ATLS UPDATED ACTUAL EXAM QUESTIONS
AND CORRECT ANSWERS FULL SOLUTION
GRADED A+
◉ A construction worker falls two stories from a building and sustains
bilateral calcaneal fractures. In the emergency department, he is alert,
vital signs are normal, and he is complaining of severe pain in both
heels and his lower back. Lower extremity pulses are strong and there
is no other deformity. The suspected diagnosis is most likely to be
confirmed by: Answer: complete spine x-ray series
◉ Which of the following is true regarding the initial resuscitation of
a trauma patient? Answer: Evidence of improved perfusion after fluid
resuscitation could include improvement in Glasgow Coma Scale
score on reevaluation.
◉ In managing a patient with a severe traumatic brain injury, the most
important initial step is to: Answer: secure the airway
◉ A previously healthy, 70-kg (154-pound) man suffers an estimated
acute blood loss of 2 liters. Which one of the following statements
applies to this patient? Answer: An ABG would demonstrate a base
deficit between -6 and -10 mEq/L.
, ◉ The physiological hypervolemia of pregnancy has clinical
significance in the management of the severely injured, gravid woman
by: Answer: increasing the volume of blood loss to produce maternal
hypotension
◉ The best assessment of fluid resuscitation of the adult burn patient
is: Answer: urinary output of 0.5 mL/kg/hr
◉ The diagnosis of shock must include: Answer: evidence of
inadequate organ perfusion
◉ A 7-year-old boy is brought to the emergency department by his
parents several minutes after he fell through a window. He is bleeding
profusely from a 6-cm wound of his medial right thigh. Immediate
management of the wound should consist of: Answer: direct pressure
on the wound
◉ For the patient with severe traumatic brain injury, profound
hypocarbia should be avoided to prevent: Answer: cerebral
vasoconstriction with diminished perfusion
◉ After being involved in a motor vehicle crash, a 25-year-old man is
brought to a hospital that has surgery capabilities available..
Computed tomography of the chest and abdomen shows an aortic
injury and splenic laceration with free abdominal fluid. His blood
pressure falls to 70 mm Hg after CT. The next step is: Answer:
perform an exploratory laparotomy
AND CORRECT ANSWERS FULL SOLUTION
GRADED A+
◉ A construction worker falls two stories from a building and sustains
bilateral calcaneal fractures. In the emergency department, he is alert,
vital signs are normal, and he is complaining of severe pain in both
heels and his lower back. Lower extremity pulses are strong and there
is no other deformity. The suspected diagnosis is most likely to be
confirmed by: Answer: complete spine x-ray series
◉ Which of the following is true regarding the initial resuscitation of
a trauma patient? Answer: Evidence of improved perfusion after fluid
resuscitation could include improvement in Glasgow Coma Scale
score on reevaluation.
◉ In managing a patient with a severe traumatic brain injury, the most
important initial step is to: Answer: secure the airway
◉ A previously healthy, 70-kg (154-pound) man suffers an estimated
acute blood loss of 2 liters. Which one of the following statements
applies to this patient? Answer: An ABG would demonstrate a base
deficit between -6 and -10 mEq/L.
, ◉ The physiological hypervolemia of pregnancy has clinical
significance in the management of the severely injured, gravid woman
by: Answer: increasing the volume of blood loss to produce maternal
hypotension
◉ The best assessment of fluid resuscitation of the adult burn patient
is: Answer: urinary output of 0.5 mL/kg/hr
◉ The diagnosis of shock must include: Answer: evidence of
inadequate organ perfusion
◉ A 7-year-old boy is brought to the emergency department by his
parents several minutes after he fell through a window. He is bleeding
profusely from a 6-cm wound of his medial right thigh. Immediate
management of the wound should consist of: Answer: direct pressure
on the wound
◉ For the patient with severe traumatic brain injury, profound
hypocarbia should be avoided to prevent: Answer: cerebral
vasoconstriction with diminished perfusion
◉ After being involved in a motor vehicle crash, a 25-year-old man is
brought to a hospital that has surgery capabilities available..
Computed tomography of the chest and abdomen shows an aortic
injury and splenic laceration with free abdominal fluid. His blood
pressure falls to 70 mm Hg after CT. The next step is: Answer:
perform an exploratory laparotomy
