ATLS Pre Module MCQ
Study online at https://quizlet.com/_hqvlc5
1. 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:
A) Reexamine the chest
B) Aortogram
C) Chest CT
D) ABG
E) TOE: A
2. 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) Angiography
B) Compartment pressures
C) Retrograde urethrogram
D) Doppler ultrasound studies
E) Complete spine x-ray series: E
3. Which of the following is true regarding the initial resuscitation of a trauma
patient?
A) A patient that presents with a torso gunshot wound and is hypotensive
should receive crystalloid fluid resuscitation until the blood pressure is normal
B) Evidence of improved perfusion after fluid resuscitation could include im-
provement in Glasgow coma scale score on reevaluation
C) Massive transfusion is defined as transfusion of more than >10 of packed red
blood cells and plasma in 24 hours
D) When tranexamic acid is administered by pre-hospital providers a second
, ATLS Pre Module MCQ
Study online at https://quizlet.com/_hqvlc5
dose is required within 24 hours
E) Fluid resuscitation is far more important than bleeding control in trauma
patients: B
4. In managing a patient with a severe traumatic brain injury, the most impor-
tant initial step is to:
A) Secure the airway
B) Obtain a c-spine film
C) Support the circulation
D) Control scalp hemorrhage
E) Determine the GCS score: A
5. 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) An ABG would demonstrate a base deficit between -6 and -10 mEq/L
E) His systolic blood pressure will be maintained with an elevated diastolic
pressure.: D
6. 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) Resulting in an elevated hematocrit
C) Complicating the management of closed head injury
D) Reducing the volume of crystalloid required for resuscitation
E) Increasing the volume of blood loss to produce maternal hypotension: E
7. The best assessment of fluid resuscitation of the adult burn patient is:
A) Urine output of 0.5 mL/kg/hr
B) Normalization of blood pressure
C) Normalization of the heart rate
D) measuring a normal central venous pressure
E) Providing 4 mL/kg/percent body burn/24 hours of crystalloid fluid: A
Study online at https://quizlet.com/_hqvlc5
1. 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:
A) Reexamine the chest
B) Aortogram
C) Chest CT
D) ABG
E) TOE: A
2. 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) Angiography
B) Compartment pressures
C) Retrograde urethrogram
D) Doppler ultrasound studies
E) Complete spine x-ray series: E
3. Which of the following is true regarding the initial resuscitation of a trauma
patient?
A) A patient that presents with a torso gunshot wound and is hypotensive
should receive crystalloid fluid resuscitation until the blood pressure is normal
B) Evidence of improved perfusion after fluid resuscitation could include im-
provement in Glasgow coma scale score on reevaluation
C) Massive transfusion is defined as transfusion of more than >10 of packed red
blood cells and plasma in 24 hours
D) When tranexamic acid is administered by pre-hospital providers a second
, ATLS Pre Module MCQ
Study online at https://quizlet.com/_hqvlc5
dose is required within 24 hours
E) Fluid resuscitation is far more important than bleeding control in trauma
patients: B
4. In managing a patient with a severe traumatic brain injury, the most impor-
tant initial step is to:
A) Secure the airway
B) Obtain a c-spine film
C) Support the circulation
D) Control scalp hemorrhage
E) Determine the GCS score: A
5. 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) An ABG would demonstrate a base deficit between -6 and -10 mEq/L
E) His systolic blood pressure will be maintained with an elevated diastolic
pressure.: D
6. 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) Resulting in an elevated hematocrit
C) Complicating the management of closed head injury
D) Reducing the volume of crystalloid required for resuscitation
E) Increasing the volume of blood loss to produce maternal hypotension: E
7. The best assessment of fluid resuscitation of the adult burn patient is:
A) Urine output of 0.5 mL/kg/hr
B) Normalization of blood pressure
C) Normalization of the heart rate
D) measuring a normal central venous pressure
E) Providing 4 mL/kg/percent body burn/24 hours of crystalloid fluid: A
