ATLS Complete Post Test.
1. A 22 year old male is brought by ambulance to a small E.
Tracheobronchial injury
community hospital after falling from the
top of an 8 foot ladder. Initially, he was
found to have a large right pneumothorax.
A chest tube was inserted and connected to
an underwater seal drainage collection
system with negative pressure. A repeat CXR
demon- strates a residual, large right
pneumothorax. After transferring the patient to
a verified trauma center, a third chest x-ray
reveals a persistent right pneumoth- orax. The
chest tube appears to be functioning and in
good position. He remains hemodynamically
normal with no signs of respiratory distress.
The most likely cause for the persistent right
pneumothorax is:
A. Flail chest
B. Diaphragmatic injury
C. Pulmonary contusion
D. Esophageal perforation
E. Tracheobronchial injury
2. Which of the following is LEAST reliable for diagnosing D. oxygen
saturation
ESOPHAGEAL intubation? ray
A. symmetrical chest wall
movement
B. end-tidal CO2
C. bilateral breath sounds
D. oxygen saturation >92%
E. ETT above carina on chest x-
, ATLS Complete Post Test.
>92%
-> if it says ESOPHAGEAL, go with this answer
3. Which of the following signs necessitates the need for C. Severe
maxillofacial
a definitive airway in severe trauma trauma
patient?
A. facial lacerations
B. repeated vomiting
C. severe maxillofacial trauma
, ATLS Complete Post Test.
D. sternal fracture
E. GCS 12
4. Twenty seven people are severely injured in E. Produce the great-
an air- craft crash at a local airport. The est number of
principles of triage include: survivors based on
available re-
A. establish a triage site within the internal perimeter sources
of the crash site
B. treat only the most severely injured patients first
C. immediately transport all patients to the
nearest hospital
D. treat the greatest number of patients in
the short- est period of time
E.produce the greatest number of survivors
based on available resources
5. Which of the following statements are correct? A. Cerebral contusions
A. Cerebral contusions may coalesce to form an intrac- may coalesce
to form an
erebral hematoma intracerebral
hematoma
B. Epidural hematomas are usually seen in the frontal EM:
Epidural, middle
region after being
C. Subdural hematomas are caused by injury shot. He
to the middle meningeal artery has one
D. Subdural hematomas typically have a bullet
lenticular shape on CT wound just
E. The associated brain damage is more below the
severe in epidural hematomas right
clavicle
6. An 18 year old male is brought to the ED
, ATLS Complete Post Test.
and another just below the costal margin in meningeal
the right posterior axillary line. His blood SuB: Subdural,
pressure is Bridging veins
A. Obtain a portable
chest x-ray
need more info on
chest, not abdomen
1. A 22 year old male is brought by ambulance to a small E.
Tracheobronchial injury
community hospital after falling from the
top of an 8 foot ladder. Initially, he was
found to have a large right pneumothorax.
A chest tube was inserted and connected to
an underwater seal drainage collection
system with negative pressure. A repeat CXR
demon- strates a residual, large right
pneumothorax. After transferring the patient to
a verified trauma center, a third chest x-ray
reveals a persistent right pneumoth- orax. The
chest tube appears to be functioning and in
good position. He remains hemodynamically
normal with no signs of respiratory distress.
The most likely cause for the persistent right
pneumothorax is:
A. Flail chest
B. Diaphragmatic injury
C. Pulmonary contusion
D. Esophageal perforation
E. Tracheobronchial injury
2. Which of the following is LEAST reliable for diagnosing D. oxygen
saturation
ESOPHAGEAL intubation? ray
A. symmetrical chest wall
movement
B. end-tidal CO2
C. bilateral breath sounds
D. oxygen saturation >92%
E. ETT above carina on chest x-
, ATLS Complete Post Test.
>92%
-> if it says ESOPHAGEAL, go with this answer
3. Which of the following signs necessitates the need for C. Severe
maxillofacial
a definitive airway in severe trauma trauma
patient?
A. facial lacerations
B. repeated vomiting
C. severe maxillofacial trauma
, ATLS Complete Post Test.
D. sternal fracture
E. GCS 12
4. Twenty seven people are severely injured in E. Produce the great-
an air- craft crash at a local airport. The est number of
principles of triage include: survivors based on
available re-
A. establish a triage site within the internal perimeter sources
of the crash site
B. treat only the most severely injured patients first
C. immediately transport all patients to the
nearest hospital
D. treat the greatest number of patients in
the short- est period of time
E.produce the greatest number of survivors
based on available resources
5. Which of the following statements are correct? A. Cerebral contusions
A. Cerebral contusions may coalesce to form an intrac- may coalesce
to form an
erebral hematoma intracerebral
hematoma
B. Epidural hematomas are usually seen in the frontal EM:
Epidural, middle
region after being
C. Subdural hematomas are caused by injury shot. He
to the middle meningeal artery has one
D. Subdural hematomas typically have a bullet
lenticular shape on CT wound just
E. The associated brain damage is more below the
severe in epidural hematomas right
clavicle
6. An 18 year old male is brought to the ED
, ATLS Complete Post Test.
and another just below the costal margin in meningeal
the right posterior axillary line. His blood SuB: Subdural,
pressure is Bridging veins
A. Obtain a portable
chest x-ray
need more info on
chest, not abdomen
