ATLS OVER 200 PRACTICE
QUESTIONS AND ANSWERS
GRADED A+
[Document subtitle]
[DATE]
[COMPANY NAME]
[Company address]
,1. Assessed first in trauma patient
Answer: Airway
2. Degree of burn that is characterized by bone involvement
Answer: Fourth
3. Complications of head trauma
Answer: Intracerebral hematoma, Extradural hematoma, Brain
abscess
4. Most common cause of laryngotracheal stenosis
Answer: Trauma
5. Intervention that can help prevent development of acute renal failure
Answer: Infusion of normal saline
6. 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?
Answer: D. Transfusion reaction
7. Skin antiseptic
Answer: - Ethanol 70% is an effective skin antiseptic, - Acetic acid
can be used to treat Gram- skin infections, - Salicylic acid is used to
treat certain skin yeast infections
8. Class IV hemorrhage indicates what % blood loss
Answer: 55%
9. How does shivering affect body temperature
Answer: Increases body temperature
10. Class III hemorrhage indicates what % of blood loss
Answer: 35%
11. Management of a stable patient with kidney contusion
Answer: Observation
, 12. Associated with hypovolemic shock
Answer: - Inadequate tissue perfusion with resultant tissue hypoxia,
- Blood shunting to vital organs, - Decreased circulating blood
volume and decreased venous return, - Low cardiac output, - Loss of
less than 20% of the blood volume is usually without symptom
except for mild tachycardia, - Patients become orthostatic with
losses between 20 and 40%, - Shock is evidenced by tachycardia,
hypotension, oliguria, flat neck veins
13. The most effective method of monitoring the success of
resuscitation during CPR?
Answer: Reactivity of pupils to light
14. Used to ensure correct placement of endotracheal tube
Answer: - Ultrasound, - Bilateral breath sounds, - Sustained end-
tidal CO2
15. Total body surface area involved in a burn in an adult to the
anterior chest and abdomen
Answer: 18%
16. What is often caused by carotid massage?
Answer: Bradycardia
17. Step in a patient diagnosed with tension pneumothorax
Answer: 1. Needle decompression/ thoracotomy, 2. Chest tube
18. True statements regarding diaphragmatic injuries
Answer: - Blunt diaphragmatic injuries are usually associated with
skeletal trauma, - Penetrating diaphragmatic injuries may be missed,
- Repair of traumatic diaphragmatic injuries usually does not require
prosthetic material
19. First priority in the treatment of an unconscious patient
Answer: Checking the pulse
20. 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
QUESTIONS AND ANSWERS
GRADED A+
[Document subtitle]
[DATE]
[COMPANY NAME]
[Company address]
,1. Assessed first in trauma patient
Answer: Airway
2. Degree of burn that is characterized by bone involvement
Answer: Fourth
3. Complications of head trauma
Answer: Intracerebral hematoma, Extradural hematoma, Brain
abscess
4. Most common cause of laryngotracheal stenosis
Answer: Trauma
5. Intervention that can help prevent development of acute renal failure
Answer: Infusion of normal saline
6. 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?
Answer: D. Transfusion reaction
7. Skin antiseptic
Answer: - Ethanol 70% is an effective skin antiseptic, - Acetic acid
can be used to treat Gram- skin infections, - Salicylic acid is used to
treat certain skin yeast infections
8. Class IV hemorrhage indicates what % blood loss
Answer: 55%
9. How does shivering affect body temperature
Answer: Increases body temperature
10. Class III hemorrhage indicates what % of blood loss
Answer: 35%
11. Management of a stable patient with kidney contusion
Answer: Observation
, 12. Associated with hypovolemic shock
Answer: - Inadequate tissue perfusion with resultant tissue hypoxia,
- Blood shunting to vital organs, - Decreased circulating blood
volume and decreased venous return, - Low cardiac output, - Loss of
less than 20% of the blood volume is usually without symptom
except for mild tachycardia, - Patients become orthostatic with
losses between 20 and 40%, - Shock is evidenced by tachycardia,
hypotension, oliguria, flat neck veins
13. The most effective method of monitoring the success of
resuscitation during CPR?
Answer: Reactivity of pupils to light
14. Used to ensure correct placement of endotracheal tube
Answer: - Ultrasound, - Bilateral breath sounds, - Sustained end-
tidal CO2
15. Total body surface area involved in a burn in an adult to the
anterior chest and abdomen
Answer: 18%
16. What is often caused by carotid massage?
Answer: Bradycardia
17. Step in a patient diagnosed with tension pneumothorax
Answer: 1. Needle decompression/ thoracotomy, 2. Chest tube
18. True statements regarding diaphragmatic injuries
Answer: - Blunt diaphragmatic injuries are usually associated with
skeletal trauma, - Penetrating diaphragmatic injuries may be missed,
- Repair of traumatic diaphragmatic injuries usually does not require
prosthetic material
19. First priority in the treatment of an unconscious patient
Answer: Checking the pulse
20. 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
