Download ATLS Test Exam Medicine- Surgery Questions and Answers 2024 and more Exams Nursing in PDF only on Docsity! 1 ATLS Test Exam Medicine- Surgery Questions and Answers 2024 When something crashes in secondary survey, you... - ANS-GO BACK TO PRIAMRY SURVEY If the question says you do not have capabilities, you will most likely - ANS-PREPARE FOR AND DO NOT DELAY TRANSPORT How much blood can femur lose - ANS-2L What is always going to be the shock type to pick - ANS-Hemorrhagic What are the classes of hemorrhagic shock - ANS-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 - ANS-Narrowed pulse pressure in class 2 What will be base deficit for class 2 shock? - ANS--2 to -6 meQ What will be the deficit for class 4? - ANS--10 or less When will urine output start to decrease in shock? - ANS-Class 3 and 4 When does BP start to fall in shock - ANS-Class 3 What is GCS? - ANS-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 Motor spont is 6 2 Localize pain is 5 Withdrawal pain is 4 Decorticating (flexion) is 3 Decebrate (extension) is 2 None is 1 Two main reasons to think about why GCS goes down? - ANS-TBI Hemorrhagic shock Why do you want to put in chest tube before needle decompression? - ANS-SIMPLE PTX can turn into TENSION PTX When is DPL useful over fast? - ANS-No ultrasound available. What is LEMON for airway patency - ANS-Look Evaluate Malay-ATI Obstruction Neck mobility What is DEFINITIVE airway? - ANS-Tube in trachea BELOW vocal cords WHEN is surgical airway indicated? - ANS-When you CANNOT do any other form of airway (2 attempts typically) What is contraindicated with suspicion of basilar skull frx? - ANS-OPA, put in gastric tube for suction because it can go through up into cranium thru cribiform plate Peds kid with bicycle trauma is most likely goin to be? - ANS-PANCREATIC injury Organ tear is more common with? - ANS-Penetrating injury What type of pelvic fracture is binder indicated in - ANS-Open book If there is BLOOD at the meatus, then what do you need to do? - ANS-RUG first, because if you do a cyst gram you will be spilling into the abd cavity If patient is unstable, free air/blood on CT, peritoneal signs yield what? - ANS- EMERGENT laparotomy What lab value is good for assessing hydration in burn patient? - ANS-URINE OUTPUT How do you determine difference between PTX and tamponade? - ANS-BREATH SOUNDS Blowing air leak on chest tube is sign of? - ANS-TRACHEOBRONCHIAL RUPTURE