Atls Post Test 4 Latest Versions 2024-2025 R
Questions And Correct Answers
Which cof cthe cfollowing cis cthe crecommended cMethod cfor ctrestemt cfrostbite?
A. cVasodilators
B. cAnticigulants
C. cWarm c(40 cdegrees) cwater
D. cPadding cand celevation
E. cApplication cof cheat cfrom ca chairdryer c- cCORRECT cANS✔✔C. cWarm c(40 cdegrees) cwater
Which cof cthe cfollowing cphysical cfindings csuggest ca ccause cof chypotension cother cthan cspinal cco
A. cPrispism
B. cBradycardia
C. cDiaphragmatic cbreathing
D. cPresence cof cdeep ctendon creflexes
E. cAbility cto cflex cforearms cbut cnot cextend cthem c- cCORRECT cANS✔✔D. cPresence cof cdeep cte
crefers cto closs cof cmuscle ctoe c(flaccidty) cand closs cof creflexes.
The cprimary cindication cfor ctransferring cA cpatient cto ca chigher clevel ctrauma ccenter cis:
A. cUnavailibility cof csurgeon cor coperating cstaff
B. cMultiple csystem cinjuries, cincluding csevere chead cinjury
C. cResource climitations cas cdetermined cby cthe ctransferring cdoctor
,B. cA cpelvic cfracture
C. cCentral ccord csyndrome
D. cIntracerebral chemorrhage
E. cBilateral ccompartment csyndrome c- cCORRECT cANS✔✔MÅ cSJEKKES
A c6-year-o cboy cis cstruck cby can cautomobile cand cbrought cto cthe cED. cHe cis clethargic, cbut cwithd
cstimuli. cHis cblood cpressure cis c90mmHg csystolic, cheart crate c140 cbeats cper cminute cand chis cre
cper cminute. cThe cpreferred croute cof cvenous caccess cin cthis cpatient cis:
A. cPercutaneous cfemoral cvein ccannulation
B. cCutdown con cthe csaphenous cvein cat cthe cankle
C. cIntraosseous ccatheter cplacement cin cthe cproximal ctibia
D. cPercutaneous cperipheral cveins cin cthe cupper cextremities
E. cCentral cvenous caccess cvia cthe csubclavian cor cinternal cjugular cvein c- cCORRECT cANS✔✔D.
cveins cin cthe cupper cextremities
A cyoung cman csustains ca cgunshot cwound cto cthe cabdomen cand cis cbrought cpromptly cto cthe cED
cHis cskin cis ccool cand cdiaphoretic, cand che cis cconfused. cHis cpulse cis cthready cand chis cfemoral c
cThe cdefinitive ctreatment cin cmanaging cthis cpatient cis cto:
A. cAdminister cO-negative cblood
B. cApply cexternal cwarming cdevices
C. cControl cinternal chemorrhage coperatively
D. cApply ca cpneumatic cantishock cgarment c(PASG)
E. cInfuse clarge cvolumes cof cintravenous ccrystalloid csolutions. c- cCORRECT cANS✔✔C. cControl c
coperatively
Regarding cshock cin cthe cchild, cwhich cof cthe cfollowing cis cFALSE?
A. cVital csigns care cage-related
B. cChildren chave cgreater cphysiologic creserves cthan cdo cadults
C. cTachycardia cis cthe cprimary cphysiologic cresponse cto chypovolemia
D. cThe cabsolute cvolume cof cblood closs crequired cto cproduce cshock cis cthe csame cas cin cadults
E. cAn cinitial cfluid cbolus cfor cresuscitation cshould capproximate c20ml/kg cRingers cLactate c- cCORR
cvolume cof cblood closs crequired cto cproduce cshock cis cthe csame cas cin cadults
A c33-year-old cman cis cstruck cby ca ccar ctravelling cat c56km/h c(35mph). cHe chas cobvious cfracture
cknee, cpain cin cthe cpelvic carea, cand csevere cdyspnea. cHis cheart crate cis c182 cbeats cper cminute,
cbreaths cper cminute cwith cno cbreath csounds cheard cin cthe cleft cchest. cA ctension cpneumothorax c
cneedle cdecompression cand ctube cthoracostomy. cSubsequently, chis cheart crate cdecreases cto c14
crespirartory crate cdecreases cto c36 cbreaths cper cminute cand chis cblood cpressure cis c81/53 cmmH
cadminstered cintravenously. cThe cnext cpriority cshould cbe cto:
A. cPerform cexternal cfixation cof cthe cpelvis
B. cObtain cabdominal cand cpelvic cCT-scans
C. cPerform carterial cembolization cof cthe cpelvic cvessel
D. cPerform cdiagnostic cperitoneal clavage cor cFAST
E. cPerform ca curethrogram cand ccystogram c- cCORRECT cANS✔✔D. cPerform cdiagnostic cperiton
A c42-year-old cman, cinjured cin ca cmotor cvehicle ccrash, csuffers ca cclosed chead cinjury, cmultiple cp
cbilateral cfemur cfractures. cHe cis cintubated corotracheally cwithout cdifficulty. cInitially, chis cventilatio
cbag-mask cdevice. cIt cbecomes cmore cdifficult cto cventilate cthe cpatient cover cthe cnext c5 cminutes,
csaturation clevel cdecreases cfrom c98% cto c89%. cThe cmost cappropriate cnext cstep cis cto:
A. cObtain ca cchest cx-ray
B. cDecrease cthe ctidal cvolume
C. cDecrease cPEEP
D. cIncrease cthe crate cof cassisted cventilations
E. cPerform cneedle cdecompression cof cthe cleft cchest. c- cCORRECT cANS✔✔A. cObtain ca cchest c
, E. cThe cpatient cprobably chas can cacute cepidural chematoma c- cCORRECT cANS✔✔E. cThe cpatien
cepidural chematoma
A cpreviously chealthy, c70kg c(175 cpound) cman csuffers can cestimated cacute cblood closs cof ctwo cli
cfollowing cstatements capply cto cthis cpatient?
A. cHis cpulse cpressure cwill cbe cwidened
B. cHis curinary coutput cwill cbe cat cthe clower climits cof cnormal
C. cHe cwill chave ctachycardia, cbut cno cchange cin csystolic cblood cpressure
D. cHis csystolic cblood cpressure cwill cbe cdecreased cwith ca cnarrowed, cpulse cpressure
E. cHis csystolic cblood cpressure cwill cbe cmaintained cwith can celevated cdiastolic cpressure. c- cCOR
cblood cpressure cwill cbe cmaintained cwith can celevated cdiastolic cpressure.
The cphysioclogic chypervolemia cof cpregnancy chas cclinical csignificance cin cthe cmanagement cof ct
cwoman cby
A. cReducing cthe cneed cfor cblood ctransfusion
B. cIncreasing cthe crisk cof cpulmonary cedema
C. cComplicating cthe cmanagement cof cclosed chead cinjury
D. cIncreasing cthe cvolume cof cblood closs cto cproduce cshock/maternal chypotension
E. cReducing cthe cvolume cof ccrystalloid crequired cfor cresuscitation c- cCORRECT cANS✔✔D. cIncre
closs cto cproduce cshock
A c17-year-old chelmeted cmotorcyclist closes cconsciousness cwhen che cis cstruck cbroad cside cby ca
cintersection. cHe carrives cin cthe cED cwith ca cblood cpressure cof c140/92, cpulse crate c88 cbeats cper
c18 cbreaths cper cminue, cand ca cGCS cof c7. cAppropriate cinitial cimmobilization cof cthis cpatient csho
ccervical ccollar cand:
A. cA cscoop cstretcher
B. cA clong cspine cboard
C. cA cshort cspine cboard
D. cCervical ctraction ctongs
E. cPneumatic cantishock cgarment c- cCORRECT cANS✔✔B. cA clong cspine cboard
During can caltercation, ca c36-year-old cman csustains ca cgunshot cwound cabove cthe cnipple cline con
cposteriorly cabove cthe cscapula con cthe cright. cHe cis ctransported cby cambulance cto ca ccommunity
cintubated, cclose ctube cthoracostomy cis cperformed, cand c2 cliters cRingers clactate csolution care cin
cHis cblood cpressure cnow cis c60/0mmHg, cheart crate cis c160 cbeats cper cminute, cand crespiratory c
c(ventilated cwith c100% cO2). cThe cmost cappropriate cnext cstep cin cmanagin cthis cpatient cis:
A. cLaparotomy
B. cDiagnostic cperitoneal clavage
C. cArterial cblood cgas cdetermination
D. cAdminister cpacked cred cblood ccells
E. cChest cX-ray cto cconfirm ctube cplacement c- cCORRECT cANS✔✔E. cChest cX-ray cto cconfirm ctu
Abscence cof cbreath csounds cand cdullness cto cpercussion cover cthe cleft chemithorax care cfindings
A. cLeft chemothorax
B. cCardiac ccontusion
C. cLeft csimple cpneumothorax
D. cLeft cdiaphragmatic crupture
E. cRight ctension cpneumothorax c- cCORRECT cANS✔✔A. cLeft chemothorax
A c23-year-old cman cis cbrought cimmediately cto cthe cED cfrom cthe chospitals cparking clot cwhere che
cabdomen. cExamination creveals ca csingle cbullet cwound. cHe cis cbreathing cand chas ca cthready cpu
cunconsious cand chas cno cdetectable cblood cpressure. cOptimale cimmediate cmanagement cis cto:
A. cPerform ca cdiagnostic cperitoneal clavage
B. cInitiate cinfusion cof cpacked cred cblood ccells
C. cInsert ca cnasogastric ctube cand curinary ccatheter
Questions And Correct Answers
Which cof cthe cfollowing cis cthe crecommended cMethod cfor ctrestemt cfrostbite?
A. cVasodilators
B. cAnticigulants
C. cWarm c(40 cdegrees) cwater
D. cPadding cand celevation
E. cApplication cof cheat cfrom ca chairdryer c- cCORRECT cANS✔✔C. cWarm c(40 cdegrees) cwater
Which cof cthe cfollowing cphysical cfindings csuggest ca ccause cof chypotension cother cthan cspinal cco
A. cPrispism
B. cBradycardia
C. cDiaphragmatic cbreathing
D. cPresence cof cdeep ctendon creflexes
E. cAbility cto cflex cforearms cbut cnot cextend cthem c- cCORRECT cANS✔✔D. cPresence cof cdeep cte
crefers cto closs cof cmuscle ctoe c(flaccidty) cand closs cof creflexes.
The cprimary cindication cfor ctransferring cA cpatient cto ca chigher clevel ctrauma ccenter cis:
A. cUnavailibility cof csurgeon cor coperating cstaff
B. cMultiple csystem cinjuries, cincluding csevere chead cinjury
C. cResource climitations cas cdetermined cby cthe ctransferring cdoctor
,B. cA cpelvic cfracture
C. cCentral ccord csyndrome
D. cIntracerebral chemorrhage
E. cBilateral ccompartment csyndrome c- cCORRECT cANS✔✔MÅ cSJEKKES
A c6-year-o cboy cis cstruck cby can cautomobile cand cbrought cto cthe cED. cHe cis clethargic, cbut cwithd
cstimuli. cHis cblood cpressure cis c90mmHg csystolic, cheart crate c140 cbeats cper cminute cand chis cre
cper cminute. cThe cpreferred croute cof cvenous caccess cin cthis cpatient cis:
A. cPercutaneous cfemoral cvein ccannulation
B. cCutdown con cthe csaphenous cvein cat cthe cankle
C. cIntraosseous ccatheter cplacement cin cthe cproximal ctibia
D. cPercutaneous cperipheral cveins cin cthe cupper cextremities
E. cCentral cvenous caccess cvia cthe csubclavian cor cinternal cjugular cvein c- cCORRECT cANS✔✔D.
cveins cin cthe cupper cextremities
A cyoung cman csustains ca cgunshot cwound cto cthe cabdomen cand cis cbrought cpromptly cto cthe cED
cHis cskin cis ccool cand cdiaphoretic, cand che cis cconfused. cHis cpulse cis cthready cand chis cfemoral c
cThe cdefinitive ctreatment cin cmanaging cthis cpatient cis cto:
A. cAdminister cO-negative cblood
B. cApply cexternal cwarming cdevices
C. cControl cinternal chemorrhage coperatively
D. cApply ca cpneumatic cantishock cgarment c(PASG)
E. cInfuse clarge cvolumes cof cintravenous ccrystalloid csolutions. c- cCORRECT cANS✔✔C. cControl c
coperatively
Regarding cshock cin cthe cchild, cwhich cof cthe cfollowing cis cFALSE?
A. cVital csigns care cage-related
B. cChildren chave cgreater cphysiologic creserves cthan cdo cadults
C. cTachycardia cis cthe cprimary cphysiologic cresponse cto chypovolemia
D. cThe cabsolute cvolume cof cblood closs crequired cto cproduce cshock cis cthe csame cas cin cadults
E. cAn cinitial cfluid cbolus cfor cresuscitation cshould capproximate c20ml/kg cRingers cLactate c- cCORR
cvolume cof cblood closs crequired cto cproduce cshock cis cthe csame cas cin cadults
A c33-year-old cman cis cstruck cby ca ccar ctravelling cat c56km/h c(35mph). cHe chas cobvious cfracture
cknee, cpain cin cthe cpelvic carea, cand csevere cdyspnea. cHis cheart crate cis c182 cbeats cper cminute,
cbreaths cper cminute cwith cno cbreath csounds cheard cin cthe cleft cchest. cA ctension cpneumothorax c
cneedle cdecompression cand ctube cthoracostomy. cSubsequently, chis cheart crate cdecreases cto c14
crespirartory crate cdecreases cto c36 cbreaths cper cminute cand chis cblood cpressure cis c81/53 cmmH
cadminstered cintravenously. cThe cnext cpriority cshould cbe cto:
A. cPerform cexternal cfixation cof cthe cpelvis
B. cObtain cabdominal cand cpelvic cCT-scans
C. cPerform carterial cembolization cof cthe cpelvic cvessel
D. cPerform cdiagnostic cperitoneal clavage cor cFAST
E. cPerform ca curethrogram cand ccystogram c- cCORRECT cANS✔✔D. cPerform cdiagnostic cperiton
A c42-year-old cman, cinjured cin ca cmotor cvehicle ccrash, csuffers ca cclosed chead cinjury, cmultiple cp
cbilateral cfemur cfractures. cHe cis cintubated corotracheally cwithout cdifficulty. cInitially, chis cventilatio
cbag-mask cdevice. cIt cbecomes cmore cdifficult cto cventilate cthe cpatient cover cthe cnext c5 cminutes,
csaturation clevel cdecreases cfrom c98% cto c89%. cThe cmost cappropriate cnext cstep cis cto:
A. cObtain ca cchest cx-ray
B. cDecrease cthe ctidal cvolume
C. cDecrease cPEEP
D. cIncrease cthe crate cof cassisted cventilations
E. cPerform cneedle cdecompression cof cthe cleft cchest. c- cCORRECT cANS✔✔A. cObtain ca cchest c
, E. cThe cpatient cprobably chas can cacute cepidural chematoma c- cCORRECT cANS✔✔E. cThe cpatien
cepidural chematoma
A cpreviously chealthy, c70kg c(175 cpound) cman csuffers can cestimated cacute cblood closs cof ctwo cli
cfollowing cstatements capply cto cthis cpatient?
A. cHis cpulse cpressure cwill cbe cwidened
B. cHis curinary coutput cwill cbe cat cthe clower climits cof cnormal
C. cHe cwill chave ctachycardia, cbut cno cchange cin csystolic cblood cpressure
D. cHis csystolic cblood cpressure cwill cbe cdecreased cwith ca cnarrowed, cpulse cpressure
E. cHis csystolic cblood cpressure cwill cbe cmaintained cwith can celevated cdiastolic cpressure. c- cCOR
cblood cpressure cwill cbe cmaintained cwith can celevated cdiastolic cpressure.
The cphysioclogic chypervolemia cof cpregnancy chas cclinical csignificance cin cthe cmanagement cof ct
cwoman cby
A. cReducing cthe cneed cfor cblood ctransfusion
B. cIncreasing cthe crisk cof cpulmonary cedema
C. cComplicating cthe cmanagement cof cclosed chead cinjury
D. cIncreasing cthe cvolume cof cblood closs cto cproduce cshock/maternal chypotension
E. cReducing cthe cvolume cof ccrystalloid crequired cfor cresuscitation c- cCORRECT cANS✔✔D. cIncre
closs cto cproduce cshock
A c17-year-old chelmeted cmotorcyclist closes cconsciousness cwhen che cis cstruck cbroad cside cby ca
cintersection. cHe carrives cin cthe cED cwith ca cblood cpressure cof c140/92, cpulse crate c88 cbeats cper
c18 cbreaths cper cminue, cand ca cGCS cof c7. cAppropriate cinitial cimmobilization cof cthis cpatient csho
ccervical ccollar cand:
A. cA cscoop cstretcher
B. cA clong cspine cboard
C. cA cshort cspine cboard
D. cCervical ctraction ctongs
E. cPneumatic cantishock cgarment c- cCORRECT cANS✔✔B. cA clong cspine cboard
During can caltercation, ca c36-year-old cman csustains ca cgunshot cwound cabove cthe cnipple cline con
cposteriorly cabove cthe cscapula con cthe cright. cHe cis ctransported cby cambulance cto ca ccommunity
cintubated, cclose ctube cthoracostomy cis cperformed, cand c2 cliters cRingers clactate csolution care cin
cHis cblood cpressure cnow cis c60/0mmHg, cheart crate cis c160 cbeats cper cminute, cand crespiratory c
c(ventilated cwith c100% cO2). cThe cmost cappropriate cnext cstep cin cmanagin cthis cpatient cis:
A. cLaparotomy
B. cDiagnostic cperitoneal clavage
C. cArterial cblood cgas cdetermination
D. cAdminister cpacked cred cblood ccells
E. cChest cX-ray cto cconfirm ctube cplacement c- cCORRECT cANS✔✔E. cChest cX-ray cto cconfirm ctu
Abscence cof cbreath csounds cand cdullness cto cpercussion cover cthe cleft chemithorax care cfindings
A. cLeft chemothorax
B. cCardiac ccontusion
C. cLeft csimple cpneumothorax
D. cLeft cdiaphragmatic crupture
E. cRight ctension cpneumothorax c- cCORRECT cANS✔✔A. cLeft chemothorax
A c23-year-old cman cis cbrought cimmediately cto cthe cED cfrom cthe chospitals cparking clot cwhere che
cabdomen. cExamination creveals ca csingle cbullet cwound. cHe cis cbreathing cand chas ca cthready cpu
cunconsious cand chas cno cdetectable cblood cpressure. cOptimale cimmediate cmanagement cis cto:
A. cPerform ca cdiagnostic cperitoneal clavage
B. cInitiate cinfusion cof cpacked cred cblood ccells
C. cInsert ca cnasogastric ctube cand curinary ccatheter
