ATLS Practice Questions With Correct
Answers
Assessed first in trauma patient - correct answersAirway
x x x x x x x
(*)Degree of burn that is characterized by bone involvement - correct answersFourth
x x x x x x x x x x x
Complications of head trauma - correct answersIntracerebral hematoma
x x x x x x x
Extradural hematoma x
Brain abscess x
Most common cause of laryngotracheal stenosis - correct answersTrauma
x x x x x x x x
Intervention that can help prevent development of acute renal failure - correct answersInfusion of normal
x x x x x x x x x x x x x x x
saline
A 26-year-old male is resuscitated with blood transfusion after a motor vehicle collision that was complicated
x x x x x x x x x x x x x x x x
by a fractured pelvis. A few hours later, the patient becomes febrile, hypotensive with a normal CVP, and
x x x x x x x x x x x x x x x x x x
oliguric. Upon examination, the patient is found to be bleeding from the NG tube and IV sites. Which of the
x x x x x x x x x x x x x x x x x x x x
following is the most likely diagnosis?
x x x x x
A. Hemorrhagic shock
x x
,B. Acute adrenal insufficiency
x x x
C. Fat embolism syndrome
x x x
D. Transfusion reaction - correct answersD. Transfusion reaction
x x x x x x x
Skin antiseptic - correct answers-Ethanol 70% is an effective skin antiseptic
x x x x x x x x x x
-Acetic acid can be used to treat Gram- skin infections
x x x x x x x x x
-Salicylic acid is used to treat certain skin yeast infections x x x x x x x x x
Class IV hemorrhage indicates what % blood loss - correct answers55%
x x x x x x x x x x
How does shivering affect body temperature - correct answersIncreases body temperature
x x x x x x x x x x
Class III hemorrhage indicates what % of blood loss - correct answers35%
x x x x x x x x x x x
Management of a stable patient with kidney contusion - correct answersObservation x x x x x x x x x x
Associated with hypovolemic shock - correct answers-Inadequate tissue perfusion with resultant tissue
x x x x x x x x x x x x
hypoxia
-Blood shunting to vital organs x x x x
-Decreased circulating blood volume and decreased venous return x x x x x x x
-Low cardiac output x x
-Loss of less than 20% of the blood volume is usually without symptom except for mild tachycardia
x x x x x x x x x x x x x x x x x
-Patients become orthostatic with losses between 20 and 40% x x x x x x x x x
-Shock is evidenced by tachycardia, hypotension, oliguria, flat neck veins
x x x x x x x x x
The most effective method of monitoring the success of resuscitation during CPR? - correct answersReactivity
x x x x x x x x x x x x x x x
of pupils to light
x x x
Used to ensure correct placement of endotracheal tube - correct answers-Ultrasound
x x x x x x x x x x x
,-Bilateral breath sounds x x
-Sustained end-tidal CO2 x x
Total body surface area involved in a burn in an adult to the anterior chest and abdomen - correct answers18%
x x x x x x x x x x x x x x x x x x x
What is often caused by carotid massage? - correct answersBradycardia
x x x x x x x x x
Step in a patient diagnosed with tension pneumothorax - correct answers1. Needle decompression/
x x x x x x x x x x x x x
thoracotomy
2. Chest tube
x x
True statements regarding diaphragmatic injuries - correct answers-Blunt diaphragmatic injuries are usually
x x x x x x x x x x x x
associated with skeletal trauma x x x x
-Penetrating diaphragmatic injuries may be missed x x x x x
-Repair of traumatic diaphragmatic injuries usually does not require prosthetic material
x x x x x x x x x x
First priority in the treatment of an unconscious patient - correct answersChecking the pulse
x x x x x x x x x x x x x
A patient involved in a road accident is brought to the emergency department in an unconscious state. On
x x x x x x x x x x x x x x x x x x
arrival, her vitals show a temperature of 96.4 degrees Fahrenheit, a respiration rate of 24 breaths per minute,
x x x x x x x x x x x x x x x x x x
a heart rate of 140 beats per minute, and a blood pressure of 80/40 mm Hg. She is cold, shivering, and
x x x x x x x x x x x x x x x x x x x x x
perspiring profusely. She has bilateral reactive pupils but she does not respond to pain. On physical
x x x x x x x x x x x x x x x x
examination, she has no obvious sign of external bleeding. Which of the following cannot be the cause of x x x x x x x x x x x x x x x x x x
hypotension in this patient? x x x
A. Pelvic fracture
x x
B. Fracture of femur
x x x
C. Intracranial hemorrhage
x x
D. Hemothorax - correct answersC. Intracranial hemorrhage
x x x x x x
A patient suffered a slash to his right neck. The wound is over the mid-portion of the sternocleidomastoid.
x x x x x x x x x x x x x x x x x x
There is a large hematoma and brisk bleeding when uncovered. He is stable. What is the next step in
x x x x x x x x x x x x x x x x x x x
management?
, A. Get an angiogram
x x x
B. Close the wound in the ER
x x x x x x
C. Take him to the operating room
x x x x x x
D. CT scan to evaluate neck structure - correct answersC. Take him to the OR
x x x x x x x x x x x x x x
After abdominal injury, which of the following urinalysis findings would be an indication for further testing?
x x x x x x x x x x x x x x x
A. 0-5 casts/HPF
x x
B. 5-10 WBC/HPF
x x
C. 10-20 RBC/HPF
x x
D. Gross hematuria - correct answersD. Gross hematuria
x x x x x x x
A laceration of the neck superficial to the deep cervical fascia along the sternocleidomastoid muscle at its
x x x x x x x x x x x x x x x x x
midpoint would cause bleeding from which structure? - correct answersExternal jugular vein
x x x x x x x x x x x
Clinical features associated with tension pneumothorax - correct answersUnilateral decrease in breath
x x x x x x x x x x x x
sounds
Hyperresonance
Respiratory distress x
Tachycardia
Tracheal shift x
Desatruation
Decreased breath sounds x x
Decreased compliance x
Asymmetric chest movement x x
NOT hypertension, audible bronchial sounds
x x x x
Not recommended as a mode of ventilation for a patient with a diaphragmatic hernia
x x x x x x x x x x x x x
A. Bag and mask
x x x
Answers
Assessed first in trauma patient - correct answersAirway
x x x x x x x
(*)Degree of burn that is characterized by bone involvement - correct answersFourth
x x x x x x x x x x x
Complications of head trauma - correct answersIntracerebral hematoma
x x x x x x x
Extradural hematoma x
Brain abscess x
Most common cause of laryngotracheal stenosis - correct answersTrauma
x x x x x x x x
Intervention that can help prevent development of acute renal failure - correct answersInfusion of normal
x x x x x x x x x x x x x x x
saline
A 26-year-old male is resuscitated with blood transfusion after a motor vehicle collision that was complicated
x x x x x x x x x x x x x x x x
by a fractured pelvis. A few hours later, the patient becomes febrile, hypotensive with a normal CVP, and
x x x x x x x x x x x x x x x x x x
oliguric. Upon examination, the patient is found to be bleeding from the NG tube and IV sites. Which of the
x x x x x x x x x x x x x x x x x x x x
following is the most likely diagnosis?
x x x x x
A. Hemorrhagic shock
x x
,B. Acute adrenal insufficiency
x x x
C. Fat embolism syndrome
x x x
D. Transfusion reaction - correct answersD. Transfusion reaction
x x x x x x x
Skin antiseptic - correct answers-Ethanol 70% is an effective skin antiseptic
x x x x x x x x x x
-Acetic acid can be used to treat Gram- skin infections
x x x x x x x x x
-Salicylic acid is used to treat certain skin yeast infections x x x x x x x x x
Class IV hemorrhage indicates what % blood loss - correct answers55%
x x x x x x x x x x
How does shivering affect body temperature - correct answersIncreases body temperature
x x x x x x x x x x
Class III hemorrhage indicates what % of blood loss - correct answers35%
x x x x x x x x x x x
Management of a stable patient with kidney contusion - correct answersObservation x x x x x x x x x x
Associated with hypovolemic shock - correct answers-Inadequate tissue perfusion with resultant tissue
x x x x x x x x x x x x
hypoxia
-Blood shunting to vital organs x x x x
-Decreased circulating blood volume and decreased venous return x x x x x x x
-Low cardiac output x x
-Loss of less than 20% of the blood volume is usually without symptom except for mild tachycardia
x x x x x x x x x x x x x x x x x
-Patients become orthostatic with losses between 20 and 40% x x x x x x x x x
-Shock is evidenced by tachycardia, hypotension, oliguria, flat neck veins
x x x x x x x x x
The most effective method of monitoring the success of resuscitation during CPR? - correct answersReactivity
x x x x x x x x x x x x x x x
of pupils to light
x x x
Used to ensure correct placement of endotracheal tube - correct answers-Ultrasound
x x x x x x x x x x x
,-Bilateral breath sounds x x
-Sustained end-tidal CO2 x x
Total body surface area involved in a burn in an adult to the anterior chest and abdomen - correct answers18%
x x x x x x x x x x x x x x x x x x x
What is often caused by carotid massage? - correct answersBradycardia
x x x x x x x x x
Step in a patient diagnosed with tension pneumothorax - correct answers1. Needle decompression/
x x x x x x x x x x x x x
thoracotomy
2. Chest tube
x x
True statements regarding diaphragmatic injuries - correct answers-Blunt diaphragmatic injuries are usually
x x x x x x x x x x x x
associated with skeletal trauma x x x x
-Penetrating diaphragmatic injuries may be missed x x x x x
-Repair of traumatic diaphragmatic injuries usually does not require prosthetic material
x x x x x x x x x x
First priority in the treatment of an unconscious patient - correct answersChecking the pulse
x x x x x x x x x x x x x
A patient involved in a road accident is brought to the emergency department in an unconscious state. On
x x x x x x x x x x x x x x x x x x
arrival, her vitals show a temperature of 96.4 degrees Fahrenheit, a respiration rate of 24 breaths per minute,
x x x x x x x x x x x x x x x x x x
a heart rate of 140 beats per minute, and a blood pressure of 80/40 mm Hg. She is cold, shivering, and
x x x x x x x x x x x x x x x x x x x x x
perspiring profusely. She has bilateral reactive pupils but she does not respond to pain. On physical
x x x x x x x x x x x x x x x x
examination, she has no obvious sign of external bleeding. Which of the following cannot be the cause of x x x x x x x x x x x x x x x x x x
hypotension in this patient? x x x
A. Pelvic fracture
x x
B. Fracture of femur
x x x
C. Intracranial hemorrhage
x x
D. Hemothorax - correct answersC. Intracranial hemorrhage
x x x x x x
A patient suffered a slash to his right neck. The wound is over the mid-portion of the sternocleidomastoid.
x x x x x x x x x x x x x x x x x x
There is a large hematoma and brisk bleeding when uncovered. He is stable. What is the next step in
x x x x x x x x x x x x x x x x x x x
management?
, A. Get an angiogram
x x x
B. Close the wound in the ER
x x x x x x
C. Take him to the operating room
x x x x x x
D. CT scan to evaluate neck structure - correct answersC. Take him to the OR
x x x x x x x x x x x x x x
After abdominal injury, which of the following urinalysis findings would be an indication for further testing?
x x x x x x x x x x x x x x x
A. 0-5 casts/HPF
x x
B. 5-10 WBC/HPF
x x
C. 10-20 RBC/HPF
x x
D. Gross hematuria - correct answersD. Gross hematuria
x x x x x x x
A laceration of the neck superficial to the deep cervical fascia along the sternocleidomastoid muscle at its
x x x x x x x x x x x x x x x x x
midpoint would cause bleeding from which structure? - correct answersExternal jugular vein
x x x x x x x x x x x
Clinical features associated with tension pneumothorax - correct answersUnilateral decrease in breath
x x x x x x x x x x x x
sounds
Hyperresonance
Respiratory distress x
Tachycardia
Tracheal shift x
Desatruation
Decreased breath sounds x x
Decreased compliance x
Asymmetric chest movement x x
NOT hypertension, audible bronchial sounds
x x x x
Not recommended as a mode of ventilation for a patient with a diaphragmatic hernia
x x x x x x x x x x x x x
A. Bag and mask
x x x
