ATLS EXAM QUESTIONS WITH COMPLETE SOLUTIONS

ATLS PRACTICE
QUESTIONSQUESTIONS WITH
COMPLETE SOLUTIONS
Assessedafirstainatraumaapatienta-acorrectaanswera✔✔Airway

(*)Degreeaofaburnathataisacharacterizedabyaboneainvolvementa-acorrectaanswera✔✔Fourth

Complicationsaofaheadatraumaa-acorrectaanswera✔✔Intracerebralahematoma
Extraduralahematoma
Brainaabscess

Mostacommonacauseaofalaryngotrachealastenosisa-acorrectaanswera✔✔Trauma

Interventionathatacanahelpapreventadevelopmentaofaacutearenalafailurea-
acorrectaanswera✔✔Infusionaofanormalasaline




Aa26-year-
oldamaleaisaresuscitatedawithabloodatransfusionaafteraaamotoravehicleacollisionathatawasaco
mplicatedabyaaafracturedapelvis.aAafewahoursalater,atheapatientabecomesafebrile,ahypotensiv
eawithaaanormalaCVP,aandaoliguric.aUponaexamination,atheapatientaisafoundatoabeableedingaf
romatheaNGatubeaandaIVasites.aWhichaofatheafollowingaisatheamostalikelyadiagnosis?
A.aHemorrhagicashock
B.aAcuteaadrenalainsufficiency
C.aFataembolismasyndrome
D.aTransfusionareactiona-acorrectaanswera✔✔D.aTransfusionareaction

Skinaantiseptica-acorrectaanswera✔✔-Ethanola70%aisaanaeffectiveaskinaantiseptic
-AceticaacidacanabeausedatoatreataGram-askinainfections
-Salicylicaacidaisausedatoatreatacertainaskinayeastainfections

ClassaIVahemorrhageaindicatesawhata%abloodalossa-acorrectaanswera✔✔55%

Howadoesashiveringaaffectabodyatemperaturea-
acorrectaanswera✔✔Increasesabodyatemperature




ClassaIIIahemorrhageaindicatesawhata%aofabloodalossa-acorrectaanswera✔✔35%

Managementaofaaastableapatientawithakidneyacontusiona-acorrectaanswera✔✔Observation

Associatedawithahypovolemicashocka-acorrectaanswera✔✔-
Inadequateatissueaperfusionawitharesultantatissueahypoxia

,-Bloodashuntingatoavitalaorgans
-Decreasedacirculatingabloodavolumeaandadecreasedavenousareturn
-Lowacardiacaoutput
-
Lossaofalessathana20%aofatheabloodavolumeaisausuallyawithoutasymptomaexceptaforamildatac
hycardiaa
-Patientsabecomeaorthostaticawithalossesabetweena20aanda40%a
-Shockaisaevidencedabyatachycardia,ahypotension,aoliguria,aflataneckaveins

TheamostaeffectiveamethodaofamonitoringatheasuccessaofaresuscitationaduringaCPR?a-
acorrectaanswera✔✔Reactivityaofapupilsatoalight




Usedatoaensureacorrectaplacementaofaendotrachealatubea-acorrectaanswera✔✔-Ultrasounda
-Bilateralabreathasounds
-Sustainedaend-tidalaCO2

Totalabodyasurfaceaareaainvolvedainaaaburnainaanaadultatoatheaanteriorachestaandaabdomena-
acorrectaanswera✔✔18%




Whataisaoftenacausedabyacarotidamassage?a-acorrectaanswera✔✔Bradycardia

Stepainaaapatientadiagnosedawithatensionapneumothoraxa-
acorrectaanswera✔✔1.aNeedleadecompression/athoracotomy

2.aChestatube

Trueastatementsaregardingadiaphragmaticainjuriesa-acorrectaanswera✔✔-
Bluntadiaphragmaticainjuriesaareausuallyaassociatedawithaskeletalatraumaa
-Penetratingadiaphragmaticainjuriesamayabeamissed
-Repairaofatraumaticadiaphragmaticainjuriesausuallyadoesanotarequireaprostheticamaterial

Firstapriorityainatheatreatmentaofaanaunconsciousapatienta-
acorrectaanswera✔✔Checkingatheapulse




Aapatientainvolvedainaaaroadaaccidentaisabroughtatoatheaemergencyadepartmentainaanauncon
sciousastate.aOnaarrival,aheravitalsashowaaatemperatureaofa96.4adegreesaFahrenheit,aaaresp
irationarateaofa24abreathsaperaminute,aaaheartarateaofa140abeatsaperaminute,aandaaabloodapre
ssureaofa80/40ammaHg.aSheaisacold,ashivering,aandaperspiringaprofusely.aSheahasabilateralar
eactiveapupilsabutasheadoesanotarespondatoapain.aOnaphysicalaexamination,asheahasanoaob
viousasignaofaexternalableeding.aWhichaofatheafollowingacannotabeatheacauseaofahypotensio
nainathisapatient?
A.aPelvicafracture
B.aFractureaofafemur
C.aIntracranialahemorrhage
D.aHemothoraxa-acorrectaanswera✔✔C.aIntracranialahemorrhage

,Aapatientasufferedaaaslashatoahisarightaneck.aTheawoundaisaoveratheamid-
portionaofatheasternocleidomastoid.aThereaisaaalargeahematomaaandabriskableedingawhenau
ncovered.aHeaisastable.aWhataisatheanextastepainamanagement?
A.aGetaanaangiogram
B.aCloseatheawoundainatheaER
C.aTakeahimatoatheaoperatingaroom
D.aCTascanatoaevaluateaneckastructurea-acorrectaanswera✔✔C.aTakeahimatoatheaOR

Afteraabdominalainjury,awhichaofatheafollowingaurinalysisafindingsawouldabeaanaindicationafor
afurtheratesting?

A.a0-5acasts/HPF
B.a5-10aWBC/HPF
C.a10-20aRBC/HPF
D.aGrossahematuriaa-acorrectaanswera✔✔D.aGrossahematuria

Aalacerationaofatheaneckasuperficialatoatheadeepacervicalafasciaaalongatheasternocleidomast
oidamuscleaataitsamidpointawouldacauseableedingafromawhichastructure?a-
acorrectaanswera✔✔Externalajugularavein




Clinicalafeaturesaassociatedawithatensionapneumothoraxa-
acorrectaanswera✔✔Unilateraladecreaseainabreathasounds

Hyperresonance
Respiratoryadistress
Tachycardia
Trachealashift
Desatruation
Decreasedabreathasounds
Decreasedacompliance
Asymmetricachestamovement

NOTahypertension,aaudibleabronchialasounds

Notarecommendedaasaaamodeaofaventilationaforaaapatientawithaaadiaphragmaticahernia
A.aBagaandamask
B.aLMA
C.aEndotrachealaintubation
D.aJetaventilationa-acorrectaanswera✔✔A.aBagaandamask

Whataisatheanextastepainatheaassessmentaofaaatraumaticapatientaafteraairwayaisaestablished?
a-acorrectaanswera✔✔Breathing




Bloodagroupathataisaconsideredaaauniversaladonora-acorrectaanswera✔✔O

Aaprovideraisaexaminingaaapatientawhoasustainedaaasevereatraumaticaheadainjury.aHeadocu
mentsanoaDoll'saeyes.aWhatadoesathisasignify?a-acorrectaanswera✔✔Brainstemainjury

, WhichaofatheafollowingaisathealeastapreferredamethodaofaadministeringaIVafluids?
A.aCubitalaveins
B.aCephalicaveins
C.aSubclavianaveins
D.aSaphenousaveina-acorrectaanswera✔✔Subclavianaveins

Dermatomealevelaforanippleasensation

Dermatomealevelaforaumbilicusa-acorrectaanswera✔✔T4

T10

Atawhichatemperatureawouldaaahypothermicapatientastopashivering?a-
acorrectaanswera✔✔88adegreesaF




Whataisatheaenergyarecommendationaforatheafirstadefibrillationainaanaadulta(*)a-
acorrectaanswera✔✔300aJ




PharmacologicaeffectsaofaMorphinea-acorrectaanswera✔✔Behavioralachanges
Analgesia
Respiratoryadepression

NOTadiarrhea

Aapatientawithawhichaconditionashouldabeatriagedatoareceiveamedicalaattentionafirst?
A.aChoking
B.aDizzinessa
C.aLegacrampa
D.aVomitinga-acorrectaanswera✔✔A.aChoking

Forapediatricapatients,awhatavolumeaofafluidaresuscitationashouldabeagivenainitiallyainatheaset
tingaofashock?
A.a750amLaofasalineauniformlya
B.a1aliteraofasalinea
C.a20amL/kgaofa0.45%aNaClawitha5%aglucosea
D.a10atoa20amL/kgaofaRingersalactatea-
acorrectaanswera✔✔D.a10atoa20amL/kgaofaRingersalactate




Aapatientaisafoundaunconsciousaafteraaafireainahisabedroom.aHeaisafoundatoahaveasevereabur
nsaaroundahisaface.aWhataisatheafirstaaspectaofatreatment?
A.aTetanusatoxoid
B.aCoveratheawounda
C.aAirwaya
D.aObtainabloodaworka-acorrectaanswera✔✔C.aAirway