ATLS Shock Assessment and Management 2

Question 1

A trauma patient has hypotension, distended neck veins, and muffled heart sounds. Most likely diagnosis?

Accepted Answer

Cardiac tamponade

Answer

Tension pneumothorax

Answer

Massive hemothorax

Answer

Myocardial contusion

Question 2

Which shock type is characterized by hypotension, bradycardia, and warm flushed skin below the injury?

Accepted Answer

Neurogenic shock

Answer

Hypovolemic shock

Answer

Cardiogenic shock

Answer

Septic shock

Question 3

In massive transfusion protocol, what is the recommended PRBC:FFP:Platelets ratio?

Accepted Answer

1:1:1

Answer

3:1:1

Answer

2:1:1

Answer

1:2:1

Question 4

A 25-year-old with a left chest stab wound develops PEA in the trauma bay. What is the most appropriate intervention?

Accepted Answer

Emergency department thoracotomy

Answer

Start CPR and epinephrine

Answer

Bilateral needle decompression

Answer

Pericardiocentesis

Question 5

What is the earliest and most reliable clinical indicator of adequate resuscitation?

Accepted Answer

Urine output of 0.5 mL/kg/hour

Answer

Blood pressure normalization

Answer

Normal heart rate return

Answer

Skin color improvement

Question 6

Permissive hypotension targets what systolic BP in a patient without TBI?

Accepted Answer

80-90 mmHg

Answer

60-70 mmHg

Answer

100-110 mmHg

Answer

120-130 mmHg