Download ATLS Practice Test 2025-2026 250 Real Exam Question and more Exams Neurology in PDF only on Docsity!
ATLS Practice Test 2025-2026 250 Real Exam Questions with Verified Answers &
Detailed Rationales (100% Accurate)
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 |initial |fluid |resuscitation |his |blood |pressure |increases |to |122/84 |mm |Hg. |His |heart |rate |is |now | 100 |beats |per |minute |and |his |respiratory |rate |is | 28 |breaths |per |minute. |A |tube |thoracostomy |is |performed |for |decreased |left |chest |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: |- |answersre-examine |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: |- |answerscomplete |spine |x-ray |series Which |of |the |following |is |true |regarding |the |initial |resuscitation |of |a |trauma |patient? |- | answersEvidence |of |improved |perfusion |after |fluid |resuscitation |could |include |improvement |in | Glasgow |Coma |Scale |score |on |reevaluation. In |managing |a |patient |with |a |severe |traumatic |brain |injury, |the |most |important |initial |step |is |to: |- | answerssecure |the |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? |- |answersAn |ABG |would |demonstrate |a |base | deficit |between |-6 |and |-10 |mEq/L. The |physiological |hypervolemia |of |pregnancy |has |clinical |significance |in |the |management |of |the | severely |injured, |gravid |woman |by: |- |answersincreasing |the |volume |of |blood |loss |to |produce |maternal |hypotension The |best |assessment |of |fluid |resuscitation |of |the |adult |burn |patient |is: |- |answersurinary |output |of |0. |mL/kg/hr The |diagnosis |of |shock |must |include: |- |answersevidence |of |inadequate |organ |perfusion 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: |- |answersdirect |pressure |on |the |wound For |the |patient |with |severe |traumatic |brain |injury, |profound |hypocarbia |should |be |avoided |to | prevent: |- |answerscerebral |vasoconstriction |with |diminished |perfusion After |being |involved |in |a |motor |vehicle |crash, |a |25-year-old |man |is |brought |to |a |hospital |that |has | surgery |capabilities |available.. |Computed |tomography |of |the |chest |and |abdomen |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: |- |answersperform |an |exploratory |laparotomy
Which |one |of |the |following |statements |regarding |abdominal |trauma |in |the |pregnant |patient |is |TRUE? |- |answersLeakage |of |amniotic |fluid |is |an |indication |for |hospital |admission. The |first |maneuver |to |improve |oxygenation |after |chest |injury |is: |- |answersadminister |supplemental | oxygen A |25-year-old |man, |injured |in |a |motor |vehicular |crash, |is |admitted |to |the |emergency |department. |His | pupils |react |sluggishly |and |his |eyes |open |to |pressure. |He |does |not |follow |commands, |but |he |does | moan |periodically. |His |right |arm |is |deformed |and |does |not |respond |to |pressure; |however, |his |left | hand |reaches |purposefully |toward |the |stimulus. |Both |legs |are |stiffly |extended. |His |GCS |score |is: |- | answers A |20-year-old |woman |who |is |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: |- |answersperform |needle |or |finger |decompression |of |the |right |chest Which |one |of |the |following |findings |in |an |adult |is |most |likely |to |require |immediate |management | during |the |primary |survey? |- |answersrespiratory |rate |of | 40 |breaths |per |minute The |most |important, |immediate |step |in |the |management |of |an |open |pneumothorax |is: |- | answersplacement |of |an |occlusive |dressing |over |the |wound The |following |are |contraindications |for |tetanus |toxoid |administration: |- |answershistory |of |neurological |reaction |or |severe |hypersensitivity |to |the |product A |56-year-old |man |is |thrown |violently |against |the |steering |wheel |of |his |truck |during |a |motor |vehicle | crash. |On |arrival |in |the |emergency |department |he |is |diaphoretic |and |complaining |of |chest |pain. |His | blood |pressure |is |60/40 |mm |Hg |and |his |respiratory |rate |is | 40 |breaths |per |minute. |Which |of |the | following |best |differentiates |cardiac |tamponade |from |tension |pneumothorax |as |the |cause |of |his | hypotension? |- |answersbreath |sounds Bronchial |intubation |of |the |right |or |left |mainstem |bronchus |can |easily |occur |during |infant | endotracheal |intubation |because: |- |answersThe |trachea |is |relatively |short. A |23-year-old |man |sustains | 4 |stab |wounds |to |the |upper |right |chest |during |an |altercation |and |is | brought |by |ambulance |to |a |hospital |that |has |full |surgical |capabilities. |His |wounds |are |all |above |the | nipple. |He |is |endotracheally |intubated, |closed |tube |thoracostomy |is |performed, |fluid |resuscitation |is | initiated |through | 2 |large-caliber |IVs. |FAST |exam |does |not |reveal |intraabdominal |injuries. |His |blood | pressure |now |is |60/0 |mm |Hg, |heart |rate |is | 160 |beats |per |minute, |and |respiratory |rate |is | 14 |breaths | per |minute |(ventilated |with |100% |O2). | 1500 |mL |of |blood |has |drained |from |the |right |chest. |The |most | appropriate |next |step |in |managing |this |patient |is |to: |- |answersurgently |transfer |the |patient |to |the | operating |room A |39-year-old |man |is |admitted |to |the |emergency |department |after |an |automobile |collision. |He |is | cyanotic, |has |insufficient |respiratory |effort, |and |has |a |GCS |score |of |6. |His |full |beard |makes |it |difficult | to |fit |the |oxygen |facemask |to |his |face. |The |most |appropriate |next |step |is |to: |- |answersrestrict |cervical |motion |and |attempt |orotracheal |intubation |using | 2 |people
A |33-year-old |woman |is |involved |in |a |head-on |motor |vehicle |crash. |It |took | 30 |minutes |to |extricate | her |from |the |car. |Upon |arrival |in |the |emergency |department, |her |heart |rate |is | 120 |beats |per |minute, | BP |is |90/70 |mm |Hg, |respiratory |rate |is | 16 |breaths |per |minute, |and |her |GCS |score |is |15. |Examination | reveals |bilaterally |equal |breath |sounds, |anterior |chest |wall |ecchymosis, |and |distended |neck |veins. |Her |abdomen |is |flat, |soft, |and |not |tender. |Her |pelvis |is |stable. |Palpable |distal |pulses |are |found |in |all | 4 | extremities. |Of |the |following, |the |most |likely |diagnosis |is: |- |answerscardiac |tamponade A |hemodynamically |normal |10-year-old |girl |is |hospitalized |for |observation |after |a |Grade |III | (moderately |severe) |splenic |injury |has |been |confirmed |by |computed |tomography |(CT). |Which |of |the | following |mandates |prompt |celiotomy |(laparotomy)? |- |answersdevelopment |of |peritonitis |on |physical | exam A |40-year-old |woman |who |was |a |restrained |driver |in |a |motor |vehicle |crash |is |evaluated |in |the | emergency |department. |She |is |hemodynamically |normal |and |found |to |be |paraplegic |at |the |level |of | T10. |Which |of |the |following |are |true |regarding |her |evaluation |and |management? |- |answersLog |rolling |using | 4 |people |is |a |safe |approach |to |restrict |spinal |motion |when |moving |her. A |trauma |patient |presents |to |your |emergency |department |with |inspiratory |stridor |and |a |suspected |c- spine |injury. |Oxygen |saturation |is |88% |on |high-flow |oxygen |via |a |nonrebreathing |mask. |The |most | appropriate |next |step |is |to: |- |answersrestrict |cervical |motion |and |establish |a |definitive |airway When |applying |the |Rule |of |Nines |to |infants: |- |answersThe |head |is |proportionally |larger |in |infants |than |in |adults. A |healthy |young |male |is |brought |to |the |emergency |department |following |a |motor |vehicle |crash. |His | vital |signs |are |a |blood |pressure |of |84/60, |pulse |123, |GCS |10. |The |patient |moans |when |his |pelvis |is | palpated. |After |initiating |fluid |resuscitation, |the |next |step |in |management |is: |- |answersplacement |of |a |pelvic |binder Which |one |of |the |following |situations |requires |Rh |immunoglobulin |administration |to |an |injured | woman? |- |answerspositive |pregnancy |test, |Rh |negative, |and |has |torso |trauma A |22-year-old |female |athlete |is |stabbed |in |her |left |chest |at |the |third |interspace |in |the |anterior |axillary |line. |On |admission |to |the |emergency |department |and | 15 |minutes |after |the |incident, |she |is |awake | and |alert. |Her |heart |rate |is | 100 |beats |per |minute, |blood |pressure |80/60 |mm |Hg, |and |respiratory |rate | 20 |breaths |per |minute. |A |chest |x-ray |reveals |a |large |left |hemothorax. |A |left |chest |tube |is |placed |with | an |immediate |return |of | 1600 |mL |of |blood. |The |next |management |step |for |this |patient |is: |- | answersprepare |for |an |exploratory |thoracotomy A |6-year-old |boy |walking |across |the |street |is |struck |by |the |front |bumper |of |a |sports |utility |vehicle | traveling |at | 32 |kph |(20 |mph). |Which |one |of |the |following |statements |is |TRUE |about |this |patient? |- | answersA |pulmonary |contusion |may |be |present |in |the |absence |of |rib |fractures. Assessed |first |in |trauma |patient |- |answersAirway (*)Degree |of |burn |that |is |characterized |by |bone |involvement |- |answersFourth Complications |of |head |trauma |- |answersIntracerebral |hematoma Extradural |hematoma
Brain |abscess Most |common |cause |of |laryngotracheal |stenosis |- |answersTrauma Intervention |that |can |help |prevent |development |of |acute |renal |failure |- |answersInfusion |of |normal | saline A |26-year-old |male |is |resuscitated |with |blood |transfusion |after |a |motor |vehicle |collision |that |was | complicated |by |a |fractured |pelvis. |A |few |hours |later, |the |patient |becomes |febrile, |hypotensive |with |a | normal |CVP, |and |oliguric. |Upon |examination, |the |patient |is |found |to |be |bleeding |from |the |NG |tube | and |IV |sites. |Which |of |the |following |is |the |most |likely |diagnosis? A. |Hemorrhagic |shock B. |Acute |adrenal |insufficiency C. |Fat |embolism |syndrome D. |Transfusion |reaction |- |answersD. |Transfusion |reaction Skin |antiseptic |- |answers-Ethanol |70% |is |an |effective |skin |antiseptic -Acetic |acid |can |be |used |to |treat |Gram- |skin |infections -Salicylic |acid |is |used |to |treat |certain |skin |yeast |infections Class |IV |hemorrhage |indicates |what |% |blood |loss |- |answers55% How |does |shivering |affect |body |temperature |- |answersIncreases |body |temperature Class |III |hemorrhage |indicates |what |% |of |blood |loss |- |answers35% Management |of |a |stable |patient |with |kidney |contusion |- |answersObservation Associated |with |hypovolemic |shock |- |answers-Inadequate |tissue |perfusion |with |resultant |tissue | hypoxia -Blood |shunting |to |vital |organs -Decreased |circulating |blood |volume |and |decreased |venous |return -Low |cardiac |output -Loss |of |less |than |20% |of |the |blood |volume |is |usually |without |symptom |except |for |mild |tachycardia | -Patients |become |orthostatic |with |losses |between | 20 |and |40% | -Shock |is |evidenced |by |tachycardia, |hypotension, |oliguria, |flat |neck |veins The |most |effective |method |of |monitoring |the |success |of |resuscitation |during |CPR? |- |answersReactivity |of |pupils |to |light Used |to |ensure |correct |placement |of |endotracheal |tube |- |answers-Ultrasound | -Bilateral |breath |sounds
C. |10-20 |RBC/HPF
D. |Gross |hematuria |- |answersD. |Gross |hematuria A |laceration |of |the |neck |superficial |to |the |deep |cervical |fascia |along |the |sternocleidomastoid |muscle | at |its |midpoint |would |cause |bleeding |from |which |structure? |- |answersExternal |jugular |vein Clinical |features |associated |with |tension |pneumothorax |- |answersUnilateral |decrease |in |breath |sounds Hyperresonance Respiratory |distress Tachycardia Tracheal |shift Desatruation Decreased |breath |sounds Decreased |compliance Asymmetric |chest |movement NOT |hypertension, |audible |bronchial |sounds Not |recommended |as |a |mode |of |ventilation |for |a |patient |with |a |diaphragmatic |hernia A. |Bag |and |mask B. |LMA C. |Endotracheal |intubation D. |Jet |ventilation |- |answersA. |Bag |and |mask What |is |the |next |step |in |the |assessment |of |a |traumatic |patient |after |airway |is |established? |- | answersBreathing Blood |group |that |is |considered |a |universal |donor |- |answersO A |provider |is |examining |a |patient |who |sustained |a |severe |traumatic |head |injury. |He |documents |no | Doll's |eyes. |What |does |this |signify? |- |answersBrainstem |injury Which |of |the |following |is |the |least |preferred |method |of |administering |IV |fluids? A. |Cubital |veins B. |Cephalic |veins C. |Subclavian |veins D. |Saphenous |vein |- |answersSubclavian |veins
Dermatome |level |for |nipple |sensation Dermatome |level |for |umbilicus |- |answersT T At |which |temperature |would |a |hypothermic |patient |stop |shivering? |- |answers88 |degrees |F What |is |the |energy |recommendation |for |the |first |defibrillation |in |an |adult |(*) |- |answers300 |J Pharmacologic |effects |of |Morphine |- |answersBehavioral |changes Analgesia Respiratory |depression NOT |diarrhea A |patient |with |which |condition |should |be |triaged |to |receive |medical |attention |first? A. |Choking B. |Dizziness | C. |Leg |cramp | D. |Vomiting |- |answersA. |Choking For |pediatric |patients, |what |volume |of |fluid |resuscitation |should |be |given |initially |in |the |setting |of | shock? A. | 750 |mL |of |saline |uniformly | B. | 1 |liter |of |saline | C. | 20 |mL/kg |of |0.45% |NaCl |with |5% |glucose | D. | 10 |to | 20 |mL/kg |of |Ringers |lactate |- |answersD. | 10 |to | 20 |mL/kg |of |Ringers |lactate A |patient |is |found |unconscious |after |a |fire |in |his |bedroom. |He |is |found |to |have |severe |burns |around | his |face. |What |is |the |first |aspect |of |treatment? A. |Tetanus |toxoid B. |Cover |the |wound | C. |Airway | D. |Obtain |blood |work |- |answersC. |Airway
A. |Seen |most |commonly |in |elderly |females | B. |Athletic |activities |are |the |most |common |cause C. |Falls |are |the |most |common |cause | D. |Methylprednisolone |should |not |be |used |in |associated |spinal |cord |injury |in |the |first | 48 |hours |- | answersD. |Methylprednisolone |should |not |be |used |in |associated |spinal |cord |injury |in |the |first | 48 | hours In |which |patients |can |an |oropharyngeal |airway |be |used? |- |answersNon-gag |reflex If |a |trauma |patient |has |clear |fluid |draining |from |the |nose |the |provider |should |do |which |of |the | following? A. |Tilt |the |head |back | B. |Apply |pressure | C. |Collect |the |fluid D. |Insert |nasal |tampons |- |answersC. |Collect |the |fluid What |is |the |estimated |time |a |person's |brain |can |be |anoxic |from |cardiopulmonary |failure |and |not | develop |permanent |brain |damage? A. | 10 |minutes B. | 5 |minutes C. | 2 |minutes D. | 20 |minutes |- |answersB. | 5 |minutes The |laryngeal |mask |airway |is |contraindicated |in |patients |with |what |condition? A. |Spine |injury B. |Head |trauma | C. |Giving |birth | D. |Propensity |to |aspirate |- |answersD. |Propensity |to |aspirate A |patient |sustains |blunt |trauma |to |the |back |and |left |leg. |Vital |signs |in |the |emergency |department | show |temperature | 36 |degrees |C, |BP |120/80 |mm |Hg, |heart |rate |92, |respirations |19, |GCS |15. |There |is | bilateral |lower |extremity |paraplegia, |T12 |sensory |level, |and |decreased |rectal |tone. |Hemoglobin |is |14. |and |the |same |in |one |hour. |Which |of |the |following |tests |is |best |for |diagnosing |an |intraperitoneal | bleed? A. |Abdominal |ultrasound | B. |Laparotomy | C. |KUB |
D. |Diagnostic |peritoneal |lavage |- |answersA. |Abdominal |ultrasound Why |is |tracheostomy |generally |not |performed |at |the |first |cartilage |ring A. |The |trachea |is |too |narrow | B. |A |high |chance |of |subglottic |stenosis | C. |A |high |chance |of |tracheo-innominate |artery |fistula | D. |Inability |to |access |the |area |- |answersB. |A |high |chance |of |subglottic |stenosis What |does |a |carotid |pulse |indicate? A. |A |functioning |pump |for |blood |flow | B. |The |circulating |blood |volume |is |reaching |end |organs | C. |Diastolic |blood |pressure | D. |None |of |the |above |- |answersB. |The |circulating |blood |volume |is |reaching |end |organs Which |of |the |following |generally |causes |hemorrhage |associated |with |pelvic |fractures? A. |Obturator |artery |injury | B. |Superior |gluteal |artery | C. |Lateral |sacral |artery |injury | D. |Venous |bleeding |- |answersD. |Venous |bleeding Hemothorax |facts |- |answers-Must |have |at |least | 500 |cc |of |blood |to |make |a |diagnosis |on |chest |x-rayin | an |adult -Incomplete |evacuation |of |hemothorax |can |lead |to |empyema | -Initial |treatment |of |hemothorax |is |always |a |chest |tube In |a | 66 |year |old |intubated, |comatose |patient, |what |is |one |of |the |most |important |information |that | one |needs |to |obtain? A. |Organ |donation |status | B. |Power |of |attorney | C. |Lawyer | D. |Driver's |license |- |answersB. |Power |of |attorney A |patient |is |hit |by |a |car |and |has |severe |injuries |to |his |extremities. |He |is |immediately |brought |to |the | emergency |room |by |EMS. |Evaluation |reveals |that |he |has |multiple |organ |injuries. |He |has |an |open, | gaping |wound |which |measures | 2 |x | 2 |centimeters, |just |below |the |right |knee. |The |leg |appears | dislocated |and |ecchymotic. |However, |pulses |are |present |in |the |distal |extremity. |He |does |not | complain |of |any |paresthesias. |X-ray |reveals |that |there |is |a |fracture |of |the |tibia. |The |trauma |team |is |
NOT |fluid |restriction How |deep |should |the |provider |depress |the |patient's |sternum |during |CPR |in |adults? |- |answers2 |to | 3 | inches First |parameter |to |change |in |patient's |with |hypovolemic |shock? A. |Systolic |blood |pressure B. |Pulse |rate | C. |Respiratory |rate | D. |Skin |vasoconstriction |- |answersB. |Pulse |rate A |34-year-old |with |severe |head |trauma |and |elevated |intracranial |pressures |is |intubated. |Which |of |the |following |should |be |the |target |for |mechanical |ventilation? |- |answersSet |PaCO2 |between |30- A |young |motorcycle |driver |is |thrown |against |a |concrete |bridge |and |sustains |severe |trauma |about |the | face, |with |marked |deformity |and |bleeding. |Which |of |the |following |statements |regarding |this |scenario | is |TRUE? A. |Cervical |spine |evaluation |takes |precedence |over |facial |injuries | B. |LeFort |fractures |rarely |cause |severe |hemorrhage | C. |Nasotracheal |intubation |must |be |done |urgently |to |prevent |airway |obstruction | D. |Plain |radiographs |are |preferred |to |CT |in |emergencies |- |answersA. |Cervical |spine |evaluation |takes | precedence |over |facial |injuries Which |US |industry |has |the |highest |accidental |death |rate? A. |Construction B. |Agriculture | C. |Manufacturing D. |Transportation |- |answersB. |Agriculture Subdural |hematoma |facts |- |answersEtiology: |tearing |of |bridging |veins -Most |common |in |elderly |individuals |who |fall -Hematoma |should |be |evacuated |surgically -Prognosis |is |much |better |for |chronic |subdurals |than |acute |cases -More |common |than |epidural |hematomas
NOT |often |associated |with |skull |fractures An |8-year |old |child |is |brought |to |the |ER |after |being |struck |by |a |car |while |crossing |the |street. |He |is | not |alert |and |required |immediate |intubation |at |the |scene |by |EMS. |His |GCS |is | 8 |T. |He |appears |to |have |a |significant |laceration |of |his |scalp |on |the |left |side |but |there |are |no |skeletal |fractures. |The |initial | chest |x-ray |revealed |a |right |sided |pneumothorax |and |a |chest |tube |was |inserted. |His |hematocrit |is | 23.5 |and |hemoglobin |is |7.6. |The |next |thing |you |would |do |is: A. |CT |head | B. |CT |abdomen | C. |Repeat |blood |work | D. |Observe |patient |- |answersB. |CT |abdomen Class |I |hemorrhage |indicates |what |percentage |of |blood |loss? |- |answers10% Which |is |not |a |clinical |component |of |the |Glasgow |Coma |Score? A. |Eye |movement B. |Sensation | C. |Verbal |response | D. |Extremity |movement |- |answersB. |Sensation How |should |epinephrine |should |be |injected |for |treatment |of |anaphylaxis? |- |answersIntramuscularly | (IM) |into |vastus |lateralis How |would |a |patient |with |a |change |in |mental |status |would |be |triaged |using |the |simple |triage |and | rapid |treatment |(START)? A. |Delayed B. |Immediate | C. |Minor | D. |Critical |- |answersB. |Immediate Appropriate |site |for |insertion |of |a |subclavian |line |- |answers-One |centimeter |inferior |to |the |junctions | of |the |middle |and |medial |third |of |the |clavicle -One |fingerbreadth |lateral |to |the |angle |of |the |clavicle -Inferior |to |the |clavicle |@ |deltopectoral |groove, |lateral |to |the |midclavicular |line In |head |trauma, |the |majority |of |patients |with |post-traumatic |CSF |otorrhea: A. |Need |surgery | B. |Should |be |started |on |antibiotics |
-Treatment |requires |prolonged |immobilization | -Usually |associated |with |other |chest |injuries A |patient |suffers |a |stab |wound |to |the |chest. |In |the |emergency |room, |he |is |found |to |have |an | 80 | percent |pneumothorax |with |a |midline |shift |of |the |trachea |to |the |contralateral |chest. |There |is | evidence |of |circulatory |and |respiratory |dysfunction. |What |is |the |next |step |in |the |management |of |this | patient? A. |Endotracheal |tube | B. |Fluid |bolus | C. |Epinephrine | D. | 20 |gauge |needle |- |answersD. | 20 |gauge |needle Flail |chest |- |answersMediastinum |is |pulled |toward |affected |side |during |expiration Epidural |hematoma |- |answersMC |due |to |injury |of |Middle |meningeal |artery Temporoparietal |= |area |that |has |most |epidural |hematomas |from |trauma -Can |be |intracranial |or |intraspinal |(may |follow |LP) -Often |associated |with |skull |fractures 7-year-old |girl |is |found |at |the |bottom |of |a |swimming |pool. |Initially |she |was |in |full |arrest |but |after | 5 | minutes |she |showed |sinus |tachycardia |but |no |respiratory |effort. |Intubation |was |done |in |the |field |and | cervical |collar |placed. |After |transport |to |the |emergency |department |she |was |unresponsive |with |a | blood |pressure |of |100/60 |mmHg, |pulse |105, |temperature |34.3C, |and |oxygen |saturation |100%. |The | pupils |were | 3 |mm |and |sluggishly |responsive |to |light. |There |is |no |response |to |pain. |The |lungs |show | wheezing |on |the |left |and |coarse |breath |sounds |bilaterally. |The |monitor |shows |sinus |tachycardia. | There |is |no |rectal |tone. |Which |of |the |following |should |be |the |next |step |in |management? A. |Cervical |spine |films |and |CT |of |the |head |B. |Portable |chest |radiograph | C. |Arterial |blood |gas | D. |Right |and |left |decubitus |chest |radiographs |- |answersA. |Cervical |spine |films |and |CT |of |the |head Position |patient |should |be |transported |in |when |patient |complains |of |neck |pain |and |is | 32 |weeks | pregnant |- |answersSupine |on |a |backboard |with |her |right |hip |elevated Air |embolism |- |answersPE: |murmur, |petechiae, |desaturation Tx: |turn |patient |on |left |side |in |Trendelenburg |position
Fat |embolism |- |answersMCC |= |bone |fx Clinical |presentation -Fever -Petechial |hemorrhage -Desaturation -Hypotension -Altered |mental |status Cauda |equina |syndrome |- |answers-Bilateral |sciatica | -Bowel |dysfunction -Saddle |sensory |changes At |what |point |should |hyper |oxygenation |be |administered |when |performing |tracheal |suctioning |on |a | mechanically |ventilated |patient? A. |Before |the |procedure | B. |After |the |procedure | C. |Before |and |after |the |procedure | D. |During |the |procedure |- |answersC. |Before |and |after |the |procedure Nerve |to |muscle |relationship |- |answersC5 |- |Deltoid C6 |- |Wrist |extension C7 |- |Elbow |extension Most |common |cause |of |kidney |injuries |- |answersMotor |vehicle |accidents Crystalloid |solutions |- |answersRinger's |lactate Dextrose |5% D5W |plus |1/2 |NS NOT |albumin Indication |for |emergency |thoracotomy A. |Pulmonary |contusion B. |Flail |chest |
D. |Rise |initially |then |fall |dramatically |- |answersA. |Rise A |17-year-old |male |is |hit |on |the |head |with |a |baseball |bat. |He |withdraws |and |opens |his |eyes |in | response |to |deep |painful |stimuli. |He |also |mumbles |incomprehensibly. |What |is |his |Glasgow |coma |scale |score? |- |answers Hypoxia |- |answersPE: |cyanosis Can |be |rapidly |measured |with |pulse |ox After |placement |of |a |chest |tube |for |a |traumatic |pneumothorax, |subcutaneous |emphysema |is | observed. |After |checking |the |drainage |and |chest |tube |site, |what |else |should |be |done? |- |answers- Increase |level |of |suction -Insert |second |chest |tube -Adjust |chest |tube Do |NOT |flush |tube |with |saline Which |of |the |following |injuries |is |most |critical? A. |Fractured |femur | B. |Fractured |pelvis | C. |Fractured |humerus | D. |Fractured |fibula |- |answersB. |Fractured |pelvis A |patient |on |a |mechanical |ventilator |is |fighting |the |machine, |and |has |elevated |peak |airway |pressures. |What |medication |should |be |used? A. |Benzodiazepines B. |Vecuronium C. |Barbiturates D. |Baclofen |- |answersB. |Vecuronium What |is |the |primary |goal |in |the |initial |resuscitation |of |a |cardiac |arrest? A. |Renal |perfusion B. |Limb |perfusion | C. |Myocardial |perfusion | D. |Brain |perfusion |- |answersD. |Brain |perfusion
During |an |MVA, |what |is |most |likely |injury |to |occur |after |knees |strike |the |dashboard A. |Fractured |femur B. |Fractured |humerus C. |Lacerated |spleen | D. |None |of |the |above |- |answersA. |Fractured |femur Reason |epinephrine |is |added |to |local |anesthetics |- |answersProlongs |its |action Used |to |treat |high |ICP |- |answersControl |BG Hyperventilation |(pCO2 |30-35) Elevate |head |of |bed Mannitol |(osmotic |diuretic) Furosemide |(loop |diur.) Earliest |symptom |of |local |anesthetic |toxicity |- |answersTongue |and |circumoral |numbness A |18-year-old |male |sustains |a |right |femur |fracture |and |a |cerebral |concussion |in |a |motor |vehicle | accident. |His |initial |blood |pressure |is |75/50 |mmHg |with |a |pulse |of | 90 |beats |per |minute. |After |giving | him | 2 |liters |of |Ringer |lactate |he |stabilizes, |but |the |blood |pressure |falls |when |he |is |seen |in |the |ER. | Which |of |the |following |would |be |the |cause |of |suspected |hypotension |in |this |patient? A. |Subdural |hematoma B. |Undiagnosed |facial |fracture | C. |Ruptured |spleen D. |10% |pneumothorax |- |answersC. |Ruptured |spleen An |unrestrained |driver |involved |in |a |high |speed |MVA |is |transported |by |paramedics |with |c-spine | precautions. |GCS |score |is |7, |but |there |is |no |obvious |trauma. |Respirations |are |shallow, |and |BVM |is |not |providing |adequate |ventilation. |Extremities |are |cool, |and |the |pulses |are |thready. |Prior |to |rapid | sequence |intubation, |what |should |be |done? A. |Brief |neurologic |examination | B. |Immediate |chin |lift |and |jaw |thrust |maneuver | C. |Assess |all |vital |signs | D. |Administer |4-5 |quick |tidal |volume |breaths |with |an |FIO2 |of |100% |using |a |bag |mask |ventilatory | device |- |answersD. |Administer |4-5 |quick |tidal |volume |breaths |with |an |FIO2 |of |100% |using |a |bag |mask |ventilatory |device Which |of |the |following |is |indicative |of |a |kidney |injury? A. |Ascites
