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ATLS (Advanced Trauma Life Support) 10th Edition Post-Test (4 Latest versions) Includes Accurate And Verified Questions From The Actual Post-Course Exam. Content Covers Primary And Secondary Surveys, Airway Management, Shock And Resuscitation, Head And Spinal Trauma, Thoracic And Abdominal Injuries, Musculoskeletal Trauma, And Trauma In Special Populations.Designed For Healthcare Providers Seeking ATLS Certification Renewal Or Completion.
Which of the following physical findings suggest a cause of hypotension other than spinal cord injury?
- Prispism
- Bradycardia
- Diaphragmatic breathing
- Presence of deep tendon reflexes
- 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:
- Unavailibility of surgeon or operating staff
- Multiple system injuries, including severe head injury
- Resource limitations as determined by the transferring doctor
- Resource limitations as determined by the hospital administration 1 / 4
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- 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 laparotomy
- An abdominal CT-scan
- Diagnostic laparoscopy
- Abdominal ultrasonography
- A diagnostic peritoneal lavage -ANSWER- A. Laparotomy because
of hemodynamic abnormality
A 6-year-o boy is struck by an automobile and brought to the ED. He is lethargic, but withdraws purposefully from painful stimuli. His blood pressure is 90mmHg systolic, heart rate 140 beats per minute and his respiratory rate is 36 breaths per minute. The preferred route of venous
access in this patient is:
- Percutaneous femoral vein cannulation
- Cutdown on the saphenous vein at the ankle
- Intraosseous catheter placement in the proximal tibia
- Percutaneous peripheral veins in the upper extremities 2 / 4
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- Central venous access via the subclavian or internal jugular vein -
ANSWER- D. Percutaneous peripheral veins in the upper extremities A young man sustains a gunshot wound to the abdomen and is brought promptly to the ED by prehospital personnel. His skin is cool and diaphoretic, and he is confused. His pulse is thready and his femoral pulse is only weakly palpable. The definitive treatment in managing this
patient is to:
- Administer O-negative blood
- Apply external warming devices
- Control internal hemorrhage operatively
- Apply a pneumatic antishock garment (PASG)
- Infuse large volumes of intravenous crystalloid solutions. -
ANSWER- C. Control internal hemorrhage operatively
Regarding shock in the child, which of the following is FALSE?
- Vital signs are age-related
- Children have greater physiologic reserves than do adults
- Tachycardia is the primary physiologic response to hypovolemia
- The absolute volume of blood loss required to produce shock is the
- An initial fluid bolus for resuscitation should approximate 20ml/kg
- / 4
same as in adults
Ringers Lactate -ANSWER- D. The absolute volume of blood loss required to produce shock is the same as in adults
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A 33-year-old man is struck by a car travelling at 56km/h (35mph). He has obvious fractures of the left tibia near the knee, pain in the pelvic area, and severe dyspnea. His heart rate is 182 beats per minute, and his respiratory rate is 48 breaths per minute with no breath sounds heard in the left chest. A tension pneumothorax is relieved by immediate needle decompression and tube thoracostomy.Subsequently, his heart rate decreases to 144 beats per minute, his respirartory rate decreases to 36 breaths per minute and his blood pressure is 81/53 mmHg.Warmed Ringers lactate is adminstered intravenously. The next priority
should be to:
- Perform external fixation of the pelvis
- Obtain abdominal and pelvic CT-scans
- Perform arterial embolization of the pelvic vessel
- Perform diagnostic peritoneal lavage or FAST
- Perform a urethrogram and cystogram -ANSWER- D. Perform
diagnostic peritoneal lavage or FAST A 42-year-old man, injured in a motor vehicle crash, suffers a closed head injury, multiple palpable left rib fractures, and bilateral femur fractures. He is intubated orotracheally without difficulty. Initially, his ventilations are Reasily assisted with a bag-mask device. It becomes more difficult to ventilate the patient over the next 5 minutes, and his hemoglobin oxygen saturation level decreases from 98% to 89%. The
most appropriate next step is to:
- Obtain a chest x-ray
- Decrease the tidal volume
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