ATLS Post Test Exam Test Bank
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,ATLS Post Test Exam
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 2 liters of crystalloid solution 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. His breath sounds are decreased in the left hemithorax, and after initial IV fluid resuscitation, a
closed tube thoracostomy is performed for decreased left 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:
a) reexamine the chest.
b) perform an aortogram.
c) obtain a CT scan of the chest.
d) obtain arterial blood gas analyses - ANSWER: a) reexamine the chest
Which one of the following physical findings suggests a cause of hypotension other than spinal cord
injury?
a) priapism.
b) bradycardia.
c) diaphragmatic breathing.
d) presence of deep tendon reflexes. - ANSWER: d) presence of deep tendon reflexes.
A construction worker falls two stories from a building and sustains bilateral calcaneal 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. The
suspected diagnosis is most likely to be confirmed by:
a) compartment pressures
b) retrograde urethrogram
c) Doppler-ultrasound studies
,d) complete spine x-ray series - ANSWER: d) complete spine x-ray series
In managing the head-injured patient, the most important initial step is to:
a) obtain c-spine film.
b) secure the airway.
c) support the circulation.
d) control scalp hemorrhage. - ANSWER: b) secure the airway.
A previously healthy, 70-kg (154-pound) man suffers an estimated acute blood loss of 2 liters. Which
one of the following statements applies to this patient?
a) His pulse pressure will be widened.
b) His urinary output will be at the lower limits of normal.
c) He will have tachycardia, but no change in his systolic blood pressure.
d) His systolic blood pressure will be decreased with a narrowed pulse pressure. - ANSWER: d) His
systolic blood pressure will be decreased with a narrowed pulse pressure.
The physiologic hypervolemia of pregnancy has clinical significance in the management of the severely
injured, gravid woman by:
a) reducing the need for blood transfusion.
b) increasing the risk of pulmonary edema.
c) increasing the volume of blood loss to produce maternal hypotension.
d) complicating the mangement of closed head injury. - ANSWER: c) increasing the volume of
blood loss to produce maternal hypotension.
The best assessment of fluid resuscitation of the burn patient is:
, a) adequate urinary output.
b) reversal of systemic acidosis.
c) normalization of the heart rate.
d) a normal central venous pressure. - ANSWER: a) adequate urinary output.
The diagnosis of shock must include:
a) increased vascular resistance.
b) evidence of inadequate organ perfusion.
c) acidosis.
d) hypoxemia. - ANSWER: b) evidence of inadequate organ perfusion.
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:
a) application of a tourniquet.
b) direct pressure on the wound.
c) packing the wound with gauze.
d) direct pressure on the femoral artery at the groin. - ANSWER: b) direct pressure on the wound.
For the patient with severe traumatic brain injury, profound hypocarbia should be avoided to prevent:
a) respiratory acidosis.
b) metabolic acidosis.
c) cerebral vasoconstriction with diminished perfusion.
d) neurogenic pulmonary edema. - ANSWER: c) cerebral vasoconstriction with diminished
perfusion.
6 Latest Exams Exams
Up to Date and Verified
Complete Solution Package
,ATLS Post Test Exam
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 2 liters of crystalloid solution 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. His breath sounds are decreased in the left hemithorax, and after initial IV fluid resuscitation, a
closed tube thoracostomy is performed for decreased left 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:
a) reexamine the chest.
b) perform an aortogram.
c) obtain a CT scan of the chest.
d) obtain arterial blood gas analyses - ANSWER: a) reexamine the chest
Which one of the following physical findings suggests a cause of hypotension other than spinal cord
injury?
a) priapism.
b) bradycardia.
c) diaphragmatic breathing.
d) presence of deep tendon reflexes. - ANSWER: d) presence of deep tendon reflexes.
A construction worker falls two stories from a building and sustains bilateral calcaneal 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. The
suspected diagnosis is most likely to be confirmed by:
a) compartment pressures
b) retrograde urethrogram
c) Doppler-ultrasound studies
,d) complete spine x-ray series - ANSWER: d) complete spine x-ray series
In managing the head-injured patient, the most important initial step is to:
a) obtain c-spine film.
b) secure the airway.
c) support the circulation.
d) control scalp hemorrhage. - ANSWER: b) secure the airway.
A previously healthy, 70-kg (154-pound) man suffers an estimated acute blood loss of 2 liters. Which
one of the following statements applies to this patient?
a) His pulse pressure will be widened.
b) His urinary output will be at the lower limits of normal.
c) He will have tachycardia, but no change in his systolic blood pressure.
d) His systolic blood pressure will be decreased with a narrowed pulse pressure. - ANSWER: d) His
systolic blood pressure will be decreased with a narrowed pulse pressure.
The physiologic hypervolemia of pregnancy has clinical significance in the management of the severely
injured, gravid woman by:
a) reducing the need for blood transfusion.
b) increasing the risk of pulmonary edema.
c) increasing the volume of blood loss to produce maternal hypotension.
d) complicating the mangement of closed head injury. - ANSWER: c) increasing the volume of
blood loss to produce maternal hypotension.
The best assessment of fluid resuscitation of the burn patient is:
, a) adequate urinary output.
b) reversal of systemic acidosis.
c) normalization of the heart rate.
d) a normal central venous pressure. - ANSWER: a) adequate urinary output.
The diagnosis of shock must include:
a) increased vascular resistance.
b) evidence of inadequate organ perfusion.
c) acidosis.
d) hypoxemia. - ANSWER: b) evidence of inadequate organ perfusion.
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:
a) application of a tourniquet.
b) direct pressure on the wound.
c) packing the wound with gauze.
d) direct pressure on the femoral artery at the groin. - ANSWER: b) direct pressure on the wound.
For the patient with severe traumatic brain injury, profound hypocarbia should be avoided to prevent:
a) respiratory acidosis.
b) metabolic acidosis.
c) cerebral vasoconstriction with diminished perfusion.
d) neurogenic pulmonary edema. - ANSWER: c) cerebral vasoconstriction with diminished
perfusion.
