2025 ATLS / ATLS Test 1 Exam
Version ATLS Final Real Exam A
GRADE
A 22-year-old man sustains a gunshot wound to the left chest and is
transported to a small community hospital; no surgical capabilities are
available. In the emergency department, a chest tube is inserted and
700 mL of blood is evacuated. The trauma center accepts the patient in
transfer. Just before the patient is placed in the ambulance for transfer,
his blood pressure decreases to 80/68 mm Hg and his heart rate
increases to 136 beats per minute. The next step should be to:
Select one:
a.
clamp the chest tube
b.
cancel the patient's transfer
,c.
perform an emergency department thoracotomy d.
repeat the primary survey and proceed with transfer
e.
delay the transfer until the referring doctor can contact a thoracic
surgeon - ✔✔✔ANSWER-d.
repeat the primary survey and proceed with transfer
A 64-year-old man involved in a high-speed car crash, is resuscitated
initially in a small hospital without surgical capabilities. He has a closed
head injury with a GCS score of 13. He has a widened mediastinum on
chest x-ray with fractures of left ribs
2 through 4, but no pneumothorax. After initiating fluid resuscitation,
his blood pressure is 110/74 mm Hg, heart rate is 100 beats per minute,
and respiratory rate is 18 breaths per minute. He has gross hematuria
and a pelvic fracture. You decide to transfer this patient to a facility
capable of providing a higher level of care. The facility is 128 km (80
miles) away. Before transfer, you should first:
Select one: a.
intubate the patient
b.
perform diagnostic peritoneal lavage or FAST
c. insert a left chest tube d. call the receiving hospital and
speak to the surgeon on call e.
, discuss the advisability of transfer with the patient's family -
✔✔✔ANSWER-d.
call the receiving hospital and speak to the surgeon on call
Hemorrhage of 20% of the patient's blood volume is associated usually
with:
Select one: a.
oliguria b.
confusion
c.
hypotension
d. tachycardia
e. blood transfusion
requirement - ✔✔✔ANSWER-d.
tachycardia
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:
Version ATLS Final Real Exam A
GRADE
A 22-year-old man sustains a gunshot wound to the left chest and is
transported to a small community hospital; no surgical capabilities are
available. In the emergency department, a chest tube is inserted and
700 mL of blood is evacuated. The trauma center accepts the patient in
transfer. Just before the patient is placed in the ambulance for transfer,
his blood pressure decreases to 80/68 mm Hg and his heart rate
increases to 136 beats per minute. The next step should be to:
Select one:
a.
clamp the chest tube
b.
cancel the patient's transfer
,c.
perform an emergency department thoracotomy d.
repeat the primary survey and proceed with transfer
e.
delay the transfer until the referring doctor can contact a thoracic
surgeon - ✔✔✔ANSWER-d.
repeat the primary survey and proceed with transfer
A 64-year-old man involved in a high-speed car crash, is resuscitated
initially in a small hospital without surgical capabilities. He has a closed
head injury with a GCS score of 13. He has a widened mediastinum on
chest x-ray with fractures of left ribs
2 through 4, but no pneumothorax. After initiating fluid resuscitation,
his blood pressure is 110/74 mm Hg, heart rate is 100 beats per minute,
and respiratory rate is 18 breaths per minute. He has gross hematuria
and a pelvic fracture. You decide to transfer this patient to a facility
capable of providing a higher level of care. The facility is 128 km (80
miles) away. Before transfer, you should first:
Select one: a.
intubate the patient
b.
perform diagnostic peritoneal lavage or FAST
c. insert a left chest tube d. call the receiving hospital and
speak to the surgeon on call e.
, discuss the advisability of transfer with the patient's family -
✔✔✔ANSWER-d.
call the receiving hospital and speak to the surgeon on call
Hemorrhage of 20% of the patient's blood volume is associated usually
with:
Select one: a.
oliguria b.
confusion
c.
hypotension
d. tachycardia
e. blood transfusion
requirement - ✔✔✔ANSWER-d.
tachycardia
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:
