ATLS Trauma in Special Populations 2

Question 1

In a pregnant trauma patient at 28 weeks, what is the most important initial intervention to improve hemodynamics?

Accepted Answer

Left lateral tilt of 15-30 degrees

Answer

Emergency cesarean

Answer

Tocolytics

Answer

Fetal monitoring

Question 2

An 80-year-old on warfarin with GCS 15 after a ground-level fall hitting their head. Most appropriate management?

Accepted Answer

CT head scan regardless of GCS

Answer

Discharge with precautions

Answer

Observe 2 hours then discharge

Answer

Skull X-rays only

Question 3

A 5-year-old in an MVC has HR 150 but normal blood pressure. What does this suggest?

Accepted Answer

Compensated shock with up to 25-30% blood volume loss

Answer

Hemodynamically normal

Answer

Neurogenic shock

Answer

Anxiety only

Question 4

What modification to the primary survey is needed for pregnant patients beyond 20 weeks?

Accepted Answer

Add fetal heart tone assessment after maternal stabilization

Answer

Skip airway assessment

Answer

Circulation before breathing

Answer

Reduce IV fluids

Question 5

Elderly trauma patients have increased mortality primarily because of which factor?

Accepted Answer

Decreased physiologic reserve and pre-existing conditions

Answer

Higher spinal injury incidence

Answer

Increased pain sensitivity

Answer

More penetrating injuries

Question 6

What formula estimates the correct uncuffed ETT size for a pediatric patient?

Accepted Answer

Age/4 + 4

Answer

Age/2 + 4

Answer

Weight/10 + 3

Answer

Age/3 + 3