ATLS REAL MENTAL HEALTH TEST 2024
(MALE AND FEMALE STATE OF MIND
ACCORDING TO AGE) QUESTIONS WITH
CORRECT ALPHABETIZED ANSWERS |
STUDY TO PASS A GRADED
A 33-year-old female is involved in a head-on motor vehicle crash. It took 30 minutes to
extricate her from the car. Upon arrival in the emergency department, her heart rate is
120 beats per minute, BP is 90/70 mm Hg, respiratory rate is 16 breaths per minute,
and her GCS score is 15.
Examination reveals bilaterally equal breath sounds, anterior chest wall ecchymosis,
and distended neck veins. Her abdomen is flat, soft, and not tender. Her pelvis is stable.
Palpable distal pulses are found in all 4 extremities. Of the following, the most likely
diagnosis is:
Select one:
a.
hemorrhagic shock
b.
cardiac tamponade
c.
massive hemothorax
d.
tension pneumothorax
e.
diaphragmatic rupture - ANSWERS -b.
cardiac tamponade
In managing a patient with a severe traumatic brain injury, the most important initial step
is to:
Select one:
a.
Secure the airway
b.
obtain a c-spine film
c.
support the circulation
d.
1
,control scalp hemorrhage
e.
determine the GCS score
Feedback
Your answer is corr - ANSWERS -a.
Secure the airway
The best assessment of fluid resuscitation of the adult burn patient is:
Select one:
a.
Urine output of 0.5 mL/kg/hr
b.
normalization of blood pressure
c.
normalization of the heart rate
d.
measuring a normal central venous pressure
e.
providing 4 mL/kg/percent body burn/24 hours of crystalloid fluid - ANSWERS -a.
Urine output of 0.5 mL/kg/hr
The diagnosis of shock must include:
Select one:
a.
hypoxemia
b.
acidosis
c.
hypotension
d.
increased vascular resistance
e.
evidence of inadequate organ perfusion - ANSWERS -e.
evidence of inadequate organ perfusion
The first maneuver to improve oxygenation after chest injury is to:
Select one:
a.
intubate the patient
b.
assess arterial blood gases
c.
administer supplemental oxygen
d.
ascertain the need for a chest tube
e.
2
, obtain a chest x-ray - ANSWERS -c.
administer supplemental oxygen
The physiologic hypervolemia of pregnancy has clinical significance in the management
of the severely injured, gravid woman by:
Select one:
a.
reducing the need for blood transfusion
b.
resulting in an elevated hematocrit
c.
complicating the management of closed head injury
d.
reducing the volume of crystalloid required for resuscitation
e.
increasing the volume of blood loss to produce maternal hypotension - ANSWERS -e.
increasing the volume of blood loss to produce maternal hypotension
A 20-year-old woman that is 32 weeks gestation , is stabbed in the upper right chest. In
the emergency department, her blood pressure is 80/60 mm Hg. She is gasping for
breath, extremely anxious, and yelling for help. Breath sounds are diminished in the
right chest. The most appropriate first step is to:
Select one:
a.
perform tracheal intubation
b.
insert an oropharyngeal airway
c.
perform needle or finger decompression of the right chest
d.
manually displace the gravid uterus to the left side of the abdomen
e.
initiate 2, large-caliber peripheral IV lines and crystalloid infusion - ANSWERS -c.
perform needle or finger decompression of the right chest
A 22-year-old female athlete is stabbed in her left chest at the third interspace in the
anterior axillary line. On admission to the ED and 15 minutes after the incident, she is
awake and alert. Her heart rate is 100 beats per minute, blood pressure is 80/60 mm
Hg, and respiratory rate is 20 breaths per minute. A chest x-ray reveals a large left
hemothorax. A left chest tube is placed with an immediate return of 1600 mL of blood.
The next management step for this patient is to:
Select one:
a.
perform a thoracoscopy
3
(MALE AND FEMALE STATE OF MIND
ACCORDING TO AGE) QUESTIONS WITH
CORRECT ALPHABETIZED ANSWERS |
STUDY TO PASS A GRADED
A 33-year-old female is involved in a head-on motor vehicle crash. It took 30 minutes to
extricate her from the car. Upon arrival in the emergency department, her heart rate is
120 beats per minute, BP is 90/70 mm Hg, respiratory rate is 16 breaths per minute,
and her GCS score is 15.
Examination reveals bilaterally equal breath sounds, anterior chest wall ecchymosis,
and distended neck veins. Her abdomen is flat, soft, and not tender. Her pelvis is stable.
Palpable distal pulses are found in all 4 extremities. Of the following, the most likely
diagnosis is:
Select one:
a.
hemorrhagic shock
b.
cardiac tamponade
c.
massive hemothorax
d.
tension pneumothorax
e.
diaphragmatic rupture - ANSWERS -b.
cardiac tamponade
In managing a patient with a severe traumatic brain injury, the most important initial step
is to:
Select one:
a.
Secure the airway
b.
obtain a c-spine film
c.
support the circulation
d.
1
,control scalp hemorrhage
e.
determine the GCS score
Feedback
Your answer is corr - ANSWERS -a.
Secure the airway
The best assessment of fluid resuscitation of the adult burn patient is:
Select one:
a.
Urine output of 0.5 mL/kg/hr
b.
normalization of blood pressure
c.
normalization of the heart rate
d.
measuring a normal central venous pressure
e.
providing 4 mL/kg/percent body burn/24 hours of crystalloid fluid - ANSWERS -a.
Urine output of 0.5 mL/kg/hr
The diagnosis of shock must include:
Select one:
a.
hypoxemia
b.
acidosis
c.
hypotension
d.
increased vascular resistance
e.
evidence of inadequate organ perfusion - ANSWERS -e.
evidence of inadequate organ perfusion
The first maneuver to improve oxygenation after chest injury is to:
Select one:
a.
intubate the patient
b.
assess arterial blood gases
c.
administer supplemental oxygen
d.
ascertain the need for a chest tube
e.
2
, obtain a chest x-ray - ANSWERS -c.
administer supplemental oxygen
The physiologic hypervolemia of pregnancy has clinical significance in the management
of the severely injured, gravid woman by:
Select one:
a.
reducing the need for blood transfusion
b.
resulting in an elevated hematocrit
c.
complicating the management of closed head injury
d.
reducing the volume of crystalloid required for resuscitation
e.
increasing the volume of blood loss to produce maternal hypotension - ANSWERS -e.
increasing the volume of blood loss to produce maternal hypotension
A 20-year-old woman that is 32 weeks gestation , is stabbed in the upper right chest. In
the emergency department, her blood pressure is 80/60 mm Hg. She is gasping for
breath, extremely anxious, and yelling for help. Breath sounds are diminished in the
right chest. The most appropriate first step is to:
Select one:
a.
perform tracheal intubation
b.
insert an oropharyngeal airway
c.
perform needle or finger decompression of the right chest
d.
manually displace the gravid uterus to the left side of the abdomen
e.
initiate 2, large-caliber peripheral IV lines and crystalloid infusion - ANSWERS -c.
perform needle or finger decompression of the right chest
A 22-year-old female athlete is stabbed in her left chest at the third interspace in the
anterior axillary line. On admission to the ED and 15 minutes after the incident, she is
awake and alert. Her heart rate is 100 beats per minute, blood pressure is 80/60 mm
Hg, and respiratory rate is 20 breaths per minute. A chest x-ray reveals a large left
hemothorax. A left chest tube is placed with an immediate return of 1600 mL of blood.
The next management step for this patient is to:
Select one:
a.
perform a thoracoscopy
3
