ATLS10thEditionPostTest1 e0e0 QuestionsandVerified
Answers 2025-2026 100%Correct|GradeA+
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1. Which of the following is the recommended Method for trestemt frostbite?
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A. Vasodilators
B. Anticigulants
C. Warm(40 degrees)water
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D. Paddingandelevation
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E. Applicationofheat froma hairdryer:
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Answer>C.Warm (40 degrees) water
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2. Which of the following physical findings suggest a cause of hypotension other than s pi
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nal cord injury?
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A. Prispism
B. Bradycardia
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,C. Diaphragmatic breathing e0
D. Presence of deep tendon reflexes e0 e0 e0 e0
E. Ability to flex forearms but not extend them
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Answer>: D.Presence of deep tendon reflexes.Spinalshock refers to loss of muscle toe (fla
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ccidty)andlossofreflexes.
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3. The primary indication for transferring Apatient to a higher level trauma center is
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:
A. Unavailibility of surgeon or operating staff e0 e0 e0 e0 e0
B. Multiple system injuries,including severe head injury
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C. Resource limitations as determined by the transferring doctor
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D. Resource limitations as determined by the hospital administration
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E. Widened mediastinumon chest x-ray following blunt trauma:
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Answer> C.Resource limitations as determined by the transferring doctor (MÅ SJEKKES)
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4. A young man sustains a rifle wound to the mid-
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abdomen. He is brought promptly to the EDbyprehospitalpersonnel. Hisskiniscooland di
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aphoretic, and his systolic blood pressure is 58mmHg.Warmed crystalloid fluids are i nitiat
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ed without improvement in his vital signs.The next, most appropriate, step is to pe rform:
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A. a laparotomy
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,B. AnabdominalCT-scan 0e 0e
C. Diagnostic laparoscopy e0
D. Abdominal ultrasonography e0
E. Adiagnostic peritoneal lavage:
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g Answer> A.Laparotomy because of hemodynamic ab- normality
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5. A 42-year- e0
old man is trapped from the waist down beneath his overturned tractor for several hour s
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before medical assistance arrives. He is awake and alertuntiljustbeforearrivinginthe E
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D.He isnowunconsciousandresponds only to painful stimuli by moaning. His pupils a re
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3mm in diameter and symmetrically reactive to light. Prehospital personnel indicate t hat
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they have
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not seen the patient move either of his lower extremities. On examination in theED,no m ove
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ment of his lower extremities are detected,even in response to painful stimuli.The mos t likel
e0 e0 e0 e0 e0 e0 0e e0 e0 e0 e0 e0 e0 e0 e0
y cause for this finding is:
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A. An epidural hematoma e0 e0
B. A pelvic fracture
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C. Central cord syndrome e0 e0
D. Intracerebral hemorrhage e0
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, E. Bilateral compartment syndrome: e0 e0
Answer>D MÅ SJEKKES
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6. A 6-year- e0
o boy is struck by an automobile and brought to the ED. He is lethargic,butwithdrawsp urpo
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sefullyfrompainfulstimuli.Hisbloodpressure is 90mmHg systolic, heart rate 140 b eats per 0e e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
minute and his respiratory rate is 36 breaths per minute.The preferred route of venous acces
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s in this patient is:
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A. Percutaneousfemoral vein cannulation e0 e0 e0
B. Cutdown on the saphenous vein at the ankle e0 e0 e0 e0 e0 e0 e0
C. Intraosseous catheter placement in the proximal tibia e0 e0 e0 e0 e0 e0
D. Percutaneous peripheral veins in the upper extremities e0 e0 e0 e0 e0 e0
E. Centralvenousaccessviathesubclavianorinternaljugularvein:
g Answer> D.Percu- taneous peripheral veins in the upper extremities
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7. A young man sustains a gunshot wound to the abdomen and is brought promptlytoth e E
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Dbyprehospitalpersonnel.Hisskiniscoolanddiaphoretic, and he is confused. His pu lse e0 e0 e0 e0 e0 e0 e0 e0
is thready and his femoral pulse is only weakly palpable.The definitive treatment in man
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
aging this patient is to: e0 e0 e0 e0
A. Administer O-negative blood e0 e0
B. Applyexternal warming devices e0 e0 e0
e0 e0
Answers 2025-2026 100%Correct|GradeA+
e0 e 0
1. Which of the following is the recommended Method for trestemt frostbite?
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
A. Vasodilators
B. Anticigulants
C. Warm(40 degrees)water
0e e0 e0
D. Paddingandelevation
0e 0e
E. Applicationofheat froma hairdryer:
e0 e0 e0 e0 e0
Answer>C.Warm (40 degrees) water
g 0e e0 e0 e0
2. Which of the following physical findings suggest a cause of hypotension other than s pi
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
nal cord injury?
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A. Prispism
B. Bradycardia
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,C. Diaphragmatic breathing e0
D. Presence of deep tendon reflexes e0 e0 e0 e0
E. Ability to flex forearms but not extend them
e0 e0 e0 e0 e0 e0 e0 g
Answer>: D.Presence of deep tendon reflexes.Spinalshock refers to loss of muscle toe (fla
e0 0e e0 e0 e0 e0 e0 e0 e0 e0 0e e0 e0
ccidty)andlossofreflexes.
0e 0e 0e 0e
3. The primary indication for transferring Apatient to a higher level trauma center is
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
:
A. Unavailibility of surgeon or operating staff e0 e0 e0 e0 e0
B. Multiple system injuries,including severe head injury
e0 e0 0e e0 e0 e0
C. Resource limitations as determined by the transferring doctor
e0 e0 e0 e0 e0 e0 e0
D. Resource limitations as determined by the hospital administration
e0 e0 e0 e0 e0 e0 e0
E. Widened mediastinumon chest x-ray following blunt trauma:
e0 e0 e0 e0 e0 e0 g
Answer> C.Resource limitations as determined by the transferring doctor (MÅ SJEKKES)
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
4. A young man sustains a rifle wound to the mid-
e0 e0 e0 e0 e0 e0 e0 e0 e0
abdomen. He is brought promptly to the EDbyprehospitalpersonnel. Hisskiniscooland di
e0 e0 e0 e0 e0 e0 e0 e0 e0
aphoretic, and his systolic blood pressure is 58mmHg.Warmed crystalloid fluids are i nitiat
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
ed without improvement in his vital signs.The next, most appropriate, step is to pe rform:
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
A. a laparotomy
e0
e0 e0
,B. AnabdominalCT-scan 0e 0e
C. Diagnostic laparoscopy e0
D. Abdominal ultrasonography e0
E. Adiagnostic peritoneal lavage:
0e e0 e0
g Answer> A.Laparotomy because of hemodynamic ab- normality
ge0 e0 e0 e0 e0 e0
5. A 42-year- e0
old man is trapped from the waist down beneath his overturned tractor for several hour s
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
before medical assistance arrives. He is awake and alertuntiljustbeforearrivinginthe E
e0 e0 e0 e0 e0 e0 e0 e0 e0
D.He isnowunconsciousandresponds only to painful stimuli by moaning. His pupils a re
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
3mm in diameter and symmetrically reactive to light. Prehospital personnel indicate t hat
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e
they have
0 e0
not seen the patient move either of his lower extremities. On examination in theED,no m ove
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 0e 0e e0 e0
ment of his lower extremities are detected,even in response to painful stimuli.The mos t likel
e0 e0 e0 e0 e0 e0 0e e0 e0 e0 e0 e0 e0 e0 e0
y cause for this finding is:
e0 e0 e0 e0 e0
A. An epidural hematoma e0 e0
B. A pelvic fracture
e0 e0
C. Central cord syndrome e0 e0
D. Intracerebral hemorrhage e0
e0 e0
, E. Bilateral compartment syndrome: e0 e0
Answer>D MÅ SJEKKES
g g e0
6. A 6-year- e0
o boy is struck by an automobile and brought to the ED. He is lethargic,butwithdrawsp urpo
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 0e e0
sefullyfrompainfulstimuli.Hisbloodpressure is 90mmHg systolic, heart rate 140 b eats per 0e e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
minute and his respiratory rate is 36 breaths per minute.The preferred route of venous acces
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
s in this patient is:
e0 e0 e0 e0
A. Percutaneousfemoral vein cannulation e0 e0 e0
B. Cutdown on the saphenous vein at the ankle e0 e0 e0 e0 e0 e0 e0
C. Intraosseous catheter placement in the proximal tibia e0 e0 e0 e0 e0 e0
D. Percutaneous peripheral veins in the upper extremities e0 e0 e0 e0 e0 e0
E. Centralvenousaccessviathesubclavianorinternaljugularvein:
g Answer> D.Percu- taneous peripheral veins in the upper extremities
ge0 e0 e0 e0 e0 e0 e0 e0
7. A young man sustains a gunshot wound to the abdomen and is brought promptlytoth e E
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 0e 0e e0 e0
Dbyprehospitalpersonnel.Hisskiniscoolanddiaphoretic, and he is confused. His pu lse e0 e0 e0 e0 e0 e0 e0 e0
is thready and his femoral pulse is only weakly palpable.The definitive treatment in man
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
aging this patient is to: e0 e0 e0 e0
A. Administer O-negative blood e0 e0
B. Applyexternal warming devices e0 e0 e0
e0 e0