ATLS PRE-TEST QUESTIONS WITH 100- CORRECT ANSWERS 2024-25

ATLS PRE-TEST QUESTIONS WITH 100% CORRECT
ANSWERS 2024/25
AK22-year-
oldKmanKisKhypotensiveKandKtachycardicKafterKaKshotgunKwoundKtoKtheKleftKshoulder.KHisKbloodKpressureKisK
initiallyK80/40KmmKHg.KAfterKinitialKfluidKresuscitationKhisKbloodKpressureKincreasesKtoK122/84KmmKHg.KHisK
heartKrateKisKnowK100KbeatsKperKminuteKandKhisKrespiratoryKrateKisK28KbreathsKperKminute.KAKtubeKthoraco
stomyKisKperformedKforKdecreasedKleftKchestKbreathKsoundsKwithKtheKreturnKofKaKsmallKamountKofKbloodKa
ndKnoKairKleak.KAfterKchestKtubeKinsertion,KtheKmostKappropriateKnextKstepKis:K-KcorrectKanswer--K*Re-
examineKtheKchest*

-KPerformKanKaortogram

-KObtainKaKCTKscanKofKtheKchest

-KObtainKABGKanalysis

-KTransesophagealKechocardiography



AKconstructionKworkerKfallsKtwoKstoriesKfromKaKbuildingKandKsustainsKbilateralKcalcanealKfractures.KInKtheKe
mergencyKdepartment,KheKisKalert,KvitalKsignsKareKnormal,KandKheKisKcomplainingKofKsevereKpainKinKbothKhe
elsKandKhisKlowerKback.KLowerKextremityKpulsesKareKstrongKandKthereKisKnoKotherKdeformity.KTheKsuspected
KdiagnosisKisKmostKlikelyKtoKbeKconfirmedKby:K-KcorrectKanswer--KcompleteKspineKx-rayKseries




WhichKofKtheKfollowingKisKtrueKregardingKtheKinitialKresuscitationKofKaKtraumaKpatient?K-KcorrectKanswer--
KAKpatientKwithKaKtorsoKgunshotKwoundKandKhypotensionKshouldKreceiveKcrystalloidKfluidKresuscitationKunti

lKtheKbloodKpressureKisKnormal

-
*KEvidenceKofKimprovedKperfusionKafterKfluidKresuscitationKcouldKincludeKimprovementKinKGlasgowKComaK
ScaleKscoreKonKreevaluation*

-
KMassiveKtransfusionKisKdefinedKasKtransfusionKofKmoreKthanK10KunitsKofKpackedKredKbloodKcellsKandKplasm

aKwithinK24Khours

-KWhenKtranexamicKacidKisKadministeredKbyKpre-
hospitalKproviders,KaKsecondKdoseKisKrequiredKwithinK24Khours

-KFluidKresuscitationKisKfarKmoreKimportantKthanKbleedingKcontrolKinKtraumaKpatient



InKmanagingKaKpatientKwithKaKsevereKtraumaticKbrainKinjury,KtheKmostKimportantKinitialKstepKisKto:K-
KcorrectKanswer--KSecureKtheKairway

, AKpreviouslyKhealthy,K70-kgK(154-
pound)KmanKsuffersKanKestimatedKacuteKbloodKlossKofK2Kliters.KWhichKoneKofKtheKfollowingKstatementsKapp
liesKtoKthisKpatient?K-KcorrectKanswer--KHisKpulseKpressureKwillKbeKwidened.

-KHisKurinaryKoutputKwillKbeKatKtheKlowerKlimitsKofKnormal.Kxxx

-KHeKwillKhaveKtachycardia,KbutKnoKchangeKinKhisKsystolicKbloodKpressure.

-K*AnKABGKwouldKdemonstrateKaKbaseKdeficitKbetweenK-6KandK-10KmEq/L.*

-KHisKsystolicKbloodKpressureKwillKbeKmaintainedKwithKanKelevatedKdiastolicKpressure.



TheKphysiologicalKhypervolemiaKofKpregnancyKhasKclinicalKsignificanceKinKtheKmanagementKofKtheKseverelyK
injured,KgravidKwomanKby:K-KcorrectKanswer--
KincreasingKtheKvolumeKofKbloodKlossKtoKproduceKmaternalKhypotension.




TheKbestKassessmentKofKfluidKresuscitationKofKtheKadultKburnKpatientKis:K-KcorrectKanswer--
KurinaryKoutputKofK0.5KmL/kg/hr




TheKdiagnosisKofKshockKmustKinclude:K-KcorrectKanswer--KevidenceKofKinadequateKorganKperfusion



AK7-year-
oldKboyKisKbroughtKtoKtheKemergencyKdepartmentKbyKhisKparentsKseveralKminutesKafterKheKfellKthroughKaKw
indow.KHeKisKbleedingKprofuselyKfromKaK6-
cmKwoundKofKhisKmedialKrightKthigh.KImmediateKmanagementKofKtheKwoundKshouldKconsistKof:K-
KcorrectKanswer--KdirectKpressureKonKtheKwound




ForKtheKpatientKwithKsevereKtraumaticKbrainKinjury,KprofoundKhypocarbiaKshouldKbeKavoidedKtoKprevent:K-
KcorrectKanswer--KrespiratoryKacidosisKxxx



-KmetabolicKacidosis

-K*CerebralKvasoconstrictionKwithKdiminishedKperfusion*

-KneurogenicKpulmonaryKedema

-KshiftKofKtheKoxyhemoglobinKdissociationKcurve



AfterKbeingKinvolvedKinKaKmotorKvehicleKcrash,KaK25-year-
oldKmanKisKbroughtKtoKaKhospitalKthatKhasKsurgeryKcapabilitiesKavailable.KComputedKtomographyKofKtheKch