ATLS Pre Module MCQ
A 20-year-antique woman that is 32 weeks gestation , is stabbed in the upper right chest. In
the emergency branch, her blood strain is eighty/60 mm Hg. She is gasping for breath,
extraordinarily annoying, and yelling for assist. Breath sounds are dwindled in the right
chest. The maximum appropriate first step is to:
A) Perform tracheal intubation
B) Insert an oropharyngeal airway
C) Perform needle or finger decompression of the right chest
D) Manually displace the gravid uterus to the left aspect of the stomach
E) Initiate 2, huge-caliber peripheral IV strains and crystalloid infusion - ANS-C
A 22-year-antique lady athlete is stabbed in her left chest at the third interspace within the
anterior axillary line. On admission to the ED and 15 mins after the incident, she is wide
awake and alert. Her coronary heart rate is 100 beats according to minute, blood pressure is
eighty/60 mm Hg, and breathing fee is 20 breaths according to minute. A chest x-ray exhibits
a big left hemothorax. A left chest tube is placed with an immediate return of 1600 mL of
blood. The next control step for this patient is to:
A) Perform a thoracoscopy
B) Perform an arch aortogram
C) Insert a second left chest tube
D) Prepare for an exploratory thoracotomy
E) Perform a chest CT - ANS-D
A 22-yr-old guy is hypotensive and tachycardic after a shotgun wound to the left shoulder.
His blood stress is first of all 80/40 mm Hg. After preliminary fluid resuscitation his blood
pressure will increase to 122/84 mm Hg. His heart price is now 100 beats in keeping with
minute and his respiratory rate is 28 breaths consistent with minute. A tube thoracostomy is
executed for reduced left chest breath sounds with the go back of a small quantity of blood
and no air leak. After chest tube insertion, the maximum appropriate subsequent step is:
A) Reexamine the chest
B) Aortogram
C) Chest CT
D) ABG
E) TOE - ANS-A
A 22-year-old guy sustains a gunshot wound to the left chest and is transported to a small
network sanatorium; no surgical abilities are to be had. In the emergency department, a
chest tube is inserted and seven-hundred mL of blood is evacuated. The trauma middle
accepts the patient in transfer. Just before the affected person is located within the
ambulance for transfer, his blood pressure decreases to 80/68 mm Hg and his coronary
heart rate increases to 136 beats according to minute. The next step have to be to:
A) Clamp the chest tube
B) Cancel the patient's transfer
, C) Perform an emergency branch thoracotomy
D) Repeat the number one survey and proceed with transfer
E) Delay the transfer till the referring medical doctor can touch a thoracic general practitioner
- ANS-D
A 23-12 months-vintage guy sustains four stab wounds to the higher proper chest for the
duration of an altercation and is introduced by ambulance to a medical institution that has full
surgical capabilities. His wounds are all above the nipple. He is endotracheally intubated,
closed tube thoracostomy is executed, fluid resuscitation is initiated thru 2 huge-caliber IVs.
FAST exam does not display intraabdominal injuries. His blood pressure now could be 60/0
mm Hg, heart rate is a hundred and sixty beats according to minute, and respiration fee is 14
breaths per minute (ventilated with a hundred% O2). 1500 mL of blood has drained from the
proper chest. The most appropriate subsequent step in coping with this affected person is to
A) Perform diagnostic peritoneal lavage
B) Obtain a CT of the chest
C) Perform an angiography
D) Urgently transfer the affected person to the operating room
E) Immediately transfer the affected person to a trauma center - ANS-D
A 25-year-vintage man, injured in a motor vehicular crash, is admitted to the emergency
department. His pupils react sluggishly and his eyes open to stress. He does not observe
commands, but he does moan periodically. His right arm is deformed and does no longer
reply to pressure; but, his left hand reaches purposefully in the direction of the stimulus. Both
legs are stiffly prolonged. His GCS rating is:
A) 2
B) 4
C) 6
D) nine
E) 12 - ANS-D
A 32-yr-old guy's proper leg is trapped below his overturned vehicle for almost 2 hours
before he's extricated. On arrival to the emergency department, his right lower extremity is
cool, mottled, insensate, and motionless. Despite ordinary critical symptoms, a pulse cannot
be palpated below the right femoral artery and the muscle groups of the lower extremity are
company and difficult. During the control of this patient, which of the subsequent is maximum
probably to improve the probabilities for limb salvage?
A) Applying skeletal traction
B) Administering anticoagulant tablets
C) Administering thrombolytic therapy
D) Surgical consultation for right decrease extremity fasciotomy
E) Transferring the affected person to the trauma center 120 km away - ANS-D
A 33-12 months-vintage female is worried in a head-on motor automobile crash. It took
half-hour to extricate her from the automobile. Upon arrival in the emergency department,
her coronary heart charge is 120 beats consistent with minute, BP is ninety/70 mm Hg,
respiration charge is sixteen breaths in line with minute, and her GCS rating is 15.
Examination reveals bilaterally same breath sounds, anterior chest wall ecchymosis, and
distended neck veins. Her stomach is flat, gentle, and not gentle. Her pelvis is strong.
A 20-year-antique woman that is 32 weeks gestation , is stabbed in the upper right chest. In
the emergency branch, her blood strain is eighty/60 mm Hg. She is gasping for breath,
extraordinarily annoying, and yelling for assist. Breath sounds are dwindled in the right
chest. The maximum appropriate first step is to:
A) Perform tracheal intubation
B) Insert an oropharyngeal airway
C) Perform needle or finger decompression of the right chest
D) Manually displace the gravid uterus to the left aspect of the stomach
E) Initiate 2, huge-caliber peripheral IV strains and crystalloid infusion - ANS-C
A 22-year-antique lady athlete is stabbed in her left chest at the third interspace within the
anterior axillary line. On admission to the ED and 15 mins after the incident, she is wide
awake and alert. Her coronary heart rate is 100 beats according to minute, blood pressure is
eighty/60 mm Hg, and breathing fee is 20 breaths according to minute. A chest x-ray exhibits
a big left hemothorax. A left chest tube is placed with an immediate return of 1600 mL of
blood. The next control step for this patient is to:
A) Perform a thoracoscopy
B) Perform an arch aortogram
C) Insert a second left chest tube
D) Prepare for an exploratory thoracotomy
E) Perform a chest CT - ANS-D
A 22-yr-old guy is hypotensive and tachycardic after a shotgun wound to the left shoulder.
His blood stress is first of all 80/40 mm Hg. After preliminary fluid resuscitation his blood
pressure will increase to 122/84 mm Hg. His heart price is now 100 beats in keeping with
minute and his respiratory rate is 28 breaths consistent with minute. A tube thoracostomy is
executed for reduced left chest breath sounds with the go back of a small quantity of blood
and no air leak. After chest tube insertion, the maximum appropriate subsequent step is:
A) Reexamine the chest
B) Aortogram
C) Chest CT
D) ABG
E) TOE - ANS-A
A 22-year-old guy sustains a gunshot wound to the left chest and is transported to a small
network sanatorium; no surgical abilities are to be had. In the emergency department, a
chest tube is inserted and seven-hundred mL of blood is evacuated. The trauma middle
accepts the patient in transfer. Just before the affected person is located within the
ambulance for transfer, his blood pressure decreases to 80/68 mm Hg and his coronary
heart rate increases to 136 beats according to minute. The next step have to be to:
A) Clamp the chest tube
B) Cancel the patient's transfer
, C) Perform an emergency branch thoracotomy
D) Repeat the number one survey and proceed with transfer
E) Delay the transfer till the referring medical doctor can touch a thoracic general practitioner
- ANS-D
A 23-12 months-vintage guy sustains four stab wounds to the higher proper chest for the
duration of an altercation and is introduced by ambulance to a medical institution that has full
surgical capabilities. His wounds are all above the nipple. He is endotracheally intubated,
closed tube thoracostomy is executed, fluid resuscitation is initiated thru 2 huge-caliber IVs.
FAST exam does not display intraabdominal injuries. His blood pressure now could be 60/0
mm Hg, heart rate is a hundred and sixty beats according to minute, and respiration fee is 14
breaths per minute (ventilated with a hundred% O2). 1500 mL of blood has drained from the
proper chest. The most appropriate subsequent step in coping with this affected person is to
A) Perform diagnostic peritoneal lavage
B) Obtain a CT of the chest
C) Perform an angiography
D) Urgently transfer the affected person to the operating room
E) Immediately transfer the affected person to a trauma center - ANS-D
A 25-year-vintage man, injured in a motor vehicular crash, is admitted to the emergency
department. His pupils react sluggishly and his eyes open to stress. He does not observe
commands, but he does moan periodically. His right arm is deformed and does no longer
reply to pressure; but, his left hand reaches purposefully in the direction of the stimulus. Both
legs are stiffly prolonged. His GCS rating is:
A) 2
B) 4
C) 6
D) nine
E) 12 - ANS-D
A 32-yr-old guy's proper leg is trapped below his overturned vehicle for almost 2 hours
before he's extricated. On arrival to the emergency department, his right lower extremity is
cool, mottled, insensate, and motionless. Despite ordinary critical symptoms, a pulse cannot
be palpated below the right femoral artery and the muscle groups of the lower extremity are
company and difficult. During the control of this patient, which of the subsequent is maximum
probably to improve the probabilities for limb salvage?
A) Applying skeletal traction
B) Administering anticoagulant tablets
C) Administering thrombolytic therapy
D) Surgical consultation for right decrease extremity fasciotomy
E) Transferring the affected person to the trauma center 120 km away - ANS-D
A 33-12 months-vintage female is worried in a head-on motor automobile crash. It took
half-hour to extricate her from the automobile. Upon arrival in the emergency department,
her coronary heart charge is 120 beats consistent with minute, BP is ninety/70 mm Hg,
respiration charge is sixteen breaths in line with minute, and her GCS rating is 15.
Examination reveals bilaterally same breath sounds, anterior chest wall ecchymosis, and
distended neck veins. Her stomach is flat, gentle, and not gentle. Her pelvis is strong.
