Practice Test 10th Edition Flashcards
6 cards from real ATLS practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Practice Test 10th Edition flashcards as text
Per ATLS 10th edition, when should a pelvic binder be removed?
Answer: Only in the OR or IR suite by the treating team
Binders should only be removed where hemorrhage can be definitively managed.
The 10th edition recommends which approach for cervical spine clearance in obtunded patients?
Answer: MRI required in addition to CT
CT for bony evaluation plus MRI to evaluate ligamentous injury, as CT alone can miss unstable injuries.
What is the significance of the Shock Index (SI = HR/SBP) in the 10th edition?
Answer: SI >1.0 suggests significant hemorrhage, useful for identifying occult shock
SI >1.0 suggests significant hemorrhage, often before traditional vital signs show obvious abnormalities.
What is the 10th edition stance on tourniquets in civilian trauma?
Answer: Recommended for life-threatening extremity hemorrhage not controlled by direct pressure
Based on military evidence, tourniquets are endorsed for civilian trauma when direct pressure is insufficient.
What point-of-care test does the 10th edition emphasize for guiding resuscitation?
Answer: Point-of-care lactate and base deficit
POC lactate and base deficit are objective metabolic markers that guide resuscitation more reliably than vital signs.
What is the 10th edition approach when a patient has both significant TBI and hemorrhagic shock?
Answer: Prioritize hemorrhage control while maintaining MAP >80 mmHg for cerebral perfusion
Hemorrhage control is the priority, but permissive hypotension is CONTRAINDICATED in TBI. MAP must be >80 mmHg.