ATLS Test 2 Questions & Answers
1.A 6-month-old infant, being held in her mother's arm, is ejected on
impact from a vehicle that is truck head-on by an oncoming car traveling at
64
kph (40 mph). The infant arrives in the emergency department with multiple
facial injuries, is lethargic, and is in severe respiratory distress. Respiratory
support is not effective using a bag-mask device, and her oxygen saturation
is falling. Repeated attempts at orotracheal intubation are unsuccessful. The
most appropriate procedure to perform next is
a. Perform needle cricothyroidotomy with jet insufflation
b. Administer heliox and racemic epinephrine
c. perform nasotracheal intubation
d. perform surgical cricothyroidotomy
e. repeat orotracheal intubation
ANS d
2.Which one of the following injuries is addressed in the secondary survey?
a. Bilateral femur fractures with obvious deformity
b. open fracture with bleeding
c. mild thigh amputation
d. unstable pelvic fracture
e. forearm fracture
ANS a
1/
11
, 3.A 22 year old male present following a motorcycle crash. He complains of
the inability to move or feel his legs. His bloods pressure is 80/50 mmHg,
heart rate is 70, respiratory rate is 18, and Glasgow Coma Scale score is 15.
Oxygen saturation is 995 ON 21 NASAL PRONGS. Chest X-ray, Pelvic X-ray,
and FAST are normal. Extremities are normal. his management should be...
a. 2 L of IV criystalloid and two units of pRBCs (packed red blood cells)
b. 2 L of crystalloid and vasopressors if BP does not respond
c. 2 L of IV crystalloid, manitol, and IV steroids
d. Vasopressors and laparotomy
e. 1 unit of albumin and compression stockings
ANS c
4.Which of the following signs is least reliable for diagnosing
esophageal intubation ?
a. Chest x-ray demonstrating the ETT tip positioned above the carina
b. Symmetrical chest wall movement
c. End-tidal CO2
d. bilateral breath sounds
e. Oxygen saturation
ANS d
5.A 20 year old athlete is anvolve in a motorcycle crash. when he arrives in
the emergency department, he shouts that he cannot move his legs. On
2/
11
1.A 6-month-old infant, being held in her mother's arm, is ejected on
impact from a vehicle that is truck head-on by an oncoming car traveling at
64
kph (40 mph). The infant arrives in the emergency department with multiple
facial injuries, is lethargic, and is in severe respiratory distress. Respiratory
support is not effective using a bag-mask device, and her oxygen saturation
is falling. Repeated attempts at orotracheal intubation are unsuccessful. The
most appropriate procedure to perform next is
a. Perform needle cricothyroidotomy with jet insufflation
b. Administer heliox and racemic epinephrine
c. perform nasotracheal intubation
d. perform surgical cricothyroidotomy
e. repeat orotracheal intubation
ANS d
2.Which one of the following injuries is addressed in the secondary survey?
a. Bilateral femur fractures with obvious deformity
b. open fracture with bleeding
c. mild thigh amputation
d. unstable pelvic fracture
e. forearm fracture
ANS a
1/
11
, 3.A 22 year old male present following a motorcycle crash. He complains of
the inability to move or feel his legs. His bloods pressure is 80/50 mmHg,
heart rate is 70, respiratory rate is 18, and Glasgow Coma Scale score is 15.
Oxygen saturation is 995 ON 21 NASAL PRONGS. Chest X-ray, Pelvic X-ray,
and FAST are normal. Extremities are normal. his management should be...
a. 2 L of IV criystalloid and two units of pRBCs (packed red blood cells)
b. 2 L of crystalloid and vasopressors if BP does not respond
c. 2 L of IV crystalloid, manitol, and IV steroids
d. Vasopressors and laparotomy
e. 1 unit of albumin and compression stockings
ANS c
4.Which of the following signs is least reliable for diagnosing
esophageal intubation ?
a. Chest x-ray demonstrating the ETT tip positioned above the carina
b. Symmetrical chest wall movement
c. End-tidal CO2
d. bilateral breath sounds
e. Oxygen saturation
ANS d
5.A 20 year old athlete is anvolve in a motorcycle crash. when he arrives in
the emergency department, he shouts that he cannot move his legs. On
2/
11
