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ATLS EXAM | Actual Questions and Answers Passed | A+ Rated Guide | New Full Exam
Question 1: True or false? Although the mechanism of injury
may be similar to those for the younger population, data shows increased mortality with similar severity of injury in older adults.
CORRECT ANSWER : True
Question 2: In the elderly population, what is decreased
physiological reserve?
CORRECT ANSWER : aging is characterized by impaired
adaptive and homeostatic mechanisms that caused an increased susceptibility to the stress of injury. Insults tolerated by the younger population can lead to devastating results in elderly patients.
Question 3: Pre-existing conditions that affect morbidity and
mortality include:
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CORRECT ANSWER : cirrhosis, coagulopathy, COPD,
ischemic heart disease, DM
Question 4: What is the most common mechanism of injury in
the elderly?
CORRECT ANSWER : Fall. Nonfatal falls are common in
women and fractures are common in women who fall. Falls are the most common cause of TBI.
Question 5: In the elderly population, what are risk factors for
falls?
CORRECT ANSWER : advanced age, physical impairment,
history of previous fall, medication use, dementia, unsteady gait, and visual, cognitive impairment
Question 6: Most of elderly traffic fatalities occur in the daytime
and on weekends and typically involve other vehicles. Why?
CORRECT ANSWER : Older people drive on more familiar
roads and at lower speeds and tend to drive during the day.
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Older people have slower reaction time, a larger blind spot, limited cervical mobility, decreased hearing, and cognitive impairment.
Question 7: True or False? Mortality associated with small to
moderate sized burns in older adults remains high
CORRECT ANSWER : True
Question 8: Spilled hot liquids on the leg, which in younger
patients may re-epithelialize due to an adequate number of hair follicles, will result in a full thickness burn in older patients.
CORRECT ANSWER : this is true
Question 9: Airway-patients may have dentures that may loosen
or obstruct the airway. If dentures are not obstructing the airway, leave them in place for what?
CORRECT ANSWER : bag mask ventilation, as it improves
mask fitting.
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Question 10: When preforming rapid sequence intubation, the
dose of benzos, barbiturates, and other sedatives should be reduced to what percentage to minimize the risk of cardiovascular depression?
CORRECT ANSWER : 20-40%
Question 11: Functional changes in cardiac system include
declining function, decreased sensitivity to catecholamines, atherosclerosis of coronary vessels, increased afterload, fixed heart rate (beta blockers)
CORRECT ANSWER : this results in lack of classic response to
hypovolemia, risk for cardiac ischemia, elevated BP at baseline, and increased risk of dysrythmias.
Question 12: Functional changes in pulmonary system include
decreased elastic recoil, reduced residual capacity, decreased gas exchange and decreased cough reflex