ATLS.pdf file:///C:/Users/HP/Desktop/New%20folder/ATLS
ATLS EXAM Questions & Answers
1. A 23-year-old man is brought immediately to the ED from the hospitals
parking lot where he was shot in the lower abdomen. Examination reveals a
single bullet wound. He is breathing and has a thready pulse. However, he is
unconsious and has no detectable blood pressure. Optimale immediate
management is to:
A. Perform a FAST
B. Initiate infusion of packed red blood cells
C. Insert a nasogastric tube and urinary catheter
D. Transfer the patient to the operating room, while initiating fluid therapy
E. Initiate fluid therapy to return his blood pressure to normotensive
Answer: d.Trans-fer the patient to the operating room, while initiating fluid therapy
2. A 22 year old male present following a motorcycle crash. He complains ofthe
inability to move his legs. His BP is 80/50, HR 70, RR 18 and GCS 15. Oxygen
saturation is 99% on 21 nasal prongs. Chest x-ray, pelvic x-ray andFAST are
1 of 29 12/16/2024, 5:10
,ATLS.pdf file:///C:/Users/HP/Desktop/New%20folder/ATLS
normal. Extremities are normal. His management should be:
A: 1L of iv . crystalloid and two units of pRBCs
B. 1L of iv. crystalloid, mannitol and iv steroids
C. 1 unit of albumin and compression stockings
D. Vasopressors and laparotomy
E. 1 L of cystalloid and vasopressors if blood pressure does not respond
Answer: e.1 L of cystalloid and vasopressors if blood pressure does not respond
3. Which of the following is MOST RELIABLE to confirm endotracheal intuba-
tion?
a. presence of breath sounds bilaterally
b. absence of borborygmi in the epigatrium on ascultation
c. presence of CO2 in exhaled air via capnography
d. appearance of fog in the endotracheal tube
e. chest xray with endotracheal tube tip appearing above the carina
Answer: e. chestxray with endotracheal tube tip appearing above the carina
4. A 6 month old infant, being held in her mothers arms, is ejected on impact
from a vehicle that is struck head on by an oncoming car traveling at 64kph.
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,ATLS.pdf file:///C:/Users/HP/Desktop/New%20folder/ATLS
The infant arrives in the ED with multiple facial injuries, is lethargic, and is in
severe respiratoy distress. Respiratory support is not effective using a bag
mask device, and her oxygen saturation is falling. Repeated attempts at
orotracheal intubation are unsuccessful. the most appropriate procedure to
perform next is:
A.Administer heliox and racemic epinephrine
B. Perform nasotracheal intubation
3 of 29 12/16/2024, 5:10
ATLS EXAM Questions & Answers
1. A 23-year-old man is brought immediately to the ED from the hospitals
parking lot where he was shot in the lower abdomen. Examination reveals a
single bullet wound. He is breathing and has a thready pulse. However, he is
unconsious and has no detectable blood pressure. Optimale immediate
management is to:
A. Perform a FAST
B. Initiate infusion of packed red blood cells
C. Insert a nasogastric tube and urinary catheter
D. Transfer the patient to the operating room, while initiating fluid therapy
E. Initiate fluid therapy to return his blood pressure to normotensive
Answer: d.Trans-fer the patient to the operating room, while initiating fluid therapy
2. A 22 year old male present following a motorcycle crash. He complains ofthe
inability to move his legs. His BP is 80/50, HR 70, RR 18 and GCS 15. Oxygen
saturation is 99% on 21 nasal prongs. Chest x-ray, pelvic x-ray andFAST are
1 of 29 12/16/2024, 5:10
,ATLS.pdf file:///C:/Users/HP/Desktop/New%20folder/ATLS
normal. Extremities are normal. His management should be:
A: 1L of iv . crystalloid and two units of pRBCs
B. 1L of iv. crystalloid, mannitol and iv steroids
C. 1 unit of albumin and compression stockings
D. Vasopressors and laparotomy
E. 1 L of cystalloid and vasopressors if blood pressure does not respond
Answer: e.1 L of cystalloid and vasopressors if blood pressure does not respond
3. Which of the following is MOST RELIABLE to confirm endotracheal intuba-
tion?
a. presence of breath sounds bilaterally
b. absence of borborygmi in the epigatrium on ascultation
c. presence of CO2 in exhaled air via capnography
d. appearance of fog in the endotracheal tube
e. chest xray with endotracheal tube tip appearing above the carina
Answer: e. chestxray with endotracheal tube tip appearing above the carina
4. A 6 month old infant, being held in her mothers arms, is ejected on impact
from a vehicle that is struck head on by an oncoming car traveling at 64kph.
2 of 29 12/16/2024, 5:10
,ATLS.pdf file:///C:/Users/HP/Desktop/New%20folder/ATLS
The infant arrives in the ED with multiple facial injuries, is lethargic, and is in
severe respiratoy distress. Respiratory support is not effective using a bag
mask device, and her oxygen saturation is falling. Repeated attempts at
orotracheal intubation are unsuccessful. the most appropriate procedure to
perform next is:
A.Administer heliox and racemic epinephrine
B. Perform nasotracheal intubation
3 of 29 12/16/2024, 5:10
