ATLS 10TH EDITION POST TEST (1,2,3&4) EXAM QUESTIONS WITH
COMPLETE SOLUTIONS GUARANTEED PASS BRAND NEW 2025
Which of the following is the recommended Method for
treatment frostbite?
A. Vasodilators
B. Anticoagulants
C. Warm (40 degrees) water
D. Padding and elevation
E. Application of heat from a hairdryer - ANSWER - >C. Warm
(40 degrees) water
Which of the following physical findings suggest a cause of
hypotension other than spinal cord injury?
A. Priapism
B. Bradycardia
C. Diaphragmatic breathing
D. Presence of deep tendon reflexes
E. Ability to flex forearms but not extend them - ANSWER - >D.
Presence of deep tendon reflexes. Spinal shock refers to loss of
muscle toe (flaccidity) and loss of reflexes.
The primary indication for transferring A patient to a higher
level trauma center is:
A. Unavailability of surgeon or operating staff
B. Multiple system injuries, including severe head injury
,C. Resource limitations as determined by the transferring
doctor
D. Resource limitations as determined by the hospital
administration
E. Widened mediastinum on chest x-ray following blunt trauma
- ANSWER - >C. Resource limitations as determined by the
transferring doctor (MÅ SJEKKES)
A young man sustains a rifle wound to the mid-abdomen. He is
brought promptly to the ED by prehospital personnel. His skin is
cool and diaphoretic, and his systolic blood pressure is
58mmHg. Warmed crystalloid fluids are initiated without
improvement in his vital signs. The next, most appropriate, step
is to perform:
A. a laparotomy
B. An abdominal CT-scan
C. Diagnostic laparoscopy
D. Abdominal ultrasonography
E. A diagnostic peritoneal lavage - ANSWER - >A. Laparotomy
because of hemodynamic abnormality
A 42-year-old man is trapped from the waist down beneath his
overturned tractor for several hours before medical assistance
arrives. He is awake and alert until just before arriving in the
ED. He is now unconscious and responds only to painful stimuli
by moaning. His pupils are 3mm in diameter and symmetrically
reactive to light. Prehospital personnel indicate that they have
not seen the patient move either of his lower extremities. On
examination in the ED, no movement of his lower extremities
,are detected, even in response to painful stimuli. The most
likely cause for this finding is:
A. An epidural hematoma
B. A pelvic fracture
C. Central cord syndrome
D. Intracerebral hemorrhage
E. Bilateral compartment syndrome - ANSWER - >MÅ SJEKKES
A 6-year-o boy is struck by an automobile and brought to the
ED. He is lethargic, but withdraws purposefully from painful
stimuli. His blood pressure is 90mmHg systolic, heart rate 140
beats per minute and his respiratory rate is 36 breaths per
minute. The preferred route of venous access in this patient is:
A. Percutaneous femoral vein cannulation
B. Cutdown on the saphenous vein at the ankle
C. Intraosseous catheter placement in the proximal tibia
D. Percutaneous peripheral veins in the upper extremities
E. Central venous access via the subclavian or internal jugular
vein - ANSWER - >D. Percutaneous peripheral veins in the upper
extremities
A young man sustains a gunshot wound to the abdomen and is
brought promptly to the ED by prehospital personnel. His skin is
cool and diaphoretic, and he is confused. His pulse is thready
and his femoral pulse is only weakly palpable. The definitive
treatment in managing this patient is to:
A. Administer O-negative blood
B. Apply external warming devices
C. Control internal hemorrhage operatively
, D. Apply a pneumatic antishock garment (PASG)
E. Infuse large volumes of intravenous crystalloid solutions. -
ANSWER - >C. Control internal hemorrhage operatively
Regarding shock in the child, which of the following is FALSE?
A. Vital signs are age-related
B. Children have greater physiologic reserves than do adults
C. Tachycardia is the primary physiologic response to
hypovolemia
D. The absolute volume of blood loss required to produce shock
is the same as in adults
E. An initial fluid bolus for resuscitation should approximate
20ml/kg Ringers Lactate - ANSWER - >D. The absolute volume
of blood loss required to produce shock is the same as in adults
A 33-year-old man is struck by a car travelling at 56km/h
(35mph). He has obvious fractures of the left tibia near the
knee, pain in the pelvic area, and severe dyspnea. His heart rate
is 182 beats per minute, and his respiratory rate is 48 breaths
per minute with no breath sounds heard in the left chest. A
tension pneumothorax is relieved by immediate needle
decompression and tube thoracostomy. Subsequently, his heart
rate decreases to 144 beats per minute, his respirartory rate
decreases to 36 breaths per minute and his blood pressure is
81/53 mmHg. Warmed Ringers lactate is adminstered
intravenously. The next priority should be to:
A. Perform external fixation of the pelvis
B. Obtain abdominal and pelvic CT-scans
C. Perform arterial embolization of the pelvic vessel
COMPLETE SOLUTIONS GUARANTEED PASS BRAND NEW 2025
Which of the following is the recommended Method for
treatment frostbite?
A. Vasodilators
B. Anticoagulants
C. Warm (40 degrees) water
D. Padding and elevation
E. Application of heat from a hairdryer - ANSWER - >C. Warm
(40 degrees) water
Which of the following physical findings suggest a cause of
hypotension other than spinal cord injury?
A. Priapism
B. Bradycardia
C. Diaphragmatic breathing
D. Presence of deep tendon reflexes
E. Ability to flex forearms but not extend them - ANSWER - >D.
Presence of deep tendon reflexes. Spinal shock refers to loss of
muscle toe (flaccidity) and loss of reflexes.
The primary indication for transferring A patient to a higher
level trauma center is:
A. Unavailability of surgeon or operating staff
B. Multiple system injuries, including severe head injury
,C. Resource limitations as determined by the transferring
doctor
D. Resource limitations as determined by the hospital
administration
E. Widened mediastinum on chest x-ray following blunt trauma
- ANSWER - >C. Resource limitations as determined by the
transferring doctor (MÅ SJEKKES)
A young man sustains a rifle wound to the mid-abdomen. He is
brought promptly to the ED by prehospital personnel. His skin is
cool and diaphoretic, and his systolic blood pressure is
58mmHg. Warmed crystalloid fluids are initiated without
improvement in his vital signs. The next, most appropriate, step
is to perform:
A. a laparotomy
B. An abdominal CT-scan
C. Diagnostic laparoscopy
D. Abdominal ultrasonography
E. A diagnostic peritoneal lavage - ANSWER - >A. Laparotomy
because of hemodynamic abnormality
A 42-year-old man is trapped from the waist down beneath his
overturned tractor for several hours before medical assistance
arrives. He is awake and alert until just before arriving in the
ED. He is now unconscious and responds only to painful stimuli
by moaning. His pupils are 3mm in diameter and symmetrically
reactive to light. Prehospital personnel indicate that they have
not seen the patient move either of his lower extremities. On
examination in the ED, no movement of his lower extremities
,are detected, even in response to painful stimuli. The most
likely cause for this finding is:
A. An epidural hematoma
B. A pelvic fracture
C. Central cord syndrome
D. Intracerebral hemorrhage
E. Bilateral compartment syndrome - ANSWER - >MÅ SJEKKES
A 6-year-o boy is struck by an automobile and brought to the
ED. He is lethargic, but withdraws purposefully from painful
stimuli. His blood pressure is 90mmHg systolic, heart rate 140
beats per minute and his respiratory rate is 36 breaths per
minute. The preferred route of venous access in this patient is:
A. Percutaneous femoral vein cannulation
B. Cutdown on the saphenous vein at the ankle
C. Intraosseous catheter placement in the proximal tibia
D. Percutaneous peripheral veins in the upper extremities
E. Central venous access via the subclavian or internal jugular
vein - ANSWER - >D. Percutaneous peripheral veins in the upper
extremities
A young man sustains a gunshot wound to the abdomen and is
brought promptly to the ED by prehospital personnel. His skin is
cool and diaphoretic, and he is confused. His pulse is thready
and his femoral pulse is only weakly palpable. The definitive
treatment in managing this patient is to:
A. Administer O-negative blood
B. Apply external warming devices
C. Control internal hemorrhage operatively
, D. Apply a pneumatic antishock garment (PASG)
E. Infuse large volumes of intravenous crystalloid solutions. -
ANSWER - >C. Control internal hemorrhage operatively
Regarding shock in the child, which of the following is FALSE?
A. Vital signs are age-related
B. Children have greater physiologic reserves than do adults
C. Tachycardia is the primary physiologic response to
hypovolemia
D. The absolute volume of blood loss required to produce shock
is the same as in adults
E. An initial fluid bolus for resuscitation should approximate
20ml/kg Ringers Lactate - ANSWER - >D. The absolute volume
of blood loss required to produce shock is the same as in adults
A 33-year-old man is struck by a car travelling at 56km/h
(35mph). He has obvious fractures of the left tibia near the
knee, pain in the pelvic area, and severe dyspnea. His heart rate
is 182 beats per minute, and his respiratory rate is 48 breaths
per minute with no breath sounds heard in the left chest. A
tension pneumothorax is relieved by immediate needle
decompression and tube thoracostomy. Subsequently, his heart
rate decreases to 144 beats per minute, his respirartory rate
decreases to 36 breaths per minute and his blood pressure is
81/53 mmHg. Warmed Ringers lactate is adminstered
intravenously. The next priority should be to:
A. Perform external fixation of the pelvis
B. Obtain abdominal and pelvic CT-scans
C. Perform arterial embolization of the pelvic vessel
