ATLS POST TEST - EXAMINATION COMPLETE QUESTIONS AND
DETAILED SOLUTIONS LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: A 47-year-old house painter is brought to the hospital
after falling 6 meters (20 feet) from a ladder and landing straddled
on a fence. Examination of his perineum reveals extensive
ecchymosis. There is a blood in the external urethral meatus. The
initial diagnostic study for the evaluation of the urinary tract in this
patient should be:
a. cystoscopy
b. cystography
c. intravenous pyelography
d. CT scan
e. retrograde urethrography
Answer:
mediastinal emphysema
Question 2: Neurogenic shock has all of the following classic
characteristics except which one?
a. hypotension
b. vasodilation
c. bradycardia
d. neurologic deficit
e. narrowed pulse pressure
Answer:
an epidural hematoma
Question 3: Which one of the following statements is false
concerning Rh isoimmunization in pregnant trauma patients?
a. It occurs in blunt or penetrating abdominal trauma.
, b. It is produced by minor degrees of fetomaternal hemorrhage.
c. Rh immunoglobulin therapy should be administered to pregnant
females who have sustained a
d. This is not a problem in traumatized, Rh-positive pregnant patients.
e. Initiation of Rh immunoglobulin therapy does not require proof of
fetomaternal hemorrhage.
Answer:
restoration of normal pertusion
Question 4: An 18-year-old motorcyclist sustains massive facial
injuries in a head-on crash with a pick-up truck. He is brought to
the emergency department completely immobilized on a long spine
board and wearing a cervical collar. His blood pressure is 150/88
mmHg, heart rate is 88 beats per minute and regular, and
respiratory rate is 26 breaths per minute. His respirations are
labored and sonorous. His Glasgow Coma Scale score is 7.
Attempts at orotracheal intubation with manual inline stabilization
of the c-spine are unsuccessful due to bleeding and distorted
anatomy. The patient becomes apneic. The best procedure for
airway management in this situation is:
a. nasotracheal intubation
b. emercency tracheostomy c.
d. placement of an oropharyngeal airway
e. placement of a nasopharyngeal airway
Answer:
Ensuring adequate oxygenation and ventilation.
Question 5: Which of the following signs is LEAST reliable for
diagnosing esophageal intubation?
a. symmetrical chest wall movement
b. end-tidal CO2 presence by colorimetry
, c. bilateral breath sounds
d. oxygen saturation >92%
e. ETT above carina on chest x-ray
Answer:
perform a laparotomy in the operating room
Question 6: Which of the following signs the necessitates a
definitive airway in severe trauma patients?
a. fascial lacerations
b. repeated vomiting
c. severe maxillofacial fractures
d. sternal fracture
e. Glasgow Coma Scale score of 12
Answer:
gum elastic bougie
Question 7: Twenty-seven patients are seriously 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
Answer:
tracheobronchial injury
Question 8: Which of the following statements is correct?
DETAILED SOLUTIONS LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: A 47-year-old house painter is brought to the hospital
after falling 6 meters (20 feet) from a ladder and landing straddled
on a fence. Examination of his perineum reveals extensive
ecchymosis. There is a blood in the external urethral meatus. The
initial diagnostic study for the evaluation of the urinary tract in this
patient should be:
a. cystoscopy
b. cystography
c. intravenous pyelography
d. CT scan
e. retrograde urethrography
Answer:
mediastinal emphysema
Question 2: Neurogenic shock has all of the following classic
characteristics except which one?
a. hypotension
b. vasodilation
c. bradycardia
d. neurologic deficit
e. narrowed pulse pressure
Answer:
an epidural hematoma
Question 3: Which one of the following statements is false
concerning Rh isoimmunization in pregnant trauma patients?
a. It occurs in blunt or penetrating abdominal trauma.
, b. It is produced by minor degrees of fetomaternal hemorrhage.
c. Rh immunoglobulin therapy should be administered to pregnant
females who have sustained a
d. This is not a problem in traumatized, Rh-positive pregnant patients.
e. Initiation of Rh immunoglobulin therapy does not require proof of
fetomaternal hemorrhage.
Answer:
restoration of normal pertusion
Question 4: An 18-year-old motorcyclist sustains massive facial
injuries in a head-on crash with a pick-up truck. He is brought to
the emergency department completely immobilized on a long spine
board and wearing a cervical collar. His blood pressure is 150/88
mmHg, heart rate is 88 beats per minute and regular, and
respiratory rate is 26 breaths per minute. His respirations are
labored and sonorous. His Glasgow Coma Scale score is 7.
Attempts at orotracheal intubation with manual inline stabilization
of the c-spine are unsuccessful due to bleeding and distorted
anatomy. The patient becomes apneic. The best procedure for
airway management in this situation is:
a. nasotracheal intubation
b. emercency tracheostomy c.
d. placement of an oropharyngeal airway
e. placement of a nasopharyngeal airway
Answer:
Ensuring adequate oxygenation and ventilation.
Question 5: Which of the following signs is LEAST reliable for
diagnosing esophageal intubation?
a. symmetrical chest wall movement
b. end-tidal CO2 presence by colorimetry
, c. bilateral breath sounds
d. oxygen saturation >92%
e. ETT above carina on chest x-ray
Answer:
perform a laparotomy in the operating room
Question 6: Which of the following signs the necessitates a
definitive airway in severe trauma patients?
a. fascial lacerations
b. repeated vomiting
c. severe maxillofacial fractures
d. sternal fracture
e. Glasgow Coma Scale score of 12
Answer:
gum elastic bougie
Question 7: Twenty-seven patients are seriously 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
Answer:
tracheobronchial injury
Question 8: Which of the following statements is correct?
