ATLS POST TEST PAPER MAIN QUESTIONS AND
ANSWERS SET A+
✔✔Which of the following statements regarding injury to the central nervous system in
children is true? - ✔✔Children suffer spinal cord injury without an XR abnormality more
commonly than adults
✔✔Which of the following physical findings does NOT suggest spinal cord injury as the
cause of hypotension?
A. Priapism
B. Bradycardia
C. Distended neck veins
D. Diaphragmatic breathing
E. Ability to flex forearms but inability to extend them - ✔✔??
✔✔5 year old boy is struck by an automobile and brought to the emergency department.
He is lethargic, but withdraws purposefully from painfully stimuli. His blood pressure is
90 mmHg, HR 140 BPM, and RR is 36 bpm. The preferred route of venous access in
this patient is: - ✔✔Pertained veins in the upper extremities
✔✔The response to catecholamines in an injured, hypovolemic pregnant woman can be
expected to result in:
A. Placental abruption
B. Fetal hypoxia and distress
C. Fetal/maternal dysrhytmia
D. Improved uterine blood flow
E. Increased maternal renal blood flow - ✔✔B. Fetal hypoxia and distress
✔✔A construction worker falls from a scaffold and is transferred to the ED. His HR is
124 bpm and his BP is 85/60. He complains of lower abdominal pain. After assessing
the airway and chest, immobilizing the C spine and initiating fluid resuscitation, the next
step is to perform:
A. FAST exam
, B. Detailed neurological exam
C. Rectal exam
D. Cervical spine x-ray
E. Urethral catheterization - ✔✔A. FAST exam
✔✔Cardiac tamponade after trauma: - ✔✔Can be confused with a tension
pneumothorax
✔✔Cardic tamponade:
A. Requires surgical intervention
B. Is definitively managed by needle pericardiocentesis
C. Is easily diagnosed by Beck's triad
D. Is indicated by Kussmaul breathing
E. Is most common with blunt thoracic trauma and anterior rib fractures - ✔✔??
✔✔30 year old man sustains a severely, communities, open distal right femur fracture in
a motorcycle crash. The wound is actively bleeding. DP and PT are easily palpable on
the left, but heard only by Doppler on the right. Immediate effort to improve circulation
the injured extremity should involve: - ✔✔Tamponade of the wound with a pressure
dressing
✔✔24 year old male sustains multiple fractured ribs bilaterally as a result of being
crushed in a press at plywood factory. Examination in the ED revealed a foil segment on
the patient's thorax. Primary resuscitation includes high flow, oxygen administration via
a non-breathing mask, and initiation of ringers lactate solution. The patient exhibits
progressive confusion, cyanosis, and kidney. Management at this time she consist of: -
✔✔Endotracheal intubation and mechanical ventilation
✔✔23 year old man is brought immediately to the emergency department from the
hospital parking lot where he was shot in the lower abdomen. Examination reveals a
single bullet wound. He is breathing and has a thrash pulse. However, he is
unconscious and has no detectable blood pressure. Optimal immediate management is
to: - ✔✔Transfer the patient to the operating room while initiating fluid therapy
✔✔Compared with adults, children have:
A. A longer, wide, funnel shaped airway
B. A less pliable, calcified skeleton
C. Lower incidence of bony injury with neurogenic shock
D. A relatively smaller head and larger jaw
E. Anterior displacement of C5 and C6 - ✔✔C. Lower incidence of bony injury with
neurogenic shock
✔✔25 year old woman is brought to the emergency department after a motor vehicle
crash. She was initially lucid at the scene and then developed the dilated people in
ANSWERS SET A+
✔✔Which of the following statements regarding injury to the central nervous system in
children is true? - ✔✔Children suffer spinal cord injury without an XR abnormality more
commonly than adults
✔✔Which of the following physical findings does NOT suggest spinal cord injury as the
cause of hypotension?
A. Priapism
B. Bradycardia
C. Distended neck veins
D. Diaphragmatic breathing
E. Ability to flex forearms but inability to extend them - ✔✔??
✔✔5 year old boy is struck by an automobile and brought to the emergency department.
He is lethargic, but withdraws purposefully from painfully stimuli. His blood pressure is
90 mmHg, HR 140 BPM, and RR is 36 bpm. The preferred route of venous access in
this patient is: - ✔✔Pertained veins in the upper extremities
✔✔The response to catecholamines in an injured, hypovolemic pregnant woman can be
expected to result in:
A. Placental abruption
B. Fetal hypoxia and distress
C. Fetal/maternal dysrhytmia
D. Improved uterine blood flow
E. Increased maternal renal blood flow - ✔✔B. Fetal hypoxia and distress
✔✔A construction worker falls from a scaffold and is transferred to the ED. His HR is
124 bpm and his BP is 85/60. He complains of lower abdominal pain. After assessing
the airway and chest, immobilizing the C spine and initiating fluid resuscitation, the next
step is to perform:
A. FAST exam
, B. Detailed neurological exam
C. Rectal exam
D. Cervical spine x-ray
E. Urethral catheterization - ✔✔A. FAST exam
✔✔Cardiac tamponade after trauma: - ✔✔Can be confused with a tension
pneumothorax
✔✔Cardic tamponade:
A. Requires surgical intervention
B. Is definitively managed by needle pericardiocentesis
C. Is easily diagnosed by Beck's triad
D. Is indicated by Kussmaul breathing
E. Is most common with blunt thoracic trauma and anterior rib fractures - ✔✔??
✔✔30 year old man sustains a severely, communities, open distal right femur fracture in
a motorcycle crash. The wound is actively bleeding. DP and PT are easily palpable on
the left, but heard only by Doppler on the right. Immediate effort to improve circulation
the injured extremity should involve: - ✔✔Tamponade of the wound with a pressure
dressing
✔✔24 year old male sustains multiple fractured ribs bilaterally as a result of being
crushed in a press at plywood factory. Examination in the ED revealed a foil segment on
the patient's thorax. Primary resuscitation includes high flow, oxygen administration via
a non-breathing mask, and initiation of ringers lactate solution. The patient exhibits
progressive confusion, cyanosis, and kidney. Management at this time she consist of: -
✔✔Endotracheal intubation and mechanical ventilation
✔✔23 year old man is brought immediately to the emergency department from the
hospital parking lot where he was shot in the lower abdomen. Examination reveals a
single bullet wound. He is breathing and has a thrash pulse. However, he is
unconscious and has no detectable blood pressure. Optimal immediate management is
to: - ✔✔Transfer the patient to the operating room while initiating fluid therapy
✔✔Compared with adults, children have:
A. A longer, wide, funnel shaped airway
B. A less pliable, calcified skeleton
C. Lower incidence of bony injury with neurogenic shock
D. A relatively smaller head and larger jaw
E. Anterior displacement of C5 and C6 - ✔✔C. Lower incidence of bony injury with
neurogenic shock
✔✔25 year old woman is brought to the emergency department after a motor vehicle
crash. She was initially lucid at the scene and then developed the dilated people in
