ADVANCED TRAUMA LIFE SUPPORT (ATLS) -
EXAMINATION
COMPLETE QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: A patient suffers a gunshot wound to the abdomen.
She is stable and only complains of mild pain at the site. On
examination, she has mild rebound tenderness. Her WBC count is
10, hematocrit is 31, and hemoglobin is 13.2. What is the next step
in the management of this patient?
A. Surgery
B. Abdominal CT
C. Abdominal Ultrasound
D. Rectal exam
Answer:
B. Abdominal CT
Question 2: First step taken to minimize thermal burn injury
Answer:
Remove source of heat
Question 3: Best assessment of fluid resuscitation of adult burn
patient
A. Urine output of 0.5 mL/kg/hr
B. Normalization of BP
C. Normalization of HR
D. Measuring a normal central venous pressure
, E. Providing 4mL/kg/% body burned/24 hours crystalloid fluid
Answer:
A. urine output of 0.5 mL/kg/hr
Question 4: Facts concerning spine trauma
Answer:
-5% patients with brain injury have a spine injury
-25% patients with spine injury have a brain injury
-33% of patients with upper c-spine injuries die at the scene
Question 5: Which of the following local anesthetics has the
longest duration of action?
A. Procaine (Novocaine)
B. Bupivacaine (Marcaine)
C. Mepivacaine (Carbocaine)
D. Lidocaine (Xylocaine)
Answer:
B. Bupivacaine (Marcaine)
Question 6: When the cephalic vein cut down is done in the
deltopectoral groove, the vein is usually found between the....
Answer:
Deltoid and pectoralis muscles
Question 7: What is the most important factor in preventing
accidental pool drowning?
A. Pool covers
B. Fences around pools
, C. Swimming lessons
D. Parental supervision
Answer:
D. Parental supervision
Question 8: Characteristics of early hemorrhagic shock
Answer:
Cold skin
Slow capillary refill
Confusion
NOT bradycardia
Question 9: A patient is thrown out of a car. He is hemodynamically
stable, asymptomatic, and the only finding is a right sided
pneumothorax. What is the best treatment for this man?
A. Aspiration of pneumothorax
B. Monitor pneumothorax
C. CT scan
D. Placement of chest tube
Answer:
D. Placement of chest tube
Question 10: Important landmark for location of second rib
Answer:
Sternal angle
Question 11: Contributes to a low score on the Glasgow coma
scale
, Answer:
Paralysis
Low blood sugar
Use of narcotics
Question 12: Pericardiocentesis is done by needle insertion
through which of the intercostal spaces?
Answer:
Fifth intercostal space
Question 13: After a femur fracture, which of the following is
LEAST likely?
A. Severe pain
B. Expanding hematoma
C. Severe nerve injury
D. Absent distal pulses
Answer:
C. Severe nerve injury
Question 14: Which of the following is no longer indicated for
routine treatment of shock patients?
A. Cervical spine stabilization
B. Pneumatic anti-shock garment (PASG)
C. Endotracheal intubation
D. Oxygen
Answer:
B. Pneumatic anti-shock garment (PASG)
EXAMINATION
COMPLETE QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: A patient suffers a gunshot wound to the abdomen.
She is stable and only complains of mild pain at the site. On
examination, she has mild rebound tenderness. Her WBC count is
10, hematocrit is 31, and hemoglobin is 13.2. What is the next step
in the management of this patient?
A. Surgery
B. Abdominal CT
C. Abdominal Ultrasound
D. Rectal exam
Answer:
B. Abdominal CT
Question 2: First step taken to minimize thermal burn injury
Answer:
Remove source of heat
Question 3: Best assessment of fluid resuscitation of adult burn
patient
A. Urine output of 0.5 mL/kg/hr
B. Normalization of BP
C. Normalization of HR
D. Measuring a normal central venous pressure
, E. Providing 4mL/kg/% body burned/24 hours crystalloid fluid
Answer:
A. urine output of 0.5 mL/kg/hr
Question 4: Facts concerning spine trauma
Answer:
-5% patients with brain injury have a spine injury
-25% patients with spine injury have a brain injury
-33% of patients with upper c-spine injuries die at the scene
Question 5: Which of the following local anesthetics has the
longest duration of action?
A. Procaine (Novocaine)
B. Bupivacaine (Marcaine)
C. Mepivacaine (Carbocaine)
D. Lidocaine (Xylocaine)
Answer:
B. Bupivacaine (Marcaine)
Question 6: When the cephalic vein cut down is done in the
deltopectoral groove, the vein is usually found between the....
Answer:
Deltoid and pectoralis muscles
Question 7: What is the most important factor in preventing
accidental pool drowning?
A. Pool covers
B. Fences around pools
, C. Swimming lessons
D. Parental supervision
Answer:
D. Parental supervision
Question 8: Characteristics of early hemorrhagic shock
Answer:
Cold skin
Slow capillary refill
Confusion
NOT bradycardia
Question 9: A patient is thrown out of a car. He is hemodynamically
stable, asymptomatic, and the only finding is a right sided
pneumothorax. What is the best treatment for this man?
A. Aspiration of pneumothorax
B. Monitor pneumothorax
C. CT scan
D. Placement of chest tube
Answer:
D. Placement of chest tube
Question 10: Important landmark for location of second rib
Answer:
Sternal angle
Question 11: Contributes to a low score on the Glasgow coma
scale
, Answer:
Paralysis
Low blood sugar
Use of narcotics
Question 12: Pericardiocentesis is done by needle insertion
through which of the intercostal spaces?
Answer:
Fifth intercostal space
Question 13: After a femur fracture, which of the following is
LEAST likely?
A. Severe pain
B. Expanding hematoma
C. Severe nerve injury
D. Absent distal pulses
Answer:
C. Severe nerve injury
Question 14: Which of the following is no longer indicated for
routine treatment of shock patients?
A. Cervical spine stabilization
B. Pneumatic anti-shock garment (PASG)
C. Endotracheal intubation
D. Oxygen
Answer:
B. Pneumatic anti-shock garment (PASG)
