ATLS PRE TEST EXAM | questions and answers | 7 pages

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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 2 liters of crystalloid solution his blood p... ressure increases to 122/84 mm Hg. His heart rate is now 100 beats per minute and his respiratory rate is 28 breaths per minute. His breath sounds are decreased in the left hemithorax, and after initial IV fluid resuscitation, a closed tube thoracostomy is performed for decreased left 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 A) reexamine the chest. B) perform an aortogram. C) obtain a CT scan of the chest. D) obtain arterial blood gas analyses E) perform transesophageal echocardiography. 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 A) angiography. B) compartment pressures C) retrograde urethrogram D) Doppler-ultrasound studies. E) complete spine x-ray series. Question:3 The principle of balanced resuscitation is: A) Permissive hypotension and early plasma infusion B) Equal amounts of crystalloid and colloids C) Simultaneous management of breathing and circulation D) Maintenance of a normal acid base balance E) Achieving a pulse rate <90 Question:4 In managing the head-injured patient, the most important initial step is to A) secure the airway. B) obtain c-spine film. C) support the circulation. D) control scalp hemorrhage. E) determine the GCS Score. [Show More]

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