ATLS POST TEST II (SOAL POST TEST VERSION) EXAM
QUESTIONS WITH COMPLETE SOLUTIONS GUARANTEED
PASS
ATLS POST TEST II (SOAL POST TEST VERSION) EXAM
QUESTIONS WITH COMPLETE SOLUTIONS GUARANTEED
PASS
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 2 liters of crystalloid solution
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. His breath sounds are
decreased in the left hemithorax, and after initial IV fluid resuscitation, a closed tube
thoracostomy is performed for decreased left 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:
a) reexamine the chest.
b) perform an aortogram.
c) obtain a CT scan of the chest.
d) obtain arterial blood gas analyses - ANSWER ->a) reexamine the chest
Which one of the following physical findings suggests a cause of hypotension other than
spinal cord injury?
a)
priapism.
b)
bradycardia
.
c)
diaphragmati
c breathing.
, ATLS POST TEST II (SOAL POST TEST VERSION) EXAM
QUESTIONS WITH COMPLETE SOLUTIONS GUARANTEED
PASS
d) presence d)
of deep- ANSWER -> presenc
tendon e of
reflexes. deep
reflexes. tendon
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:
a) compartment
pressures
b) retrograde
urethrogram
c) Doppler-
ultrasound
studies
d) complete d)
spine x-ray - ANSWER -> complete
series series spine x-
ray
In managing the head-injured patient, the most important initial step is to:
a) obtain c-
spine film.
b) secure
the airway.
c) support
the
circulation.
, ATLS POST TEST II (SOAL POST TEST VERSION) EXAM
QUESTIONS WITH COMPLETE SOLUTIONS GUARANTEED
PASS
d) control- ANSWER -> b)
scalp secure
hemorrhage. the
airway.
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?
a) His pulse pressure will be widened.
b) His urinary output will be at the lower limits of normal.
c) He will have tachycardia, but no change in his systolic blood pressure.
d) His systolic blood pressure will be decreased with a narrowed pulse pressure. -
ANSWER ->d) His systolic blood pressure will be decreased with a narrowed pulse
pressure.
The physiologic hypervolemia of pregnancy has clinical significance in the management
of the severely injured, gravid woman by:
a) reducing the need for blood transfusion.
b) increasing the risk of pulmonary edema.
c) increasing the volume of blood loss to produce maternal hypotension.
d) complicating the mangement of closed head injury. - ANSWER ->c) increasing the
volume of blood loss to produce maternal hypotension.
The best assessment of fluid resuscitation of the burn patient is:
a) adequate urinary output.
b) reversal of systemic acidosis.
c) normalization of the heart rate.
d) a normal central venous pressure. - ANSWER ->a) adequate urinary output.
, ATLS POST TEST II (SOAL POST TEST VERSION) EXAM
QUESTIONS WITH COMPLETE SOLUTIONS GUARANTEED
PASS
The diagnosis of shock must include:
a) increased vascular resistance.
b) evidence of inadequate organ perfusion.
c) acidosis.
d) b)
hypoxemia.- ANSWER -> evidence of
perfusion. inadequate
organ
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:
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. - ANSWER ->b) direct pressure on
the wound.
For the patient with severe traumatic brain injury, profound hypocarbia should be
avoided to prevent:
a) respiratory acidosis.
b) metabolic acidosis.
c) cerebral vasoconstriction with diminished perfusion.
QUESTIONS WITH COMPLETE SOLUTIONS GUARANTEED
PASS
ATLS POST TEST II (SOAL POST TEST VERSION) EXAM
QUESTIONS WITH COMPLETE SOLUTIONS GUARANTEED
PASS
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 2 liters of crystalloid solution
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. His breath sounds are
decreased in the left hemithorax, and after initial IV fluid resuscitation, a closed tube
thoracostomy is performed for decreased left 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:
a) reexamine the chest.
b) perform an aortogram.
c) obtain a CT scan of the chest.
d) obtain arterial blood gas analyses - ANSWER ->a) reexamine the chest
Which one of the following physical findings suggests a cause of hypotension other than
spinal cord injury?
a)
priapism.
b)
bradycardia
.
c)
diaphragmati
c breathing.
, ATLS POST TEST II (SOAL POST TEST VERSION) EXAM
QUESTIONS WITH COMPLETE SOLUTIONS GUARANTEED
PASS
d) presence d)
of deep- ANSWER -> presenc
tendon e of
reflexes. deep
reflexes. tendon
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:
a) compartment
pressures
b) retrograde
urethrogram
c) Doppler-
ultrasound
studies
d) complete d)
spine x-ray - ANSWER -> complete
series series spine x-
ray
In managing the head-injured patient, the most important initial step is to:
a) obtain c-
spine film.
b) secure
the airway.
c) support
the
circulation.
, ATLS POST TEST II (SOAL POST TEST VERSION) EXAM
QUESTIONS WITH COMPLETE SOLUTIONS GUARANTEED
PASS
d) control- ANSWER -> b)
scalp secure
hemorrhage. the
airway.
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?
a) His pulse pressure will be widened.
b) His urinary output will be at the lower limits of normal.
c) He will have tachycardia, but no change in his systolic blood pressure.
d) His systolic blood pressure will be decreased with a narrowed pulse pressure. -
ANSWER ->d) His systolic blood pressure will be decreased with a narrowed pulse
pressure.
The physiologic hypervolemia of pregnancy has clinical significance in the management
of the severely injured, gravid woman by:
a) reducing the need for blood transfusion.
b) increasing the risk of pulmonary edema.
c) increasing the volume of blood loss to produce maternal hypotension.
d) complicating the mangement of closed head injury. - ANSWER ->c) increasing the
volume of blood loss to produce maternal hypotension.
The best assessment of fluid resuscitation of the burn patient is:
a) adequate urinary output.
b) reversal of systemic acidosis.
c) normalization of the heart rate.
d) a normal central venous pressure. - ANSWER ->a) adequate urinary output.
, ATLS POST TEST II (SOAL POST TEST VERSION) EXAM
QUESTIONS WITH COMPLETE SOLUTIONS GUARANTEED
PASS
The diagnosis of shock must include:
a) increased vascular resistance.
b) evidence of inadequate organ perfusion.
c) acidosis.
d) b)
hypoxemia.- ANSWER -> evidence of
perfusion. inadequate
organ
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:
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. - ANSWER ->b) direct pressure on
the wound.
For the patient with severe traumatic brain injury, profound hypocarbia should be
avoided to prevent:
a) respiratory acidosis.
b) metabolic acidosis.
c) cerebral vasoconstriction with diminished perfusion.
