ATLS PRACTICE (LATEST 2023/ 2024 UPDATE)
x x x x x x
xQUESTIONS AND VERIFIED ANSWERS| 100%
x x x x
CORRECT | ALREADY GRADED A
x x x x x
x
Assessed xfirst xin xtrauma xpatient x- xAirway x
x
(*)Degree xof xburn xthat xis xcharacterized xby xbone xinvolvement x- xFourth x
x
Complications xof x head x trauma -
x x Intracerebral
xhematoma
x
Extradural
xhematoma
x
Brain
xabscess
x
Most xcommon xcause xof xlaryngotracheal xstenosis x- xTrauma x
x
Intervention xthat xcan xhelp xprevent xdevelopment xof xacute xrenal xfailure x-
xInfusion xof x
x
normal
xsaline
x
A x26-year-old xmale xis xresuscitated xwith xblood xtransfusion xafter xa xmotor xvehicle
xcollision xthat xwas xcomplicated xby xa xfractured xpelvis. xA xfew xhours xlater, xthe xpatient
xbecomes xfebrile, xhypotensive xwith xa xnormal xCVP, xand xoliguric. xUpon xexamination,
xthe xpatient xis xfound xto xbe xbleeding xfrom xthe xNG xtube xand xIV xsites. xWhich xof xthe
xfollowing xis xthe xmost xlikely xdiagnosis? x
A. Hemorrhagic xshock x
B. Acute xadrenal xinsufficiency x
C. Fat xembolism xsyndrome x
D. Transfusion xreaction x- xD. xTransfusion xreaction x
x
Skin xantiseptic x- x-Ethanol x70% xis xan xeffective xskin
xantiseptic
x
-Acetic xacid xcan xbe xused xto xtreat xGram- xskin
xinfections
x
-Salicylic xacid xis xused xto xtreat xcertain xskin xyeast
xinfections
x
Class xIV xhemorrhage xindicates xwhat x% xblood xloss x- x55% x
x
How xdoes xshivering xaffect xbody xtemperature x- xIncreases xbody xtemperature x
x
Class xIII xhemorrhage xindicates xwhat x% xof xblood xloss x- x35% x
x
Management xof xa xstable xpatient xwith xkidney xcontusion x- xObservation x
x
,Associated xwith xhypovolemic xshock x- x-Inadequate xtissue xperfusion xwith xresultant
xtissue x
x
hypoxia
x
-Blood xshunting xto xvital
xorgans
x
-Decreased xcirculating xblood xvolume xand xdecreased xvenous
xreturn
x
-Low xcardiac
xoutput
-Loss xof xless xthan x20% xof xthe xblood xvolume xis xusually xwithout xsymptom xexcept xfor
xmild
x x
tachycardia
x x
-Patients xbecome xorthostatic xwith xlosses xbetween x20 xand
x40%
-Shock xis xevidenced xby xtachycardia, xhypotension, xoliguria, xflat xneck xveins x
x
The xmost xeffective xmethod xof xmonitoring xthe xsuccess xof xresuscitation xduring
xCPR? x-
x
Reactivity xof xpupils xto
xlight
x
Used xto xensure xcorrect xplacement xof xendotracheal xtube x- x-Ultrasound x x
-Bilateral xbreath xsounds x
-Sustained xend-tidal xCO2 x
x
Total xbody xsurface xarea xinvolved xin xa xburn xin xan xadult xto xthe xanterior xchest
xand x
x
abdomen x-
x18%
x
What xis xoften xcaused xby xcarotid xmassage? x- xBradycardia x
x
Step xin xa xpatient xdiagnosed xwith xtension xpneumothorax x- x1. xNeedle
xdecompression/ xthoracotomy x2. xChest xtube x
x
x
True xstatements xregarding xdiaphragmatic xinjuries x- x-Blunt xdiaphragmatic xinjuries
xare
x x
usually xassociated xwith xskeletal
xtrauma
x
-Penetrating xdiaphragmatic xinjuries xmay xbe
xmissed
-Repair xof xtraumatic xdiaphragmatic xinjuries xusually xdoes xnot xrequire xprosthetic
xmaterial
x
First xpriority xin xthe xtreatment xof xan xunconscious xpatient x- xChecking xthe xpulse x
x
,A xpatient xinvolved xin xa xroad xaccident xis xbrought xto xthe xemergency xdepartment xin xan
xunconscious xstate. xOn xarrival, xher xvitals xshow xa xtemperature xof x96.4 xdegrees
xFahrenheit, xa xrespiration xrate xof x24 xbreaths xper xminute, xa xheart xrate xof x140 xbeats
xper xminute, xand xa xblood xpressure xof x80/40 xmm xHg. xShe xis xcold, xshivering, xand
xperspiring xprofusely. xShe xhas xbilateral xreactive xpupils xbut xshe xdoes xnot xrespond xto
xpain. xOn xphysical xexamination, xshe xhas xno xobvious xsign xof xexternal xbleeding.
xWhich xof xthe xfollowing xcannot xbe xthe xcause xof xhypotension xin xthis xpatient? x
A. Pelvic xfracture x
B. Fracture xof xfemur x
C. Intracranial xhemorrhage x
D. Hemothorax x- xC. xIntracranial xhemorrhage x
x
A xpatient xsuffered xa xslash xto xhis xright xneck. xThe xwound xis xover xthe xmid-portion xof
xthe xsternocleidomastoid. xThere xis xa xlarge xhematoma xand xbrisk xbleeding xwhen
xuncovered. xHe xis xstable. xWhat xis xthe xnext xstep xin xmanagement? x
A. Get xan xangiogram x
B. Close xthe xwound xin xthe xER x
C. Take xhim xto xthe xoperating xroom x
D. CT xscan xto xevaluate xneck xstructure x- xC. xTake xhim xto xthe xOR x
x
After xabdominal xinjury, xwhich xof xthe xfollowing xurinalysis xfindings xwould xbe xan
xindication xfor xfurther xtesting? xA. x0-5 xcasts/HPF x
B. 5-10 xWBC/HPF x
C. 10-20 xRBC/HPF x
D. Gross xhematuria x- xD. xGross xhematuria x
x
A xlaceration xof xthe xneck xsuperficial xto xthe xdeep xcervical xfascia xalong xthe
xsternocleidomastoid xmuscle xat xits xmidpoint xwould xcause xbleeding xfrom xwhich
xstructure? x- xExternal xjugular xvein x
x
Clinical xfeatures xassociated xwith xtension xpneumothorax x- xUnilateral xdecrease xin
xbreath xsounds xHyperresonance x
Respiratory xdistress x
Tachycardia x
Tracheal xshift x
Desatruation x
Decreased xbreath xsounds x
Decreased xcompliance x
Asymmetric xchest xmovement x
x
NOT xhypertension, xaudible xbronchial xsounds x
x
Not xrecommended xas xa xmode xof xventilation xfor xa xpatient xwith xa xdiaphragmatic
xhernia
x
A. xBag xand
xmask
, x
B.
xLMA
x
C. xEndotracheal
xintubation
x
D. xJet xventilation x- xA. xBag xand
xmask
x
What xis xthe xnext xstep xin xthe xassessment xof xa xtraumatic xpatient xafter
xairway xis x
x
established? x-
xBreathing
x
Blood xgroup xthat xis xconsidered xa xuniversal xdonor x- xO x
x
A xprovider xis xexamining xa xpatient xwho xsustained xa xsevere xtraumatic xhead xinjury.
xHe x
x
documents xno xDoll's xeyes. xWhat xdoes xthis xsignify? x- xBrainstem
xinjury
x
Which xof xthe xfollowing xis xthe xleast xpreferred xmethod xof xadministering xIV xfluids? x
A. Cubital xveins x
B. Cephalic xveins x
C. Subclavian xveins x
D. Saphenous xvein x- xSubclavian xveins x
x
Dermatome xlevel xfor xnipple xsensation x
x
Dermatome xlevel xfor xumbilicus x- xT4 x
x
T10 x
x
At xwhich xtemperature xwould xa xhypothermic xpatient xstop xshivering? x- x88 xdegrees xF x
x
What xis xthe xenergy xrecommendation xfor xthe xfirst xdefibrillation xin xan xadult x(*) x- x300 xJ x
x
Pharmacologic x effects of
x x Morphine x - Behavioral
x
xchanges
x
Analgesia
x
Respiratory
xdepression
x
NOT xdiarrhea x
x
A xpatient xwith xwhich xcondition xshould xbe xtriaged xto xreceive xmedical xattention xfirst? x
A. Choking x
B. Dizziness x x
C. Leg xcramp x x
D. Vomiting x- xA. xChoking x
x
x x x x x x
xQUESTIONS AND VERIFIED ANSWERS| 100%
x x x x
CORRECT | ALREADY GRADED A
x x x x x
x
Assessed xfirst xin xtrauma xpatient x- xAirway x
x
(*)Degree xof xburn xthat xis xcharacterized xby xbone xinvolvement x- xFourth x
x
Complications xof x head x trauma -
x x Intracerebral
xhematoma
x
Extradural
xhematoma
x
Brain
xabscess
x
Most xcommon xcause xof xlaryngotracheal xstenosis x- xTrauma x
x
Intervention xthat xcan xhelp xprevent xdevelopment xof xacute xrenal xfailure x-
xInfusion xof x
x
normal
xsaline
x
A x26-year-old xmale xis xresuscitated xwith xblood xtransfusion xafter xa xmotor xvehicle
xcollision xthat xwas xcomplicated xby xa xfractured xpelvis. xA xfew xhours xlater, xthe xpatient
xbecomes xfebrile, xhypotensive xwith xa xnormal xCVP, xand xoliguric. xUpon xexamination,
xthe xpatient xis xfound xto xbe xbleeding xfrom xthe xNG xtube xand xIV xsites. xWhich xof xthe
xfollowing xis xthe xmost xlikely xdiagnosis? x
A. Hemorrhagic xshock x
B. Acute xadrenal xinsufficiency x
C. Fat xembolism xsyndrome x
D. Transfusion xreaction x- xD. xTransfusion xreaction x
x
Skin xantiseptic x- x-Ethanol x70% xis xan xeffective xskin
xantiseptic
x
-Acetic xacid xcan xbe xused xto xtreat xGram- xskin
xinfections
x
-Salicylic xacid xis xused xto xtreat xcertain xskin xyeast
xinfections
x
Class xIV xhemorrhage xindicates xwhat x% xblood xloss x- x55% x
x
How xdoes xshivering xaffect xbody xtemperature x- xIncreases xbody xtemperature x
x
Class xIII xhemorrhage xindicates xwhat x% xof xblood xloss x- x35% x
x
Management xof xa xstable xpatient xwith xkidney xcontusion x- xObservation x
x
,Associated xwith xhypovolemic xshock x- x-Inadequate xtissue xperfusion xwith xresultant
xtissue x
x
hypoxia
x
-Blood xshunting xto xvital
xorgans
x
-Decreased xcirculating xblood xvolume xand xdecreased xvenous
xreturn
x
-Low xcardiac
xoutput
-Loss xof xless xthan x20% xof xthe xblood xvolume xis xusually xwithout xsymptom xexcept xfor
xmild
x x
tachycardia
x x
-Patients xbecome xorthostatic xwith xlosses xbetween x20 xand
x40%
-Shock xis xevidenced xby xtachycardia, xhypotension, xoliguria, xflat xneck xveins x
x
The xmost xeffective xmethod xof xmonitoring xthe xsuccess xof xresuscitation xduring
xCPR? x-
x
Reactivity xof xpupils xto
xlight
x
Used xto xensure xcorrect xplacement xof xendotracheal xtube x- x-Ultrasound x x
-Bilateral xbreath xsounds x
-Sustained xend-tidal xCO2 x
x
Total xbody xsurface xarea xinvolved xin xa xburn xin xan xadult xto xthe xanterior xchest
xand x
x
abdomen x-
x18%
x
What xis xoften xcaused xby xcarotid xmassage? x- xBradycardia x
x
Step xin xa xpatient xdiagnosed xwith xtension xpneumothorax x- x1. xNeedle
xdecompression/ xthoracotomy x2. xChest xtube x
x
x
True xstatements xregarding xdiaphragmatic xinjuries x- x-Blunt xdiaphragmatic xinjuries
xare
x x
usually xassociated xwith xskeletal
xtrauma
x
-Penetrating xdiaphragmatic xinjuries xmay xbe
xmissed
-Repair xof xtraumatic xdiaphragmatic xinjuries xusually xdoes xnot xrequire xprosthetic
xmaterial
x
First xpriority xin xthe xtreatment xof xan xunconscious xpatient x- xChecking xthe xpulse x
x
,A xpatient xinvolved xin xa xroad xaccident xis xbrought xto xthe xemergency xdepartment xin xan
xunconscious xstate. xOn xarrival, xher xvitals xshow xa xtemperature xof x96.4 xdegrees
xFahrenheit, xa xrespiration xrate xof x24 xbreaths xper xminute, xa xheart xrate xof x140 xbeats
xper xminute, xand xa xblood xpressure xof x80/40 xmm xHg. xShe xis xcold, xshivering, xand
xperspiring xprofusely. xShe xhas xbilateral xreactive xpupils xbut xshe xdoes xnot xrespond xto
xpain. xOn xphysical xexamination, xshe xhas xno xobvious xsign xof xexternal xbleeding.
xWhich xof xthe xfollowing xcannot xbe xthe xcause xof xhypotension xin xthis xpatient? x
A. Pelvic xfracture x
B. Fracture xof xfemur x
C. Intracranial xhemorrhage x
D. Hemothorax x- xC. xIntracranial xhemorrhage x
x
A xpatient xsuffered xa xslash xto xhis xright xneck. xThe xwound xis xover xthe xmid-portion xof
xthe xsternocleidomastoid. xThere xis xa xlarge xhematoma xand xbrisk xbleeding xwhen
xuncovered. xHe xis xstable. xWhat xis xthe xnext xstep xin xmanagement? x
A. Get xan xangiogram x
B. Close xthe xwound xin xthe xER x
C. Take xhim xto xthe xoperating xroom x
D. CT xscan xto xevaluate xneck xstructure x- xC. xTake xhim xto xthe xOR x
x
After xabdominal xinjury, xwhich xof xthe xfollowing xurinalysis xfindings xwould xbe xan
xindication xfor xfurther xtesting? xA. x0-5 xcasts/HPF x
B. 5-10 xWBC/HPF x
C. 10-20 xRBC/HPF x
D. Gross xhematuria x- xD. xGross xhematuria x
x
A xlaceration xof xthe xneck xsuperficial xto xthe xdeep xcervical xfascia xalong xthe
xsternocleidomastoid xmuscle xat xits xmidpoint xwould xcause xbleeding xfrom xwhich
xstructure? x- xExternal xjugular xvein x
x
Clinical xfeatures xassociated xwith xtension xpneumothorax x- xUnilateral xdecrease xin
xbreath xsounds xHyperresonance x
Respiratory xdistress x
Tachycardia x
Tracheal xshift x
Desatruation x
Decreased xbreath xsounds x
Decreased xcompliance x
Asymmetric xchest xmovement x
x
NOT xhypertension, xaudible xbronchial xsounds x
x
Not xrecommended xas xa xmode xof xventilation xfor xa xpatient xwith xa xdiaphragmatic
xhernia
x
A. xBag xand
xmask
, x
B.
xLMA
x
C. xEndotracheal
xintubation
x
D. xJet xventilation x- xA. xBag xand
xmask
x
What xis xthe xnext xstep xin xthe xassessment xof xa xtraumatic xpatient xafter
xairway xis x
x
established? x-
xBreathing
x
Blood xgroup xthat xis xconsidered xa xuniversal xdonor x- xO x
x
A xprovider xis xexamining xa xpatient xwho xsustained xa xsevere xtraumatic xhead xinjury.
xHe x
x
documents xno xDoll's xeyes. xWhat xdoes xthis xsignify? x- xBrainstem
xinjury
x
Which xof xthe xfollowing xis xthe xleast xpreferred xmethod xof xadministering xIV xfluids? x
A. Cubital xveins x
B. Cephalic xveins x
C. Subclavian xveins x
D. Saphenous xvein x- xSubclavian xveins x
x
Dermatome xlevel xfor xnipple xsensation x
x
Dermatome xlevel xfor xumbilicus x- xT4 x
x
T10 x
x
At xwhich xtemperature xwould xa xhypothermic xpatient xstop xshivering? x- x88 xdegrees xF x
x
What xis xthe xenergy xrecommendation xfor xthe xfirst xdefibrillation xin xan xadult x(*) x- x300 xJ x
x
Pharmacologic x effects of
x x Morphine x - Behavioral
x
xchanges
x
Analgesia
x
Respiratory
xdepression
x
NOT xdiarrhea x
x
A xpatient xwith xwhich xcondition xshould xbe xtriaged xto xreceive xmedical xattention xfirst? x
A. Choking x
B. Dizziness x x
C. Leg xcramp x x
D. Vomiting x- xA. xChoking x
x
