: ATLS Practice Questions 2024 – American College of Surgeons – Complete Exam Preparation with Answers

(ANSWERED) ATLS PRACTICE
QUESTIONS 2024 updated




HP

,(ANSWERED) ATLS PRACTICE QUESTIONS 2024
updated

ATLS practice questions

Assessed first in trauma patient - ANSWER- Airway

(*)Degree of burn that is characterized by bone involvement - ANSWER- Fourth

Complications of head trauma - ANSWER- Intracerebral hematoma

Extradural hematoma

Brain abscess

Most common cause of laryngotracheal stenosis - ANSWER- Trauma

Intervention that can help prevent development of acute renal failure - ANSWER- Infusion of normal
saline

A 26-year-old male is resuscitated with blood transfusion after a motor vehicle collision that was
complicated by a fractured pelvis. A few hours later, the patient becomes febrile, hypotensive with a
normal CVP, and oliguric. Upon examination, the patient is found to be bleeding from the NG tube and IV
sites. Which of the following is the most likely diagnosis?

A. Hemorrhagic shock

B. Acute adrenal insufficiency

C. Fat embolism syndrome

D. Transfusion reaction - ANSWER- D. Transfusion reaction

Skin antiseptic - ANSWER- -Ethanol 70% is an effective skin antiseptic

-Acetic acid can be used to treat Gram- skin infections

-Salicylic acid is used to treat certain skin yeast infections

Class IV hemorrhage indicates what % blood loss - ANSWER- 55%

How does shivering affect body temperature - ANSWER- Increases body temperature

Class III hemorrhage indicates what % of blood loss - ANSWER- 35%

Management of a stable patient with kidney contusion - ANSWER- Observation

Associated with hypovolemic shock - ANSWER- -Inadequate tissue perfusion with resultant tissue
hypoxia

(ANSWERED) ATLS PRACTICE QUESTIONS 2024
updated

,(ANSWERED) ATLS PRACTICE QUESTIONS 2024
updated
-Blood shunting to vital organs

-Decreased circulating blood volume and decreased venous return




(ANSWERED) ATLS PRACTICE QUESTIONS 2024
updated

, (ANSWERED) ATLS PRACTICE QUESTIONS 2024
updated
-Low cardiac output

-Loss of less than 20% of the blood volume is usually without symptom except for mild tachycardia

-Patients become orthostatic with losses between 20 and 40%

-Shock is evidenced by tachycardia, hypotension, oliguria, flat neck veins

The most effective method of monitoring the success of resuscitation during CPR? - ANSWER-
Reactivity of pupils to light

Used to ensure correct placement of endotracheal tube - ANSWER- -Ultrasound

-Bilateral breath sounds

-Sustained end-tidal CO2

Total body surface area involved in a burn in an adult to the anterior chest and abdomen - ANSWER-

18% What is often caused by carotid massage? - ANSWER- Bradycardia

Step in a patient diagnosed with tension pneumothorax - ANSWER- 1. Needle decompression/
thoracotomy

2. Chest tube

True statements regarding diaphragmatic injuries - ANSWER- -Blunt diaphragmatic injuries are usually
associated with skeletal trauma

-Penetrating diaphragmatic injuries may be missed

-Repair of traumatic diaphragmatic injuries usually does not require prosthetic material

First priority in the treatment of an unconscious patient - ANSWER- Checking the pulse

A patient involved in a road accident is brought to the emergency department in an unconscious state.
On arrival, her vitals show a temperature of 96.4 degrees Fahrenheit, a respiration rate of 24 breaths per
minute, a heart rate of 140 beats per minute, and a blood pressure of 80/40 mm Hg. She is cold,
shivering, and perspiring profusely. She has bilateral reactive pupils but she does not respond to pain.
On physical examination, she has no obvious sign of external bleeding. Which of the following cannot be
the cause of hypotension in this patient?

A. Pelvic fracture

B. Fracture of femur

C. Intracranial hemorrhage


(ANSWERED) ATLS PRACTICE QUESTIONS 2024
updated