ATLS TEST EXAM 1 REAL EXAM 2023 A+ GRADED NEW VERSION
Which one of the following statements concerning intraosseous infusion is TRUE?
Select one:
a. Only crystalloid solutions may be safely infused through the needle.
b. Aspiration of bone marrow confirms appropriate positioning of the needle.
c. Intraosseous infusion is the preferred route for volume resuscitation in small children.
d. Intraosseous infusion may be utilized indefinitely.
e. Swelling in the soft tissues around the intraosseous site is not a reason to discontinue
infusion.
A young female sustains a severe head injury as the result of a motor vehicle crash. In
the emergency department, her GCS is 6, blood pressure is 140/90 mm Hg, and her
heart rate is 80 beats per minute. She is intubated and mechanically ventilated. Her
pupils are 3 mm in size and equally reactive to light. There is no other apparent injury.
The most important principle to follow in the early management of her head injury is to:
Select one:
a. avoid hypotension
b. administer an osmotic diuretic
c. aggressively treat systemic hypertension
d. reduce metabolic requirements of the brain
e. distinguish between intracranial hematoma and cerebral edema
A 33-year-old female 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:
Select one:
a. hemorrhagic shock
b. cardiac tamponade
c. massive hemothorax
d. tension pneumothorax
e. diaphragmatic rupture
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