ATLS PRETEST 2024 EXAM AND PRACTICE EXAM 350 QUESTIONS WITH DETAILED VERIFIED ANSWERS AND RATIONALES (100% CORRECT) /A+ GRADE ASSURED 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: - ...ANSWER...restrict cervical motion and establish a definitive airway When applying the Rule of Nines to infants: - ...ANSWER...The 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: - ...ANSWER...placement of a pelvic binder Which one of the following situations requires Rh immunoglobulin administration to an injured woman? - ...ANSWER...positive 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: - ...ANSWER...prepare 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? - ...ANSWER...A pulmonary contusion may be present in the absence of rib fractures. When something crashes in secondary survey, you... - ...ANSWER...GO BACK TO PRIAMRY SURVEY If the question says you do not have capabilities, you will most likely - ...ANSWER...PREPARE FOR AND DO NOT DELAY TRANSPORT How much blood can femur lose - ...ANSWER...2L What is always going to be the shock type to pick - ...ANSWER...Hemorrhagic What are the classes of hemorrhagic shock - ...ANSWER...0-15% is class 1 15-30 is class 2 30-40% is class 3 >40% is class 4 What is the EARLIEST predictor of shock at what class - ...ANSWER...Narrowed pulse pressure in class 2 What will be base deficit for class 2 shock? - ...ANSWER...- 2 to -6 meQ What will be the deficit for class 4? - ...ANSWER...-10 or less When will urine output start to decrease in shock? - ...ANSWER...Class 3 and 4 When does BP start to fall in shock - ...ANSWER...Class 3 What is GCS? - ...ANSWER...E-4 V-5 M-6 Eye spont 4 To command 3 To pain 2 None 1 Verbal spont is 5 Verbal confused is 4 Inappropriate 3 Garbling is 2 None is 1