A&e atls test – answers at the end 1 a 22-year-old man sustains a shotgun wound to the left shoulder. His blood

a. b.

C.

d. e.

secure the airway.

immobilize the neck.

support the circulation. control scalp hemorrhage.

determine the Glasgow Coma Scale Score.
A&E ATLS TEST – answers at the end
1-1. A 22-year-old man sustains a shotgun wound to the left shoulder. His blood pressure is initially 80/40. After two liters of Ringer's lactate solution his blood pressure increases to 122/84. His pulse rate is now 100 beats per minute and his respiratory rate is 28 breaths per minute. His breath sounds are decreased in the left hemithorax, and a closed tube thoracostomy is performed with the return of a small amount of blood with no air leak. The most appropriate

next step is to

a. re-examine the chest.

b. perform an aortogram.

c. obtain a CT scan of the chest.

d. obtain arterial blood gas analyses.

e. perform transesophageal echocardiography. ;

1-2. A four-year-old girl, weighing approximately 20 kg (44 pounds), is admitted in shock after an automobile crash. The initial fluid challenge or bolus should consist of Ringer's lactate solution in the volume of

a.	200 mL.
b.	400 mL.
c.	440 mL.
d.	600 mL.
e.	880 mL.

1-3. All of the following are considered minimal precautions for the prevention of the spread of communicable diseases during resuscitation EXCEPT
a. goggles. b. face mask. c. water-impervious gown. d. water-impervious leggings.

e. needle-impenetrable sterile gloves.

1-4. In managing the head-injured patient, the most important initial step is to