ATLS Pretest Questions And Answers (1).pdf file:///C:/Users/User/Downloads/ATLS%20Pretest%20Questions%2
ATLS Pretest Questions And Answers
1. 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 isnow 100 beats per minute
and his respiratory rate is 28 breaths per minute. Atube thoracostomy is performed for
decreased left chest breath sounds with the return of a small amount of blood and no air
leak. After chst tube insertion,the most appropriate next step is
ANS re-examine the cheste
2. A construction worker falls two stories from a building and sustains bilateralcalcaneal
fractures. In the emergency department, he is alert, vital signs are normal, and he is
complaining of severe pain in both heels and his lower back. Lower extremity pulses
are strong and there is no other deformity. Thesuspected diagnosis is most likely to be
confirmed by
ANS complete spine x-ray series
3. Which of the following is true regarding the initial resuscitation of a traumapatient?
ANS Evidence of improved perfusion after fluid resuscitation could include
improvement in Glasgow Coma Scale score on reevaluation.
4. In managing a patient with a severe traumatic brain injury, the most impor-tant initial
step is to
1/5
1 of 11 9/5/2024, 7:28
,ATLS Pretest Questions And Answers (1).pdf file:///C:/Users/User/Downloads/ATLS%20Pretest%20Questions%2
ANS secure the airway
5. A previously healthy, 70-kg (154-pound) man suffers an estimated acuteblood loss
of 2 liters. Which one of the following statements applies to thispatient?
ANS An ABG would demonstrate a base deficit between -6 and -10 mEq/L.
6. The physiological hypervolemia of pregnancy has clinical significance inthe
management of the severely injured, gravid woman by
ANS increasing the volume of blood loss to produce maternal hypotension
7. The best assessment of fluid resuscitation of the adult burn patient is
ANS uri-nary output of 0.5 mL/kg/hr
8. The diagnosis of shock must include
ANS evidence of inadequate organ perfusion
9. 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 froma 6-cm wound of
his medial right thigh. Immediate management of the woundshould consist of
ANS direct pressure on the wound
10. For the patient with severe traumatic brain injury, profound hypocarbia should be
avoided to prevent
ANS
ANS cerebral vasoconstriction with diminished perfu-sion
11. After being involved in a motor vehicle crash, a 25-year-old man is broughtto a
hospital that has surgery capabilities available.. Computed tomography of the chest
and abdomen shows an aortic injury and splenic laceration withfree abdominal fluid.
2/5
2 of 11 9/5/2024, 7:28
ATLS Pretest Questions And Answers
1. 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 isnow 100 beats per minute
and his respiratory rate is 28 breaths per minute. Atube thoracostomy is performed for
decreased left chest breath sounds with the return of a small amount of blood and no air
leak. After chst tube insertion,the most appropriate next step is
ANS re-examine the cheste
2. A construction worker falls two stories from a building and sustains bilateralcalcaneal
fractures. In the emergency department, he is alert, vital signs are normal, and he is
complaining of severe pain in both heels and his lower back. Lower extremity pulses
are strong and there is no other deformity. Thesuspected diagnosis is most likely to be
confirmed by
ANS complete spine x-ray series
3. Which of the following is true regarding the initial resuscitation of a traumapatient?
ANS Evidence of improved perfusion after fluid resuscitation could include
improvement in Glasgow Coma Scale score on reevaluation.
4. In managing a patient with a severe traumatic brain injury, the most impor-tant initial
step is to
1/5
1 of 11 9/5/2024, 7:28
,ATLS Pretest Questions And Answers (1).pdf file:///C:/Users/User/Downloads/ATLS%20Pretest%20Questions%2
ANS secure the airway
5. A previously healthy, 70-kg (154-pound) man suffers an estimated acuteblood loss
of 2 liters. Which one of the following statements applies to thispatient?
ANS An ABG would demonstrate a base deficit between -6 and -10 mEq/L.
6. The physiological hypervolemia of pregnancy has clinical significance inthe
management of the severely injured, gravid woman by
ANS increasing the volume of blood loss to produce maternal hypotension
7. The best assessment of fluid resuscitation of the adult burn patient is
ANS uri-nary output of 0.5 mL/kg/hr
8. The diagnosis of shock must include
ANS evidence of inadequate organ perfusion
9. 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 froma 6-cm wound of
his medial right thigh. Immediate management of the woundshould consist of
ANS direct pressure on the wound
10. For the patient with severe traumatic brain injury, profound hypocarbia should be
avoided to prevent
ANS
ANS cerebral vasoconstriction with diminished perfu-sion
11. After being involved in a motor vehicle crash, a 25-year-old man is broughtto a
hospital that has surgery capabilities available.. Computed tomography of the chest
and abdomen shows an aortic injury and splenic laceration withfree abdominal fluid.
2/5
2 of 11 9/5/2024, 7:28
