ATLS PRETEST EXAM QUESTIONS AND ANSWERS
A 22 year old man is hypotensive and tachycardic after a shotgun
wound to the left shoulder. His blood after initial IV fluid resuscitation,
a closed tube thoracostomy is performed for decreased left breath
sounds - ANSWER ->reexamine the chest
A construction worker falls two stories from a building and sustains
bilateral calcaneal fractures. In the emergency department, he is alert,
vital signs are normal, and he is complaining of severe pain in both
heels and his lower back. Lower extremity pulses are strong and there
is no other deformity. The suspected diagnosis is most likely to be
confirmed by - ANSWER ->complete spine x-ray series.
The principle of balanced resuscitation is: - ANSWER ->Permissive
hypotension and early plasma infusion
Question:4 In managing the head-injured patient, the most important
initial step is to - ANSWER ->secure airway
A previously healthy, 70-kg (154-pound) man suffers an estimated
acute blood loss of 2 liters. Which one of the following statements
applies to this patient? - ANSWER ->His systolic blood pressure will be
decreased with a narrowed pulse pressure.
The diagnosis of shock must include - ANSWER ->poor organ perfusion
Question:9 A 7-year-old boy is brought to the emergency department
by his parents several minutes after he fell through a window. He is
bleeding profusely from a 6-cm wound of his medial right thigh.
Immediate management of the wound should consist of - ANSWER -
>direct pressure
, For the patient with severe traumatic brain injury, profound hypocarbia
should be avoided to prevent - ANSWER ->cerebral vasoconstriction
with diminished perfusion.
Question:11 A 25-year-old man is brought to a hospital with a general
surgeon after being involved in a motor vehicle crash. Computed
tomography shows an aortic injury and splenic laceration with free
abdominal fluid. His blood pressure falls to 70 mm Hg after CT. The next
step is - ANSWER ->exploratory laparotomy.
20-year-old woman, at 32 weeks gestation, is stabbed in the upper right
chest. In the emergency department, her blood pressure is 80/60 mm
Hg. She is gasping for breath, extremely anxious, and yelling for help.
Breath sounds are diminished in the right chest. The most appropriate
first step is to - ANSWER ->perform needle decompression of the right
chest.
Which one of the following findings in an adult is most likely to require
immediate management during the primary survey? - ANSWER ->resp
of 40/mi
Question:17 The most important, immediate step in the management
of an open pneumothorax is - ANSWER ->placement of an occlusive
dressing over the wound.
Question:18 The following are contraindications for tetanus toxoid
administration - ANSWER ->History of neurological reaction or severe
hypersensitivity to the product.
Question:19 A 56-year-old man is thrown violently against the steering
wheel of his truck during a motor vehicle crash. On arrival in the
emergency department he is diaphoretic and complaining of chest pain.
A 22 year old man is hypotensive and tachycardic after a shotgun
wound to the left shoulder. His blood after initial IV fluid resuscitation,
a closed tube thoracostomy is performed for decreased left breath
sounds - ANSWER ->reexamine the chest
A construction worker falls two stories from a building and sustains
bilateral calcaneal fractures. In the emergency department, he is alert,
vital signs are normal, and he is complaining of severe pain in both
heels and his lower back. Lower extremity pulses are strong and there
is no other deformity. The suspected diagnosis is most likely to be
confirmed by - ANSWER ->complete spine x-ray series.
The principle of balanced resuscitation is: - ANSWER ->Permissive
hypotension and early plasma infusion
Question:4 In managing the head-injured patient, the most important
initial step is to - ANSWER ->secure airway
A previously healthy, 70-kg (154-pound) man suffers an estimated
acute blood loss of 2 liters. Which one of the following statements
applies to this patient? - ANSWER ->His systolic blood pressure will be
decreased with a narrowed pulse pressure.
The diagnosis of shock must include - ANSWER ->poor organ perfusion
Question:9 A 7-year-old boy is brought to the emergency department
by his parents several minutes after he fell through a window. He is
bleeding profusely from a 6-cm wound of his medial right thigh.
Immediate management of the wound should consist of - ANSWER -
>direct pressure
, For the patient with severe traumatic brain injury, profound hypocarbia
should be avoided to prevent - ANSWER ->cerebral vasoconstriction
with diminished perfusion.
Question:11 A 25-year-old man is brought to a hospital with a general
surgeon after being involved in a motor vehicle crash. Computed
tomography shows an aortic injury and splenic laceration with free
abdominal fluid. His blood pressure falls to 70 mm Hg after CT. The next
step is - ANSWER ->exploratory laparotomy.
20-year-old woman, at 32 weeks gestation, is stabbed in the upper right
chest. In the emergency department, her blood pressure is 80/60 mm
Hg. She is gasping for breath, extremely anxious, and yelling for help.
Breath sounds are diminished in the right chest. The most appropriate
first step is to - ANSWER ->perform needle decompression of the right
chest.
Which one of the following findings in an adult is most likely to require
immediate management during the primary survey? - ANSWER ->resp
of 40/mi
Question:17 The most important, immediate step in the management
of an open pneumothorax is - ANSWER ->placement of an occlusive
dressing over the wound.
Question:18 The following are contraindications for tetanus toxoid
administration - ANSWER ->History of neurological reaction or severe
hypersensitivity to the product.
Question:19 A 56-year-old man is thrown violently against the steering
wheel of his truck during a motor vehicle crash. On arrival in the
emergency department he is diaphoretic and complaining of chest pain.
