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

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Which imaging technique is NOT used as an adjunct in a secondary survey?

XR of spine and extremities

CT scan

Guided ultrasound

Guided ultrasound is not typically used as an adjunct in a secondary survey within the Advanced Trauma Life Support framework. The secondary survey is focused on a thorough evaluation of the patient, including obtaining a history, performing a head-to-toe assessment, and utilizing imaging studies where necessary.

The imaging techniques used during this phase of assessment are aimed primarily at identifying injuries or conditions that might not be apparent during initial assessments.

X-rays of the spine and extremities, CT scans, and contrast urography are all established modalities that help in diagnosing fractures, internal organ injuries, or vascular conditions following initial trauma assessments. They provide critical information that informs further management and intervention strategies.

Guided ultrasound, while a useful tool in trauma for specific assessments, such as evaluating for fluid in the abdomen or guiding procedures, does not fit the traditional roles expected during the secondary survey. It is more commonly utilized in the primary survey or procedural settings rather than as a broad adjunct in the secondary evaluation process.

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Contrast urography

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