ATLS PRETEST QUESTIONS WITH
ACTUAL SOLUTIONS
A mm22-year-old mmman mmis mmhypotensive mmand mmtachycardic mmafter mma mmshotgun
mmwound mmto mmthe mmleft mmshoulder. mmHis mmblood mmpressure mmis mminitially mm80/40
mmmm mmHg. mmAfter mminitial mmfluid mmresuscitation mmhis mmblood mmpressure
mmincreases mmto mm122/84 mmmm mmHg. mmHis mmheart mmrate mmis mmnow mm100 mmbeats
mmper mmminute mmand mmhis mmrespiratory mmrate mmis mm28 mmbreaths mmper mmminute.
mmA mmtube mmthoracostomy mmis mmperformed mmfor mmdecreased mmleft mmchest
mmbreath mmsounds mmwith mmthe mmreturn mmof mma mmsmall mmamount mmof mmblood
mmand mmno mmair mmleak. mmAfter mmchest mmtube mminsertion, mmthe mmmost
mmappropriate mmnext mmstep mmis: mm- mmANS-re-examine mmthe mmchest
A mmconstruction mmworker mmfalls mmtwo mmstories mmfrom mma mmbuilding mmand
mmsustains mmbilateral mmcalcaneal mmfractures. mmIn mmthe mmemergency mmdepartment,
mmhe mmis mmalert, mmvital mmsigns mmare mmnormal, mmand mmhe mmis mmcomplaining mmof
mmsevere mmpain mmin mmboth mmheels mmand mmhis mmlower mmback. mmLower mmextremity
mmpulses mmare mmstrong mmand mmthere mmis mmno mmother mmdeformity. mmThe
mmsuspected mmdiagnosis mmis mmmost mmlikely mmto mmbe mmconfirmed mmby: mm- mmANS-
complete mmspine mmx-ray mmseries
Which mmof mmthe mmfollowing mmis mmtrue mmregarding mmthe mminitial mmresuscitation mmof
mma mmtrauma mmpatient? mm- mmANS-Evidence mmof mmimproved mmperfusion mmafter
mmfluid mmresuscitation mmcould mminclude mmimprovement mmin mmGlasgow mmComa
mmScale mmscore mmon mmreevaluation.
In mmmanaging mma mmpatient mmwith mma mmsevere mmtraumatic mmbrain mminjury, mmthe
mmmost mmimportant mminitial mmstep mmis mmto: mm- mmANS-secure mmthe mmairway
A mmpreviously mmhealthy, mm70-kg mm(154-pound) mmman mmsuffers mman mmestimated
mmacute mmblood mmloss mmof mm2 mmliters. mmWhich mmone mmof mmthe mmfollowing
mmstatements mmapplies mmto mmthis mmpatient? mm- mmANS-An mmABG mmwould
mmdemonstrate mma mmbase mmdeficit mmbetween mm-6 mmand mm-10 mmmEq/L.
, The mmphysiological mmhypervolemia mmof mmpregnancy mmhas mmclinical mmsignificance
mmin mmthe mmmanagement mmof mmthe mmseverely mminjured, mmgravid mmwoman mmby: mm-
mmANS-increasing mmthe mmvolume mmof mmblood mmloss mmto mmproduce mmmaternal
mmhypotension
The mmbest mmassessment mmof mmfluid mmresuscitation mmof mmthe mmadult mmburn
mmpatient mmis: mm- mmANS-urinary mmoutput mmof mm0.5 mmmL/kg/hr
The mmdiagnosis mmof mmshock mmmust mminclude: mm- mmANS-evidence mmof
mminadequate mmorgan mmperfusion
A mm7-year-old mmboy mmis mmbrought mmto mmthe mmemergency mmdepartment mmby mmhis
mmparents mmseveral mmminutes mmafter mmhe mmfell mmthrough mma mmwindow. mmHe mmis
mmbleeding mmprofusely mmfrom mma mm6-cm mmwound mmof mmhis mmmedial mmright
mmthigh. mmImmediate mmmanagement mmof mmthe mmwound mmshould mmconsist mmof: mm-
mmANS-direct mmpressure mmon mmthe mmwound
For mmthe mmpatient mmwith mmsevere mmtraumatic mmbrain mminjury, mmprofound
mmhypocarbia mmshould mmbe mmavoided mmto mmprevent: mm- mmANS-cerebral
mmvasoconstriction mmwith mmdiminished mmperfusion
After mmbeing mminvolved mmin mma mmmotor mmvehicle mmcrash, mma mm25-year-old mmman
mmis mmbrought mmto mma mmhospital mmthat mmhas mmsurgery mmcapabilities mmavailable..
mmComputed mmtomography mmof mmthe mmchest mmand mmabdomen mmshows mman
mmaortic mminjury mmand mmsplenic mmlaceration mmwith mmfree mmabdominal mmfluid. mmHis
mmblood mmpressure mmfalls mmto mm70 mmmm mmHg mmafter mmCT. mmThe mmnext mmstep
mmis: mm- mmANS-perform mman mmexploratory mmlaparotomy
Which mmone mmof mmthe mmfollowing mmstatements mmregarding mmabdominal mmtrauma
mmin mmthe mmpregnant mmpatient mmis mmTRUE? mm- mmANS-Leakage mmof mmamniotic
mmfluid mmis mman mmindication mmfor mmhospital mmadmission.
The mmfirst mmmaneuver mmto mmimprove mmoxygenation mmafter mmchest mminjury mmis: mm-
mmANS-administer mmsupplemental mmoxygen
A mm25-year-old mmman, mminjured mmin mma mmmotor mmvehicular mmcrash, mmis
mmadmitted mmto mmthe mmemergency mmdepartment. mmHis mmpupils mmreact mmsluggishly
mmand mmhis mmeyes mmopen mmto mmpressure. mmHe mmdoes mmnot mmfollow mmcommands,
mmbut mmhe mmdoes mmmoan mmperiodically. mmHis mmright mmarm mmis mmdeformed mmand
mmdoes mmnot mmrespond mmto mmpressure; mmhowever, mmhis mmleft mmhand mmreaches
mmpurposefully mmtoward mmthe mmstimulus. mmBoth mmlegs mmare mmstiffly mmextended.
mmHis mmGCS mmscore mmis: mm- mmANS-9
A mm20-year-old mmwoman mmwho mmis mmat mm32 mmweeks mmgestation, mmis mmstabbed
mmin mmthe mmupper mmright mmchest. mmIn mmthe mmemergency mmdepartment, mmher
mmblood mmpressure mmis mm80/60 mmmm mmHg. mmShe mmis mmgasping mmfor mmbreath,
ACTUAL SOLUTIONS
A mm22-year-old mmman mmis mmhypotensive mmand mmtachycardic mmafter mma mmshotgun
mmwound mmto mmthe mmleft mmshoulder. mmHis mmblood mmpressure mmis mminitially mm80/40
mmmm mmHg. mmAfter mminitial mmfluid mmresuscitation mmhis mmblood mmpressure
mmincreases mmto mm122/84 mmmm mmHg. mmHis mmheart mmrate mmis mmnow mm100 mmbeats
mmper mmminute mmand mmhis mmrespiratory mmrate mmis mm28 mmbreaths mmper mmminute.
mmA mmtube mmthoracostomy mmis mmperformed mmfor mmdecreased mmleft mmchest
mmbreath mmsounds mmwith mmthe mmreturn mmof mma mmsmall mmamount mmof mmblood
mmand mmno mmair mmleak. mmAfter mmchest mmtube mminsertion, mmthe mmmost
mmappropriate mmnext mmstep mmis: mm- mmANS-re-examine mmthe mmchest
A mmconstruction mmworker mmfalls mmtwo mmstories mmfrom mma mmbuilding mmand
mmsustains mmbilateral mmcalcaneal mmfractures. mmIn mmthe mmemergency mmdepartment,
mmhe mmis mmalert, mmvital mmsigns mmare mmnormal, mmand mmhe mmis mmcomplaining mmof
mmsevere mmpain mmin mmboth mmheels mmand mmhis mmlower mmback. mmLower mmextremity
mmpulses mmare mmstrong mmand mmthere mmis mmno mmother mmdeformity. mmThe
mmsuspected mmdiagnosis mmis mmmost mmlikely mmto mmbe mmconfirmed mmby: mm- mmANS-
complete mmspine mmx-ray mmseries
Which mmof mmthe mmfollowing mmis mmtrue mmregarding mmthe mminitial mmresuscitation mmof
mma mmtrauma mmpatient? mm- mmANS-Evidence mmof mmimproved mmperfusion mmafter
mmfluid mmresuscitation mmcould mminclude mmimprovement mmin mmGlasgow mmComa
mmScale mmscore mmon mmreevaluation.
In mmmanaging mma mmpatient mmwith mma mmsevere mmtraumatic mmbrain mminjury, mmthe
mmmost mmimportant mminitial mmstep mmis mmto: mm- mmANS-secure mmthe mmairway
A mmpreviously mmhealthy, mm70-kg mm(154-pound) mmman mmsuffers mman mmestimated
mmacute mmblood mmloss mmof mm2 mmliters. mmWhich mmone mmof mmthe mmfollowing
mmstatements mmapplies mmto mmthis mmpatient? mm- mmANS-An mmABG mmwould
mmdemonstrate mma mmbase mmdeficit mmbetween mm-6 mmand mm-10 mmmEq/L.
, The mmphysiological mmhypervolemia mmof mmpregnancy mmhas mmclinical mmsignificance
mmin mmthe mmmanagement mmof mmthe mmseverely mminjured, mmgravid mmwoman mmby: mm-
mmANS-increasing mmthe mmvolume mmof mmblood mmloss mmto mmproduce mmmaternal
mmhypotension
The mmbest mmassessment mmof mmfluid mmresuscitation mmof mmthe mmadult mmburn
mmpatient mmis: mm- mmANS-urinary mmoutput mmof mm0.5 mmmL/kg/hr
The mmdiagnosis mmof mmshock mmmust mminclude: mm- mmANS-evidence mmof
mminadequate mmorgan mmperfusion
A mm7-year-old mmboy mmis mmbrought mmto mmthe mmemergency mmdepartment mmby mmhis
mmparents mmseveral mmminutes mmafter mmhe mmfell mmthrough mma mmwindow. mmHe mmis
mmbleeding mmprofusely mmfrom mma mm6-cm mmwound mmof mmhis mmmedial mmright
mmthigh. mmImmediate mmmanagement mmof mmthe mmwound mmshould mmconsist mmof: mm-
mmANS-direct mmpressure mmon mmthe mmwound
For mmthe mmpatient mmwith mmsevere mmtraumatic mmbrain mminjury, mmprofound
mmhypocarbia mmshould mmbe mmavoided mmto mmprevent: mm- mmANS-cerebral
mmvasoconstriction mmwith mmdiminished mmperfusion
After mmbeing mminvolved mmin mma mmmotor mmvehicle mmcrash, mma mm25-year-old mmman
mmis mmbrought mmto mma mmhospital mmthat mmhas mmsurgery mmcapabilities mmavailable..
mmComputed mmtomography mmof mmthe mmchest mmand mmabdomen mmshows mman
mmaortic mminjury mmand mmsplenic mmlaceration mmwith mmfree mmabdominal mmfluid. mmHis
mmblood mmpressure mmfalls mmto mm70 mmmm mmHg mmafter mmCT. mmThe mmnext mmstep
mmis: mm- mmANS-perform mman mmexploratory mmlaparotomy
Which mmone mmof mmthe mmfollowing mmstatements mmregarding mmabdominal mmtrauma
mmin mmthe mmpregnant mmpatient mmis mmTRUE? mm- mmANS-Leakage mmof mmamniotic
mmfluid mmis mman mmindication mmfor mmhospital mmadmission.
The mmfirst mmmaneuver mmto mmimprove mmoxygenation mmafter mmchest mminjury mmis: mm-
mmANS-administer mmsupplemental mmoxygen
A mm25-year-old mmman, mminjured mmin mma mmmotor mmvehicular mmcrash, mmis
mmadmitted mmto mmthe mmemergency mmdepartment. mmHis mmpupils mmreact mmsluggishly
mmand mmhis mmeyes mmopen mmto mmpressure. mmHe mmdoes mmnot mmfollow mmcommands,
mmbut mmhe mmdoes mmmoan mmperiodically. mmHis mmright mmarm mmis mmdeformed mmand
mmdoes mmnot mmrespond mmto mmpressure; mmhowever, mmhis mmleft mmhand mmreaches
mmpurposefully mmtoward mmthe mmstimulus. mmBoth mmlegs mmare mmstiffly mmextended.
mmHis mmGCS mmscore mmis: mm- mmANS-9
A mm20-year-old mmwoman mmwho mmis mmat mm32 mmweeks mmgestation, mmis mmstabbed
mmin mmthe mmupper mmright mmchest. mmIn mmthe mmemergency mmdepartment, mmher
mmblood mmpressure mmis mm80/60 mmmm mmHg. mmShe mmis mmgasping mmfor mmbreath,
