ATLS PRACTICE EXAM
QUESTIONS AND ANSWERS
GUARANTEED SUCCESS |A+
GRADED
What treatment is NOT indicated in the routine management of the patient with a head
injury?
A. Administration of 100% oxygen
B. Fluid resuscitation to a BP of 110-120 systolic if the patient is hypotensive
C. Hyperventilating to obtain an EtCO2 of less than 30
D. Stabilization of the cervical spine - C. Hyperventilating to obtain an EtCO2 of less
than 30
Which of the following sets of vital signs is most compatible with a diagnosis of isolated
head injury with increasing intracranial pressure?
A. BP 170/100, pulse 50/min
B. BP 80/60, pulse 130/min
C. BP 80/60, pulse 50/min
D. BP 170/100, pulse 130/min - A. BP 170/100, pulse 50/min
Which one of the following is a reason to interrupt the initial assessment?
A. Cardiac arrest
B. Multiple open (compound) fractures
C. Severe head injury with brain tissue visible
D. Severe shock - A. Cardiac arrest
What site is the first choice for intraosseous infusion?
A. Proximal tibia
B. Distal humerus
C. Proximal femur
D. Distal fibula - A. Proximal tibia
A 34 year old man has a gunshot wound to the right groin area. Arterial bleeding, which
cannot be controlled with direct pressure, is coming from the wound. The patient
appears confused, diaphoretic, and has weak peripheral pulses. What is the appropriate
fluid resuscitation for this patient?
A. Intravenous fluid at a "keep open" rate
B. Apply a hemostatic agent and gain intravenous access given enough fluid to maintain
peripheral pulses
C. Intravenous fluid at a wide open rate; give at least two liters, then reassess patient
D. No intravenous access should be established in this situation - B. Apply a
hemostatic agent and gain intravenous access given enough fluid to maintain peripheral
pulses
Which one of the following is typically associated with, post-traumatic hemorrhage,
EARLY shock?
A. Ventricular dysrhythmias
, B. Hypotension
C. Loss of 30% to 45% of blood volume
D. Narrowed pulse pressure - D. Narrowed pulse pressure
Among the following, what is the most common cause of preventable trauma death in
the injured adult patient?
A. Airway obstruction
QUESTIONS AND ANSWERS
GUARANTEED SUCCESS |A+
GRADED
What treatment is NOT indicated in the routine management of the patient with a head
injury?
A. Administration of 100% oxygen
B. Fluid resuscitation to a BP of 110-120 systolic if the patient is hypotensive
C. Hyperventilating to obtain an EtCO2 of less than 30
D. Stabilization of the cervical spine - C. Hyperventilating to obtain an EtCO2 of less
than 30
Which of the following sets of vital signs is most compatible with a diagnosis of isolated
head injury with increasing intracranial pressure?
A. BP 170/100, pulse 50/min
B. BP 80/60, pulse 130/min
C. BP 80/60, pulse 50/min
D. BP 170/100, pulse 130/min - A. BP 170/100, pulse 50/min
Which one of the following is a reason to interrupt the initial assessment?
A. Cardiac arrest
B. Multiple open (compound) fractures
C. Severe head injury with brain tissue visible
D. Severe shock - A. Cardiac arrest
What site is the first choice for intraosseous infusion?
A. Proximal tibia
B. Distal humerus
C. Proximal femur
D. Distal fibula - A. Proximal tibia
A 34 year old man has a gunshot wound to the right groin area. Arterial bleeding, which
cannot be controlled with direct pressure, is coming from the wound. The patient
appears confused, diaphoretic, and has weak peripheral pulses. What is the appropriate
fluid resuscitation for this patient?
A. Intravenous fluid at a "keep open" rate
B. Apply a hemostatic agent and gain intravenous access given enough fluid to maintain
peripheral pulses
C. Intravenous fluid at a wide open rate; give at least two liters, then reassess patient
D. No intravenous access should be established in this situation - B. Apply a
hemostatic agent and gain intravenous access given enough fluid to maintain peripheral
pulses
Which one of the following is typically associated with, post-traumatic hemorrhage,
EARLY shock?
A. Ventricular dysrhythmias
, B. Hypotension
C. Loss of 30% to 45% of blood volume
D. Narrowed pulse pressure - D. Narrowed pulse pressure
Among the following, what is the most common cause of preventable trauma death in
the injured adult patient?
A. Airway obstruction
