ATLS TEST 1 / QUESTIONS AND ANSWERS (A+
GUIDE SOLUTION) 2025-2026.
Terms in this set (40)
A 22-year-old man is hypotensive and tachycardic A) Reexamine the chest
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 is now
100 beats per minute and his respiratory rate is 28
breaths per minute. A tube thoracostomy is
performed for decreased left chest 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:
Select one: a.
reexamine the chest b. perform an aortogram
c.
obtain a CT scan of the chest d.
obtain arterial blood gas analyses
e.
perform transesophageal echocardiography
,A construction worker e) Complete spine x-ray series
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:
Select one: a.
angiography
b.
compartment pressures
c.
retrograde urethrogram d.
Doppler ultrasound
studies e.
complete spine x-ray series
,Which of the following is b.
true regarding the initial Evidence of improved perfusion after fluid resuscitation
resuscitation of a trauma could include improvement in Glasgow coma scale score
on reevaluation
patient? Select one: a.
A patient that presents with
a torso gunshot wound and is
hypotensive should receive
crystalloid fluid resuscitation
until the blood pressure is
normal b.
Evidence of improved
perfusion after fluid
resuscitation could
include improvement in
Glasgow coma scale score
on reevaluation c.
Massive transfusion is
defined as transfusion of
more than >10 of packed
red blood cells and plasma
in 24 hours d.
When tranexamic acid is
administered by
prehospital providers a
second dose is required
within 24 hours e.
Fluid resuscitation is far more
important than bleeding
control in trauma patients
, In managing a patient with a a.
severe traumatic brain injury, Secure the airway
the most important initial step
is to:
Select one: a.
Secure the airway b.
obtain a c-spine film c.
support the circulation d.
control scalp hemorrhage
e.
determine the GCS score
Feedback
Your answer is corr
GUIDE SOLUTION) 2025-2026.
Terms in this set (40)
A 22-year-old man is hypotensive and tachycardic A) Reexamine the chest
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 is now
100 beats per minute and his respiratory rate is 28
breaths per minute. A tube thoracostomy is
performed for decreased left chest 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:
Select one: a.
reexamine the chest b. perform an aortogram
c.
obtain a CT scan of the chest d.
obtain arterial blood gas analyses
e.
perform transesophageal echocardiography
,A construction worker e) Complete spine x-ray series
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:
Select one: a.
angiography
b.
compartment pressures
c.
retrograde urethrogram d.
Doppler ultrasound
studies e.
complete spine x-ray series
,Which of the following is b.
true regarding the initial Evidence of improved perfusion after fluid resuscitation
resuscitation of a trauma could include improvement in Glasgow coma scale score
on reevaluation
patient? Select one: a.
A patient that presents with
a torso gunshot wound and is
hypotensive should receive
crystalloid fluid resuscitation
until the blood pressure is
normal b.
Evidence of improved
perfusion after fluid
resuscitation could
include improvement in
Glasgow coma scale score
on reevaluation c.
Massive transfusion is
defined as transfusion of
more than >10 of packed
red blood cells and plasma
in 24 hours d.
When tranexamic acid is
administered by
prehospital providers a
second dose is required
within 24 hours e.
Fluid resuscitation is far more
important than bleeding
control in trauma patients
, In managing a patient with a a.
severe traumatic brain injury, Secure the airway
the most important initial step
is to:
Select one: a.
Secure the airway b.
obtain a c-spine film c.
support the circulation d.
control scalp hemorrhage
e.
determine the GCS score
Feedback
Your answer is corr
