ATLS (ADVANCED TRAUMA LIFE SUPPORT) 10TH EDITION POST-TEST
- COMPLETE QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: An 18 y/o man is brought to the ED after smashing his
motorcycle into a tree. He is conscious and alert, but paralyzed in
both legs and arms. His skin is pale and cold. He complains of
thirst and difficulty in breathing. His airway is clear. His BP is 60/40
and his pulse is 140 bpm. Breath sounds are full and equal
bilaterally. He should
A. Undergo exploratory celiotomy
B. Be treated for neurogenic shock
C. Be treated for hypovolemic shock
D. Undergo immediate nasotracheal intubation
E. be placed in cervical traction tongs before any other treatment is
instituted
Answer:
C. Be treated for hypovolemic shock
Question 2: The principle of balanced resuscitation is:
A. Permissive hypotension and early plasma infusion
B. Equal amounts of crystalloid and colloids
C. Simultaneous management of breathing and circulation
D. Maintenance of a normal acid base balance
E. Achieving a pulse rate <90
Answer:
A) Permissive hypotension and early plasma infusion
,Question 3: Healthy young male in a motor vehicle crash is brought
to the emergency department with a blood pressure of 84/60, pulse
123, GCS 10. The patient moans when his pelvis is palpated. After
initiating fluid resuscitation, the next step in management is:
A. Placement of a pelvic binder
B. Transfer to a trauma center
C. Pelvic x-ray
D. Insert urinary catheter
E. Repeat examination of pelvis
Answer:
A) Placement of a pelvic binder
Question 4: 22 year old male fall from 2m, large right
pneumothorax. Chest tube placed, connected to drainage. Control
x-ray shows pneumothorax, third x-ray reveals pneumothorax
Answer:
Tracheobronchal injury
Question 5: Which one of the following is not a feature of
neurogenic shock?
A. Increased venous capaitance
B. Decreased systemic vascular resistance
C. Increased cardiac output
D. Warm skin
Answer:
C. Increased cardiac output
Question 6: Tension pneumothorax can be caused by:
, A. Flail chest
B. Cardiac tamponade
C. Clamping of a chest tube
D. All of the above
Answer:
Answer not provided in source file - marked for review
Question 7: Which one of the following brain stem reflexes is not
assessed when assessing for brain death?
A. Dolls eyes
B. Oculovestibular reflex
C. Gag reflex
D. Argyll Robertson pupil
Answer:
Answer not provided in source file - marked for review
Question 8: 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
Answer:
Answer not provided in source file - marked for review
Question 9: 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
Answer:
Answer not provided in source file - marked for review
Question 10: 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
Answer:
A. Gum elastic bougie
Question 11: 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
- COMPLETE QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: An 18 y/o man is brought to the ED after smashing his
motorcycle into a tree. He is conscious and alert, but paralyzed in
both legs and arms. His skin is pale and cold. He complains of
thirst and difficulty in breathing. His airway is clear. His BP is 60/40
and his pulse is 140 bpm. Breath sounds are full and equal
bilaterally. He should
A. Undergo exploratory celiotomy
B. Be treated for neurogenic shock
C. Be treated for hypovolemic shock
D. Undergo immediate nasotracheal intubation
E. be placed in cervical traction tongs before any other treatment is
instituted
Answer:
C. Be treated for hypovolemic shock
Question 2: The principle of balanced resuscitation is:
A. Permissive hypotension and early plasma infusion
B. Equal amounts of crystalloid and colloids
C. Simultaneous management of breathing and circulation
D. Maintenance of a normal acid base balance
E. Achieving a pulse rate <90
Answer:
A) Permissive hypotension and early plasma infusion
,Question 3: Healthy young male in a motor vehicle crash is brought
to the emergency department with a blood pressure of 84/60, pulse
123, GCS 10. The patient moans when his pelvis is palpated. After
initiating fluid resuscitation, the next step in management is:
A. Placement of a pelvic binder
B. Transfer to a trauma center
C. Pelvic x-ray
D. Insert urinary catheter
E. Repeat examination of pelvis
Answer:
A) Placement of a pelvic binder
Question 4: 22 year old male fall from 2m, large right
pneumothorax. Chest tube placed, connected to drainage. Control
x-ray shows pneumothorax, third x-ray reveals pneumothorax
Answer:
Tracheobronchal injury
Question 5: Which one of the following is not a feature of
neurogenic shock?
A. Increased venous capaitance
B. Decreased systemic vascular resistance
C. Increased cardiac output
D. Warm skin
Answer:
C. Increased cardiac output
Question 6: Tension pneumothorax can be caused by:
, A. Flail chest
B. Cardiac tamponade
C. Clamping of a chest tube
D. All of the above
Answer:
Answer not provided in source file - marked for review
Question 7: Which one of the following brain stem reflexes is not
assessed when assessing for brain death?
A. Dolls eyes
B. Oculovestibular reflex
C. Gag reflex
D. Argyll Robertson pupil
Answer:
Answer not provided in source file - marked for review
Question 8: 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
Answer:
Answer not provided in source file - marked for review
Question 9: 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
Answer:
Answer not provided in source file - marked for review
Question 10: 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
Answer:
A. Gum elastic bougie
Question 11: 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
