Master the Mayhem: 2025 ATLS Practice Exam – Be the Trauma Hero!

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What finding during a neck exam may suggest potential vascular injury?

Palpable thrills

Carotid bruit

The presence of a carotid bruit during a neck exam can be a significant indicator of potential vascular injury. A carotid bruit is an abnormal sound that is heard over the carotid artery when there is turbulent blood flow, which may occur due to narrowed arteries or vascular trauma. This sound suggests that there may be underlying issues such as dissection or a hematoma affecting the vascular integrity of the carotid artery.

While other findings such as palpable thrills or crepitus might indicate various types of injuries or conditions, they are not specifically associated with vascular compromise. Similarly, step-offs can suggest vertebral or cervical spine injuries but do not directly indicate vascular injury in the context of the neck. Thus, the identification of a carotid bruit is particularly relevant for evaluating potential vascular compromise in patients who may have sustained trauma.

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Crepitus

Step-offs

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