QUESTIONS WITH 100% CORRECT
ANSWERS 2024/ 2025
A 22 year old man is hypotensive and tachycardic after a shotgun wound tothe
left shoulder. His blood pressure is initially 80/40 mmHg. After 2 liters of
crystalloid solution his blood pressure increases to 122/84 mmHg His heart rate
is now 100 beats per minute and his respiratory rate is 28 breaths per minute.
His breath sounds are decreased in the left hemithorax,and after initial IV fluid
resuscitation, a closed tube thoracostomy is performed for decreased left breath
sounds with the return of a small amount of blood and no air leak. After chest
tube insertion, the most approriate next step is
a) reexamine the chest
b) perform an aortogram
c) obtain a CT scan of the chest
d) Obtain arterial blood gas analyses
e) perform tranesohageal echocardiographythe
answer is d ; but a website said a
(and a makes more sense to me. so i'll go with a)
info: chest tube insertion, p.108
ATLS MCQ #3
During the third trimester of pregnancy, all of the following changesoccur normallyEXCEPT a
a) decrease in PaCO2
b) decrease in leukocyte count
c) reduced gastric emptying rate
d) diminished residual lung volume
e) diminished elvic ligament tension
the answer is b.
info: page 261
ATLS MCQ #4
In managing the head injured patient,the most important initial step is to
a) secure the airway
b. obtain c-spine film
c) support circulation
c) control scalp hemorrhage
e) determine the GCS score
the answer is a.
info: p.154
ATLS MCQ #5
A previously healthy, 70kg (154 pound) man suffers an estimated acute bloodloss
of 2 liters. Which one of the following statements applies to this patient?
a) his pulse pressure will be widened
b) his urinary output will be at the lower limits of normal
c) he will have tachycardia, but no change in his systolic blood pressure
d) his systolic blood pressure will be decreased with a narrowed pulse ressure (true)
, e) his systolic blood pressure will be maintained with an elevated diastolicpressurethe
answer is d.
info. page 61