ATLS POST TEST 2024 NEWEST 2 VERSIONS WITH
QUESTIONS AND ANSWERS GRADED A+
1. The primary indication for transferring a 4. Which one of the following s
patient to a higher level trauma center is: regarding patients with thoracic
TRUE?
unavailability of a surgeon or operating room fracture of the cer
staff. fracture of the crib
multiple system injuries, including severe
head injury.
resource limitations as determined by the
transferring doctor.
resource limitations as determined by the
hospital administration.
widened mediastinum on chest x-ray
following blunt thoracic trauma.
2. teen-aged bicycle rider is hit by a truck
traveling at a high rate of speed. In the
emergency department, she is actively bleeding
from open fractures of her legs, and has
abrasions on her chest and abdominal wall. Her
blood pressure is 80/50 mm Hg, heart rate is
140 beats per minute, respiratory rate is 8
breaths per minute, and GCS score is 6.
The first step in managing this patient is to:
obtain a lateral cervical spine x-ray.
insert a central venous pressure line.
administer 2 liters of crystalloid solution.
perform endotracheal intubation and
ventilation.
apply the PASG and inflate the leg
compartments.
, Log-rolling may be destabilizing to mostappropriate step is to perfo
fractures from T-12 to L-1. ac
Adequate immobilization can be an abdomina
accomplished with the scoop stretcher. diagnostic lap
Spinal cord injury below T-10 usually spares abdominal ultraso
bowel and bladder function. a diagnostic periton
Hyperflexion fractures in the upper
thoracic spine are inherently unstable.
6. young woman sustains a seve
These patients rarely present with spinal
as the result of a motor vehicul
shock in association with cord injury.
emergency department, her GC
blood pressure is 140/90 mm H
5. young man sustains a ritle wound to the rate is 80 beats per minute. She
mid-abdomen. He is brought promptly to the is being mechanically ventilated
emergency department by prehospital 3 mm in size and equally reacti
personnel. His skin is cool and diaphoretic, and There is no other apparent injur
his systolic blood pressure is 58 rnm Hg. important principle to follow in
Warmed crystalloid fluids are initiated without management of her head injury
improvement in his vital signs. The next,
administer an osmoti
prevent secondary bra
, aggressively treat systemic hypertension. 9. 8-year-old girl is an unrestrai
reduce metabolic requirements of the in a vehicle struck from behind.
brain. emergency department, her blo
distinguish between intracranial hematoma 80/60 mm Hg, heart rate is 80 b
and cerebral edema. and respiratory rate is 16 breath
Her GCS score is 14. She compl
legs feel "funny and won't mov
7. 22-year-old man is brought to the hospital
however, her spine x-rays do n
after crashing his motorcycle into a telephone
fracture or dislocation. A spinal
pole. He is unconscious and in profound shock.
this child:
He has no open wounds or obvious fractures.
is most likely a central cord s
The cause of his shock is MOST LIKELY
must be diagnosed by magnetic r
caused by:
a subdural hematoma.
can be excluded by obtaining a
an epidural hematoma.
en
a transected lumbar spinal cord.
may exist in the absence of
a transected cervical spinal cord.
findings on x-ra
hemorrhage into the chest or abdomen. is unlikely because of the in
calcification of the vertebr
8. 30-year-old man is struck by a car traveling
at 56 kph (35 mph). He has obvious fractures of 10. Immediate chest tube inserti
the left tibia near the knee, pain in the pelvic for which of the following cond
area, and severe dyspnea. His heart rate is 180
Pneu
beats per minute, and his respiratory rate is 48
Pneumome
breaths per minute with no breath sounds heard
Massive he
in the left chest. A tension pneumothorax is
Diaphragma
relieved by immediate needle decompression
Subcutaneous em
and tube thoracostomy. Subsequently, his heart
rate decreases to 140 beats per minute, his
respiratory rate decreases to 36 breaths per 11. 18-year-old, helmeted motor
minute, and his blood pressure is 80/50 inm Hg. brought by ambulance to the e
Warmed Ringer's lactate is administered department following a high-sp
intravenously. The next priority should be to: Prehospital persormel report tha
perform a urethrogram and cystogram. 15 meters (50 feet) off his bfice
perform external fixation of the pelvis. history of hypotension prior to
obtain abdominal and pelvic CT scans. emergency department, but is n
perform arterial embolization of the pelvic and conversational. Which of t
QUESTIONS AND ANSWERS GRADED A+
1. The primary indication for transferring a 4. Which one of the following s
patient to a higher level trauma center is: regarding patients with thoracic
TRUE?
unavailability of a surgeon or operating room fracture of the cer
staff. fracture of the crib
multiple system injuries, including severe
head injury.
resource limitations as determined by the
transferring doctor.
resource limitations as determined by the
hospital administration.
widened mediastinum on chest x-ray
following blunt thoracic trauma.
2. teen-aged bicycle rider is hit by a truck
traveling at a high rate of speed. In the
emergency department, she is actively bleeding
from open fractures of her legs, and has
abrasions on her chest and abdominal wall. Her
blood pressure is 80/50 mm Hg, heart rate is
140 beats per minute, respiratory rate is 8
breaths per minute, and GCS score is 6.
The first step in managing this patient is to:
obtain a lateral cervical spine x-ray.
insert a central venous pressure line.
administer 2 liters of crystalloid solution.
perform endotracheal intubation and
ventilation.
apply the PASG and inflate the leg
compartments.
, Log-rolling may be destabilizing to mostappropriate step is to perfo
fractures from T-12 to L-1. ac
Adequate immobilization can be an abdomina
accomplished with the scoop stretcher. diagnostic lap
Spinal cord injury below T-10 usually spares abdominal ultraso
bowel and bladder function. a diagnostic periton
Hyperflexion fractures in the upper
thoracic spine are inherently unstable.
6. young woman sustains a seve
These patients rarely present with spinal
as the result of a motor vehicul
shock in association with cord injury.
emergency department, her GC
blood pressure is 140/90 mm H
5. young man sustains a ritle wound to the rate is 80 beats per minute. She
mid-abdomen. He is brought promptly to the is being mechanically ventilated
emergency department by prehospital 3 mm in size and equally reacti
personnel. His skin is cool and diaphoretic, and There is no other apparent injur
his systolic blood pressure is 58 rnm Hg. important principle to follow in
Warmed crystalloid fluids are initiated without management of her head injury
improvement in his vital signs. The next,
administer an osmoti
prevent secondary bra
, aggressively treat systemic hypertension. 9. 8-year-old girl is an unrestrai
reduce metabolic requirements of the in a vehicle struck from behind.
brain. emergency department, her blo
distinguish between intracranial hematoma 80/60 mm Hg, heart rate is 80 b
and cerebral edema. and respiratory rate is 16 breath
Her GCS score is 14. She compl
legs feel "funny and won't mov
7. 22-year-old man is brought to the hospital
however, her spine x-rays do n
after crashing his motorcycle into a telephone
fracture or dislocation. A spinal
pole. He is unconscious and in profound shock.
this child:
He has no open wounds or obvious fractures.
is most likely a central cord s
The cause of his shock is MOST LIKELY
must be diagnosed by magnetic r
caused by:
a subdural hematoma.
can be excluded by obtaining a
an epidural hematoma.
en
a transected lumbar spinal cord.
may exist in the absence of
a transected cervical spinal cord.
findings on x-ra
hemorrhage into the chest or abdomen. is unlikely because of the in
calcification of the vertebr
8. 30-year-old man is struck by a car traveling
at 56 kph (35 mph). He has obvious fractures of 10. Immediate chest tube inserti
the left tibia near the knee, pain in the pelvic for which of the following cond
area, and severe dyspnea. His heart rate is 180
Pneu
beats per minute, and his respiratory rate is 48
Pneumome
breaths per minute with no breath sounds heard
Massive he
in the left chest. A tension pneumothorax is
Diaphragma
relieved by immediate needle decompression
Subcutaneous em
and tube thoracostomy. Subsequently, his heart
rate decreases to 140 beats per minute, his
respiratory rate decreases to 36 breaths per 11. 18-year-old, helmeted motor
minute, and his blood pressure is 80/50 inm Hg. brought by ambulance to the e
Warmed Ringer's lactate is administered department following a high-sp
intravenously. The next priority should be to: Prehospital persormel report tha
perform a urethrogram and cystogram. 15 meters (50 feet) off his bfice
perform external fixation of the pelvis. history of hypotension prior to
obtain abdominal and pelvic CT scans. emergency department, but is n
perform arterial embolization of the pelvic and conversational. Which of t
