TLS 10th Edition Post Test 1 - 4
Actual Questions and Answers
100% Guarantee Pass
TABLE/OF/CONTENTS
ATLS/POST/TEST/1……………………………02
ATLS/POST/TEST/2……………………………25
ATLS/POST/TEST/3……………………………47
ATLS/POST/TEST/4……………………………67
, ATLS/10th/Edition/POST/TEST/1
──────────────────────────────────────────────────
1)/Which/of/the/following/signs/is/LEAST/reliable/for/diagnosing/esophageal/intubation?
/A./Symmetrical/chest/wall/movement//
/B./End-tidal/CO₂/presence/(colorimetric/capnography)//
/C./Bilateral/breath/sounds//
/D./Endotracheal/tube/(ETT)/tip/above/the/carina/on/chest/x-ray//
Answer:/D//
Rationale:/While/a/chest/x-
ray/confirming/that/the/tube/is/above/the/carina/can/help/verify/depth/of/intubation,/it/is/not/a
/rapid/or/reliable/indicator/of/correct/(tracheal/vs./esophageal)/placement./Direct/confirmati
on/of/CO₂/with/a/capnography/device/is/the/most/reliable/immediate/test/to/rule/out/esopha
geal/intubation.
──────────────────────────────────────────────────
2)/Which/of/the/following/findings/necessitates/a/definitive/airway/in/a/severely/injured/trau
ma/patient?
/A./Facial/lacerations//
/B./Repeated/vomiting//
/C./Severe/maxillofacial/fractures//
/D./Glasgow/Coma/Scale/(GCS)/score/of/12//
Answer:/C//
Rationale:/Severe/maxillofacial/fractures/compromise/the/airway/and/can/lead/to/airway/o
bstruction./Definitive/airway/management/(e.g.,/surgical/airway/or/intubation)/is/indicated./
,Repeated/vomiting/or/a/moderately/decreased/GCS/(≥9)/are/concerning/but/not/absolute/i
ndications/for/a/definitive/airway/on/their/own.
──────────────────────────────────────────────────
3)/In/a/mass-
casualty/scenario/(e.g.,/aircraft/crash/with/multiple/injured/survivors),/which/of/the/following
/best/states/the/overarching/principle/of/triage?
/A./Establish/a/triage/site/within/the/internal/crash/perimeter.//
/B./Treat/only/the/most/severely/injured/patients/first.//
/C./Treat/the/greatest/number/of/patients/in/the/shortest/period/of/time.//
/D./Produce/the/greatest/number/of/survivors/based/on/available/resources.//
Answer:/D//
Rationale:/Triage/in/mass-
casualty/incidents/emphasizes/maximizing/survival/with/the/resources/available./While/tre
ating/the/most/severely/injured/first/is/typical/in/routine/trauma/care,/true/mass-
casualty/triage/prioritizes/the/goal/of/saving/the/most/lives/overall.
──────────────────────────────────────────────────
4)/Which/of/the/following/statements/regarding/traumatic/intracranial/lesions/is/CORRECT
?
/A./Cerebral/contusions/may/coalesce/to/form/an/intracerebral/hematoma.//
/B./Epidural/hematomas/are/usually/seen/in/the/frontal/region.//
/C./Subdural/hematomas/are/caused/by/injury/to/the/middle/meningeal/artery.//
/D./Subdural/hematomas/typically/have/a/lenticular/(biconvex)/shape/on/CT/scan.//
Answer:/A//
Rationale:/Cerebral/contusions/can/evolve/into/larger/intracerebral/hematomas./Epidural/
hematomas/more/often/involve/a/temporal/skull/fracture/and/the/middle/meningeal/artery./
, Subdural/hematomas/typically/are/crescent-
shaped/(not/lenticular)/on/CT/and/usually/result/from/venous/bleeding/(bridging/veins).
──────────────────────────────────────────────────
5)/An/18-year-
old/male/presents/with/gunshot/wounds/near/the/right/clavicle/and/in/the/right/posterior/axill
ary/line/below/the/costal/margin./His/blood/pressure/is/110/60/mm/Hg,/heart/rate/90/min,/an
d/respiratory/rate/34/min./Airway/is/secured;/two/large-
bore/IV/lines/are/placed./The/NEXT/appropriate/step/is/to:
/A./Obtain/a/portable/chest/x-ray//
/B./Perform/laparotomy//
/C./Obtain/an/abdominal/CT/scan//
/D./Perform/a/diagnostic/peritoneal/lavage//
Answer:/A//
Rationale:/After/initial/airway/and/IV/access,/a/rapid/chest/x-
ray/helps/identify/pneumothorax,/hemothorax,/or/significant/chest/injury—
particularly/crucial/with/a/gunshot/wound/near/the/clavicle./Managing/thoracic/injuries/take
s/priority/before/investigating/the/abdomen.
──────────────────────────────────────────────────
6)/A/47-year-
old/fell/20/feet/and/landed/straddling/a/fence./He/has/extensive/perineal/bruising/and/blood/
at/the/external/urethral/meatus./The/initial/diagnostic/study/to/evaluate/his/urinary/tract/sho
uld/be:
/A./Cystoscopy//
/B./Cystography//
/C./Intravenous/pyelography/(IVP)//
/D./Retrograde/urethrography//