ATLS Post Test #2
A 17-12 months-old lady is introduced to the emergency department following a 2-meter (6-foot)
fall onto concrete. She is unresponsive and found to have a breathing charge of 32, blood stress
of ninety/60 mmHg, and heart rate of sixty eight. The first step within the remedy is:
A. Administering vasopressors
B. Establishing IV access for drug-assisted intubation
C. Seeking the purpose of her reduced degree of consciousness
D. Applying oxygen and retaining her airway
E. Excluding hemorrhage as a purpose of surprise - ANS-D
A 20-yr-vintage athlete is worried in a bike crash after having ridden for hours on a totally warm
day. When he arrives in the emergency department, he shouts that he can not flow his legs. On
physical exam, there are not any abnormalities of the chest, abdomen, or pelvis. The affected
person has no sensation in his legs and can not pass them, but his arms are transferring. The
affected person's breathing fee is 22, coronary heart price is 88, and blood strain is eighty/60
mmHg. He is faded and sweaty. What is the maximum probable purpose of his hypotension?
A. Neurogenic shock
B. Cardiac tamponade
C. Myocardial contusion
D. Hyperthermia
E. Hemorrhagic surprise - ANS-E
A 20-yr-antique male is delivered to the medical institution about 30 minutes after being stabbed
within the chest. There is a 3-centimeter wound just medial to the left nipple. His blood strain is
70/33 mmHg, and his heart fee is 140. Neck and arm veins are distended. Breath sounds are
everyday. Heart sounds are faded. Which of the subsequent could be maximum useful in
diagnosing and handling his damage?
A. CT experiment of the chest
B. 12-lead ECG
C. Left tube thoracostomy
D. Initiation of vasopressors
E. FAST examination - ANS-E
A 22-12 months-antique girl who's in the 0.33 trimester of being pregnant presents following a
motor car crash. Paramedics file vaginal bleeding. What is the subsequent step in her remedy?
A. Assess fetal coronary heart sounds.
B. Check for fetal motion.
C. Perform inspection of the cervix.
D. Ask the patient what her name is.
E. Insert a wedge under the affected person's proper hip. - ANS-D
, A 22-12 months-old male is introduced via ambulance to a small network medical institution
after falling from the pinnacle of a 2.4-meter (8-foot) ladder. Initially, he was determined to have
a large right pneumothorax. A chest tube became inserted and connected to an underwater seal
drainage series device with poor pressure. A repeat AP transportable chest x-ray demonstrates
a residual, large, right pneumothorax. After moving the affected person to a established trauma
middle, a third chest x-ray reveals a chronic right pneumothorax. The chest tube seems to be
functioning and in accurate position. The patient stays hemodynamically everyday without a
signs and symptoms of respiration misery. The most likely purpose for his persistent proper
pneumothorax is:
A. Flail chest
B. Diaphragmatic injury
C. Pulmonary contusion
D. Esophageal perforation
E. Tracheobronchial injury - ANS-E
A 22-12 months-antique male sustains a shotgun wound to the left shoulder and chest at close
range. His blood pressure is eighty/40 mmHg, and his heart rate is 130 beats according to
minute. Fluid resuscitation is initiated, his blood strain will increase to 122/84 mmHg, and heart
charge decreases to a hundred beats in keeping with minute. He is tachypneic, with a
respiratory fee of 28 breaths in step with minute. On physical examination, his breath sounds
are reduced on the left upper chest with dullness on percussion. A thoracostomy tube is
inserted in the fifth intercostal area, with the return of 250 mL of blood and no air leak. The
maximum suitable next step is to:
A. Insert a Foley catheter
B. Begin to transfuse O-poor blood
C. Perform thoracotomy
D. Obtain a CT test of the chest and abdomen
E. Repeat the physical exam of the chest - ANS-E
A 22-year-antique girl falls whilst skiing. She is evaluated at a small network clinic that does not
have neurological offerings. Spinal movement is confined, supplemental oxygen via mask is
administered, and antecubital IVs are positioned. Her Glascow Coma Scale rating is 12,
students are identical, blood strain is 135/76 mmHg, heart charge is one zero five, and
respiratory price is 19. Chest x-ray is ordinary. This affected person's control priorities are:
A. Repeat number one survey and transfer to a trauma middle
B. Definitive airway, CT of the pinnacle, and intracranial pressure screen
C. IV mannitol, definitive airway, CT of the pinnacle, and neurosurgery consult
D. CT of the head, EEG, cerebral perfusion stress monitoring, and hypertonic saline
E. IV Dilantin, IV mannitol, slight hyperventilation, and serial arterial blood gases - ANS-A
A 23-12 months-antique male is admitted to the emergency branch three hours after sustaining
complete-thickness burns to his head, fingers, and top torso for a complete of fifty% of his
total-frame-surface vicinity. He weighs eighty kg (185 kilos). His blood stress is 105/75 mmHg,
A 17-12 months-old lady is introduced to the emergency department following a 2-meter (6-foot)
fall onto concrete. She is unresponsive and found to have a breathing charge of 32, blood stress
of ninety/60 mmHg, and heart rate of sixty eight. The first step within the remedy is:
A. Administering vasopressors
B. Establishing IV access for drug-assisted intubation
C. Seeking the purpose of her reduced degree of consciousness
D. Applying oxygen and retaining her airway
E. Excluding hemorrhage as a purpose of surprise - ANS-D
A 20-yr-vintage athlete is worried in a bike crash after having ridden for hours on a totally warm
day. When he arrives in the emergency department, he shouts that he can not flow his legs. On
physical exam, there are not any abnormalities of the chest, abdomen, or pelvis. The affected
person has no sensation in his legs and can not pass them, but his arms are transferring. The
affected person's breathing fee is 22, coronary heart price is 88, and blood strain is eighty/60
mmHg. He is faded and sweaty. What is the maximum probable purpose of his hypotension?
A. Neurogenic shock
B. Cardiac tamponade
C. Myocardial contusion
D. Hyperthermia
E. Hemorrhagic surprise - ANS-E
A 20-yr-antique male is delivered to the medical institution about 30 minutes after being stabbed
within the chest. There is a 3-centimeter wound just medial to the left nipple. His blood strain is
70/33 mmHg, and his heart fee is 140. Neck and arm veins are distended. Breath sounds are
everyday. Heart sounds are faded. Which of the subsequent could be maximum useful in
diagnosing and handling his damage?
A. CT experiment of the chest
B. 12-lead ECG
C. Left tube thoracostomy
D. Initiation of vasopressors
E. FAST examination - ANS-E
A 22-12 months-antique girl who's in the 0.33 trimester of being pregnant presents following a
motor car crash. Paramedics file vaginal bleeding. What is the subsequent step in her remedy?
A. Assess fetal coronary heart sounds.
B. Check for fetal motion.
C. Perform inspection of the cervix.
D. Ask the patient what her name is.
E. Insert a wedge under the affected person's proper hip. - ANS-D
, A 22-12 months-old male is introduced via ambulance to a small network medical institution
after falling from the pinnacle of a 2.4-meter (8-foot) ladder. Initially, he was determined to have
a large right pneumothorax. A chest tube became inserted and connected to an underwater seal
drainage series device with poor pressure. A repeat AP transportable chest x-ray demonstrates
a residual, large, right pneumothorax. After moving the affected person to a established trauma
middle, a third chest x-ray reveals a chronic right pneumothorax. The chest tube seems to be
functioning and in accurate position. The patient stays hemodynamically everyday without a
signs and symptoms of respiration misery. The most likely purpose for his persistent proper
pneumothorax is:
A. Flail chest
B. Diaphragmatic injury
C. Pulmonary contusion
D. Esophageal perforation
E. Tracheobronchial injury - ANS-E
A 22-12 months-antique male sustains a shotgun wound to the left shoulder and chest at close
range. His blood pressure is eighty/40 mmHg, and his heart rate is 130 beats according to
minute. Fluid resuscitation is initiated, his blood strain will increase to 122/84 mmHg, and heart
charge decreases to a hundred beats in keeping with minute. He is tachypneic, with a
respiratory fee of 28 breaths in step with minute. On physical examination, his breath sounds
are reduced on the left upper chest with dullness on percussion. A thoracostomy tube is
inserted in the fifth intercostal area, with the return of 250 mL of blood and no air leak. The
maximum suitable next step is to:
A. Insert a Foley catheter
B. Begin to transfuse O-poor blood
C. Perform thoracotomy
D. Obtain a CT test of the chest and abdomen
E. Repeat the physical exam of the chest - ANS-E
A 22-year-antique girl falls whilst skiing. She is evaluated at a small network clinic that does not
have neurological offerings. Spinal movement is confined, supplemental oxygen via mask is
administered, and antecubital IVs are positioned. Her Glascow Coma Scale rating is 12,
students are identical, blood strain is 135/76 mmHg, heart charge is one zero five, and
respiratory price is 19. Chest x-ray is ordinary. This affected person's control priorities are:
A. Repeat number one survey and transfer to a trauma middle
B. Definitive airway, CT of the pinnacle, and intracranial pressure screen
C. IV mannitol, definitive airway, CT of the pinnacle, and neurosurgery consult
D. CT of the head, EEG, cerebral perfusion stress monitoring, and hypertonic saline
E. IV Dilantin, IV mannitol, slight hyperventilation, and serial arterial blood gases - ANS-A
A 23-12 months-antique male is admitted to the emergency branch three hours after sustaining
complete-thickness burns to his head, fingers, and top torso for a complete of fifty% of his
total-frame-surface vicinity. He weighs eighty kg (185 kilos). His blood stress is 105/75 mmHg,
