ATLS Practice Questions With Verified Answers
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 - answers-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 - answers-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 - answers-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? - answers-External jugular vein
Clinical features associated with tension pneumothorax - answers-
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
Assessed first in trauma patient - answers-Airway
(*)Degree of burn that is characterized by bone involvement - answers-
Fourth
Complications of head trauma - answers-Intracerebral hematoma
Extradural hematoma
, Brain abscess
Most common cause of laryngotracheal stenosis - answers-Trauma
Intervention that can help prevent development of acute renal failure -
answers-Infusion of normal saline
A 26-year-old male is resuscitated with blood transfusion after a motor
vehicle collision that was complicated by a fractured pelvis. A few hours
later, the patient becomes febrile, hypotensive with a normal CVP, and
oliguric. Upon examination, the patient is found to be bleeding from the NG
tube and IV sites. Which of the following is the most likely diagnosis?
A. Hemorrhagic shock
B. Acute adrenal insufficiency
C. Fat embolism syndrome
D. Transfusion reaction - answers-D. Transfusion reaction
Skin antiseptic - answers--Ethanol 70% is an effective skin antiseptic
-Acetic acid can be used to treat Gram- skin infections
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 - answers-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 - answers-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 - answers-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? - answers-External jugular vein
Clinical features associated with tension pneumothorax - answers-
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
Assessed first in trauma patient - answers-Airway
(*)Degree of burn that is characterized by bone involvement - answers-
Fourth
Complications of head trauma - answers-Intracerebral hematoma
Extradural hematoma
, Brain abscess
Most common cause of laryngotracheal stenosis - answers-Trauma
Intervention that can help prevent development of acute renal failure -
answers-Infusion of normal saline
A 26-year-old male is resuscitated with blood transfusion after a motor
vehicle collision that was complicated by a fractured pelvis. A few hours
later, the patient becomes febrile, hypotensive with a normal CVP, and
oliguric. Upon examination, the patient is found to be bleeding from the NG
tube and IV sites. Which of the following is the most likely diagnosis?
A. Hemorrhagic shock
B. Acute adrenal insufficiency
C. Fat embolism syndrome
D. Transfusion reaction - answers-D. Transfusion reaction
Skin antiseptic - answers--Ethanol 70% is an effective skin antiseptic
-Acetic acid can be used to treat Gram- skin infections
