ATLS POST TEST ACTUAL FINALS QUESTIONS
AND ANSWERS SURE A+
✔✔A young man sustain a gunshot wound to the abdomen and is brought promptly to
the ED by prehospital personnel. His skin is cool and diaphoretic, and he is confused.
His pulse is thready and his femoral pulse is only weakly palpable. The definitive
treatment in managing this patient is to
A. Administer 0.neg blood
B. Apply external warming devices
C. Control internal hemorraghe operatively
D. Apply pneumatic anti shock garment
E. Infuse large volumes of IV crystalloid solution - ✔✔C. Control internal hemorraghe
operatively
✔✔A four-year-old girl, weighing approximately 20kg is admitted in shock after an
automobile crash. The initialt fluid challenge or bolus should consist of Ringers lactate
solution in the volume of
A. 200ml
B. 400ml
C. 440ml
D. 600ml
E. 880ml - ✔✔B. 400ml (20ml/kg)
✔✔All of the following are considered minimal precautions for the prevention of the
spread of communicable diseases during resuscitation, EXCEPT:
A. goggles
B. Face mask
C. Water-impervious gown
D. Water-impervious leggings
E. Needle-impenetrable sterile gloves - ✔✔E. Needle-impenetrable sterile gloves
✔✔30-year-old woman fell down four stair landing on concrete. Unconscious for 5
minutes after the fall, full consciousness during 10 minute transport to hospital, GCS 15,
,complaint is a slight headache, 30 minute later she is unresponsive with GCS 6 and left
pupil is large. - ✔✔Epidural hematoma
✔✔A young male fallen from height with obvious flail chest. ABG shows pH 7,47. What
is the cause of this abnormality? - ✔✔Pulmonary contusion
✔✔Cushings triad which occurs in cases of increased intracranial pressure? -
✔✔Bradycardia with irregular respirations and isolated increase in SYSTOLIC BLOOD
PRESSURE
✔✔In comparison with young adults, elderly patients exhibit which of the following
regarding brain injuries?
A. Increased cerebral blood flow
B. Less stretching of the bridging veins
C. Less subdural hematomas
D. Less brain contusions
E. Less mobility with angular acceleration and deceleration - ✔✔D. Less brain
contusions
✔✔Which of the following will be missed by DPL? - ✔✔Subcapsular hematoma of the
spleen (becauase it is a retroperitoneal organ)
✔✔Burn victim, core temperature is 34C. Whats next?
A. Escharotomy
B. Rewarm
C. Oxygen mask
D...
E.. - ✔✔C. Oxygen mask
✔✔Which of the following is NORMAL in pregnancy?
A. increased residual lung volume
B. Decreased plasma volume
C. Decreased total RBC mass
D. Widened symphysis pubis
E. - ✔✔D. Widened symphysis pubis
✔✔A 34-year-old man is brought to the ED after being pinned to the wall of building by
a cement truck. He is in obvious shock, and has deformities and marked swelling of
both thighs. Although no open wound are present, his shock:
A. Cannot be explained without concomitant pelvic fracture
B. Signifies a loss of approximately 15%
C. Is consistent with blood loss from bilateral femoral fracture
D. Will likely be reversed if appropriate traction splint are applied
, E. Cannot be explained by his observed injuries unless a major arterial injury exist -
✔✔C. Is consistent with blood loss from bilateral femoral fracture
✔✔Prior to passage of urinary catheter in a man, it is essential to:
A. Examine the abdomen
B. Determine pelvic stability
C. Examine the rectum and perineum
D. Perform a retrograde urethrogram
E. Know the history and mechanism of injury - ✔✔C. Examine the rectum and perineum
✔✔The best guide for adequate fluid resuscitation of the burn patient is:
A. Adequate urinary output
B. Reversal of systemic acidosis
C. Normalization of the heart rate
D. A normal central venous pressure
E. 4ml/kg/percent body burn/24 hours - ✔✔A. Adequate urinary output
✔✔A 36-year-old woman is beaten about the head and face and is brought to the local
community hospital in full spinal immobilization. Her BP is 13088, HR 70/minutes, and
RR 18/minute. Pulse oximetry indicated 98% while she was given 100% O2 via a non
rebreather mask. Her airway is clear. She has marked swellings on her face and several
lacerations of her scalp that are not actively bleeding. She does not respond to verbal
stimuli, but localizes to painful stiumuli and opens her eyes. She moves all extremities
equally. The remainder of her physical exam is normal. There is no neurosurgeon at the
local hospital. After ensuring the patient airway, the most appropriate course of action is
to:
A. Admit the patient to the hospital for observation
B. Obtain x-ray of her facial bones prior to transfer
C. Obtain complete x-ray evaluation of the cervical spine
D. Transfer the patient to a neurosurgeon without performing a CT-sca - ✔✔D. Transfer
the patient to a neurosurgeon without performing a CT-scan
✔✔For the trauma patient with cerebral edema, hypercarbia should be avoided to
prevent:
A. metabolic acidosis
B. Respiratory acidosis
C. Cerebral vasodilatation
D. Neurogenic pulmonary edema
E. Reciprocal high level of PaCO2 - ✔✔C. Cerebral vasodilatation
✔✔A 29 y/o male is brought to the ED after being involved in a motor vehicular collision
when his car struck a bridge abutment. He is intoxicated, has GCS 13 and complains of
abdominal pain. His BP was 80mmHg systolic by palpation on admission, but rapidly
increased to 110/70 with the administration of IV fluid. His heart rate is 120/minute. The
AND ANSWERS SURE A+
✔✔A young man sustain a gunshot wound to the abdomen and is brought promptly to
the ED by prehospital personnel. His skin is cool and diaphoretic, and he is confused.
His pulse is thready and his femoral pulse is only weakly palpable. The definitive
treatment in managing this patient is to
A. Administer 0.neg blood
B. Apply external warming devices
C. Control internal hemorraghe operatively
D. Apply pneumatic anti shock garment
E. Infuse large volumes of IV crystalloid solution - ✔✔C. Control internal hemorraghe
operatively
✔✔A four-year-old girl, weighing approximately 20kg is admitted in shock after an
automobile crash. The initialt fluid challenge or bolus should consist of Ringers lactate
solution in the volume of
A. 200ml
B. 400ml
C. 440ml
D. 600ml
E. 880ml - ✔✔B. 400ml (20ml/kg)
✔✔All of the following are considered minimal precautions for the prevention of the
spread of communicable diseases during resuscitation, EXCEPT:
A. goggles
B. Face mask
C. Water-impervious gown
D. Water-impervious leggings
E. Needle-impenetrable sterile gloves - ✔✔E. Needle-impenetrable sterile gloves
✔✔30-year-old woman fell down four stair landing on concrete. Unconscious for 5
minutes after the fall, full consciousness during 10 minute transport to hospital, GCS 15,
,complaint is a slight headache, 30 minute later she is unresponsive with GCS 6 and left
pupil is large. - ✔✔Epidural hematoma
✔✔A young male fallen from height with obvious flail chest. ABG shows pH 7,47. What
is the cause of this abnormality? - ✔✔Pulmonary contusion
✔✔Cushings triad which occurs in cases of increased intracranial pressure? -
✔✔Bradycardia with irregular respirations and isolated increase in SYSTOLIC BLOOD
PRESSURE
✔✔In comparison with young adults, elderly patients exhibit which of the following
regarding brain injuries?
A. Increased cerebral blood flow
B. Less stretching of the bridging veins
C. Less subdural hematomas
D. Less brain contusions
E. Less mobility with angular acceleration and deceleration - ✔✔D. Less brain
contusions
✔✔Which of the following will be missed by DPL? - ✔✔Subcapsular hematoma of the
spleen (becauase it is a retroperitoneal organ)
✔✔Burn victim, core temperature is 34C. Whats next?
A. Escharotomy
B. Rewarm
C. Oxygen mask
D...
E.. - ✔✔C. Oxygen mask
✔✔Which of the following is NORMAL in pregnancy?
A. increased residual lung volume
B. Decreased plasma volume
C. Decreased total RBC mass
D. Widened symphysis pubis
E. - ✔✔D. Widened symphysis pubis
✔✔A 34-year-old man is brought to the ED after being pinned to the wall of building by
a cement truck. He is in obvious shock, and has deformities and marked swelling of
both thighs. Although no open wound are present, his shock:
A. Cannot be explained without concomitant pelvic fracture
B. Signifies a loss of approximately 15%
C. Is consistent with blood loss from bilateral femoral fracture
D. Will likely be reversed if appropriate traction splint are applied
, E. Cannot be explained by his observed injuries unless a major arterial injury exist -
✔✔C. Is consistent with blood loss from bilateral femoral fracture
✔✔Prior to passage of urinary catheter in a man, it is essential to:
A. Examine the abdomen
B. Determine pelvic stability
C. Examine the rectum and perineum
D. Perform a retrograde urethrogram
E. Know the history and mechanism of injury - ✔✔C. Examine the rectum and perineum
✔✔The best guide for adequate fluid resuscitation of the burn patient is:
A. Adequate urinary output
B. Reversal of systemic acidosis
C. Normalization of the heart rate
D. A normal central venous pressure
E. 4ml/kg/percent body burn/24 hours - ✔✔A. Adequate urinary output
✔✔A 36-year-old woman is beaten about the head and face and is brought to the local
community hospital in full spinal immobilization. Her BP is 13088, HR 70/minutes, and
RR 18/minute. Pulse oximetry indicated 98% while she was given 100% O2 via a non
rebreather mask. Her airway is clear. She has marked swellings on her face and several
lacerations of her scalp that are not actively bleeding. She does not respond to verbal
stimuli, but localizes to painful stiumuli and opens her eyes. She moves all extremities
equally. The remainder of her physical exam is normal. There is no neurosurgeon at the
local hospital. After ensuring the patient airway, the most appropriate course of action is
to:
A. Admit the patient to the hospital for observation
B. Obtain x-ray of her facial bones prior to transfer
C. Obtain complete x-ray evaluation of the cervical spine
D. Transfer the patient to a neurosurgeon without performing a CT-sca - ✔✔D. Transfer
the patient to a neurosurgeon without performing a CT-scan
✔✔For the trauma patient with cerebral edema, hypercarbia should be avoided to
prevent:
A. metabolic acidosis
B. Respiratory acidosis
C. Cerebral vasodilatation
D. Neurogenic pulmonary edema
E. Reciprocal high level of PaCO2 - ✔✔C. Cerebral vasodilatation
✔✔A 29 y/o male is brought to the ED after being involved in a motor vehicular collision
when his car struck a bridge abutment. He is intoxicated, has GCS 13 and complains of
abdominal pain. His BP was 80mmHg systolic by palpation on admission, but rapidly
increased to 110/70 with the administration of IV fluid. His heart rate is 120/minute. The
