ATLS 2021/22 MCQ post-test:
The retroperitoneum can be evaluated by:
O FAST exam
© Angiography
@® CTscan
© Laparoscopy
©. Diagnostic peritoneal lavage.
A 12-year-old hemodynamically normal male complains of left upper quadrant tenderness
and left shoulder pain after
playing football. A focused assessment sonography in trauma (FAST) examination
demonstrates fluid in the hepatorenal
space and the splenorenal recess. The most appropriate next step in the assessment and
management of this patient is
to perform:
@© Computed tomography of the abdomen.
© Repeat FAST examination in 24 hours.
©. Diagnostic laparoscopy.
© Immediate laparotomy.
© Diagnostic peritoneal lavage (DPL).
Which of the following is true regarding spinal anatomy?
© The cervical spine is the most mobile and exposed region and therefore most frequently
injured.
@ The spinal cord ends at the level of L4.
© Injuries at the C1 are more likely to result in neurologic injury because this area of the
spinal canal is
narrowest.
© Fracture dislocation of the thoracic spine rarely results in neurologic injury because the
thoracic canal is wide.
© The vertebral canal is formed by the spinous and transverse processes of the vertebrae.
An 18-year-old, helmeted motorcyclist is brought to the emergency department following a
high-speed crash.
Prehospital personnel report that he was thrown 15 meters (50 feet) off his bike. He was
hypotensive before arrival in the
emergency department, but after receiving 1 liter of crystalloid fluid, he is now awake, alert,
and conversational. Which
one of the following statements is true of this patient?
© Intracranial injury can be excluded.
@® Cerebral perfusion appears to be intact.
© Intravascular volume status is normal.
© Intra-abdominal visceral injuries are unlikely.
© Absent motor reflexes would be expected.
, A 25-year-old female in the third trimester of pregnancy is involved a motor vehicle crash in
which she is the front seat
passenger. The driver is dead at the scene. Which one of the following statements
concerning this patient is true?
© The patient should be told as soon as possible that her husband is dead.
0The patient should be placed in right-lateral position.
© Palpation of clearly definable fetal parts allows for assessment of the stage of pregnancy.
O Absence of fetal movements indicates maternal shock.
@® Clear fluid from the vagina is an indication for hospital admission.
The cause of upper airway obstruction most likely to be alleviated by a properly placed oral
airway is:
© Posterior displacement of tongue.
@ Hematoma of the posterior pharynx.
© Foreign body.
O Facial fractures.
© Copious, tenacious oral secretions.
A 55-year-old man is brought to a small community hospital after a single-car crash. His BP is
134/70, HR is 92. He has
slightly decreased breath sounds over the right chest but his 02 saturation is 94% by
monitor, and his Respiratory Rate is 18 and non-labored. His abdomen is not distended. His
Glasgow Coma Scale is 7. He has multiple facial lacerations and a seat-belt sign across his
chest. Surgical specialty capabilities are not available at this hospital, and the nearest trauma
center is 64 km (40 miles) away. The first management priority should be:
©. Tube thoracostomy
@© Endotracheal intubation
© Immediate transfer to the trauma center.
O CT scan of the chest.
O Needle thoracostomy
An 84-year-old female presents with rib fractures 3 through 9 on the left side following a fall.
Immediate management of this patient should include:
©. Operative plating of the ribs.
© Referral to a fall assessment service.
@ Assessment of oxygenation.
© Assessment for possible elder abuse.
© Providing analgesia.
Which of the following would be most appropriate in the assessment of a hemodynamically
normal patient with a stab
wound to the upper abdomen?
Kies het juiste antwoord:
O Barium enema
© Exploratory laparotomy
© Serial physical examination.
© Abdominal x-ray
The retroperitoneum can be evaluated by:
O FAST exam
© Angiography
@® CTscan
© Laparoscopy
©. Diagnostic peritoneal lavage.
A 12-year-old hemodynamically normal male complains of left upper quadrant tenderness
and left shoulder pain after
playing football. A focused assessment sonography in trauma (FAST) examination
demonstrates fluid in the hepatorenal
space and the splenorenal recess. The most appropriate next step in the assessment and
management of this patient is
to perform:
@© Computed tomography of the abdomen.
© Repeat FAST examination in 24 hours.
©. Diagnostic laparoscopy.
© Immediate laparotomy.
© Diagnostic peritoneal lavage (DPL).
Which of the following is true regarding spinal anatomy?
© The cervical spine is the most mobile and exposed region and therefore most frequently
injured.
@ The spinal cord ends at the level of L4.
© Injuries at the C1 are more likely to result in neurologic injury because this area of the
spinal canal is
narrowest.
© Fracture dislocation of the thoracic spine rarely results in neurologic injury because the
thoracic canal is wide.
© The vertebral canal is formed by the spinous and transverse processes of the vertebrae.
An 18-year-old, helmeted motorcyclist is brought to the emergency department following a
high-speed crash.
Prehospital personnel report that he was thrown 15 meters (50 feet) off his bike. He was
hypotensive before arrival in the
emergency department, but after receiving 1 liter of crystalloid fluid, he is now awake, alert,
and conversational. Which
one of the following statements is true of this patient?
© Intracranial injury can be excluded.
@® Cerebral perfusion appears to be intact.
© Intravascular volume status is normal.
© Intra-abdominal visceral injuries are unlikely.
© Absent motor reflexes would be expected.
, A 25-year-old female in the third trimester of pregnancy is involved a motor vehicle crash in
which she is the front seat
passenger. The driver is dead at the scene. Which one of the following statements
concerning this patient is true?
© The patient should be told as soon as possible that her husband is dead.
0The patient should be placed in right-lateral position.
© Palpation of clearly definable fetal parts allows for assessment of the stage of pregnancy.
O Absence of fetal movements indicates maternal shock.
@® Clear fluid from the vagina is an indication for hospital admission.
The cause of upper airway obstruction most likely to be alleviated by a properly placed oral
airway is:
© Posterior displacement of tongue.
@ Hematoma of the posterior pharynx.
© Foreign body.
O Facial fractures.
© Copious, tenacious oral secretions.
A 55-year-old man is brought to a small community hospital after a single-car crash. His BP is
134/70, HR is 92. He has
slightly decreased breath sounds over the right chest but his 02 saturation is 94% by
monitor, and his Respiratory Rate is 18 and non-labored. His abdomen is not distended. His
Glasgow Coma Scale is 7. He has multiple facial lacerations and a seat-belt sign across his
chest. Surgical specialty capabilities are not available at this hospital, and the nearest trauma
center is 64 km (40 miles) away. The first management priority should be:
©. Tube thoracostomy
@© Endotracheal intubation
© Immediate transfer to the trauma center.
O CT scan of the chest.
O Needle thoracostomy
An 84-year-old female presents with rib fractures 3 through 9 on the left side following a fall.
Immediate management of this patient should include:
©. Operative plating of the ribs.
© Referral to a fall assessment service.
@ Assessment of oxygenation.
© Assessment for possible elder abuse.
© Providing analgesia.
Which of the following would be most appropriate in the assessment of a hemodynamically
normal patient with a stab
wound to the upper abdomen?
Kies het juiste antwoord:
O Barium enema
© Exploratory laparotomy
© Serial physical examination.
© Abdominal x-ray
