Post-Test-ATLS Exam 2021 ( Answered 100% correct)

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1. The primary indication for transferring a1. The primary indication for transferring a patient to a higher level trauma center is: patient to a higher level trauma center is:unavailability of ... a surgeon or operating roomunavailability of a surgeon or operating roomstaff.staff.multiple system injuries, including severemultiple system injuries, including severehead injury.head injury.resource limitations as determined by theresource limitations as determined by thetransferring doctor.transferring doctor.resource limitations as determined by theresource limitations as determined by thehospital administration.hospital administration.widened mediastinum on chest x-raywidened mediastinum on chest x-rayfollowing blunt thoracic trauma.following blunt thoracic trauma.2. teen-aged bicycle rider is hit b2. teen-aged bicycle rider is hit by a trucky a trucktraveling at a high rate of speed. traveling at a high rate of speed. In theIn theemergency department, she is actively bleedingemergency department, she is actively bleedingfrom open fractures of her legs, and hasfrom open fractures of her legs, and hasabrasions on her chest and abdominal abrasions on her chest and abdominal wall. Herwall. Her blood pressure is 80/50 mm Hg, heart rate is blood pressure is 80/50 mm Hg, heart rate is140 beats per minute, respiratory rate is 8140 beats per minute, respiratory rate is 8 breaths per minute, and GCS score is 6. breaths per minute, and GCS score is 6.The first step in managing this patient is to:The first step in managing this patient is to:obtain a lateral cervical spine x-ray.obtain a lateral cervical spine x-ray.insert a central venous pressure line.insert a central venous pressure line.administer 2 liters of crystalloid solution.administer 2 liters of crystalloid solution.perform endotracheal intubation andperform endotracheal intubation andventilation.ventilation.apply the PASG and inflate the legapply the PASG and inflate the legcompartments.compartments.3. Contraindication to nasogastric intubation is3. Contraindication to nasogastric intubation isthe presence of a:the presence of a:gastric perforation.gastric perforation.diaphragmatic rupture.diaphragmatic rupture.open depressed skull fracture.open depressed skull fracture.fracture of the cervical spine.fracture of the cervical spine.fracture of the cribriform plate.fracture of the cribriform plate.4. Which one of the following statements4. Which one of the following statementsregarding patients with thoracic spine injuries isregarding patients with thoracic spine injuries isTRUE?TRUE?Log-rolling may be Log-rolling may be destabilizing todestabilizing tofractures from T-12 to L-1.fractures from T-12 to L-1.Adequate immobilization can beAdequate immobilization can beaccomplished with the scoop stretcher.accomplished with the scoop stretcher.Spinal cord injury below T-10 usually sparesSpinal cord injury below T-10 usually sparesbowel and bladder function.bowel and bladder function.Hyperflexion fractures in the upperHyperflexion fractures in the upperthoracic spine are inherently unstable.thoracic spine are inherently unstable.These patients rarely present with spinalThese patients rarely present with spinalshock in association with cord injury.shock in association with cord injury.5. young man sustains a ritle wound to the mid-5. young man sustains a ritle wound to the mid-abdomen. He is brought promptly to theabdomen. He is brought promptly to theemergency department by prehospitalemergency department by prehospital personnel. His skin is cool and diaphoretic, and personnel. His skin is cool and diaphoretic, andhis systolic blood pressure is 58 rnm Hg.his systolic blood [Show More]

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