ATLS Module Practice Questions
A 10-yr-antique male struck his head even as diving right into a swimming pool. On
examination, he demonstrates weak spot in all of his extremities. Cervical backbone movies
monitor no fractures. The quality next step in control must be:
A) attain pressing backbone surgical procedure consultation
B) acquire flexion-extension films
C) gain CT scan of the cervical spine
D) administer excessive-dose corticosteroids - ANS-A) achieve pressing backbone surgery
consultation
A 12-12 months-vintage male complains of left top quadrant tenderness and left shoulder
ache 8 hours after playing rugby. A, B, C, D, and E steps are completed and everyday.
Circulatory assessment remains normal. Abdominal exam famous mild left top quadrant
tenderness with out peritoneal symptoms. FAST exam demonstrates fluid in the hepatorenal
area and the splenorenal recess. Your institution has surgical capabilities. Of the following
alternatives, the most suitable subsequent step in management of this affected person is:
A) transfusion of PRBCs
B) referral to a pediatrician
C) on the spot laparotomy
D) observation - ANS-D) observation
A 19-year-old female stepped off a curb, tripped, and fell. Her essential signs and symptoms
are everyday. She had lack of attention, and mind CT is terrible. Her best prior ED go to
became for a damaged arm sustained in a bicycle twist of fate 5 years prior. She sees her
primary care doctor, additionally her gynecologist, every year. Which of the subsequent
statements regarding intimate partner violence (IPV) is proper for this affected person?
A) a popular IPV display should be carried out on this patient
B) this affected person is low danger for IPV, and no screen is necessary
C) screening for IPV is exceptional achieved by way of her primary care physician, who has
extra whole knowledge of the patient's clinical history and standing
D) the patient should be requested if she has a modern-day boyfriend; if no longer, no IPV
display screen is vital - ANS-A) a popular IPV display screen ought to be performed on this
patient
A 22-year-vintage lady within the 1/3 trimester of her being pregnant provides after a motor
automobile crash. Her vital signs are: BP 100/70, HR a hundred and twenty, and RR 22.
Fetal heart rate is classed and discovered to be 90. Which of the following statements
approximately fetal heart charge is accurate?
A) this fetal heart price represents a everyday price for this level of being pregnant
B) this abnormally low fetal coronary heart fee possibly represents impaired oxygen drift to
the fetus from the placental vasculature
C) this fetal coronary heart fee likely represents a preexisting abnormality within the fetus
D) the presence of accelerations or beat-to-beat heart charge variability are signs and
symptoms of drawing close fetal decompensation - ANS-B) this abnormally low fetal
,coronary heart rate in all likelihood represents impaired oxygen flow to the fetus from the
placental vasculature
A 22-year-vintage woman presents after jumping from the 0.33 story of a building in a
suicide strive. She is hemodynamically regular, however has a GCS rating of thirteen. Both
ankles are swollen. Her pulses are intact. Initial chest and pelvic movies are normal. Ankle
films display bilateral calcaneal fractures. What additional paintings-up is essential to adopt
in this patient?
A) FAST exam to rule out intraperitoneal harm
B) radiographic paintings-up of the backbone to rule out occult injury
C) CT angiography of bilateral lower extremities to evaluate for occult vascular harm
D) size of calf compartment pressures - ANS-B) radiographic work-up of the spine to rule out
occult damage
A 22-year-antique male is hit by way of a car whilst visiting downhill on a skateboard. He
changed into observed unconscious on the scene and arrives with bag-masks ventilation via
the EMS team. He handiest mumbles incoherently, does no longer open his eyes, and best
flexes to ache. Upon arrival within the emergency branch, the number one purpose is:
A) decide the Glasgow Coma Scale rating
B) begin two huge-bore IVs
C) touch a neurosurgeon for fast surgical intervention
D) intubate the patient - ANS-D) intubate the patient
A 24-yr-vintage male arrives at your ED already intubated. He has big crepitus of the proper
chest wall and diminished breath sounds. You vicinity a chest tube and notice a big quantity
of bubbling in the water seal chamber. His oxygen saturation stays at 85%, and he has a
very good CO2 return on capnography. The most likely purpose of low oxygen saturation is:
A) hemothorax
B) tension pneumothorax
C) tracheobronchial tree injury
D) pericardial tamponade - ANS-C) tracheobronchial tree injury
A 25-year-vintage male offers after a motorbike crash. His critical signs and symptoms are:
BP 128/70, HR 124, GCS 15. He complains of proper leg ache. On examination, the patient
is determined to have a great proximal right thigh deformity. His distal pulses are intact.
What is the first-rate initial management of this patient's signs?
A) administer a quick-performing sedative which include midazolam to assist with the
affected person's anxiety
B) begin a affected person-managed analgesia infusion
C) splint the extremity and administer a small dose of an intravenous narcotic, together with
Fentanyl
D) no narcotic analgesia must be administered until suitable radiographic investigation has
been finished to keep away from obscuring the patient exam - ANS-C) splint the extremity
and administer a small dose of an intravenous narcotic, along with Fentanyl
A 25-yr-vintage man arrives at the emergency department following a motorbike crash. BP is
80/60, and HR is one hundred forty. Airway and respiration are managed, and breath sounds
are clean bilaterally. There are no open wounds. The stomach isn't distended. Both legs are
, externally turned around but gentle. The pelvis is smooth. The scrotum is swollen and
ecchymotic. While vascular get admission to is received, the next maximum suitable step is:
A) application of a pelvic binder
B) CT test
C) placement of a urinary catheter
D) pelvic x-ray - ANS-A) application of a pelvic binder
A 28-yr-vintage woman is the constrained (lap and shoulder harness) motive force in a
head-on collision. Air baggage deployed. A, B, C, D, and E are intact and normal. The
patient complains of decrease stomach and again ache. A lower belly contusion is gift and
related to tenderness on exam. There is not any proof of diffuse peritonitis. Your group does
NOT have surgical abilties. Which of the subsequent remedy plans is maximum appropriate
regarding this patient?
A) a CT test should be finished prior to thinking about switch for emergent laparotomy
B) the affected person must be admitted on your organization for observation
C) if a FAST is completed and only reveals a small amount of pelvic fluid, the affected
person may be effectively discharged to home
D) the patient ought to be urgently transferred for surgical evaluation - ANS-D) the patient
ought to be urgently transferred for surgical evaluation
A 30-yr-antique male gives with a 2 cm stab wound to the mid-abdomen, 3 cm to the right of
the umbilicus. Vital signs and symptoms are: BP 85/60, HR a hundred thirty, RR 25, GCS
rating 14. Neck veins are flat. Chest examination is apparent with bilateral breath sounds.
The abdomen is gentle. Which of the following is the only great remedy to deal with this
patient's injury?
A) activation of the large transfusion protocol
B) IV infusion of two liters of warmed Ringer's answer, tracking the affected person's reaction
C) transfer to the operating room
D) IV infusion of hypertonic saline to normalize lactate - ANS-C) switch to the working room
A 33-year-old female who is 38 weeks pregnant by dates provides with a four cm stab
wound to the left chest advanced and lateral to the nipple. Her BP is seventy eight/40, HR
140, and RR 30. She is awake and speakme, but harassed, light, and diaphoretic. Her
oxygen saturation is 92% on 15 L oxygen by mask. She has markedly reduced breath
sounds on the left, dullness to percussion, and lively air trade through the open could in her
chest. What are the suitable next steps in this affected person's control?
A) emergency abdominal US including FAST examination to r/o maternal abdominal
hemorrhage & simultaneous assessment of the fetus
B) emergency CXR with protecting of the abdomen to evaluate for hemopneumothorax at
the same time as shielding the fetus
C) rapid decompression of the left chest with tube thoracostomy accompanied by means of
occlusive dressing of the stab wound
D) fast management of 2L crystalloid accompanied by using O- blood if patient does no
longer respond - ANS-C) speedy decompression of the left chest with tube thoracostomy
followed via occlusive dressing of the stab wound
A 34-yr-old in her third trimester of pregnancy became determined unconscious in her
backyard. She reputedly fell from a 2nd-story porch. EMS reports seizure hobby at the
A 10-yr-antique male struck his head even as diving right into a swimming pool. On
examination, he demonstrates weak spot in all of his extremities. Cervical backbone movies
monitor no fractures. The quality next step in control must be:
A) attain pressing backbone surgical procedure consultation
B) acquire flexion-extension films
C) gain CT scan of the cervical spine
D) administer excessive-dose corticosteroids - ANS-A) achieve pressing backbone surgery
consultation
A 12-12 months-vintage male complains of left top quadrant tenderness and left shoulder
ache 8 hours after playing rugby. A, B, C, D, and E steps are completed and everyday.
Circulatory assessment remains normal. Abdominal exam famous mild left top quadrant
tenderness with out peritoneal symptoms. FAST exam demonstrates fluid in the hepatorenal
area and the splenorenal recess. Your institution has surgical capabilities. Of the following
alternatives, the most suitable subsequent step in management of this affected person is:
A) transfusion of PRBCs
B) referral to a pediatrician
C) on the spot laparotomy
D) observation - ANS-D) observation
A 19-year-old female stepped off a curb, tripped, and fell. Her essential signs and symptoms
are everyday. She had lack of attention, and mind CT is terrible. Her best prior ED go to
became for a damaged arm sustained in a bicycle twist of fate 5 years prior. She sees her
primary care doctor, additionally her gynecologist, every year. Which of the subsequent
statements regarding intimate partner violence (IPV) is proper for this affected person?
A) a popular IPV display should be carried out on this patient
B) this affected person is low danger for IPV, and no screen is necessary
C) screening for IPV is exceptional achieved by way of her primary care physician, who has
extra whole knowledge of the patient's clinical history and standing
D) the patient should be requested if she has a modern-day boyfriend; if no longer, no IPV
display screen is vital - ANS-A) a popular IPV display screen ought to be performed on this
patient
A 22-year-vintage lady within the 1/3 trimester of her being pregnant provides after a motor
automobile crash. Her vital signs are: BP 100/70, HR a hundred and twenty, and RR 22.
Fetal heart rate is classed and discovered to be 90. Which of the following statements
approximately fetal heart charge is accurate?
A) this fetal heart price represents a everyday price for this level of being pregnant
B) this abnormally low fetal coronary heart fee possibly represents impaired oxygen drift to
the fetus from the placental vasculature
C) this fetal coronary heart fee likely represents a preexisting abnormality within the fetus
D) the presence of accelerations or beat-to-beat heart charge variability are signs and
symptoms of drawing close fetal decompensation - ANS-B) this abnormally low fetal
,coronary heart rate in all likelihood represents impaired oxygen flow to the fetus from the
placental vasculature
A 22-year-vintage woman presents after jumping from the 0.33 story of a building in a
suicide strive. She is hemodynamically regular, however has a GCS rating of thirteen. Both
ankles are swollen. Her pulses are intact. Initial chest and pelvic movies are normal. Ankle
films display bilateral calcaneal fractures. What additional paintings-up is essential to adopt
in this patient?
A) FAST exam to rule out intraperitoneal harm
B) radiographic paintings-up of the backbone to rule out occult injury
C) CT angiography of bilateral lower extremities to evaluate for occult vascular harm
D) size of calf compartment pressures - ANS-B) radiographic work-up of the spine to rule out
occult damage
A 22-year-antique male is hit by way of a car whilst visiting downhill on a skateboard. He
changed into observed unconscious on the scene and arrives with bag-masks ventilation via
the EMS team. He handiest mumbles incoherently, does no longer open his eyes, and best
flexes to ache. Upon arrival within the emergency branch, the number one purpose is:
A) decide the Glasgow Coma Scale rating
B) begin two huge-bore IVs
C) touch a neurosurgeon for fast surgical intervention
D) intubate the patient - ANS-D) intubate the patient
A 24-yr-vintage male arrives at your ED already intubated. He has big crepitus of the proper
chest wall and diminished breath sounds. You vicinity a chest tube and notice a big quantity
of bubbling in the water seal chamber. His oxygen saturation stays at 85%, and he has a
very good CO2 return on capnography. The most likely purpose of low oxygen saturation is:
A) hemothorax
B) tension pneumothorax
C) tracheobronchial tree injury
D) pericardial tamponade - ANS-C) tracheobronchial tree injury
A 25-year-vintage male offers after a motorbike crash. His critical signs and symptoms are:
BP 128/70, HR 124, GCS 15. He complains of proper leg ache. On examination, the patient
is determined to have a great proximal right thigh deformity. His distal pulses are intact.
What is the first-rate initial management of this patient's signs?
A) administer a quick-performing sedative which include midazolam to assist with the
affected person's anxiety
B) begin a affected person-managed analgesia infusion
C) splint the extremity and administer a small dose of an intravenous narcotic, together with
Fentanyl
D) no narcotic analgesia must be administered until suitable radiographic investigation has
been finished to keep away from obscuring the patient exam - ANS-C) splint the extremity
and administer a small dose of an intravenous narcotic, along with Fentanyl
A 25-yr-vintage man arrives at the emergency department following a motorbike crash. BP is
80/60, and HR is one hundred forty. Airway and respiration are managed, and breath sounds
are clean bilaterally. There are no open wounds. The stomach isn't distended. Both legs are
, externally turned around but gentle. The pelvis is smooth. The scrotum is swollen and
ecchymotic. While vascular get admission to is received, the next maximum suitable step is:
A) application of a pelvic binder
B) CT test
C) placement of a urinary catheter
D) pelvic x-ray - ANS-A) application of a pelvic binder
A 28-yr-vintage woman is the constrained (lap and shoulder harness) motive force in a
head-on collision. Air baggage deployed. A, B, C, D, and E are intact and normal. The
patient complains of decrease stomach and again ache. A lower belly contusion is gift and
related to tenderness on exam. There is not any proof of diffuse peritonitis. Your group does
NOT have surgical abilties. Which of the subsequent remedy plans is maximum appropriate
regarding this patient?
A) a CT test should be finished prior to thinking about switch for emergent laparotomy
B) the affected person must be admitted on your organization for observation
C) if a FAST is completed and only reveals a small amount of pelvic fluid, the affected
person may be effectively discharged to home
D) the patient ought to be urgently transferred for surgical evaluation - ANS-D) the patient
ought to be urgently transferred for surgical evaluation
A 30-yr-antique male gives with a 2 cm stab wound to the mid-abdomen, 3 cm to the right of
the umbilicus. Vital signs and symptoms are: BP 85/60, HR a hundred thirty, RR 25, GCS
rating 14. Neck veins are flat. Chest examination is apparent with bilateral breath sounds.
The abdomen is gentle. Which of the following is the only great remedy to deal with this
patient's injury?
A) activation of the large transfusion protocol
B) IV infusion of two liters of warmed Ringer's answer, tracking the affected person's reaction
C) transfer to the operating room
D) IV infusion of hypertonic saline to normalize lactate - ANS-C) switch to the working room
A 33-year-old female who is 38 weeks pregnant by dates provides with a four cm stab
wound to the left chest advanced and lateral to the nipple. Her BP is seventy eight/40, HR
140, and RR 30. She is awake and speakme, but harassed, light, and diaphoretic. Her
oxygen saturation is 92% on 15 L oxygen by mask. She has markedly reduced breath
sounds on the left, dullness to percussion, and lively air trade through the open could in her
chest. What are the suitable next steps in this affected person's control?
A) emergency abdominal US including FAST examination to r/o maternal abdominal
hemorrhage & simultaneous assessment of the fetus
B) emergency CXR with protecting of the abdomen to evaluate for hemopneumothorax at
the same time as shielding the fetus
C) rapid decompression of the left chest with tube thoracostomy accompanied by means of
occlusive dressing of the stab wound
D) fast management of 2L crystalloid accompanied by using O- blood if patient does no
longer respond - ANS-C) speedy decompression of the left chest with tube thoracostomy
followed via occlusive dressing of the stab wound
A 34-yr-old in her third trimester of pregnancy became determined unconscious in her
backyard. She reputedly fell from a 2nd-story porch. EMS reports seizure hobby at the
