ATLS POST TEST REVIEW SET QUESTIONS AND
ANSWERS SET A+
✔✔What is the simplest way to open the airway in an unconscious patient?
A. Pull out the tongue
B. Tilt head and lift chin
C. Lift neck from behind
D. Jaw thrust - ✔✔B. Tilt head and lift chin
✔✔What is the approximate time the brain can be anoxic before developing irreversible
damage?
A. 10 min
B. 5 min
C. 2 min
D. 20 min - ✔✔A. 10 min
✔✔You are treating a truama patient and attempt a definitive airway by intubation.
However, the vocal cords are not visible. What tool would be the most valuable for
achieving successful intubation?
A. Gum elastic bougie
B. Lateral cervical spine x-ray
C. Nasopharyngeal airway
D. Oxygen
E. Laryngeal mask airway - ✔✔A. Gum elastic bougie
✔✔A 79 year old female is involved in a motor vehicle crash and presents to the ED.
She is on Coumadin and a beta blocker. Which of the following statements is true
concerning her management?
A. The risk of subdural hemorrhage is decreased
B. Absence of tachycardia indicates that the patient is hemodynamically normal
C. Non-operative management of abdominal injuries is more likely to be successful in
older adults than in younger patients
D. Vigorous fluid resuscitation may be associated with cardiorespiratory failure
, D. epinephrine should be infused immediately for hypotension - ✔✔D. Vigorous fluid
resuscitation may be associated with cardiorespiratory failure
✔✔The most common acid base disturbance encountered in injured pediatric patients is
caused by:
A. Hemorrhage
B. Changes in ventilation
C. Renal failure
D. Injudicious bicarbonate administration
E. Insufficient sodium chloride administration - ✔✔B. Changes in ventilation?
✔✔A 17 year old female is brought to the ED following a 2 meter fall onto concrete. She
is unresponsive and found to have a RR of 32, BP 90/60 and HR 68. The first step in
treatment is:
A. Adminstering vasopressors
B. Establishing IV access for drug-assisted intubation
C. Seeking the cause of her decreased level of consciousness
D. Applying oxygen and maintaining airway
E. Excluding hemorrhage as a cause of shock - ✔✔D. Applying oxygen and maintaining
airway
✔✔A 25 year old male is brought to the ED following a bar fight. He has altered
consciousness, open his eyes on command, moans without forming discernible words,
and localizes to painful stimuli. Which one of the following statements concerning this
patient is true?
A. Hyperoxia should be avoided
B. CT scanning is an important part of neurological assessment
C. Mandatory intubation to protect his airway is required
D. His GCS suggest severe head injury
E. His level of consciousness can be solely attributed to elevated blood alcohol. - ✔✔B.
CT scanning is an important part of neurological assessment
Han har GCS på 10-11, således passer det ikke med svaralternativ D som tilsvarer
GCS <9. Ettersom GCS er >8 passer heller ikke svaralternativ C. E er feil da det ikke
kan gi så lav GCS
✔✔Which one of the following statements regarding genitourinary injuries is true?
A. Urethral injuries are associated with pelvic fractures
B. All patients with microscopic hematuria require evaluation of genitourinary tract
C. Patient presenting with gross hematuria and shock will have a major renal injury as
the source of hemorrhage
D. Intraperitoneal bladder injuries are usually managed definitively with a urinary
catether
E. Urinary catheters should be placed in all patients with pelvic fractures during the
primary survey - ✔✔A. Urethral injuries are associated with pelvic fractures
ANSWERS SET A+
✔✔What is the simplest way to open the airway in an unconscious patient?
A. Pull out the tongue
B. Tilt head and lift chin
C. Lift neck from behind
D. Jaw thrust - ✔✔B. Tilt head and lift chin
✔✔What is the approximate time the brain can be anoxic before developing irreversible
damage?
A. 10 min
B. 5 min
C. 2 min
D. 20 min - ✔✔A. 10 min
✔✔You are treating a truama patient and attempt a definitive airway by intubation.
However, the vocal cords are not visible. What tool would be the most valuable for
achieving successful intubation?
A. Gum elastic bougie
B. Lateral cervical spine x-ray
C. Nasopharyngeal airway
D. Oxygen
E. Laryngeal mask airway - ✔✔A. Gum elastic bougie
✔✔A 79 year old female is involved in a motor vehicle crash and presents to the ED.
She is on Coumadin and a beta blocker. Which of the following statements is true
concerning her management?
A. The risk of subdural hemorrhage is decreased
B. Absence of tachycardia indicates that the patient is hemodynamically normal
C. Non-operative management of abdominal injuries is more likely to be successful in
older adults than in younger patients
D. Vigorous fluid resuscitation may be associated with cardiorespiratory failure
, D. epinephrine should be infused immediately for hypotension - ✔✔D. Vigorous fluid
resuscitation may be associated with cardiorespiratory failure
✔✔The most common acid base disturbance encountered in injured pediatric patients is
caused by:
A. Hemorrhage
B. Changes in ventilation
C. Renal failure
D. Injudicious bicarbonate administration
E. Insufficient sodium chloride administration - ✔✔B. Changes in ventilation?
✔✔A 17 year old female is brought to the ED following a 2 meter fall onto concrete. She
is unresponsive and found to have a RR of 32, BP 90/60 and HR 68. The first step in
treatment is:
A. Adminstering vasopressors
B. Establishing IV access for drug-assisted intubation
C. Seeking the cause of her decreased level of consciousness
D. Applying oxygen and maintaining airway
E. Excluding hemorrhage as a cause of shock - ✔✔D. Applying oxygen and maintaining
airway
✔✔A 25 year old male is brought to the ED following a bar fight. He has altered
consciousness, open his eyes on command, moans without forming discernible words,
and localizes to painful stimuli. Which one of the following statements concerning this
patient is true?
A. Hyperoxia should be avoided
B. CT scanning is an important part of neurological assessment
C. Mandatory intubation to protect his airway is required
D. His GCS suggest severe head injury
E. His level of consciousness can be solely attributed to elevated blood alcohol. - ✔✔B.
CT scanning is an important part of neurological assessment
Han har GCS på 10-11, således passer det ikke med svaralternativ D som tilsvarer
GCS <9. Ettersom GCS er >8 passer heller ikke svaralternativ C. E er feil da det ikke
kan gi så lav GCS
✔✔Which one of the following statements regarding genitourinary injuries is true?
A. Urethral injuries are associated with pelvic fractures
B. All patients with microscopic hematuria require evaluation of genitourinary tract
C. Patient presenting with gross hematuria and shock will have a major renal injury as
the source of hemorrhage
D. Intraperitoneal bladder injuries are usually managed definitively with a urinary
catether
E. Urinary catheters should be placed in all patients with pelvic fractures during the
primary survey - ✔✔A. Urethral injuries are associated with pelvic fractures
