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ATLS 11th Edition Exam QUESTIONS AND ANSWERS
ALREADY GRADED A+||VERIFIED EXAM|| 100%
Verified Solutions | Updated Per Latest Guidelines |
Graded A+||Newest Exam!!!
An 18 year old male is brought to the ED after being shot.
He has one bullet wound just below the right clavicle and
another just below the costal margin in the right posterior
axillary line. His blood pressure is 110/60, heart rate of 90,
and respiratory rate of 34. After ensuring a patent airway
and inserting 2 large caliber IV lines, the next most
appropriate step is to:
A. Obtain a portable chest x-ray
B. Administer a bolus of additional IV fluid
C. Perform a laparatomy
D. Obtain an abdominal CT scan
E. Perform diagnostic peritoneal lavage - Answer-A.
Obtain a portable chest x-ray
need more info on chest, not abdomen
Which of the following should be performed FIRST in any
patient whose injuries may include multiple closed
extremity fractures?
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A. A thorough assessment of four limb perfusion
B. Manuevers to prevent necrosis of the skin
C. Extremity compartment syndrome release
D. Ensuring adequate oxygenation and ventilation
E. Evaluation for occult crush syndrome - Answer-D.
Ensuring adequate oxygenation and ventilation
(ABC's)
A 22 year old male sustains a shotgun wound to the
shoulder and chest at close range. His BP is 80/40 and
HR 130. After 2 L of crystalloid solution are rapidly infused,
his BP increases to 122/84 and HR decreases to 100. He
is tachypneic with RR of 28. On PE, his breath sounds are
decreased at the left upper chest with dullness on
percussion. A large caliber tube thoracostomy is inserted
into the fifth intercostal space with the return of 200 mL of
blood and no air leak. The most appropriate next step is:
A. Insert a foley catheter
B. Begin to transfuse O negative blood
C. Perform thoracotomy
D. Obtain a CT Chest/Abd
E. Repeat the physical exam of the chest - Answer-E.
Repeat the physical exam of the chest
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decreased breath sounds w/dullness -> hemothorax, need
tube to drain
vs.
decreased/absent breath sounds w/hyperresonance ->
tension pneumonia, need needle decompression followed
by tube
Which one of the following statements concerning spine
and spinal cord trauma is TRUE?
A. A normal lateral C spine film excludes injury
B. A vertebral injury is unlikely in the absence of physical
findings of a cord injury
C. A patient with a suspected spine injury requires
immobilization on a short spine
D. Diaphragmatic breathing in an unconscious patient who
has fallen is a sign of spine injury
E. Determination of whether a spinal cord lesion is
complete or incomplete must be made in the primary
survey - Answer-B. A vertebral injury is unlikely in the
absence of physical findings of a cord injury
, 4|Page
A 17 year old female is brought to the ED following a 6
feet fall onto concrete. She is unresponsive and found to
have a RR of 32, BP of 90/60, and HR of 68. The FIRST
step in treatment is:
A. Administering vasopressors
B. Establishing IV access for drug-assisted intubation
C. Seeking the cause of her decreased level of
consciousness
D. Applying oxygen and maintaining airway
E. Excluding hemorrhage as a cause of shock - Answer-D.
Applying oxygen and maintaining airway
First = ABCs
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
ATLS 11th Edition Exam QUESTIONS AND ANSWERS
ALREADY GRADED A+||VERIFIED EXAM|| 100%
Verified Solutions | Updated Per Latest Guidelines |
Graded A+||Newest Exam!!!
An 18 year old male is brought to the ED after being shot.
He has one bullet wound just below the right clavicle and
another just below the costal margin in the right posterior
axillary line. His blood pressure is 110/60, heart rate of 90,
and respiratory rate of 34. After ensuring a patent airway
and inserting 2 large caliber IV lines, the next most
appropriate step is to:
A. Obtain a portable chest x-ray
B. Administer a bolus of additional IV fluid
C. Perform a laparatomy
D. Obtain an abdominal CT scan
E. Perform diagnostic peritoneal lavage - Answer-A.
Obtain a portable chest x-ray
need more info on chest, not abdomen
Which of the following should be performed FIRST in any
patient whose injuries may include multiple closed
extremity fractures?
,2|Page
A. A thorough assessment of four limb perfusion
B. Manuevers to prevent necrosis of the skin
C. Extremity compartment syndrome release
D. Ensuring adequate oxygenation and ventilation
E. Evaluation for occult crush syndrome - Answer-D.
Ensuring adequate oxygenation and ventilation
(ABC's)
A 22 year old male sustains a shotgun wound to the
shoulder and chest at close range. His BP is 80/40 and
HR 130. After 2 L of crystalloid solution are rapidly infused,
his BP increases to 122/84 and HR decreases to 100. He
is tachypneic with RR of 28. On PE, his breath sounds are
decreased at the left upper chest with dullness on
percussion. A large caliber tube thoracostomy is inserted
into the fifth intercostal space with the return of 200 mL of
blood and no air leak. The most appropriate next step is:
A. Insert a foley catheter
B. Begin to transfuse O negative blood
C. Perform thoracotomy
D. Obtain a CT Chest/Abd
E. Repeat the physical exam of the chest - Answer-E.
Repeat the physical exam of the chest
,3|Page
decreased breath sounds w/dullness -> hemothorax, need
tube to drain
vs.
decreased/absent breath sounds w/hyperresonance ->
tension pneumonia, need needle decompression followed
by tube
Which one of the following statements concerning spine
and spinal cord trauma is TRUE?
A. A normal lateral C spine film excludes injury
B. A vertebral injury is unlikely in the absence of physical
findings of a cord injury
C. A patient with a suspected spine injury requires
immobilization on a short spine
D. Diaphragmatic breathing in an unconscious patient who
has fallen is a sign of spine injury
E. Determination of whether a spinal cord lesion is
complete or incomplete must be made in the primary
survey - Answer-B. A vertebral injury is unlikely in the
absence of physical findings of a cord injury
, 4|Page
A 17 year old female is brought to the ED following a 6
feet fall onto concrete. She is unresponsive and found to
have a RR of 32, BP of 90/60, and HR of 68. The FIRST
step in treatment is:
A. Administering vasopressors
B. Establishing IV access for drug-assisted intubation
C. Seeking the cause of her decreased level of
consciousness
D. Applying oxygen and maintaining airway
E. Excluding hemorrhage as a cause of shock - Answer-D.
Applying oxygen and maintaining airway
First = ABCs
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
