ATLS POST TEST EXAM 160 QUESTIONS AND
CORRECT ANSWERS GRADE A PASS 2024-
2025
The first priority in the management of a long bone fracture is a.
reduction of pain
b. prevention of infection in cause of open fracture
c. prevention of further ST injury
d. reduction of blood loss
e. improvement of long term function - d. reduction of blood loss
a 40 yo obese patient with a GCD of V2E2M4 requires a CT scan. Before transfer to the
scanner, you should
a. give more sedative drugs
b. insert a multi lumen esophageal airway
c. obtain a definitive airway
d. request cervical spine film
e. insert a NG tube - c. obtain a definitive airway
Which of the following patient require imaging.....?
a. 28 yo who fell from a 3 meter balcony and sustained a fracture. The patient does not
have spine pain, motor or sensory deficits and has an otherwise normal PE.
b. 40 yo patient who sustained a severe closed head injury and has a GCS of 8
V2M3E3
c. 6month old who fell from the couch to the carpted floor and has a GCS of 15
d. 10 yo who was hit in the head with a bat and has a right frontal hematoma without
history of LOC and does not have neck pain or tenderness
e. 30 yp man who after a MVA, briefly LOC but was ambulating at teh scene and does
not have neck or back pain - b. 40 yo patient who sustained a severe closed head
injury and has a GCS of 8 V2M3E3
A 30 year old male is brought toe the hospital after falling 6 meters. Inspection reveals
an obvious flail chest on the right. Breath sounds on the right are slightly increased.
Twelve hours later, the patient is in severe respiratory distress. Arterial blood gas
obtained while the patient recieves oxygen by face mask are: pH of 7,47, PaO2 of
45mmHg (6Kpa), PaCO2 of 28mmHg (3,7 Kpa). The component of injury that most
likely responsible for abnormalities in this patients blood gas is: a. pain
b. hypovolemia
c. PTX
d. pulmonary contusion
e. chest wall instability - c. pulmonary contusion
, A 82 year old male falls down five stairs and presents to the ED. Which of the following
statements IS NOT CORRECT:
A. He is more likely to have had a contracted circulatory volume prior to his injury
B. His risk of cervical spine injury is increased due to degeneration, stenosis and loss of
disk compressibility
c. Internal hemorrhage will become symptomatic more quickly
d. His risk of occult fractures is increased
e. His risk of bleeding may be increased - c. Internal hemorrhage will become
symptomatic more quickly
A 14 year old female is brought to the ED after falling from a horse. Cervical spinal
motion is restricted wit ha hard collar and cervical blocks and she is immobilized on a
long spine board. Which of the following IS TRUE REGARDING Cervical spine x-ray:
A. More than 20% of these patients will have cervical spine injury
B. Cervical spine injury is excluded if no abnormalities are found on lateral cervical
spine xray
C. Are not needed if she is awake, alert, neurologically normal, and has no neck pain or
midline tenderness
D. Should be performed before adressing potential breating or circulatory problems E.
She should reamin on teh long spine board until imaging excluded injuries - C. Are
not needed if she is awake, alert, neurologically normal, and has no neck pain or
midline tenderness
The most specific test to evaluate for injuries of solid abdominal organs is a.
Abd xray
b. Abd ultrasonography
c. Diagnostic peritoneal lavage
d. Frequent abdominal examinations
e. CT of abdomen and pelvis - e. CT of abdomen and pelvis
The most important consequence of inadequate organ perfusion is a.
multiple organ failure
b. decreased base deficit
c. acute glomerulonephritis
d. increased cellular ATP production
e. Vasodilation - a. multiple organ failure
an 18yo male is brought to the emergency department after being dumped by a large
wave while surfing. He landed head first on the firm beach sand. His vital signs are
blood pressure 85/60 mmHg, heart rate 60, and respiratory rate 18; he is unable to
CORRECT ANSWERS GRADE A PASS 2024-
2025
The first priority in the management of a long bone fracture is a.
reduction of pain
b. prevention of infection in cause of open fracture
c. prevention of further ST injury
d. reduction of blood loss
e. improvement of long term function - d. reduction of blood loss
a 40 yo obese patient with a GCD of V2E2M4 requires a CT scan. Before transfer to the
scanner, you should
a. give more sedative drugs
b. insert a multi lumen esophageal airway
c. obtain a definitive airway
d. request cervical spine film
e. insert a NG tube - c. obtain a definitive airway
Which of the following patient require imaging.....?
a. 28 yo who fell from a 3 meter balcony and sustained a fracture. The patient does not
have spine pain, motor or sensory deficits and has an otherwise normal PE.
b. 40 yo patient who sustained a severe closed head injury and has a GCS of 8
V2M3E3
c. 6month old who fell from the couch to the carpted floor and has a GCS of 15
d. 10 yo who was hit in the head with a bat and has a right frontal hematoma without
history of LOC and does not have neck pain or tenderness
e. 30 yp man who after a MVA, briefly LOC but was ambulating at teh scene and does
not have neck or back pain - b. 40 yo patient who sustained a severe closed head
injury and has a GCS of 8 V2M3E3
A 30 year old male is brought toe the hospital after falling 6 meters. Inspection reveals
an obvious flail chest on the right. Breath sounds on the right are slightly increased.
Twelve hours later, the patient is in severe respiratory distress. Arterial blood gas
obtained while the patient recieves oxygen by face mask are: pH of 7,47, PaO2 of
45mmHg (6Kpa), PaCO2 of 28mmHg (3,7 Kpa). The component of injury that most
likely responsible for abnormalities in this patients blood gas is: a. pain
b. hypovolemia
c. PTX
d. pulmonary contusion
e. chest wall instability - c. pulmonary contusion
, A 82 year old male falls down five stairs and presents to the ED. Which of the following
statements IS NOT CORRECT:
A. He is more likely to have had a contracted circulatory volume prior to his injury
B. His risk of cervical spine injury is increased due to degeneration, stenosis and loss of
disk compressibility
c. Internal hemorrhage will become symptomatic more quickly
d. His risk of occult fractures is increased
e. His risk of bleeding may be increased - c. Internal hemorrhage will become
symptomatic more quickly
A 14 year old female is brought to the ED after falling from a horse. Cervical spinal
motion is restricted wit ha hard collar and cervical blocks and she is immobilized on a
long spine board. Which of the following IS TRUE REGARDING Cervical spine x-ray:
A. More than 20% of these patients will have cervical spine injury
B. Cervical spine injury is excluded if no abnormalities are found on lateral cervical
spine xray
C. Are not needed if she is awake, alert, neurologically normal, and has no neck pain or
midline tenderness
D. Should be performed before adressing potential breating or circulatory problems E.
She should reamin on teh long spine board until imaging excluded injuries - C. Are
not needed if she is awake, alert, neurologically normal, and has no neck pain or
midline tenderness
The most specific test to evaluate for injuries of solid abdominal organs is a.
Abd xray
b. Abd ultrasonography
c. Diagnostic peritoneal lavage
d. Frequent abdominal examinations
e. CT of abdomen and pelvis - e. CT of abdomen and pelvis
The most important consequence of inadequate organ perfusion is a.
multiple organ failure
b. decreased base deficit
c. acute glomerulonephritis
d. increased cellular ATP production
e. Vasodilation - a. multiple organ failure
an 18yo male is brought to the emergency department after being dumped by a large
wave while surfing. He landed head first on the firm beach sand. His vital signs are
blood pressure 85/60 mmHg, heart rate 60, and respiratory rate 18; he is unable to
