or the fact that they are just inherently a jerk.

Answer:

hypoxia Question 24: What two places would you LOOK at a patient if you suspect hypoxemia?

Answer:

Lips and fingernail beds Question 25: Resuscitation fluids should be warmed 39 degrees Celsius (102.2 F). Can you use a microwave to do this?

Answer:

YES - for CRYSTALLOID ONLY (but NOT for blood products).Question 26: Shock is defined as an abnormality of the circulatory system that results in inadequate organ perfusion and tissue oxygenation. What are the 4 different types?

Answer:

Neurogenic, cardiogenic, hypovolemic, septic

Question 27: How do you treat a Class II Hemorrhage?

Answer:

Usually just crystalloid resuscitation