ATLS Pretest Exam, ATLS Complete Solutions, ATLS Exam Prep, ATLS Practice Questions

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ATLS Pretest Exam 2024 with Complete
Solutions



A 22-year-old man is hypotensive and tachycardic after a shotgun wound to the
left shoulder. His blood pressure is initially 80/40 mm Hg. After initial fluid
resuscitation his blood pressure increases to 122/84 mm Hg. His heart rate is
now 100 beats per minute and his respiratory rate is 28 breaths per minute. A
tube thoracostomy is performed for decreased left chest breath sounds with the
return of a small amount of blood and no air leak. After chest tube insertion, the
most appropriate next step is: - ANSWER-re-examine 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

Which of the following is true regarding the initial resuscitation of a trauma
patient? - ANSWER-Evidence of improved perfusion after fluid resuscitation
could include improvement in Glasgow Coma Scale score on reevaluation.

In managing a patient with a severe traumatic brain injury, the most important
initial step is to: - ANSWER-secure the 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-An ABG would demonstrate a base deficit between -6 and -10 mEq/L.

The physiological hypervolemia of pregnancy has clinical significance in the
management of the severely injured, gravid woman by: - ANSWER-increasing
the volume of blood loss to produce maternal hypotension




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The best assessment of fluid resuscitation of the adult burn patient is: -
ANSWER-urinary output of 0.5 mL/kg/hr

The diagnosis of shock must include: - ANSWER-evidence of inadequate organ
perfusion

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 on the wound

For the patient with severe traumatic brain injury, profound hypocarbia should be
avoided to prevent: - ANSWER-cerebral vasoconstriction with diminished
perfusion

After being involved in a motor vehicle crash, a 25-year-old man is brought to a
hospital that has surgery capabilities available.. Computed tomography of the
chest and abdomen 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-perform an exploratory laparotomy

Which one of the following statements regarding abdominal trauma in the
pregnant patient is TRUE? - ANSWER-Leakage of amniotic fluid is an indication
for hospital admission.

The first maneuver to improve oxygenation after chest injury is: -
ANSWER-administer supplemental oxygen

A 25-year-old man, injured in a motor vehicular crash, is admitted to the
emergency department. His pupils react sluggishly and his eyes open to
pressure. He does not follow commands, but he does moan periodically. His right
arm is deformed and does not respond to pressure; however, his left hand
reaches purposefully toward the stimulus. Both legs are stiffly extended. His GCS
score is: - ANSWER-9




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