Atls Pretest + Modules With 2025
Complete Solutions
1.re-examine the chest:ANS A 22-year-old man is hypotensive and
tachycardic 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:
2.complete spine x-ray series: ANS A construction worker 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:
3.Evidence of improved perfusion after fluid resuscitation could include
improvement in Glasgow Coma Scale score on reevaluation.: ANS
Which of the following is true regarding the initial resuscitation of a
trauma patient?
4.secure the airway: ANS In managing a patient with a severe traumatic
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, brain injury, the most important initial step is to:
5.An ABG would demonstrate a base deficit between -6 and -10 mEq/L.:
ANS A previously healthy, 70-kg (154-pound) man suffers an estimated
acute blood loss of 2 liters. Which one of the following statements
applies to this patient?
6.increasing the volume of blood loss to produce maternal hypotension:
ANS The physiological hypervolemia of pregnancy has clinical
significance in the manage- ment of the severely injured, gravid woman
by:
7.urinary output of 0.5 mL/kg/hr: ANS The best assessment of fluid
resuscitation of the adult burn patient is:
8.evidence of inadequate organ perfusion: ANS The diagnosis of shock mus
include:
9.direct pressure on the wound: ANS 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 manage- ment of the wound should
consist of:
10.cerebral vasoconstriction with diminished perfusion: For the patient
with severe traumatic brain injury, profound hypocarbia should be
avoided to prevent:
11.perform an exploratory laparotomy: ANS 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:
https://www.stuvia.com/user/HIGRADES
, 12.Leakage of amniotic fluid is an indication for hospital admission.: Which
one of the following statements regarding abdominal trauma in the
pregnant patient is TRUE?
13.administer supplemental oxygen: The first maneuver to improve
oxygenation after chest injury is:
14.9: A 25-year-old man, injured in a motor vehicular crash, is admitted
to the emer- gency 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:
15.perform needle or finger decompression of the right chest: A 20-year-
old woman who is at 32 weeks gestation, is stabbed in the upper right
chest. In the emergency department, her blood pressure is 80/60 mm
Hg. She is gasping for breath, extremely anxious, and yelling for help.
Breath sounds are diminished in the right chest. The most appropriate
first step is to:
16.respiratory rate of 40 breaths per minute: Which one of the following
findings in an adult is most likely to require immediate management
during the primary survey?
17.placement of an occlusive dressing over the wound: The most
important, immediate step in the management of an open
pneumothorax is:
18.history of neurological reaction or severe hypersensitivity to the product-
: The following are contraindications for tetanus toxoid administration:
19. breath sounds: A 56-year-old man is thrown violently against the
steering wheel of his truck during a motor vehicle crash. On arrival in
the emergency department he is diaphoretic and complaining of chest
pain. His blood pressure is 60/40 mm Hg and his respiratory rate is 40
breaths per minute. Which of the following best differentiates cardiac
tamponade from tension pneumothorax as the cause of his
hypotension?
20.The trachea is relatively short.: Bronchial intubation of the right or left
main- stem bronchus can easily occur during infant endotracheal
intubation because:
21.urgently transfer the patient to the operating room: A 23-year-old man
sus- tains 4 stab wounds to the upper right chest during an altercation
and is brought by ambulance to a hospital that has full surgical
capabilities. His wounds are all above the nipple. He is endotracheally
https://www.stuvia.com/user/HIGRADES
, intubated, closed tube thoracostomy is performed, fluid resuscitation is
initiated through 2 large-caliber IVs. FAST exam does not reveal
intraabdominal injuries. His blood pressure now is 60/0 mm Hg, heart
rate is 160 beats per minute, and respiratory rate is 14 breaths per
minute (ventilated with 100% O2). 1500 mL of blood has drained from
the right chest. The most appropriate next step in managing this patient
is to:
https://www.stuvia.com/user/HIGRADES
Complete Solutions
1.re-examine the chest:ANS A 22-year-old man is hypotensive and
tachycardic 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:
2.complete spine x-ray series: ANS A construction worker 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:
3.Evidence of improved perfusion after fluid resuscitation could include
improvement in Glasgow Coma Scale score on reevaluation.: ANS
Which of the following is true regarding the initial resuscitation of a
trauma patient?
4.secure the airway: ANS In managing a patient with a severe traumatic
https://www.stuvia.com/user/HIGRADES
, brain injury, the most important initial step is to:
5.An ABG would demonstrate a base deficit between -6 and -10 mEq/L.:
ANS A previously healthy, 70-kg (154-pound) man suffers an estimated
acute blood loss of 2 liters. Which one of the following statements
applies to this patient?
6.increasing the volume of blood loss to produce maternal hypotension:
ANS The physiological hypervolemia of pregnancy has clinical
significance in the manage- ment of the severely injured, gravid woman
by:
7.urinary output of 0.5 mL/kg/hr: ANS The best assessment of fluid
resuscitation of the adult burn patient is:
8.evidence of inadequate organ perfusion: ANS The diagnosis of shock mus
include:
9.direct pressure on the wound: ANS 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 manage- ment of the wound should
consist of:
10.cerebral vasoconstriction with diminished perfusion: For the patient
with severe traumatic brain injury, profound hypocarbia should be
avoided to prevent:
11.perform an exploratory laparotomy: ANS 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:
https://www.stuvia.com/user/HIGRADES
, 12.Leakage of amniotic fluid is an indication for hospital admission.: Which
one of the following statements regarding abdominal trauma in the
pregnant patient is TRUE?
13.administer supplemental oxygen: The first maneuver to improve
oxygenation after chest injury is:
14.9: A 25-year-old man, injured in a motor vehicular crash, is admitted
to the emer- gency 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:
15.perform needle or finger decompression of the right chest: A 20-year-
old woman who is at 32 weeks gestation, is stabbed in the upper right
chest. In the emergency department, her blood pressure is 80/60 mm
Hg. She is gasping for breath, extremely anxious, and yelling for help.
Breath sounds are diminished in the right chest. The most appropriate
first step is to:
16.respiratory rate of 40 breaths per minute: Which one of the following
findings in an adult is most likely to require immediate management
during the primary survey?
17.placement of an occlusive dressing over the wound: The most
important, immediate step in the management of an open
pneumothorax is:
18.history of neurological reaction or severe hypersensitivity to the product-
: The following are contraindications for tetanus toxoid administration:
19. breath sounds: A 56-year-old man is thrown violently against the
steering wheel of his truck during a motor vehicle crash. On arrival in
the emergency department he is diaphoretic and complaining of chest
pain. His blood pressure is 60/40 mm Hg and his respiratory rate is 40
breaths per minute. Which of the following best differentiates cardiac
tamponade from tension pneumothorax as the cause of his
hypotension?
20.The trachea is relatively short.: Bronchial intubation of the right or left
main- stem bronchus can easily occur during infant endotracheal
intubation because:
21.urgently transfer the patient to the operating room: A 23-year-old man
sus- tains 4 stab wounds to the upper right chest during an altercation
and is brought by ambulance to a hospital that has full surgical
capabilities. His wounds are all above the nipple. He is endotracheally
https://www.stuvia.com/user/HIGRADES
, intubated, closed tube thoracostomy is performed, fluid resuscitation is
initiated through 2 large-caliber IVs. FAST exam does not reveal
intraabdominal injuries. His blood pressure now is 60/0 mm Hg, heart
rate is 160 beats per minute, and respiratory rate is 14 breaths per
minute (ventilated with 100% O2). 1500 mL of blood has drained from
the right chest. The most appropriate next step in managing this patient
is to:
https://www.stuvia.com/user/HIGRADES
