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A series of multiple-choice questions covering various aspects of advanced trauma life support (atls) principles and procedures. It provides a comprehensive assessment of knowledge related to trauma management, including topics such as shock, spinal cord injuries, head injuries, chest injuries, and more. Detailed answers for each question, offering insights into the rationale behind the correct choices and highlighting key concepts in trauma care.
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aggressively treat systemic hypertension. reduce metabolic requirements of the brain. distinguish between intracranial hematoma and cerebral edema.
Intraabdominal visceral injuries are unlikely. The patient probably has an acute epidural hematoma.
produce the greatest number of survivors based on available resources.
e. 2L of crystalloid and vassopressors if BPdoes not respond. b. 2L of IV crystalloid, manitol and IV steroids. c. 1 unit of albumin and compression stockings. d. Vassopressors and laprotomy.
e. Blood transfusion can be delivered through intraosseous access. beaten with a wooden stick. His chest shows multiple severe bruises. Airway is clear, respiratory rate is 22, heart rate is 126, and systolic blood pressure is 90 mm Hg. Which of the following should be performed during the primary survey? a. GCS. b. Tetanus toxoid administration. c. Cervical spine X-ray. d. Blood alcohol level. e. Rectal exam.
e. The Parkland formula should be used to determine adequacy of resuscitation.
b. Hypovolemia. c. Small pneumothorax. b. Will exclude cervical spine injury if no abnormalities are found on the X-rays. e. Flail chest.
a. Are equivalent to endotracheal intubation. b. Require neck extension for proper placement. c. Are preferable to endotracheal intubation in a patient who cannot lie flat. next step in this patient's management is: a. Splenic artery immobilization. b. Pneumococcal vaccine. c. Transfer to pediatrician. d. Urgent laparotomy. e. Provide one form of definitive airway.
level of consciousness, opens his eyes on command, moans without forming discernible words, and localizes to painful stimuli. Which one of the following concerning this patient is correct? a. Mandatory intubation to protect his airway is required. b. His GCS suggests a severe head injury. c. His level of consciousness can be solely attributed to elevated blood alcohol. d. Diaphragmatic breathing. e. Ability to flex forearms but inability to extend them.