ATLS POST TEST LATEST UPDATE 2024 -ATLS
MOST COMPLETE QUESTIONS AND CORRECT
DETAILED ASNSWERS
A young man sustains a gunshot wound to the abdomen and is brought promptly
to the ED by prehospital personnel. His skin is cool and diaphoretic, and he is
confused. His pulse is thready and his femoral pulse is only weakly palpable. The
definitive treatment in managing this patient is to:
A. Administer O-negative blood
B. Apply external warming devices
C. Control internal hemorrhage operatively
D. Apply a pneumatic antishock garment (PASG)
E. Infuse large volumes of intravenous crystalloid solutions. - CORRECT ANSWER-
C. Control internal hemorrhage operatively
To establish a diagnosis of shock,
A. Systolic blood pressure must be below 90mmHg
B. The presence of a closed head injury should be excluded
C. Acidosis should be present by arterial blood gas analysis
D. The patient must fail to respond to intravenous fluid infusion
E. Clinical evidence of inadequate organ perfusion must be present. - CORRECT
ANSWER-Clinical evidence of inadequate organ perfusion must be present.
Which of the following is least reliable for diagnosing esophageal intubation? -
CORRECT ANSWER-ETT above carina on chest x ray
Which of the following signs necessitates the need for a definitive airway in
severe trauma patient? - CORRECT ANSWER-Severe maxillofacial trauma
, Twenty seven people are severely injured in an aircraft crash at a local airport.
The principles of triage include: - CORRECT ANSWER-Produce the greatest
number of survivors based on available resources
Which of the following statements are correct? - CORRECT ANSWER-Cerebral
contusions may coalesce to form an intracerebral hematoma
The primary indication for transferring a patient to a higher level trauma center
is: - CORRECT ANSWER-Resource limitations as determined by the transferring
doctor
A teenaged bicycle rider is hit by a truck traveling at high speed. In the
emergency department, she is actively bleeding from open fractures of her legs,
and has abrasions on her chest and abdominal wall. Her blood pressure is 80/50
mm Hg, heart rate is 140 beats per minute, respiratory rate is 8 breaths per
minute, and GCS score is 6. The first step in managing this patient is to:
a) obtain a lateral cervical spine xray.
b) administer 2 liters of crystalloid solution.
c) insert a central venous pressure line.
d) perform endotracheal intubation and ventilation. - CORRECT ANSWER-D.
Perform endotracheal intubation and ventilation
Contraindication to nasogastric intubation is the presence of a: - CORRECT
ANSWER-Fracture of the cribiform plate
Which of the following statements regarding patients with thoracic spine injuries
is true? - CORRECT ANSWER-Log rolling may be destabilizing to fractures from
T12-L1
A young man sustains a rifle wound to the mid-abdomen. He is brought promptly
to the ED by prehospital personnel. His skin is cool and diaphoretic, and his
systolic blood pressure is 58mmHg. Warmed crystalloid fluids are initiated
without improvement in his vital signs. The next, most appropriate, step is to
perform:
A. a laparotomy
B. An abdominal CT-scan
C. Diagnostic laparoscopy
MOST COMPLETE QUESTIONS AND CORRECT
DETAILED ASNSWERS
A young man sustains a gunshot wound to the abdomen and is brought promptly
to the ED by prehospital personnel. His skin is cool and diaphoretic, and he is
confused. His pulse is thready and his femoral pulse is only weakly palpable. The
definitive treatment in managing this patient is to:
A. Administer O-negative blood
B. Apply external warming devices
C. Control internal hemorrhage operatively
D. Apply a pneumatic antishock garment (PASG)
E. Infuse large volumes of intravenous crystalloid solutions. - CORRECT ANSWER-
C. Control internal hemorrhage operatively
To establish a diagnosis of shock,
A. Systolic blood pressure must be below 90mmHg
B. The presence of a closed head injury should be excluded
C. Acidosis should be present by arterial blood gas analysis
D. The patient must fail to respond to intravenous fluid infusion
E. Clinical evidence of inadequate organ perfusion must be present. - CORRECT
ANSWER-Clinical evidence of inadequate organ perfusion must be present.
Which of the following is least reliable for diagnosing esophageal intubation? -
CORRECT ANSWER-ETT above carina on chest x ray
Which of the following signs necessitates the need for a definitive airway in
severe trauma patient? - CORRECT ANSWER-Severe maxillofacial trauma
, Twenty seven people are severely injured in an aircraft crash at a local airport.
The principles of triage include: - CORRECT ANSWER-Produce the greatest
number of survivors based on available resources
Which of the following statements are correct? - CORRECT ANSWER-Cerebral
contusions may coalesce to form an intracerebral hematoma
The primary indication for transferring a patient to a higher level trauma center
is: - CORRECT ANSWER-Resource limitations as determined by the transferring
doctor
A teenaged bicycle rider is hit by a truck traveling at high speed. In the
emergency department, she is actively bleeding from open fractures of her legs,
and has abrasions on her chest and abdominal wall. Her blood pressure is 80/50
mm Hg, heart rate is 140 beats per minute, respiratory rate is 8 breaths per
minute, and GCS score is 6. The first step in managing this patient is to:
a) obtain a lateral cervical spine xray.
b) administer 2 liters of crystalloid solution.
c) insert a central venous pressure line.
d) perform endotracheal intubation and ventilation. - CORRECT ANSWER-D.
Perform endotracheal intubation and ventilation
Contraindication to nasogastric intubation is the presence of a: - CORRECT
ANSWER-Fracture of the cribiform plate
Which of the following statements regarding patients with thoracic spine injuries
is true? - CORRECT ANSWER-Log rolling may be destabilizing to fractures from
T12-L1
A young man sustains a rifle wound to the mid-abdomen. He is brought promptly
to the ED by prehospital personnel. His skin is cool and diaphoretic, and his
systolic blood pressure is 58mmHg. Warmed crystalloid fluids are initiated
without improvement in his vital signs. The next, most appropriate, step is to
perform:
A. a laparotomy
B. An abdominal CT-scan
C. Diagnostic laparoscopy
