ATLS Pretest.pdf file:///C:/Users/HP/Desktop/New%20folder/ATLS%20Pretest
ATLS Pretest Questions & Answers
1. A 22-year-old man is hypotensive and tachycardic after a shotgun wound to
the left shoulder. His blood pressure is initially 80/40 mm Hg. After initial fluid
resuscitation his blood pressure increases to 122/84 mm Hg. His heart rate is
now 100 beats per minute and his respiratory rate is 28 breaths per minute. A
tube thoracostomy is performed for decreased left chest breath sounds with the
return of a small amount of blood and no air leak. After chest tube insertion, the
most appropriate next step is
Answer re-examine the chest
2. A construction worker falls two stories from a building and sustains bilateral
calcaneal fractures. In the emergency department, he is alert, vital signs are
normal, and he is complaining of severe pain in both heels and his lower back.
Lower extremity pulses are strong and there is no other deformity. The
suspected diagnosis is most likely to be confirmed by
Answer complete spine x-ray series
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,ATLS Pretest.pdf file:///C:/Users/HP/Desktop/New%20folder/ATLS%20Pretest
3. Which of the following is true regarding the initial resuscitation of a trauma
patient?
Answer Evidence of improved perfusion after fluid resuscitation could include
improvement in Glasgow Coma Scale score on reevaluation.
4. In managing a patient with a severe traumatic brain injury, the most impor-
tant initial step is to
Answer secure the airway
5. A previously healthy, 70-kg (154-pound) man suffers an estimated acute
blood loss of 2 liters. Which one of the following statements applies to this
patient?
Answer An ABG would demonstrate a base deficit between -6 and -10 mEq/L.
6. The physiological hypervolemia of pregnancy has clinical significance in
the management of the severely injured, gravid woman by
Answer increasing the volume of blood loss to produce maternal hypotension
7. The best assessment of fluid resuscitation of the adult burn patient is
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2 of 15 12/16/2024, 5:10
ATLS Pretest Questions & Answers
1. A 22-year-old man is hypotensive and tachycardic after a shotgun wound to
the left shoulder. His blood pressure is initially 80/40 mm Hg. After initial fluid
resuscitation his blood pressure increases to 122/84 mm Hg. His heart rate is
now 100 beats per minute and his respiratory rate is 28 breaths per minute. A
tube thoracostomy is performed for decreased left chest breath sounds with the
return of a small amount of blood and no air leak. After chest tube insertion, the
most appropriate next step is
Answer re-examine the chest
2. A construction worker falls two stories from a building and sustains bilateral
calcaneal fractures. In the emergency department, he is alert, vital signs are
normal, and he is complaining of severe pain in both heels and his lower back.
Lower extremity pulses are strong and there is no other deformity. The
suspected diagnosis is most likely to be confirmed by
Answer complete spine x-ray series
1/
1 of 15 12/16/2024, 5:10
,ATLS Pretest.pdf file:///C:/Users/HP/Desktop/New%20folder/ATLS%20Pretest
3. Which of the following is true regarding the initial resuscitation of a trauma
patient?
Answer Evidence of improved perfusion after fluid resuscitation could include
improvement in Glasgow Coma Scale score on reevaluation.
4. In managing a patient with a severe traumatic brain injury, the most impor-
tant initial step is to
Answer secure the airway
5. A previously healthy, 70-kg (154-pound) man suffers an estimated acute
blood loss of 2 liters. Which one of the following statements applies to this
patient?
Answer An ABG would demonstrate a base deficit between -6 and -10 mEq/L.
6. The physiological hypervolemia of pregnancy has clinical significance in
the management of the severely injured, gravid woman by
Answer increasing the volume of blood loss to produce maternal hypotension
7. The best assessment of fluid resuscitation of the adult burn patient is
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2 of 15 12/16/2024, 5:10
