ATLS10 2019/2022 Post-Test nh nh
ATLS10 nhexam nhquestions nhwith nhanswers nh(answers
nhoutlined!!)
1. nh n h A nh nh24-year-old nh nhmale nh nhpedestrian, nh nhstruck nh nh by nh nhan nh nh automobile, nh nhis nh
nh admitted nh nh to nh nh the nhemergency nhdepartment nh1 nh hour nhafter nhinjury. nh His nh blood
nh pressure nhis nh 80/60 nhmmHg, nh heart nhrate n h 140 n h beats n h per n h minute n h and
n h respiratory nh rate n h is n h 36 n h per n h minute. n h He n h is n h lethargic. nhOxygen nhis
nh delivered nhvia nhface nhmask, nhand nhtwo nhlarge-caliber nhIVs nhare nhinitiated. nhArterial
nh blood n h gases n h are n h obtained. n h His n h PaO2 n h is n h 118 n h mmHg n h (15.7 n h kPa), n h PaCO2
nh is n h 30 n h mmHg nh(4.0 nh nhkPa), nh n h and nh n h pH nh n h is7.21. nh n h The nh n h treatment nh n h of nh n h his nh
nh acid-base nh n h disorder nh n h is nh n h best nhaccomplished nhby:
a. nh nh nh Hyperventilation
b. nh n h Restoration nhof nhnormal
perfusion nhc. nh nh nh Initiation nhof nhlow-
nh
dose nhdopamine
d. nh n h Administration nhof nhsodium nhbicarbonate
e. nh nh nh Initiation nhof nhphenylepinephrine nhinfusion
2. nh n h The nhhighest nhpriority nhin nhmanaging nha nhpatient nhwhose nhinjuries nhinclude nhclosed
nh extremity nhfractures nhis:
a. nh nh nh Assesing nhlimb nhperfusion
b. nh n h Preventing nhnecrosis nhof nhthe nhskin
c. nh nh nh Decompressing nhcompartment
syndrome nhd. nh
nh n h Addressing nhrespiratory
insufficiencynhIdentifying
crush nhsyndrome
3. nh n h A nh34-year-old nhfemale nhis nhinvolved nhin nha nhmotor nhvehicle nhcrash nhis nhbrought nhto nhthe
nh emergency nhdepartment. nhShenhis nhtalking, nhbut nhher nhvoice nhis nhhoarse nhand nhon nhexposure
nh she nhhas nhdiagonal nhbruising nhof nhthe nhchest nhand nhanterior nhneck. nhWhat nhis nhthe nhnext
nh step?
a. nh nh nh Direct nhlaryngoscopy nhto nhexclude nhlaryngeal
nh trauma nhb. nh n h Oxygen nhby nhnon-rebreathing nhmask
c. nh nh nh Protecting nhthe nhspine nhby nhmaking nhher nhlie
down nhd. nh
nh n h Palpation nhof nhthe nhanterior nhneck
e. nh nh nh Attaching nha nhpulse nhoximeter nhto nhher nhfinger
4. nh n h A nh30-year-old nhmale nhsustains nha nhgunshot nhwound nhto nhthe nhright nhlower nhchest,
nh midway nhbetween nhthe nhnipple nhand nhthe nhcostal nhmargin. nhHe nhis nhbrought nhby
, ambulance nhto nha nhhospital nhthat nhhas nhfull nhsurgical nhcapabilities. nh In nhthe nhemergency
nh
nh department nhhe nhis nhendotracheally nhintubated, nhfluid nhresuscitation nhis nhinitiated
nh through nhtwo nhlarge-caliber nhIV nhlines, nhand nha
, closed nhtube nhthoracostomy nhis nhperformed, nhwith nhthe nhreturn nhof nh200 nhml nhof nhblood. nhA
nh chest nhx- nhray nhreveals nhcorrect nhplacement nhof nhthe nhchest nhtube nhand nha nhsmall nhresidual
nh hemothorax. nhHis nhblodd nhpressure nhis nhnow nh70/0 nhmmHg, nhand nhhis nhheart nhrate nhis nh140
nh beats nhper nhminute. nhHis nhhypotension nhis nhmostnhlikely nhdue nhto:
a. nh nh nh Tension
nh pneumothorax nhb. nh
n h Massive nhhemothorax
c. nh nh nh Pericardial nhtamponade
d. nh n h Intraabdominal nhbleeding
e. nh nh nh Insufficient nhisotonic nhcrystalloid nhinfusion
5. nh n h A nh20-year-old nhathlete nhis nhinvolved nhin nha nhmotorcycle nhcrash nhafter nhhaving nhridden
nh for nhhours nhon nha nhvery nhhot nhday.nhWhen nhhe nharrives nhin nhthe nhemergency nhdepartment,
nh he nhshouts nhthat nhhe nhcannot nhmove nhhis nhlegs. nhOn nhphysical nh examination, nhthere nhare
nhno nhabnormalities nhof nhthe nhchest, nhabdomen, nhor nhpelvis. nhThe nhpatient nhhas nhno
sensation nhin nhhis nhlegs nhand nhcannot nhmove nhthem, nhbut nhhis nharms nhare nhmoving. nhThe
nh patient’s nhrespiratory nhrate nhis nh22, nhheart nhrate nhis nh88, nhand nhblood nhpressure nhis nh80/60
nh mmHg. nhHe nhis nhpale nhand nhsweaty. nhWhat nhis nhthe nhmost nhlikelynhcause nhof nhhis
nh hypotension?
a. nh nh nh Neurogenic
nh shock nhb. nh n h Cardiac
tamponade
nh
c. nh nh nh Myocardial
nh contusion nhd. nh
n h Hyperthermia
e. nh nh nh Hemorrhagic nhshock
6. nh n h Comapred nhwith nhadults, nhchildren
nhhave:
a. nh nh nh A nhlonger, nhwider, nhfunnel-shaped
nh airway nhb. nh n h A nhless nhpliable, nhcalcified
nh skeleton
c. nh nh nh Greater nhmobility nhof nhmediastinal
nh structures nhd. nh n h A nhrelatively nhsmaller nhhead
nh and nhlarger nhjaw
e. nh nh nh Anterior nhdisplacement nhof nhC5 nhon nhC6
7. nh nh nh nh nh n h Which nhone nhof nhthe nhfindings nhbelow nhrequires nha nhdefinitive nhairway nhin nhtrauma
nhpatients?
ATLS10 nhexam nhquestions nhwith nhanswers nh(answers
nhoutlined!!)
1. nh n h A nh nh24-year-old nh nhmale nh nhpedestrian, nh nhstruck nh nh by nh nhan nh nh automobile, nh nhis nh
nh admitted nh nh to nh nh the nhemergency nhdepartment nh1 nh hour nhafter nhinjury. nh His nh blood
nh pressure nhis nh 80/60 nhmmHg, nh heart nhrate n h 140 n h beats n h per n h minute n h and
n h respiratory nh rate n h is n h 36 n h per n h minute. n h He n h is n h lethargic. nhOxygen nhis
nh delivered nhvia nhface nhmask, nhand nhtwo nhlarge-caliber nhIVs nhare nhinitiated. nhArterial
nh blood n h gases n h are n h obtained. n h His n h PaO2 n h is n h 118 n h mmHg n h (15.7 n h kPa), n h PaCO2
nh is n h 30 n h mmHg nh(4.0 nh nhkPa), nh n h and nh n h pH nh n h is7.21. nh n h The nh n h treatment nh n h of nh n h his nh
nh acid-base nh n h disorder nh n h is nh n h best nhaccomplished nhby:
a. nh nh nh Hyperventilation
b. nh n h Restoration nhof nhnormal
perfusion nhc. nh nh nh Initiation nhof nhlow-
nh
dose nhdopamine
d. nh n h Administration nhof nhsodium nhbicarbonate
e. nh nh nh Initiation nhof nhphenylepinephrine nhinfusion
2. nh n h The nhhighest nhpriority nhin nhmanaging nha nhpatient nhwhose nhinjuries nhinclude nhclosed
nh extremity nhfractures nhis:
a. nh nh nh Assesing nhlimb nhperfusion
b. nh n h Preventing nhnecrosis nhof nhthe nhskin
c. nh nh nh Decompressing nhcompartment
syndrome nhd. nh
nh n h Addressing nhrespiratory
insufficiencynhIdentifying
crush nhsyndrome
3. nh n h A nh34-year-old nhfemale nhis nhinvolved nhin nha nhmotor nhvehicle nhcrash nhis nhbrought nhto nhthe
nh emergency nhdepartment. nhShenhis nhtalking, nhbut nhher nhvoice nhis nhhoarse nhand nhon nhexposure
nh she nhhas nhdiagonal nhbruising nhof nhthe nhchest nhand nhanterior nhneck. nhWhat nhis nhthe nhnext
nh step?
a. nh nh nh Direct nhlaryngoscopy nhto nhexclude nhlaryngeal
nh trauma nhb. nh n h Oxygen nhby nhnon-rebreathing nhmask
c. nh nh nh Protecting nhthe nhspine nhby nhmaking nhher nhlie
down nhd. nh
nh n h Palpation nhof nhthe nhanterior nhneck
e. nh nh nh Attaching nha nhpulse nhoximeter nhto nhher nhfinger
4. nh n h A nh30-year-old nhmale nhsustains nha nhgunshot nhwound nhto nhthe nhright nhlower nhchest,
nh midway nhbetween nhthe nhnipple nhand nhthe nhcostal nhmargin. nhHe nhis nhbrought nhby
, ambulance nhto nha nhhospital nhthat nhhas nhfull nhsurgical nhcapabilities. nh In nhthe nhemergency
nh
nh department nhhe nhis nhendotracheally nhintubated, nhfluid nhresuscitation nhis nhinitiated
nh through nhtwo nhlarge-caliber nhIV nhlines, nhand nha
, closed nhtube nhthoracostomy nhis nhperformed, nhwith nhthe nhreturn nhof nh200 nhml nhof nhblood. nhA
nh chest nhx- nhray nhreveals nhcorrect nhplacement nhof nhthe nhchest nhtube nhand nha nhsmall nhresidual
nh hemothorax. nhHis nhblodd nhpressure nhis nhnow nh70/0 nhmmHg, nhand nhhis nhheart nhrate nhis nh140
nh beats nhper nhminute. nhHis nhhypotension nhis nhmostnhlikely nhdue nhto:
a. nh nh nh Tension
nh pneumothorax nhb. nh
n h Massive nhhemothorax
c. nh nh nh Pericardial nhtamponade
d. nh n h Intraabdominal nhbleeding
e. nh nh nh Insufficient nhisotonic nhcrystalloid nhinfusion
5. nh n h A nh20-year-old nhathlete nhis nhinvolved nhin nha nhmotorcycle nhcrash nhafter nhhaving nhridden
nh for nhhours nhon nha nhvery nhhot nhday.nhWhen nhhe nharrives nhin nhthe nhemergency nhdepartment,
nh he nhshouts nhthat nhhe nhcannot nhmove nhhis nhlegs. nhOn nhphysical nh examination, nhthere nhare
nhno nhabnormalities nhof nhthe nhchest, nhabdomen, nhor nhpelvis. nhThe nhpatient nhhas nhno
sensation nhin nhhis nhlegs nhand nhcannot nhmove nhthem, nhbut nhhis nharms nhare nhmoving. nhThe
nh patient’s nhrespiratory nhrate nhis nh22, nhheart nhrate nhis nh88, nhand nhblood nhpressure nhis nh80/60
nh mmHg. nhHe nhis nhpale nhand nhsweaty. nhWhat nhis nhthe nhmost nhlikelynhcause nhof nhhis
nh hypotension?
a. nh nh nh Neurogenic
nh shock nhb. nh n h Cardiac
tamponade
nh
c. nh nh nh Myocardial
nh contusion nhd. nh
n h Hyperthermia
e. nh nh nh Hemorrhagic nhshock
6. nh n h Comapred nhwith nhadults, nhchildren
nhhave:
a. nh nh nh A nhlonger, nhwider, nhfunnel-shaped
nh airway nhb. nh n h A nhless nhpliable, nhcalcified
nh skeleton
c. nh nh nh Greater nhmobility nhof nhmediastinal
nh structures nhd. nh n h A nhrelatively nhsmaller nhhead
nh and nhlarger nhjaw
e. nh nh nh Anterior nhdisplacement nhof nhC5 nhon nhC6
7. nh nh nh nh nh n h Which nhone nhof nhthe nhfindings nhbelow nhrequires nha nhdefinitive nhairway nhin nhtrauma
nhpatients?
