ATLS Post Test #1– Questions With Comprehensive
Solutions
Regarding airway compromise, which of the following is NOT a sign/symptom
of this emergency?:
Change in voice tone.
Stridor.
Decreased pulse pressure.
Dyspnea and agitation.
Tachypnea. Correct Answer - Decreased pulse pressure.
A 26 year • old woman is brought to the Emergency
Department after being involved in a motor vehicle crash. She
is 30 weeks pregnant. She was restrained with a lap and
shoulder belt, and an airbag deployed. Which one of the
following statements best describes the risk of injury?:
The deployment of the airbag increases the risk of fetal loss.
The use of seatbelts is associated with increased risk of maternal death.
The mechanism of injury suggests the need for emergency caesarean section
due to the risk of impending abruptio placentae.
The risk of premature fetal delivery and death is reduced by the use of
restraints.
The deployment of the airbag increases the risk of maternal abdominal injury.
Correct Answer - The risk of premature fetal delivery and death is reduced
by the use of restraints.
Regarding cardiac tamponade, which of the following statements is
CORRECT?:
Is definitively managed by needle pericardiocentesis.
Is most common with blunt thoracic trauma and anterior rib fractures.
, Is easily diagnosed by discovery of Beck's triad in the emergency department.
Is indicated by Kussmaul breathing.
Requires surgical intervention. Correct Answer - Requires surgical
intervention.
A 24 year - old man is brought to the Emergency Department after falling from
a bull. He is immobilized on a long spine board with a hard collar and blocks.
Which of the following statements is CORRECT regarding cervical spine xrays:
Will show cervical spine injury in more than 20% of these patients.
Will exclude cervical spine injury if no abnormalities are found on the xrays.
Are not needed if she is awake, alert, neurologically normal, and has no neck
pain or midline tenderness.
Should be performed before addressing potential breathing or circulatory
problems.
May show atlantooccipital dislocation if the Power's ratio is less than 1.
Correct Answer - Are not needed if she is awake, alert, neurologically
normal, and has no neck pain or midline tenderness.
Regarding injuries of solid abdominal organs, which is the most specific test
for their evaluation?:
Abdominal x-rays.
Abdominal ultrasonography.
Diagnostic peritoneal lavage.
Frequent abdominal examinations.
CT of abdomen and pelvis. Correct Answer - CT of abdomen and pelvis.
A 35 year-old female obese patient, agitated with a Glasgow Coma Scale score
of 8 requires to be transferred to have a brain CT Scan. Before transferring to
the scanner, which is the main measure you should take care of?:
Solutions
Regarding airway compromise, which of the following is NOT a sign/symptom
of this emergency?:
Change in voice tone.
Stridor.
Decreased pulse pressure.
Dyspnea and agitation.
Tachypnea. Correct Answer - Decreased pulse pressure.
A 26 year • old woman is brought to the Emergency
Department after being involved in a motor vehicle crash. She
is 30 weeks pregnant. She was restrained with a lap and
shoulder belt, and an airbag deployed. Which one of the
following statements best describes the risk of injury?:
The deployment of the airbag increases the risk of fetal loss.
The use of seatbelts is associated with increased risk of maternal death.
The mechanism of injury suggests the need for emergency caesarean section
due to the risk of impending abruptio placentae.
The risk of premature fetal delivery and death is reduced by the use of
restraints.
The deployment of the airbag increases the risk of maternal abdominal injury.
Correct Answer - The risk of premature fetal delivery and death is reduced
by the use of restraints.
Regarding cardiac tamponade, which of the following statements is
CORRECT?:
Is definitively managed by needle pericardiocentesis.
Is most common with blunt thoracic trauma and anterior rib fractures.
, Is easily diagnosed by discovery of Beck's triad in the emergency department.
Is indicated by Kussmaul breathing.
Requires surgical intervention. Correct Answer - Requires surgical
intervention.
A 24 year - old man is brought to the Emergency Department after falling from
a bull. He is immobilized on a long spine board with a hard collar and blocks.
Which of the following statements is CORRECT regarding cervical spine xrays:
Will show cervical spine injury in more than 20% of these patients.
Will exclude cervical spine injury if no abnormalities are found on the xrays.
Are not needed if she is awake, alert, neurologically normal, and has no neck
pain or midline tenderness.
Should be performed before addressing potential breathing or circulatory
problems.
May show atlantooccipital dislocation if the Power's ratio is less than 1.
Correct Answer - Are not needed if she is awake, alert, neurologically
normal, and has no neck pain or midline tenderness.
Regarding injuries of solid abdominal organs, which is the most specific test
for their evaluation?:
Abdominal x-rays.
Abdominal ultrasonography.
Diagnostic peritoneal lavage.
Frequent abdominal examinations.
CT of abdomen and pelvis. Correct Answer - CT of abdomen and pelvis.
A 35 year-old female obese patient, agitated with a Glasgow Coma Scale score
of 8 requires to be transferred to have a brain CT Scan. Before transferring to
the scanner, which is the main measure you should take care of?:
