ATLS TEST 1 QUESTIONS WITH
COMPLETE SOLUTIONS
Aa22-year-
oldamanaisahypotensiveaandatachycardicaafteraaashotgunawoundatoathealeftashoulder.aHisabl
oodapressureaisainitiallya80/40ammaHg.aAfterainitialafluidaresuscitationahisabloodapressureainc
reasesatoa122/84ammaHg.aHisaheartarateaisanowa100abeatsaperaminuteaandahisarespiratoryar
ateaisa28abreathsaperaminute.aAatubeathoracostomyaisaperformedaforadecreasedaleftachestab
reathasoundsawithatheareturnaofaaasmallaamountaofabloodaandanoaairaleak.aAfterachestatubeai
nsertion,atheamostaappropriateanextastepais:
Selectaone:
a.
reexamineatheachest
b.
performaanaaortogram
c.
obtainaaaCTascanaofatheachest
d.
obtainaarterialabloodagasaanalyses
e.
performatransesophagealaechocardiographya-aans--A)aReexamineatheachest
Aaconstructionaworkerafallsatwoastoriesafromaaabuildingaandasustainsabilateralacalcanealafra
ctures.aInatheaemergencyadepartment,aheaisaalert,avitalasignsaareanormal,aandaheaisacomplai
ningaofasevereapainainabothaheelsaandahisaloweraback.aLoweraextremityapulsesaareastrongaa
ndathereaisanoaotheradeformity.aTheasuspectedadiagnosisaisamostalikelyatoabeaconfirmedaby:
Selectaone:
a.
angiography
b.
compartmentapressures
c.
retrogradeaurethrogram
d.
Doppleraultrasoundastudies
e.
completeaspineax-rayaseriesa-aans--e)aCompleteaspineax-rayaseries
Whichaofatheafollowingaisatruearegardingatheainitialaresuscitationaofaaatraumaapatient?
Selectaone:
a.
Aapatientathatapresentsawithaaatorsoagunshotawoundaandaisahypotensiveashouldareceiveacry
stalloidafluidaresuscitationauntilatheabloodapressureaisanormal
b.
, EvidenceaofaimprovedaperfusionaafterafluidaresuscitationacouldaincludeaimprovementainaGla
sgowacomaascaleascoreaonareevaluation
c.
Massiveatransfusionaisadefinedaasatransfusionaofamoreathana>10aofapackedaredabloodacellsa
andaplasmaaina24ahours
d.
Whenatranexamicaacidaisaadministeredabyapre-
hospitalaprovidersaaasecondadoseaisarequiredawithina24ahours
e.
Fluidaresuscitationaisafaramoreaimportantathanableedingacontrolainatraumaapatientsa-aans--b.
EvidenceaofaimprovedaperfusionaafterafluidaresuscitationacouldaincludeaimprovementainaGla
sgowacomaascaleascoreaonareevaluation
Inamanagingaaapatientawithaaasevereatraumaticabrainainjury,atheamostaimportantainitialastepai
sato:
Selectaone:
a.
Secureatheaairway
b.
obtainaaac-spineafilm
c.
supportatheacirculation
d.
controlascalpahemorrhage
e.
determineatheaGCSascore
Feedback
Youraansweraisacorra-aans--a.
Secureatheaairway
Aapreviouslyahealthy,a70-kga(154-
pound)amanasuffersaanaestimatedaacuteabloodalossaofa2aliters.
Whichaoneaofatheafollowingastatementsaappliesatoathisapatient?
Selectaone:
a.
Hisapulseapressureawillabeawidened.
b.
Hisaurinaryaoutputawillabeaatathealoweralimitsaofanormal.
c.
Heawillahaveatachycardia,abutanoachangeainahisasystolicabloodapressure.
d.
AnaABGawouldademonstrateaaabaseadeficitabetweena-6aanda-10amEq/L
e.
Hisasystolicabloodapressureawillabeamaintainedawithaanaelevatedadiastolicapressure.a-aans--
d.
AnaABGawouldademonstrateaaabaseadeficitabetweena-6aanda-10amEq/L
COMPLETE SOLUTIONS
Aa22-year-
oldamanaisahypotensiveaandatachycardicaafteraaashotgunawoundatoathealeftashoulder.aHisabl
oodapressureaisainitiallya80/40ammaHg.aAfterainitialafluidaresuscitationahisabloodapressureainc
reasesatoa122/84ammaHg.aHisaheartarateaisanowa100abeatsaperaminuteaandahisarespiratoryar
ateaisa28abreathsaperaminute.aAatubeathoracostomyaisaperformedaforadecreasedaleftachestab
reathasoundsawithatheareturnaofaaasmallaamountaofabloodaandanoaairaleak.aAfterachestatubeai
nsertion,atheamostaappropriateanextastepais:
Selectaone:
a.
reexamineatheachest
b.
performaanaaortogram
c.
obtainaaaCTascanaofatheachest
d.
obtainaarterialabloodagasaanalyses
e.
performatransesophagealaechocardiographya-aans--A)aReexamineatheachest
Aaconstructionaworkerafallsatwoastoriesafromaaabuildingaandasustainsabilateralacalcanealafra
ctures.aInatheaemergencyadepartment,aheaisaalert,avitalasignsaareanormal,aandaheaisacomplai
ningaofasevereapainainabothaheelsaandahisaloweraback.aLoweraextremityapulsesaareastrongaa
ndathereaisanoaotheradeformity.aTheasuspectedadiagnosisaisamostalikelyatoabeaconfirmedaby:
Selectaone:
a.
angiography
b.
compartmentapressures
c.
retrogradeaurethrogram
d.
Doppleraultrasoundastudies
e.
completeaspineax-rayaseriesa-aans--e)aCompleteaspineax-rayaseries
Whichaofatheafollowingaisatruearegardingatheainitialaresuscitationaofaaatraumaapatient?
Selectaone:
a.
Aapatientathatapresentsawithaaatorsoagunshotawoundaandaisahypotensiveashouldareceiveacry
stalloidafluidaresuscitationauntilatheabloodapressureaisanormal
b.
, EvidenceaofaimprovedaperfusionaafterafluidaresuscitationacouldaincludeaimprovementainaGla
sgowacomaascaleascoreaonareevaluation
c.
Massiveatransfusionaisadefinedaasatransfusionaofamoreathana>10aofapackedaredabloodacellsa
andaplasmaaina24ahours
d.
Whenatranexamicaacidaisaadministeredabyapre-
hospitalaprovidersaaasecondadoseaisarequiredawithina24ahours
e.
Fluidaresuscitationaisafaramoreaimportantathanableedingacontrolainatraumaapatientsa-aans--b.
EvidenceaofaimprovedaperfusionaafterafluidaresuscitationacouldaincludeaimprovementainaGla
sgowacomaascaleascoreaonareevaluation
Inamanagingaaapatientawithaaasevereatraumaticabrainainjury,atheamostaimportantainitialastepai
sato:
Selectaone:
a.
Secureatheaairway
b.
obtainaaac-spineafilm
c.
supportatheacirculation
d.
controlascalpahemorrhage
e.
determineatheaGCSascore
Feedback
Youraansweraisacorra-aans--a.
Secureatheaairway
Aapreviouslyahealthy,a70-kga(154-
pound)amanasuffersaanaestimatedaacuteabloodalossaofa2aliters.
Whichaoneaofatheafollowingastatementsaappliesatoathisapatient?
Selectaone:
a.
Hisapulseapressureawillabeawidened.
b.
Hisaurinaryaoutputawillabeaatathealoweralimitsaofanormal.
c.
Heawillahaveatachycardia,abutanoachangeainahisasystolicabloodapressure.
d.
AnaABGawouldademonstrateaaabaseadeficitabetweena-6aanda-10amEq/L
e.
Hisasystolicabloodapressureawillabeamaintainedawithaanaelevatedadiastolicapressure.a-aans--
d.
AnaABGawouldademonstrateaaabaseadeficitabetweena-6aanda-10amEq/L
