ATLS Post Test QUESTIONS AND
ANSWERS
1. 18 12 months antique helmeted motorcyclist is added by way of ambulance to the
emergency department following a high speed crash. Pre-health center employees
document that he became thrown 50 feet off his motorbike. He has a records of
hypotension previous to arrival within the ED, but is now conscious, alert, and
conversational. Which of the following statements is true? - ANS -The patient likely has
an acute epidural hematoma (lucid c program languageperiod)
2. 22 12 months vintage man is brought to the hospital after crashing his bike into a phone
pole. He is subconscious and in profound shock. He has no open wounds or apparent
fractures. The purpose of his shocks is maximum probable because of: - ANS
-Hemorrhage into the chest or abdomen
not anything seen -> assume chest or abdomen
3. 23 yr antique man is introduced straight away to the emergency branch from the
sanatorium parking lot in which he was shot inside the lower stomach. Examination
well-knownshows a unmarried bullet wound. He is respiration and has a thrash pulse.
However, he is unconscious and has no detectable blood pressure. Optimal immediate
control is to: - ANS -Transfer the patient to the operating room whilst beginning fluid
remedy
4. 24 year antique male sustains multiple fractured ribs bilaterally as a result of being
crushed in a press at plywood manufacturing facility. Examination in the ED discovered a
foil phase at the patient's thorax. Primary resuscitation includes excessive waft, oxygen
management via a non-breathing masks, and initiation of ringers lactate answer. The
affected person reveals revolutionary confusion, cyanosis, and kidney. Management at
the moment she encompass: - ANS -Endotracheal intubation and mechanical air flow
5. 24 yr antique woman passenger in an vehicle, moves the windscreen with her face at
some point of a head-on collision. In the emergency apartment, she's speaking and has
marked artificial demon crepitus. The maximum precedence need to accept to: - ANS
-Upper airway protection
6. 25 yr old lady is introduced to the emergency department after a motor vehicle crash.
She turned into to begin with lucid on the scene after which evolved the dilated human
beings in contralateral externally weakness. In the emergency branch, she's
subconscious and has a GCS rating of 6. The preliminary control step for this patient
must be to: - ANS -Perform endotracheal intubation
7. 28 year vintage male is introduced to ER. He turned into concerned in a combat wherein
she became overwhelmed with a wood stick. His chest has multiple severe bruises.
Airways clean, respiration rate 22, heart fee is 126, and systemic blood strain is ninety.
Which of the following ought to be completed all through the number one survey?
A. GCS
, B. Cervical backbone XR
C. TT administration
D. Blood alcohol stage
E. Rectal exam - ANS -A. GCS
8. 30 year antique man is struck with the aid of a car travelling 35mph. He has obvious
fractures of the left tibia near the knee, pain inside the pelvis location, and intense
dyspnea. His HR is 180, RR 48 bpm with no breath sounds heard inside the left chest. A
anxiety PTX is relieved through instant needle decompression and tube thoracostomy.
Subsequently his HR decreased to one hundred forty, his RR decreased to 36 bpm, and
BP eighty/50 mmHg. Warmed LR is run intravenously. The subsequent priority should be
to: - ANS -Perform external fixation of the pelvis
9. 30 year antique guy sustains a seriously, communities, open distal proper femur fracture
in a bike crash. The wound is actively bleeding. DP and PT are without problems
palpable on the left, however heard handiest with the aid of Doppler at the proper.
Immediate attempt to enhance stream the injured extremity have to involve: - ANS
-Tamponade of the wound with a pressure dressing
10.32 yr old male is brought to the health center subconscious with intense facial injuries
and noisy respirations after an car collision. In the emergency department, he has no
obvious injury to the anterior aspect of his neck. He all of sudden becomes apneic, and
opportunity ventilation with a face mask is unsuccessful. Examination of his mouth
famous a big hematoma of the fairing with lack of normal atomic landmarks. Initial
control of his airway need to consist of:
A. Nasotracheal intubation
B. Emergency tracheostomy
C. Surgical cricothyroidotomy
D. Placement of an oropharyngeal airway
E. Placement of an nasopharyngeal airway - ANS -C. Surgical cricothyroidotomy
11.forty two year antique man injured in a motor vehicle crash, suffers a closed, head harm,
more than one palpable left roof fracture, bilateral femur fracture. He is intubated
orotracheally without trouble. Initially, has ventilations are easily assisted with a bag tool.
It becomes extra difficult to ventilate the affected person over the next five mins, and his
hemoglobin oxygen saturation stage decreases from 90% to 89%. The maximum
appropriate next step is to: - ANS -Auscultate the patient's chest
12.forty two yr olds guy is trapped from the waist down underneath his overturned tractor for
several hours before Medical systemized. He is wakeful and alert until just before
arriving in emergency branch. He is now subconscious in response simplest to painful
stimulate by using moaning. His students are 3 mm in diameter and symmetrically
reactive pleasure. Prehospital personnel indicate that they have got not visible the
patient pass both of his lower extremities.: - ANS -A pelvic fracture
13.five year antique boy is struck by an car and brought to the emergency department. He
is lethargic, however withdraws purposefully from painfully stimuli. His blood strain is 90
mmHg, HR one hundred forty BPM, and RR is 36 bpm. The preferred direction of
venous access on this patient is: - ANS -Pertained veins within the top extremities
, 14.8 12 months old girl is an unrestrained passenger in a vehicle struck from in the back of.
In the ED, her blood strain is 80/60, coronary heart rate is 80 bpm, and respiration price
is sixteen breaths per minute. Her GCS score is 14. She complains that her legs "feel
humorous and won't flow proper", but, her spine x-rays do not display a fracture
dislocation. A spinal harm in this infant: - ANS -Can be excluded by way of acquiring a
CT of the whole spine
15.A 14 12 months old girl is delivered to the ED after falling from a horse. She is
immoblized on a long spine board with a difficult collar and blocks. Cervical spine x-ray: -
ANS -??
16.A 15 yr antique male gives following a motorbike crash. Initial exam reveals everyday
important signs. There is a large bruise over his epigastrium that extends to the left flank.
He has no other apparent accidents. A CT scan of the stomach demonstrates a ruptured
spleen surrounded via a big hematoma and fluid inside the pelvis. The subsequent
quality step within the patient's control is:
A. Splenic artery embolization
B. Pneumococcal vaccine
C. Urgent laporotomy
D. Surgical consultation
E. Transfer to a pediatrician - ANS -D. Surgical session
vs. Peritonitis or unusual critical symptoms --> pressing laporotomy
17.A 15-yr-antique male is added to ER after being worried in a motor automobile crash. He
is subconscious and turned into intubated on the scene with the aid of EMS. In ER, O2 is
ninety two%. Heart rate is 96 and BP is 150/85. Breath sounds are decreased on the left
aspect of the thorax. The next step is:
A. Immediate needle cricothyroidectomy
B. Reassess the position of the ETT
C. Chest tube insertion
D. Immediate needle thoracentesis
E. Obtain a chest x-ray - ANS -Reassess the placement of the ETT
18.A 17 yr antique lady is introduced to the ED following a 6 feet fall onto concrete. She is
unresponsive and observed to have a RR of 32, BP of ninety/60, and HR of sixty eight.
The FIRST step in treatment is:
A. Administering vasopressors
B. Establishing IV get admission to for drug-assisted intubation
C. Seeking the purpose of her reduced stage of cognizance
D. Applying oxygen and keeping airway
E. Excluding hemorrhage as a purpose of surprise - ANS -D. Applying oxygen and
keeping airway
First = ABCs
19.A 17-year-vintage helmeted motorcyclist is struck broadside by means of an vehicle at
an intersection. He is subconscious on the scene with a blood pressure of a hundred
and forty/90mmHg, heart rate of ninety beats per minute, and respiration rate of
twenty-two breaths per minute. His respirations are sonorous and deep. His GCS rating
ANSWERS
1. 18 12 months antique helmeted motorcyclist is added by way of ambulance to the
emergency department following a high speed crash. Pre-health center employees
document that he became thrown 50 feet off his motorbike. He has a records of
hypotension previous to arrival within the ED, but is now conscious, alert, and
conversational. Which of the following statements is true? - ANS -The patient likely has
an acute epidural hematoma (lucid c program languageperiod)
2. 22 12 months vintage man is brought to the hospital after crashing his bike into a phone
pole. He is subconscious and in profound shock. He has no open wounds or apparent
fractures. The purpose of his shocks is maximum probable because of: - ANS
-Hemorrhage into the chest or abdomen
not anything seen -> assume chest or abdomen
3. 23 yr antique man is introduced straight away to the emergency branch from the
sanatorium parking lot in which he was shot inside the lower stomach. Examination
well-knownshows a unmarried bullet wound. He is respiration and has a thrash pulse.
However, he is unconscious and has no detectable blood pressure. Optimal immediate
control is to: - ANS -Transfer the patient to the operating room whilst beginning fluid
remedy
4. 24 year antique male sustains multiple fractured ribs bilaterally as a result of being
crushed in a press at plywood manufacturing facility. Examination in the ED discovered a
foil phase at the patient's thorax. Primary resuscitation includes excessive waft, oxygen
management via a non-breathing masks, and initiation of ringers lactate answer. The
affected person reveals revolutionary confusion, cyanosis, and kidney. Management at
the moment she encompass: - ANS -Endotracheal intubation and mechanical air flow
5. 24 yr antique woman passenger in an vehicle, moves the windscreen with her face at
some point of a head-on collision. In the emergency apartment, she's speaking and has
marked artificial demon crepitus. The maximum precedence need to accept to: - ANS
-Upper airway protection
6. 25 yr old lady is introduced to the emergency department after a motor vehicle crash.
She turned into to begin with lucid on the scene after which evolved the dilated human
beings in contralateral externally weakness. In the emergency branch, she's
subconscious and has a GCS rating of 6. The preliminary control step for this patient
must be to: - ANS -Perform endotracheal intubation
7. 28 year vintage male is introduced to ER. He turned into concerned in a combat wherein
she became overwhelmed with a wood stick. His chest has multiple severe bruises.
Airways clean, respiration rate 22, heart fee is 126, and systemic blood strain is ninety.
Which of the following ought to be completed all through the number one survey?
A. GCS
, B. Cervical backbone XR
C. TT administration
D. Blood alcohol stage
E. Rectal exam - ANS -A. GCS
8. 30 year antique man is struck with the aid of a car travelling 35mph. He has obvious
fractures of the left tibia near the knee, pain inside the pelvis location, and intense
dyspnea. His HR is 180, RR 48 bpm with no breath sounds heard inside the left chest. A
anxiety PTX is relieved through instant needle decompression and tube thoracostomy.
Subsequently his HR decreased to one hundred forty, his RR decreased to 36 bpm, and
BP eighty/50 mmHg. Warmed LR is run intravenously. The subsequent priority should be
to: - ANS -Perform external fixation of the pelvis
9. 30 year antique guy sustains a seriously, communities, open distal proper femur fracture
in a bike crash. The wound is actively bleeding. DP and PT are without problems
palpable on the left, however heard handiest with the aid of Doppler at the proper.
Immediate attempt to enhance stream the injured extremity have to involve: - ANS
-Tamponade of the wound with a pressure dressing
10.32 yr old male is brought to the health center subconscious with intense facial injuries
and noisy respirations after an car collision. In the emergency department, he has no
obvious injury to the anterior aspect of his neck. He all of sudden becomes apneic, and
opportunity ventilation with a face mask is unsuccessful. Examination of his mouth
famous a big hematoma of the fairing with lack of normal atomic landmarks. Initial
control of his airway need to consist of:
A. Nasotracheal intubation
B. Emergency tracheostomy
C. Surgical cricothyroidotomy
D. Placement of an oropharyngeal airway
E. Placement of an nasopharyngeal airway - ANS -C. Surgical cricothyroidotomy
11.forty two year antique man injured in a motor vehicle crash, suffers a closed, head harm,
more than one palpable left roof fracture, bilateral femur fracture. He is intubated
orotracheally without trouble. Initially, has ventilations are easily assisted with a bag tool.
It becomes extra difficult to ventilate the affected person over the next five mins, and his
hemoglobin oxygen saturation stage decreases from 90% to 89%. The maximum
appropriate next step is to: - ANS -Auscultate the patient's chest
12.forty two yr olds guy is trapped from the waist down underneath his overturned tractor for
several hours before Medical systemized. He is wakeful and alert until just before
arriving in emergency branch. He is now subconscious in response simplest to painful
stimulate by using moaning. His students are 3 mm in diameter and symmetrically
reactive pleasure. Prehospital personnel indicate that they have got not visible the
patient pass both of his lower extremities.: - ANS -A pelvic fracture
13.five year antique boy is struck by an car and brought to the emergency department. He
is lethargic, however withdraws purposefully from painfully stimuli. His blood strain is 90
mmHg, HR one hundred forty BPM, and RR is 36 bpm. The preferred direction of
venous access on this patient is: - ANS -Pertained veins within the top extremities
, 14.8 12 months old girl is an unrestrained passenger in a vehicle struck from in the back of.
In the ED, her blood strain is 80/60, coronary heart rate is 80 bpm, and respiration price
is sixteen breaths per minute. Her GCS score is 14. She complains that her legs "feel
humorous and won't flow proper", but, her spine x-rays do not display a fracture
dislocation. A spinal harm in this infant: - ANS -Can be excluded by way of acquiring a
CT of the whole spine
15.A 14 12 months old girl is delivered to the ED after falling from a horse. She is
immoblized on a long spine board with a difficult collar and blocks. Cervical spine x-ray: -
ANS -??
16.A 15 yr antique male gives following a motorbike crash. Initial exam reveals everyday
important signs. There is a large bruise over his epigastrium that extends to the left flank.
He has no other apparent accidents. A CT scan of the stomach demonstrates a ruptured
spleen surrounded via a big hematoma and fluid inside the pelvis. The subsequent
quality step within the patient's control is:
A. Splenic artery embolization
B. Pneumococcal vaccine
C. Urgent laporotomy
D. Surgical consultation
E. Transfer to a pediatrician - ANS -D. Surgical session
vs. Peritonitis or unusual critical symptoms --> pressing laporotomy
17.A 15-yr-antique male is added to ER after being worried in a motor automobile crash. He
is subconscious and turned into intubated on the scene with the aid of EMS. In ER, O2 is
ninety two%. Heart rate is 96 and BP is 150/85. Breath sounds are decreased on the left
aspect of the thorax. The next step is:
A. Immediate needle cricothyroidectomy
B. Reassess the position of the ETT
C. Chest tube insertion
D. Immediate needle thoracentesis
E. Obtain a chest x-ray - ANS -Reassess the placement of the ETT
18.A 17 yr antique lady is introduced to the ED following a 6 feet fall onto concrete. She is
unresponsive and observed to have a RR of 32, BP of ninety/60, and HR of sixty eight.
The FIRST step in treatment is:
A. Administering vasopressors
B. Establishing IV get admission to for drug-assisted intubation
C. Seeking the purpose of her reduced stage of cognizance
D. Applying oxygen and keeping airway
E. Excluding hemorrhage as a purpose of surprise - ANS -D. Applying oxygen and
keeping airway
First = ABCs
19.A 17-year-vintage helmeted motorcyclist is struck broadside by means of an vehicle at
an intersection. He is subconscious on the scene with a blood pressure of a hundred
and forty/90mmHg, heart rate of ninety beats per minute, and respiration rate of
twenty-two breaths per minute. His respirations are sonorous and deep. His GCS rating
