ATLS 10th Edition Post Test Actual
Questions with Verified Answers, 100%
Guarantee Score Pass
Question 1
Which of the following is true regarding a PREGNANT patient who presents following
blunt trauma?
A. Early gastric decompression is important
B. A hemoglobin level of 10 indicates recent blood loss
C. The CVP response to volume resuscitation is blunted in pregnant patients
D. A lap belt is the best form of restraint due to the size of the gravid uterus
E. A PaCO2 of 40 provides reassurance about the adequancy of respiratory function
Correct Answer
A. Early gastric decompression is important
Question 2
Young women sustains a severe head injury as the result of a motor vehicle crash. In
the emergency department her GCS is 6. Her BP is 140/90 mmHg and her HR is 80.
She is intubated and is being mechanically ventilated. Her pupils are 3 mm in size and
equally reactive to light. There is no other apparent injury. The more important
principle to follow in the early management of her head injury is to:
Correct Answer
Prevent secondary brain injury
Page 1 of 39
,Question 3
A 30 year old male sustains a gunshot wound to the right lower chest, midway
between the nipple and the costal margin. He is brought by ambulance to a hospital
with full surgical capabilities. In the ED, he is endotracheally intubated, 2 L of
crystalloid is infused rapidly, and a closed tube thoracostomy is performed with the
return of 200 mL of blood. A CXR reveals correct placement of the chest tube and a
small residual hemothorax. His BP is now 70/50 and HR 140. The most appropriate
next step is:
A. Insert a second chest tube
B. Obtain CT Abd
C. Perform a thoracotomy in the ED
D. Perform a laporotomy in the OR
E. Perform a FAST exam
Correct Answer
E. Perform a FAST exam
-> needs more CHEST exploration not abdomen, so FAST of chest
Question 4
A 22 year old female is 6 months pregnant presents following a motor vehicle crash.
Paramedics report vaginal bleeding. What is the initial step in her treatment?
A. Assess fetal heart sounds
B. Check for fetal movement
C. Perform inspection of the cervix
D. Ask the patient what her name is
E. Insert a wedge under the patient's right hip
Correct Answer
D. Ask the patient what her name is
Page 2 of 39
,Question 5
A 25 year old male is brought to the hospital after sustaining partial and full thickness
burns involving 60% of his body surface area. His right arm and hand are severly
burned. There are obvious full thickness burns of the entire right hand and a
circumferential burn of the right arm. Pulses are absent at the right wrist and a
circumferential burn of the right arm. Pulses are absent at the right wrist and are not
detected by Doppler examination. The first step in management of the right upper
extremity should be:
A. Fasciotomy
B. Angiography
C. Escharatomy
D. Heparinization
E. Tangenital excision
Correct Answer
C. Escharatomy
??
Question 6
Limb threatening injuries:
A. Require a tourniquet
B. Should be definitively managed by application of a traction splint
C. Are rarely present without an open wound
D. Are characterized by the presence of ischemic or crushed tissue
E. Indicate a different order of priorities for the patient's initial assessment and
resuscitation
Correct Answer
D. Are characterized by the presence of ischemic or crushed tissue
Page 3 of 39
, Question 7
A 35-year-old female sustained multiple injuries in a motor vehicle vehicle crash and
is transported to a small hospital in full spinal protection. She has a GCS of 4 and is
being mechanically ventilated. IV access is established and warm crystalloid is infuse.
She remains hemodynamically normal and full spinal protection is maintained.
Preparations are made to transfer to another facility for definitive neurosurgical care.
Prior to transport, which of the following test or treatments is mandatory?
A. FAST exam
B. Lateral cervical spine x-ray
C. Chest x-ray
D. Administration of methylprednisolone
E. CT of the Abd
Correct Answer
C. Chest x-ray
??
Question 8
Which of the following statements regarding patients with thoracic spine injuries is
true?
Correct Answer
Log rolling may be destabilizing to fractures from T12-L1
Question 9
Twenty seven people are severely injured in an aircraft crash at a local airport. The
principles of triage include:
A. establish a triage site within the internal perimeter of the crash site
B. treat only the most severely injured patients first
C. immediately transport all patients to the nearest hospital
D. treat the greatest number of patients in the shortest period of time
E. produce the greatest number of survivors based on available resources
Correct Answer
E. Produce the greatest number of survivors based on available resources
Page 4 of 39
Questions with Verified Answers, 100%
Guarantee Score Pass
Question 1
Which of the following is true regarding a PREGNANT patient who presents following
blunt trauma?
A. Early gastric decompression is important
B. A hemoglobin level of 10 indicates recent blood loss
C. The CVP response to volume resuscitation is blunted in pregnant patients
D. A lap belt is the best form of restraint due to the size of the gravid uterus
E. A PaCO2 of 40 provides reassurance about the adequancy of respiratory function
Correct Answer
A. Early gastric decompression is important
Question 2
Young women sustains a severe head injury as the result of a motor vehicle crash. In
the emergency department her GCS is 6. Her BP is 140/90 mmHg and her HR is 80.
She is intubated and is being mechanically ventilated. Her pupils are 3 mm in size and
equally reactive to light. There is no other apparent injury. The more important
principle to follow in the early management of her head injury is to:
Correct Answer
Prevent secondary brain injury
Page 1 of 39
,Question 3
A 30 year old male sustains a gunshot wound to the right lower chest, midway
between the nipple and the costal margin. He is brought by ambulance to a hospital
with full surgical capabilities. In the ED, he is endotracheally intubated, 2 L of
crystalloid is infused rapidly, and a closed tube thoracostomy is performed with the
return of 200 mL of blood. A CXR reveals correct placement of the chest tube and a
small residual hemothorax. His BP is now 70/50 and HR 140. The most appropriate
next step is:
A. Insert a second chest tube
B. Obtain CT Abd
C. Perform a thoracotomy in the ED
D. Perform a laporotomy in the OR
E. Perform a FAST exam
Correct Answer
E. Perform a FAST exam
-> needs more CHEST exploration not abdomen, so FAST of chest
Question 4
A 22 year old female is 6 months pregnant presents following a motor vehicle crash.
Paramedics report vaginal bleeding. What is the initial step in her treatment?
A. Assess fetal heart sounds
B. Check for fetal movement
C. Perform inspection of the cervix
D. Ask the patient what her name is
E. Insert a wedge under the patient's right hip
Correct Answer
D. Ask the patient what her name is
Page 2 of 39
,Question 5
A 25 year old male is brought to the hospital after sustaining partial and full thickness
burns involving 60% of his body surface area. His right arm and hand are severly
burned. There are obvious full thickness burns of the entire right hand and a
circumferential burn of the right arm. Pulses are absent at the right wrist and a
circumferential burn of the right arm. Pulses are absent at the right wrist and are not
detected by Doppler examination. The first step in management of the right upper
extremity should be:
A. Fasciotomy
B. Angiography
C. Escharatomy
D. Heparinization
E. Tangenital excision
Correct Answer
C. Escharatomy
??
Question 6
Limb threatening injuries:
A. Require a tourniquet
B. Should be definitively managed by application of a traction splint
C. Are rarely present without an open wound
D. Are characterized by the presence of ischemic or crushed tissue
E. Indicate a different order of priorities for the patient's initial assessment and
resuscitation
Correct Answer
D. Are characterized by the presence of ischemic or crushed tissue
Page 3 of 39
, Question 7
A 35-year-old female sustained multiple injuries in a motor vehicle vehicle crash and
is transported to a small hospital in full spinal protection. She has a GCS of 4 and is
being mechanically ventilated. IV access is established and warm crystalloid is infuse.
She remains hemodynamically normal and full spinal protection is maintained.
Preparations are made to transfer to another facility for definitive neurosurgical care.
Prior to transport, which of the following test or treatments is mandatory?
A. FAST exam
B. Lateral cervical spine x-ray
C. Chest x-ray
D. Administration of methylprednisolone
E. CT of the Abd
Correct Answer
C. Chest x-ray
??
Question 8
Which of the following statements regarding patients with thoracic spine injuries is
true?
Correct Answer
Log rolling may be destabilizing to fractures from T12-L1
Question 9
Twenty seven people are severely injured in an aircraft crash at a local airport. The
principles of triage include:
A. establish a triage site within the internal perimeter of the crash site
B. treat only the most severely injured patients first
C. immediately transport all patients to the nearest hospital
D. treat the greatest number of patients in the shortest period of time
E. produce the greatest number of survivors based on available resources
Correct Answer
E. Produce the greatest number of survivors based on available resources
Page 4 of 39
