ATLS practice questions
Study online at https://quizlet.com/_7k90rg
1. Assessed first in trauma patient Airway
2. (*)Degree of burn that is characterized by bone in- Fourth
volvement
3. Complications of head trauma Intracerebral hematoma
Extradural hematoma
Brain abscess
4. Most common cause of laryngotracheal stenosis Trauma
5. Intervention that can help prevent development of Infusion of normal saline
acute renal failure
6. A 26-year-old male is resuscitated with blood transfu- D. Transfusion reaction
sion after a motor vehicle collision that was complicat-
ed by a fractured pelvis. A few hours later, the patient
becomes febrile, hypotensive with a normal CVP, and
oliguric. Upon examination, the patient is found to be
bleeding from the NG tube and IV sites. Which of the
following is the most likely diagnosis?
A. Hemorrhagic shock
B. Acute adrenal insufficiency
C. Fat embolism syndrome
D. Transfusion reaction
7. Skin antiseptic -Ethanol 70% is an effec-
tive skin antiseptic
-Acetic acid can be used
to treat Gram- skin infec-
tions
-Salicylic acid is used to
, ATLS practice questions
Study online at https://quizlet.com/_7k90rg
treat certain skin yeast in-
fections
8. Class IV hemorrhage indicates what % blood loss 55%
9. How does shivering affect body temperature Increases body tempera-
ture
10. Class III hemorrhage indicates what % of blood loss 35%
11. Management of a stable patient with kidney contu- Observation
sion
12. Associated with hypovolemic shock -Inadequate tissue perfu-
sion with resultant tissue
hypoxia
-Blood shunting to vital
organs
-Decreased circulating
blood volume and de-
creased venous return
-Low cardiac output
-Loss of less than 20% of
the blood volume is usual-
ly without symptom except
for mild tachycardia
-Patients become ortho-
static with losses between
20 and 40%
-Shock is evidenced by
tachycardia, hypotension,
oliguria, flat neck veins
, ATLS practice questions
Study online at https://quizlet.com/_7k90rg
13. The most effective method of monitoring the success Reactivity of pupils to light
of resuscitation during CPR?
14. Used to ensure correct placement of endotracheal -Ultrasound
tube -Bilateral breath sounds
-Sustained end-tidal CO2
15. Total body surface area involved in a burn in an adult 18%
to the anterior chest and abdomen
16. What is often caused by carotid massage? Bradycardia
17. Step in a patient diagnosed with tension pneumotho- 1. Needle decompres-
rax sion/ thoracotomy
2. Chest tube
18. True statements regarding diaphragmatic injuries -Blunt diaphragmatic in-
juries are usually associat-
ed with skeletal trauma
-Penetrating diaphrag-
matic injuries may be
missed
-Repair of traumatic di-
aphragmatic injuries usu-
ally does not require pros-
thetic material
19. First priority in the treatment of an unconscious pa- Checking the pulse
tient
20. A patient involved in a road accident is brought to C. Intracranial hemor-
the emergency department in an unconscious state. rhage
On arrival, her vitals show a temperature of 96.4 de-
, ATLS practice questions
Study online at https://quizlet.com/_7k90rg
grees Fahrenheit, a respiration rate of 24 breaths per
minute, a heart rate of 140 beats per minute, and a
blood pressure of 80/40 mm Hg. She is cold, shivering,
and perspiring profusely. She has bilateral reactive
pupils but she does not respond to pain. On physi-
cal examination, she has no obvious sign of external
bleeding. Which of the following cannot be the cause
of hypotension in this patient?
A. Pelvic fracture
B. Fracture of femur
C. Intracranial hemorrhage
D. Hemothorax
21. A patient suffered a slash to his right neck. The wound C. Take him to the OR
is over the mid-portion of the sternocleidomastoid.
There is a large hematoma and brisk bleeding when
uncovered. He is stable. What is the next step in man-
agement?
A. Get an angiogram
B. Close the wound in the ER
C. Take him to the operating room
D. CT scan to evaluate neck structure
22. After abdominal injury, which of the following urinal- D. Gross hematuria
ysis findings would be an indication for further test-
ing?
A. 0-5 casts/HPF
B. 5-10 WBC/HPF
C. 10-20 RBC/HPF
D. Gross hematuria
23. External jugular vein
Study online at https://quizlet.com/_7k90rg
1. Assessed first in trauma patient Airway
2. (*)Degree of burn that is characterized by bone in- Fourth
volvement
3. Complications of head trauma Intracerebral hematoma
Extradural hematoma
Brain abscess
4. Most common cause of laryngotracheal stenosis Trauma
5. Intervention that can help prevent development of Infusion of normal saline
acute renal failure
6. A 26-year-old male is resuscitated with blood transfu- D. Transfusion reaction
sion after a motor vehicle collision that was complicat-
ed by a fractured pelvis. A few hours later, the patient
becomes febrile, hypotensive with a normal CVP, and
oliguric. Upon examination, the patient is found to be
bleeding from the NG tube and IV sites. Which of the
following is the most likely diagnosis?
A. Hemorrhagic shock
B. Acute adrenal insufficiency
C. Fat embolism syndrome
D. Transfusion reaction
7. Skin antiseptic -Ethanol 70% is an effec-
tive skin antiseptic
-Acetic acid can be used
to treat Gram- skin infec-
tions
-Salicylic acid is used to
, ATLS practice questions
Study online at https://quizlet.com/_7k90rg
treat certain skin yeast in-
fections
8. Class IV hemorrhage indicates what % blood loss 55%
9. How does shivering affect body temperature Increases body tempera-
ture
10. Class III hemorrhage indicates what % of blood loss 35%
11. Management of a stable patient with kidney contu- Observation
sion
12. Associated with hypovolemic shock -Inadequate tissue perfu-
sion with resultant tissue
hypoxia
-Blood shunting to vital
organs
-Decreased circulating
blood volume and de-
creased venous return
-Low cardiac output
-Loss of less than 20% of
the blood volume is usual-
ly without symptom except
for mild tachycardia
-Patients become ortho-
static with losses between
20 and 40%
-Shock is evidenced by
tachycardia, hypotension,
oliguria, flat neck veins
, ATLS practice questions
Study online at https://quizlet.com/_7k90rg
13. The most effective method of monitoring the success Reactivity of pupils to light
of resuscitation during CPR?
14. Used to ensure correct placement of endotracheal -Ultrasound
tube -Bilateral breath sounds
-Sustained end-tidal CO2
15. Total body surface area involved in a burn in an adult 18%
to the anterior chest and abdomen
16. What is often caused by carotid massage? Bradycardia
17. Step in a patient diagnosed with tension pneumotho- 1. Needle decompres-
rax sion/ thoracotomy
2. Chest tube
18. True statements regarding diaphragmatic injuries -Blunt diaphragmatic in-
juries are usually associat-
ed with skeletal trauma
-Penetrating diaphrag-
matic injuries may be
missed
-Repair of traumatic di-
aphragmatic injuries usu-
ally does not require pros-
thetic material
19. First priority in the treatment of an unconscious pa- Checking the pulse
tient
20. A patient involved in a road accident is brought to C. Intracranial hemor-
the emergency department in an unconscious state. rhage
On arrival, her vitals show a temperature of 96.4 de-
, ATLS practice questions
Study online at https://quizlet.com/_7k90rg
grees Fahrenheit, a respiration rate of 24 breaths per
minute, a heart rate of 140 beats per minute, and a
blood pressure of 80/40 mm Hg. She is cold, shivering,
and perspiring profusely. She has bilateral reactive
pupils but she does not respond to pain. On physi-
cal examination, she has no obvious sign of external
bleeding. Which of the following cannot be the cause
of hypotension in this patient?
A. Pelvic fracture
B. Fracture of femur
C. Intracranial hemorrhage
D. Hemothorax
21. A patient suffered a slash to his right neck. The wound C. Take him to the OR
is over the mid-portion of the sternocleidomastoid.
There is a large hematoma and brisk bleeding when
uncovered. He is stable. What is the next step in man-
agement?
A. Get an angiogram
B. Close the wound in the ER
C. Take him to the operating room
D. CT scan to evaluate neck structure
22. After abdominal injury, which of the following urinal- D. Gross hematuria
ysis findings would be an indication for further test-
ing?
A. 0-5 casts/HPF
B. 5-10 WBC/HPF
C. 10-20 RBC/HPF
D. Gross hematuria
23. External jugular vein
