ATLS Pre Module MCQ
A 6-yr-old boy walking across the street is struck by using the front bumper of a sports activities
software car touring at 32 kph (20 mph). Which one of the following statements is TRUE about
this affected person?
A) A flail chest is probable.
B) A symptomatic blunt cardiac harm is expected.
C) A pulmonary contusion can be gift within the absence of rib fractures.
D) Transection of the thoracic aorta is more likely than in an person affected person.
E) Rib fractures are usually discovered in youngsters with this mechanism of injury. - ANS-C
A 7-12 months-antique boy is brought to the emergency department by way of his parents
several mins after he fell via a window. He is bleeding profusely from a 6-cm wound of his
medial proper thigh. Immediate management of the wound ought to consist of:
A) Application of a tourniquet
B) Direct stress at the wound
C) Packing the wound with gauze
D) Direct pressure at the femoral artery at the groin
E) Debridement of devitalized tissue - ANS-B
A 20-12 months-old woman this is 32 weeks gestation , is stabbed inside the higher right chest.
In the emergency branch, her blood pressure is eighty/60 mm Hg. She is gasping for breath,
extraordinarily traumatic, and yelling for help. Breath sounds are dwindled in the proper 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 facet of the stomach
E) Initiate 2, big-quality peripheral IV traces and crystalloid infusion - ANS-C
A 22-12 months-vintage girl athlete is stabbed in her left chest on the third interspace inside the
anterior axillary line. On admission to the ED and 15 minutes after the incident, she is wide
awake and alert. Her coronary heart charge is one hundred beats per minute, blood stress is
80/60 mm Hg, and breathing fee is 20 breaths in keeping with minute. A chest x-ray reveals a
big left hemothorax. A left chest tube is placed with a right away go back of 1600 mL of blood.
The subsequent control step for this patient is to:
A) Perform a thoracoscopy
B) Perform an arch aortogram
C) Insert a 2nd left chest tube
D) Prepare for an exploratory thoracotomy
E) Perform a chest CT - ANS-D
, A 22-12 months-vintage guy is hypotensive and tachycardic after a shotgun wound to the left
shoulder. His blood stress is to start with eighty/40 mm Hg. After initial fluid resuscitation his
blood stress increases to 122/eighty four mm Hg. His heart rate is now 100 beats per minute
and his breathing charge is 28 breaths consistent with minute. A tube thoracostomy is finished
for decreased left chest breath sounds with the return of a small amount of blood and no air
leak. After chest tube insertion, the maximum appropriate next step is:
A) Reexamine the chest
B) Aortogram
C) Chest CT
D) ABG
E) TOE - ANS-A
A 22-yr-antique guy sustains a gunshot wound to the left chest and is transported to a small
network medical institution; no surgical skills are available. In the emergency branch, a chest
tube is inserted and seven hundred mL of blood is evacuated. The trauma middle accepts the
affected person in switch. Just earlier than the affected person is placed in the ambulance for
transfer, his blood pressure decreases to 80/68 mm Hg and his heart price will increase to 136
beats consistent with minute. The subsequent step need to be to:
A) Clamp the chest tube
B) Cancel the patient's transfer
C) Perform an emergency department thoracotomy
D) Repeat the primary survey and continue with transfer
E) Delay the switch till the referring physician can contact a thoracic medical professional -
ANS-D
A 23-year-vintage man sustains four stab wounds to the top proper chest at some stage in an
altercation and is added by way of ambulance to a health center that has complete surgical
abilties. His wounds are all above the nipple. He is endotracheally intubated, closed tube
thoracostomy is carried out, fluid resuscitation is initiated thru 2 huge-caliber IVs. FAST exam
does not monitor intraabdominal accidents. His blood stress now could be 60/0 mm Hg,
coronary heart rate is a hundred and sixty beats consistent with minute, and breathing charge is
14 breaths in step with minute (ventilated with 100% O2). 1500 mL of blood has drained from
the right chest. The maximum appropriate subsequent step in dealing 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 patient to the running room
E) Immediately switch the patient to a trauma middle - ANS-D
A 25-yr-old guy, injured in a motor vehicular crash, is admitted to the emergency branch. His
pupils react sluggishly and his eyes open to stress. He does now not comply with commands,
A 6-yr-old boy walking across the street is struck by using the front bumper of a sports activities
software car touring at 32 kph (20 mph). Which one of the following statements is TRUE about
this affected person?
A) A flail chest is probable.
B) A symptomatic blunt cardiac harm is expected.
C) A pulmonary contusion can be gift within the absence of rib fractures.
D) Transection of the thoracic aorta is more likely than in an person affected person.
E) Rib fractures are usually discovered in youngsters with this mechanism of injury. - ANS-C
A 7-12 months-antique boy is brought to the emergency department by way of his parents
several mins after he fell via a window. He is bleeding profusely from a 6-cm wound of his
medial proper thigh. Immediate management of the wound ought to consist of:
A) Application of a tourniquet
B) Direct stress at the wound
C) Packing the wound with gauze
D) Direct pressure at the femoral artery at the groin
E) Debridement of devitalized tissue - ANS-B
A 20-12 months-old woman this is 32 weeks gestation , is stabbed inside the higher right chest.
In the emergency branch, her blood pressure is eighty/60 mm Hg. She is gasping for breath,
extraordinarily traumatic, and yelling for help. Breath sounds are dwindled in the proper 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 facet of the stomach
E) Initiate 2, big-quality peripheral IV traces and crystalloid infusion - ANS-C
A 22-12 months-vintage girl athlete is stabbed in her left chest on the third interspace inside the
anterior axillary line. On admission to the ED and 15 minutes after the incident, she is wide
awake and alert. Her coronary heart charge is one hundred beats per minute, blood stress is
80/60 mm Hg, and breathing fee is 20 breaths in keeping with minute. A chest x-ray reveals a
big left hemothorax. A left chest tube is placed with a right away go back of 1600 mL of blood.
The subsequent control step for this patient is to:
A) Perform a thoracoscopy
B) Perform an arch aortogram
C) Insert a 2nd left chest tube
D) Prepare for an exploratory thoracotomy
E) Perform a chest CT - ANS-D
, A 22-12 months-vintage guy is hypotensive and tachycardic after a shotgun wound to the left
shoulder. His blood stress is to start with eighty/40 mm Hg. After initial fluid resuscitation his
blood stress increases to 122/eighty four mm Hg. His heart rate is now 100 beats per minute
and his breathing charge is 28 breaths consistent with minute. A tube thoracostomy is finished
for decreased left chest breath sounds with the return of a small amount of blood and no air
leak. After chest tube insertion, the maximum appropriate next step is:
A) Reexamine the chest
B) Aortogram
C) Chest CT
D) ABG
E) TOE - ANS-A
A 22-yr-antique guy sustains a gunshot wound to the left chest and is transported to a small
network medical institution; no surgical skills are available. In the emergency branch, a chest
tube is inserted and seven hundred mL of blood is evacuated. The trauma middle accepts the
affected person in switch. Just earlier than the affected person is placed in the ambulance for
transfer, his blood pressure decreases to 80/68 mm Hg and his heart price will increase to 136
beats consistent with minute. The subsequent step need to be to:
A) Clamp the chest tube
B) Cancel the patient's transfer
C) Perform an emergency department thoracotomy
D) Repeat the primary survey and continue with transfer
E) Delay the switch till the referring physician can contact a thoracic medical professional -
ANS-D
A 23-year-vintage man sustains four stab wounds to the top proper chest at some stage in an
altercation and is added by way of ambulance to a health center that has complete surgical
abilties. His wounds are all above the nipple. He is endotracheally intubated, closed tube
thoracostomy is carried out, fluid resuscitation is initiated thru 2 huge-caliber IVs. FAST exam
does not monitor intraabdominal accidents. His blood stress now could be 60/0 mm Hg,
coronary heart rate is a hundred and sixty beats consistent with minute, and breathing charge is
14 breaths in step with minute (ventilated with 100% O2). 1500 mL of blood has drained from
the right chest. The maximum appropriate subsequent step in dealing 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 patient to the running room
E) Immediately switch the patient to a trauma middle - ANS-D
A 25-yr-old guy, injured in a motor vehicular crash, is admitted to the emergency branch. His
pupils react sluggishly and his eyes open to stress. He does now not comply with commands,
