ATLS Test 1 (Case Studies) || With All
Solutions 2025 (100% Correct)
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:
Select one:
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
e.
debridement of devitalized tissue - ANSWER - b.
direct pressure on the wound
For the patient with severe traumatic brain injury, profound hypocarbia should be
avoided to prevent:
Select one:
a.
respiratory acidosis
b.
metabolic acidosis
c.
cerebral vasoconstriction with diminished perfusion
d.
neurogenic pulmonary edema
e.
shift of the oxyhemoglobin dissociation curve - ANSWER - c.
cerebral vasoconstriction with diminished perfusion
After being involved in a motor vehicle crash, a 25-year-old man is brought to a hospital
that has surgery capabilities available.. Computed tomography of the chest and
abdomen shows an aortic injury and splenic laceration with free abdominal fluid. His
blood pressure falls to 70 mm Hg after CT. The next step is:
Select one:
a.
obtain contrast angiography
b.
transfer to a higher level trauma center
c.
, perform an exploratory laparotomy
d.
infuse additional crystalloid fluids
e.
Obtain transesophageal echocardiography - ANSWER - c.
perform an exploratory laparotomy
Which one of the following statements regarding abdominal trauma in the pregnant
patient is TRUE?
Select one:
a.
The fetus is in jeopardy only with major maternal abdominal trauma.
b.
Leakage of amniotic fluid is an indication for hospital admission.
c.
Indications for peritoneal lavage are different from those in the nonpregnant patient.
d.
With penetrating trauma, injury to the mother's abdominal hollow viscus is more
common in late than in early pregnancy.
e.
The secondary survey follows a different pattern from that of the nonpregnant patient. -
ANSWER - b.
Leakage of amniotic fluid is an indication for hospital admission.
The first maneuver to improve oxygenation after chest injury is to:
Select one:
a.
intubate the patient
b.
assess arterial blood gases
c.
administer supplemental oxygen
d.
ascertain the need for a chest tube
e.
obtain a chest x-ray - ANSWER - c.
administer supplemental oxygen
A 25-year-old man, injured in a motor vehicular crash, is admitted to the emergency
department. His pupils react sluggishly and his eyes open to pressure. He does not
follow commands, but he does moan periodically. His right arm is deformed and does
not respond to pressure; however, his left hand reaches purposefully toward the
stimulus. Both legs are stiffly extended. His GCS score is:
Select one:
a: 2
b: 4
Solutions 2025 (100% Correct)
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:
Select one:
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
e.
debridement of devitalized tissue - ANSWER - b.
direct pressure on the wound
For the patient with severe traumatic brain injury, profound hypocarbia should be
avoided to prevent:
Select one:
a.
respiratory acidosis
b.
metabolic acidosis
c.
cerebral vasoconstriction with diminished perfusion
d.
neurogenic pulmonary edema
e.
shift of the oxyhemoglobin dissociation curve - ANSWER - c.
cerebral vasoconstriction with diminished perfusion
After being involved in a motor vehicle crash, a 25-year-old man is brought to a hospital
that has surgery capabilities available.. Computed tomography of the chest and
abdomen shows an aortic injury and splenic laceration with free abdominal fluid. His
blood pressure falls to 70 mm Hg after CT. The next step is:
Select one:
a.
obtain contrast angiography
b.
transfer to a higher level trauma center
c.
, perform an exploratory laparotomy
d.
infuse additional crystalloid fluids
e.
Obtain transesophageal echocardiography - ANSWER - c.
perform an exploratory laparotomy
Which one of the following statements regarding abdominal trauma in the pregnant
patient is TRUE?
Select one:
a.
The fetus is in jeopardy only with major maternal abdominal trauma.
b.
Leakage of amniotic fluid is an indication for hospital admission.
c.
Indications for peritoneal lavage are different from those in the nonpregnant patient.
d.
With penetrating trauma, injury to the mother's abdominal hollow viscus is more
common in late than in early pregnancy.
e.
The secondary survey follows a different pattern from that of the nonpregnant patient. -
ANSWER - b.
Leakage of amniotic fluid is an indication for hospital admission.
The first maneuver to improve oxygenation after chest injury is to:
Select one:
a.
intubate the patient
b.
assess arterial blood gases
c.
administer supplemental oxygen
d.
ascertain the need for a chest tube
e.
obtain a chest x-ray - ANSWER - c.
administer supplemental oxygen
A 25-year-old man, injured in a motor vehicular crash, is admitted to the emergency
department. His pupils react sluggishly and his eyes open to pressure. He does not
follow commands, but he does moan periodically. His right arm is deformed and does
not respond to pressure; however, his left hand reaches purposefully toward the
stimulus. Both legs are stiffly extended. His GCS score is:
Select one:
a: 2
b: 4
