ATLS (Advanced Trauma Life Support)
Practice/ 230+ Questions & Answers/
2024-2025.
Used to ensure correct placement of endotracheal tube - Answer: -Ultrasound
-Bilateral breath sounds
-Sustained end-tidal CO2
Total body surface area involved in a burn in an adult to the anterior chest and
abdomen - Answer: 18%
What is often caused by carotid massage? - Answer: Bradycardia
,Step in a patient diagnosed with tension pneumothorax - Answer: 1. Needle
decompression/ thoracotomy
2. Chest tube
True statements regarding diaphragmatic injuries - Answer: -Blunt diaphragmatic
injuries are usually associated with skeletal trauma
-Penetrating diaphragmatic injuries may be missed
-Repair of traumatic diaphragmatic injuries usually does not require prosthetic
material
First priority in the treatment of an unconscious patient - Answer: Checking the
pulse
A patient involved in a road accident is brought to the emergency department in
an unconscious state. On arrival, her vitals show a temperature of 96.4 degrees
Fahrenheit, a respiration rate of 24 breaths per minute, a heart rate of 140 beats
per minute, and a blood pressure of 80/40 mm Hg. She is cold, shivering, and
perspiring profusely. She has bilateral reactive pupils but she does not respond to
pain. On physical examination, she has no obvious sign of external bleeding.
Which of the following cannot be the cause of hypotension in this patient?
A. Pelvic fracture
B. Fracture of femur
C. Intracranial hemorrhage
D. Hemothorax - Answer: C. Intracranial hemorrhage
,A patient suffered a slash to his right neck. The wound is over the mid-portion of
the sternocleidomastoid. There is a large hematoma and brisk bleeding when
uncovered. He is stable. What is the next step in management?
A. Get an angiogram
B. Close the wound in the ER
C. Take him to the operating room
D. CT scan to evaluate neck structure - Answer: C. Take him to the OR
After abdominal injury, which of the following urinalysis findings would be an
indication for further testing?
A. 0-5 casts/HPF
B. 5-10 WBC/HPF
C. 10-20 RBC/HPF
D. Gross hematuria - Answer: D. Gross hematuria
A laceration of the neck superficial to the deep cervical fascia along the
sternocleidomastoid muscle at its midpoint would cause bleeding from which
structure? - Answer: External jugular vein
Clinical features associated with tension pneumothorax - Answer: Unilateral
decrease in breath sounds
Hyperresonance
Respiratory distress
Tachycardia
Tracheal shift
, Desatruation
Decreased breath sounds
Decreased compliance
Asymmetric chest movement
NOT hypertension, audible bronchial sounds
Not recommended as a mode of ventilation for a patient with a diaphragmatic
hernia
A. Bag and mask
B. LMA
C. Endotracheal intubation
D. Jet ventilation - Answer: A. Bag and mask
What is the next step in the assessment of a traumatic patient after airway is
established? - Answer: Breathing
Blood group that is considered a universal donor - Answer: O
A provider is examining a patient who sustained a severe traumatic head injury.
He documents no Doll's eyes. What does this signify? - Answer: Brainstem injury
Which of the following is the least preferred method of administering IV fluids?
A. Cubital veins
B. Cephalic veins
Practice/ 230+ Questions & Answers/
2024-2025.
Used to ensure correct placement of endotracheal tube - Answer: -Ultrasound
-Bilateral breath sounds
-Sustained end-tidal CO2
Total body surface area involved in a burn in an adult to the anterior chest and
abdomen - Answer: 18%
What is often caused by carotid massage? - Answer: Bradycardia
,Step in a patient diagnosed with tension pneumothorax - Answer: 1. Needle
decompression/ thoracotomy
2. Chest tube
True statements regarding diaphragmatic injuries - Answer: -Blunt diaphragmatic
injuries are usually associated with skeletal trauma
-Penetrating diaphragmatic injuries may be missed
-Repair of traumatic diaphragmatic injuries usually does not require prosthetic
material
First priority in the treatment of an unconscious patient - Answer: Checking the
pulse
A patient involved in a road accident is brought to the emergency department in
an unconscious state. On arrival, her vitals show a temperature of 96.4 degrees
Fahrenheit, a respiration rate of 24 breaths per minute, a heart rate of 140 beats
per minute, and a blood pressure of 80/40 mm Hg. She is cold, shivering, and
perspiring profusely. She has bilateral reactive pupils but she does not respond to
pain. On physical examination, she has no obvious sign of external bleeding.
Which of the following cannot be the cause of hypotension in this patient?
A. Pelvic fracture
B. Fracture of femur
C. Intracranial hemorrhage
D. Hemothorax - Answer: C. Intracranial hemorrhage
,A patient suffered a slash to his right neck. The wound is over the mid-portion of
the sternocleidomastoid. There is a large hematoma and brisk bleeding when
uncovered. He is stable. What is the next step in management?
A. Get an angiogram
B. Close the wound in the ER
C. Take him to the operating room
D. CT scan to evaluate neck structure - Answer: C. Take him to the OR
After abdominal injury, which of the following urinalysis findings would be an
indication for further testing?
A. 0-5 casts/HPF
B. 5-10 WBC/HPF
C. 10-20 RBC/HPF
D. Gross hematuria - Answer: D. Gross hematuria
A laceration of the neck superficial to the deep cervical fascia along the
sternocleidomastoid muscle at its midpoint would cause bleeding from which
structure? - Answer: External jugular vein
Clinical features associated with tension pneumothorax - Answer: Unilateral
decrease in breath sounds
Hyperresonance
Respiratory distress
Tachycardia
Tracheal shift
, Desatruation
Decreased breath sounds
Decreased compliance
Asymmetric chest movement
NOT hypertension, audible bronchial sounds
Not recommended as a mode of ventilation for a patient with a diaphragmatic
hernia
A. Bag and mask
B. LMA
C. Endotracheal intubation
D. Jet ventilation - Answer: A. Bag and mask
What is the next step in the assessment of a traumatic patient after airway is
established? - Answer: Breathing
Blood group that is considered a universal donor - Answer: O
A provider is examining a patient who sustained a severe traumatic head injury.
He documents no Doll's eyes. What does this signify? - Answer: Brainstem injury
Which of the following is the least preferred method of administering IV fluids?
A. Cubital veins
B. Cephalic veins
