ATLS MCQ Exam Questions and Answers 2024 Update!!
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: - -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: - -complete spine x-ray series
Which of the following is true regarding the initial resuscitation of a trauma patient? -
-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: - -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? - -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: - -increasing the volume of blood loss to
produce maternal hypotension
The best assessment of fluid resuscitation of the adult burn patient is: - -urinary
output of 0.5 mL/kg/hr
The diagnosis of shock must include: - -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: - -direct
pressure on the wound
For the patient with severe traumatic brain injury, profound hypocarbia should be avoided
to prevent: - -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: - -perform an exploratory laparotomy
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: - -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: - -complete spine x-ray series
Which of the following is true regarding the initial resuscitation of a trauma patient? -
-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: - -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? - -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: - -increasing the volume of blood loss to
produce maternal hypotension
The best assessment of fluid resuscitation of the adult burn patient is: - -urinary
output of 0.5 mL/kg/hr
The diagnosis of shock must include: - -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: - -direct
pressure on the wound
For the patient with severe traumatic brain injury, profound hypocarbia should be avoided
to prevent: - -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: - -perform an exploratory laparotomy
