ATLS pretest questions and answers with complete solution 2022/2023

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A 22-year-old man is hypotensive and tachycardic after a shotgun wound to the left shoulder. His blood after initial IV fluid resuscitation, a closed tube thoracostomy is performed for decreased left ... breath sounds - ANSWER reexamine the chest 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 - ANSWER complete spine x-ray series. The principle of balanced resuscitation is: - ANSWER Permissive hypotension and early plasma infusion Question:4 In managing the head-injured patient, the most important initial step is to - ANSWER secure airway A previously healthy, 70-kg (154-pound) man suffers an estimated acute blood loss of 2 liters. Which one of the following statements applies to this patient? - ANSWER His systolic blood pressure will be decreased with a narrowed pulse pressure. The diagnosis of shock must include - ANSWER poor organ perfusion Question:9 A 7-year-old boy is brought to the emergency department by his parents several minutes after he fell through a window. He is bleeding profusely from a 6-cm wound of his medial right thigh. Immediate management of the wound should consist of - ANSWER direct pressure For the patient with severe traumatic brain injury, profound hypocarbia should be avoided to prevent - ANSWER cerebral vasoconstriction with diminished perfusion. Question:11 A 25-year-old man is brought to a hospital with a general surgeon after being involved in a motor vehicle crash. Computed tomography shows an aortic injury and splenic laceration with free abdominal fluid. His blood pressure falls to 70 mm Hg after CT. The next step is - ANSWER exploratory laparotomy. 20-year-old woman, at 32 weeks gestation, is stabbed in the upper right chest. In the emergency department, her blood pressure is 80/60 mm Hg. She is gasping for breath, extremely anxious, and yelling for help. Breath sounds are diminished in the right chest. The most appropriate first step is to - ANSWER perform needle decompression of the right chest. Which one of the following findings in an adult is most likely to require immediate management during the primary s [Show More]

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