ATLS PRE TEST EXAM STUDY GUIDE AND PRACTICE
EXAM 2024/2025 | ACCURATE REAL EXAM
QUESTIONS WITH VERIFIED ANSWERS | EXPERT
VERIFIED FOR A GUARANTEED PASS | LATEST
UPDATE
A 22-year-old man is hypotensive and tachycardic after a shotgun wound to the left
shoulder. His blood pressure is initially 80/40 mm Hg. After initial fluid resuscitation his
blood pressure increases to 122/84 mm Hg. His heart rate is now 100 beats per minute
and his respiratory rate is 28 breaths per minute. A tube thoracostomy is performed for
decreased left chest breath sounds with the return of a small amount of blood and no air
leak. After chest tube insertion, the most appropriate next step is: - ✔✔ANSW✔✔..-
*Re-examine the chest*
- Perform an aortogram
- Obtain a CT scan of the chest
- Obtain ABG analysis
- Transesophageal echocardiography
A 7-year-old boy is brought to the emergency department by his parents several
minutes after he fell through a window. He is bleeding profusely from a 6-cm wound of
his medial right thigh. Immediate management of the wound should consist of: -
✔✔ANSW✔✔..- direct pressure on the wound
For the patient with severe traumatic brain injury, profound hypocarbia should be
avoided to prevent: - ✔✔ANSW✔✔..- respiratory acidosis xxx
- metabolic acidosis
- *Cerebral vasoconstriction with diminished perfusion*
- neurogenic pulmonary edema
- shift of the oxyhemoglobin dissociation curve
After being involved in a motor vehicle crash, a 25-year-old man is brought to a hospital
that has surgery capabilities available. Computed tomography of the chest and
abdomen shows an aortic injury and splenic laceration with free abdominal fluid. His
blood pressure falls to 70 mm Hg after CT. The next step is: - ✔✔ANSW✔✔..- perform
an exploratory laparotomy
, Which one of the following statements regarding abdominal trauma in the pregnant
patient is TRUE? - ✔✔ANSW✔✔..- The fetus is in jeopardy only with major abdominal
trauma.
- *Leakage of amniotic fluid is an indication for hospital admission.*
- Indications for peritoneal lavage are different from those in the nonpregnant patient.
- With penetrating trauma, injury to the mother's abdominal hollow viscus is more
common in late than in early pregnancy.
- The secondary survey follows a different pattern from that of the nonpregnant patient.
The first maneuver to improve oxygenation after chest injury is: - ✔✔ANSW✔✔..-
*Administer supplemental oxygen*
- intubate the patient
- assess arterial blood gases
- ascertain the need for a chest tube
- obtain a chest x-ray
A 25-year-old man, injured in a motor vehicular crash, is admitted to the emergency
department. His pupils react sluggishly and his eyes open to pressure. He does not
follow commands, but he does moan periodically. His right arm is deformed and does
not respond to pressure; however, his left hand reaches purposefully toward the
stimulus. Both legs are stiffly extended. His GCS score is: - ✔✔ANSW✔✔..9
A 20-year-old woman who is at 32 weeks gestation, is stabbed in the upper right chest.
In the emergency department, her blood pressure is 80/60 mm Hg. She is gasping for
breath, extremely anxious, and yelling for help. Breath sounds are diminished in the
right chest. The most appropriate first step is to: - ✔✔ANSW✔✔..- perform needle or
finger decompression of the right chest
Which one of the following findings in an adult is most likely to require immediate
management during the primary survey? - ✔✔ANSW✔✔..- distended abdomen
- Glasgow Coma Scale score of 11
- temperature of 36.5°C (97.8°F)
- deforming of the right thigh
- *respiratory rate of 40 breaths per minute*
The most important, immediate step in the management of an open pneumothorax is: -
✔✔ANSW✔✔..- placement of an occlusive dressing over the wound
The following are contraindications for tetanus toxoid administration: - ✔✔ANSW✔✔..-
*history of neurological reaction or severe hypersensitivity to the product*
- local side effects
- muscular spasms
- pregnancy
- all of the above xxx
EXAM 2024/2025 | ACCURATE REAL EXAM
QUESTIONS WITH VERIFIED ANSWERS | EXPERT
VERIFIED FOR A GUARANTEED PASS | LATEST
UPDATE
A 22-year-old man is hypotensive and tachycardic after a shotgun wound to the left
shoulder. His blood pressure is initially 80/40 mm Hg. After initial fluid resuscitation his
blood pressure increases to 122/84 mm Hg. His heart rate is now 100 beats per minute
and his respiratory rate is 28 breaths per minute. A tube thoracostomy is performed for
decreased left chest breath sounds with the return of a small amount of blood and no air
leak. After chest tube insertion, the most appropriate next step is: - ✔✔ANSW✔✔..-
*Re-examine the chest*
- Perform an aortogram
- Obtain a CT scan of the chest
- Obtain ABG analysis
- Transesophageal echocardiography
A 7-year-old boy is brought to the emergency department by his parents several
minutes after he fell through a window. He is bleeding profusely from a 6-cm wound of
his medial right thigh. Immediate management of the wound should consist of: -
✔✔ANSW✔✔..- direct pressure on the wound
For the patient with severe traumatic brain injury, profound hypocarbia should be
avoided to prevent: - ✔✔ANSW✔✔..- respiratory acidosis xxx
- metabolic acidosis
- *Cerebral vasoconstriction with diminished perfusion*
- neurogenic pulmonary edema
- shift of the oxyhemoglobin dissociation curve
After being involved in a motor vehicle crash, a 25-year-old man is brought to a hospital
that has surgery capabilities available. Computed tomography of the chest and
abdomen shows an aortic injury and splenic laceration with free abdominal fluid. His
blood pressure falls to 70 mm Hg after CT. The next step is: - ✔✔ANSW✔✔..- perform
an exploratory laparotomy
, Which one of the following statements regarding abdominal trauma in the pregnant
patient is TRUE? - ✔✔ANSW✔✔..- The fetus is in jeopardy only with major abdominal
trauma.
- *Leakage of amniotic fluid is an indication for hospital admission.*
- Indications for peritoneal lavage are different from those in the nonpregnant patient.
- With penetrating trauma, injury to the mother's abdominal hollow viscus is more
common in late than in early pregnancy.
- The secondary survey follows a different pattern from that of the nonpregnant patient.
The first maneuver to improve oxygenation after chest injury is: - ✔✔ANSW✔✔..-
*Administer supplemental oxygen*
- intubate the patient
- assess arterial blood gases
- ascertain the need for a chest tube
- obtain a chest x-ray
A 25-year-old man, injured in a motor vehicular crash, is admitted to the emergency
department. His pupils react sluggishly and his eyes open to pressure. He does not
follow commands, but he does moan periodically. His right arm is deformed and does
not respond to pressure; however, his left hand reaches purposefully toward the
stimulus. Both legs are stiffly extended. His GCS score is: - ✔✔ANSW✔✔..9
A 20-year-old woman who is at 32 weeks gestation, is stabbed in the upper right chest.
In the emergency department, her blood pressure is 80/60 mm Hg. She is gasping for
breath, extremely anxious, and yelling for help. Breath sounds are diminished in the
right chest. The most appropriate first step is to: - ✔✔ANSW✔✔..- perform needle or
finger decompression of the right chest
Which one of the following findings in an adult is most likely to require immediate
management during the primary survey? - ✔✔ANSW✔✔..- distended abdomen
- Glasgow Coma Scale score of 11
- temperature of 36.5°C (97.8°F)
- deforming of the right thigh
- *respiratory rate of 40 breaths per minute*
The most important, immediate step in the management of an open pneumothorax is: -
✔✔ANSW✔✔..- placement of an occlusive dressing over the wound
The following are contraindications for tetanus toxoid administration: - ✔✔ANSW✔✔..-
*history of neurological reaction or severe hypersensitivity to the product*
- local side effects
- muscular spasms
- pregnancy
- all of the above xxx
