ATLS Exam |175 Questions and Verified Answers
(2024/2025 Latest Update)
An electrician is eletrocuted by a downed power line after a
thunderstorm. He apparently made contact with the wire at the level of
the right mid thigh. In the ED, his vital signs are normal and no
dysrythmia is noted on ECG. On examination, there is an exit wound on
the bottom of the right foot. His urine is positive for blood by dipstick
but not RBCs are seen microscopically. Initial management should
include:
A. Immediate angiography
B. Aggressive fluid infusion
C. Intravenous pyelography
D. -ANSWER- B. Aggressive fluid infusion - suspected rhabdomyolyse
A young woman sustains a severe head injury as the result of a motor
vehicular crash. In the ED, her GCS is 6. Her blood pressure is 140/90
mmHg and her heart rate 80 beats per minute. She is intubated and is
being mechanically ventilated. Her pupils are 3mm in size and equally
reactive to light. There is no other apparent injury. The most important
principle to follow in early management of her head injury is to:
A. Administer an osmotic diuretic
B. Prevent secondary brain injury
C. Agressively -ANSWER- B. Prevent secondary brain injury
To establish a diagnosis of shock,
A. Systolic blood pressure must be below 90mmHg
B. The presence of a closed head injury should be excluded
, ATLS Exam |175 Questions and Verified Answers
(2024/2025 Latest Update)
C. Acidosis should be present by arterial blood gas analysis
D. The patient must fail to respond to intravenous fluid infusion
E. Clinical evidence of inadequate organ perfusion must be present. -
ANSWER- E. Clinical evidence of inadequate organ perfusion must be
present.
A 32-year-old is brought to the hospital unconscious with severe facial
injuries and noisy respirations after an automobile collision. In the ED,
he has no apparent injury to the anterior aspect of his neck. He suddenly
becomes apneic, and attempted ventilation with a face mask is
unsuccessful. Examination of his mouth reveals a large hematoma of the
pharynx with loss of normal anatomic landmarks. Initial management of
his airways should be consist of:
A. Inserting an oropharyngeal airway
B. Ins -ANSWER- A. Inserting an oropharyngeal airway
A 25-year-old woman is brought to the ED after a motor vehicle crash.
She was initially lucid at the scene and then developed a dilated pupil
and contralateral extremity weakness. In the ED, she is unconscious and
has a GCS score of 6. The initial management step for this patient
should be to:
A. Obtain a CT-scan of the head
B. Administer decadron 20mg IV
C. Perform endotracheal intubation
D. Administer mannitol 1g/kg IV
, ATLS Exam |175 Questions and Verified Answers
(2024/2025 Latest Update)
E. Perform an emergency bone flap craniotomy on the side of the dilated
pup -ANSWER- C. Perform endotracheal intubation
A contraindication to nasogastric intubation is the presence of a:
A. Gastric perforation
B. Diaphragmatic rupture
C. Open depressed skull fracture
D. Fracture of the cervical spine
E. Fracture of the cribiform plate -ANSWER- E. Fracture of the
cribiform plate
An 8-year-old girl is an unrestrained passenger in a vehicle struck from
behind. In the ED, her blood pressure is 80/60mmHg, heart rate is 80
beats per minute, and respiratory rate is 16 breaths per minute. Her GCS
score is 14. She complains that her legs feel "funny and wont move
right". However, her spine x-rays do not show a fracture or dislocation.
A spinal cord injury in this child:
A. Is most likely a central cord syndrome
B. Must be diagnosed by magnetic resonance imaging
C. Can be exclud -ANSWER- D. May exist in the abscence of objective
findings on x-ray studies
Immediate chest tube insertion is indicated for which of the following
conditions?
, ATLS Exam |175 Questions and Verified Answers
(2024/2025 Latest Update)
A. Pneumothorax
B. Pneumomediastinum
C. Massive hemothorax
D. Diaphragmatic rupture
E. Subcutaneous emphysema -ANSWER- C. Massive hemothorax
Cardiac tamponade after trauma:
A. Is seldom life-threating
B. Can be excluded by an upright, AP chest x-ray
C. Can be confused with a tension pneumthorax
D. Causes a fall in systolic pressure of > 15mmHg with expiration
E. Most commonly occurs after blunt injury to the anterior chest wall -
ANSWER- C. Can be confused with a tension pneumthorax
A 22-year-old man is brought to the hospital after crashing his
motorcycle into a telephone pole. He is unconscious and in profound
shock. He has no open wounds or obvious fractures. The cause of his
shock is MOST LIKELY caused by:
A. A subdural hematoma
B. An epidural hematoma
C. A transected lumbar spinal cord
D. A basilar skull fracture
(2024/2025 Latest Update)
An electrician is eletrocuted by a downed power line after a
thunderstorm. He apparently made contact with the wire at the level of
the right mid thigh. In the ED, his vital signs are normal and no
dysrythmia is noted on ECG. On examination, there is an exit wound on
the bottom of the right foot. His urine is positive for blood by dipstick
but not RBCs are seen microscopically. Initial management should
include:
A. Immediate angiography
B. Aggressive fluid infusion
C. Intravenous pyelography
D. -ANSWER- B. Aggressive fluid infusion - suspected rhabdomyolyse
A young woman sustains a severe head injury as the result of a motor
vehicular crash. In the ED, her GCS is 6. Her blood pressure is 140/90
mmHg and her heart rate 80 beats per minute. She is intubated and is
being mechanically ventilated. Her pupils are 3mm in size and equally
reactive to light. There is no other apparent injury. The most important
principle to follow in early management of her head injury is to:
A. Administer an osmotic diuretic
B. Prevent secondary brain injury
C. Agressively -ANSWER- B. Prevent secondary brain injury
To establish a diagnosis of shock,
A. Systolic blood pressure must be below 90mmHg
B. The presence of a closed head injury should be excluded
, ATLS Exam |175 Questions and Verified Answers
(2024/2025 Latest Update)
C. Acidosis should be present by arterial blood gas analysis
D. The patient must fail to respond to intravenous fluid infusion
E. Clinical evidence of inadequate organ perfusion must be present. -
ANSWER- E. Clinical evidence of inadequate organ perfusion must be
present.
A 32-year-old is brought to the hospital unconscious with severe facial
injuries and noisy respirations after an automobile collision. In the ED,
he has no apparent injury to the anterior aspect of his neck. He suddenly
becomes apneic, and attempted ventilation with a face mask is
unsuccessful. Examination of his mouth reveals a large hematoma of the
pharynx with loss of normal anatomic landmarks. Initial management of
his airways should be consist of:
A. Inserting an oropharyngeal airway
B. Ins -ANSWER- A. Inserting an oropharyngeal airway
A 25-year-old woman is brought to the ED after a motor vehicle crash.
She was initially lucid at the scene and then developed a dilated pupil
and contralateral extremity weakness. In the ED, she is unconscious and
has a GCS score of 6. The initial management step for this patient
should be to:
A. Obtain a CT-scan of the head
B. Administer decadron 20mg IV
C. Perform endotracheal intubation
D. Administer mannitol 1g/kg IV
, ATLS Exam |175 Questions and Verified Answers
(2024/2025 Latest Update)
E. Perform an emergency bone flap craniotomy on the side of the dilated
pup -ANSWER- C. Perform endotracheal intubation
A contraindication to nasogastric intubation is the presence of a:
A. Gastric perforation
B. Diaphragmatic rupture
C. Open depressed skull fracture
D. Fracture of the cervical spine
E. Fracture of the cribiform plate -ANSWER- E. Fracture of the
cribiform plate
An 8-year-old girl is an unrestrained passenger in a vehicle struck from
behind. In the ED, her blood pressure is 80/60mmHg, heart rate is 80
beats per minute, and respiratory rate is 16 breaths per minute. Her GCS
score is 14. She complains that her legs feel "funny and wont move
right". However, her spine x-rays do not show a fracture or dislocation.
A spinal cord injury in this child:
A. Is most likely a central cord syndrome
B. Must be diagnosed by magnetic resonance imaging
C. Can be exclud -ANSWER- D. May exist in the abscence of objective
findings on x-ray studies
Immediate chest tube insertion is indicated for which of the following
conditions?
, ATLS Exam |175 Questions and Verified Answers
(2024/2025 Latest Update)
A. Pneumothorax
B. Pneumomediastinum
C. Massive hemothorax
D. Diaphragmatic rupture
E. Subcutaneous emphysema -ANSWER- C. Massive hemothorax
Cardiac tamponade after trauma:
A. Is seldom life-threating
B. Can be excluded by an upright, AP chest x-ray
C. Can be confused with a tension pneumthorax
D. Causes a fall in systolic pressure of > 15mmHg with expiration
E. Most commonly occurs after blunt injury to the anterior chest wall -
ANSWER- C. Can be confused with a tension pneumthorax
A 22-year-old man is brought to the hospital after crashing his
motorcycle into a telephone pole. He is unconscious and in profound
shock. He has no open wounds or obvious fractures. The cause of his
shock is MOST LIKELY caused by:
A. A subdural hematoma
B. An epidural hematoma
C. A transected lumbar spinal cord
D. A basilar skull fracture
