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2. Which one of the following physical findings suggests a cause of hypotension other than
spinal cord injury?
A. priapism.
B. bradycardia.
C. diaphragmatic breathing.
D. presence of deep tendon reflexes.
3. A young man sustains a gunshot wound to the abdomen and is brought promptly to the
emergency department by prehospital personnel. His skin is cool and diaphoretic, and he is
confused. His pulse is thready and his femoral pulse is only weakly palpable. The definitive
treatment in managing this patient is to:
A. The absolute volume of blood loss required to produce shock is the same as in
adults.
B. Children have greater physiologic reserves than do adults.
C. Tachycardia is the primary physiologic response to hypovolemia.
D. Vital signs are age-related.
5. The primary indication for transferring a patient to a higher level trauma center is:
A. unavailability of a surgeon or operating room staff.
B. multiple system injuries, including severe head injury.
C. resource limitations as determined by the transferring doctor.
D. resource limitations as determined by the hospital administration.
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5 Sample Questions for ATLS
Answers
2. D. presence of deep tendon reflexes. A spinal cord injury would generally cause
absent reflexes at the level of the injury, hyper-reflexia inferior to it, and normal
reflexes superior to it.
4. A. The absolute volume of blood loss required to produce shock is the same as in
adults. The absolute volume of blood loss required to produce shock is less than in
adults. However, the percentage volume of blood loss required to produce shock is
more than in adults. Note: Up to a 30% diminution in circulating blood volume may be
required to cause a decrease in the child’s systolic blood pressure. Tachycardia and
poor skin perfusion often are the only keys to early recognition of hypovolemia.
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