ATLS Post Test QUESTIONS AND
ANSWERS
1. 18 yr antique helmeted motorcyclist is added by way of ambulance to the emergency
branch following a high pace crash. Pre-sanatorium personnel report that he became
thrown 50 feet off his motorbike. He has a records of hypotension previous to arrival
within the ED, but is now awake, alert, and conversational. Which of the subsequent
statements is genuine? - ANSWER-The affected person likely has an acute epidural
hematoma (lucid c programming language)
2. 22 yr antique man is added to the health facility after crashing his bike right into a phone
pole. He is subconscious and in profound shock. He has no open wounds or apparent
fractures. The motive of his shocks is most in all likelihood as a result of: -
ANSWER-Hemorrhage into the chest or abdomen
not anything visible -> think chest or abdomen
3. 23 12 months antique guy is brought without delay to the emergency department from
the clinic car parking zone wherein he was shot inside the decrease stomach.
Examination reveals a unmarried bullet wound. He is breathing and has a thrash pulse.
However, he's unconscious and has no detectable blood strain. Optimal on the spot
control is to: - ANSWER-Transfer the patient to the running room even as starting
up fluid therapy
4. 24 year vintage male sustains multiple fractured ribs bilaterally due to being
overwhelmed in a press at plywood factory. Examination within the ED discovered a foil
phase on the patient's thorax. Primary resuscitation consists of high glide, oxygen
management through a non-respiratory masks, and initiation of ringers lactate answer.
The affected person reveals modern confusion, cyanosis, and kidney. Management at
the moment she encompass: - ANSWER-Endotracheal intubation and mechanical
ventilation
5. 24 year old lady passenger in an car, strikes the windscreen with her face all through a
head-on collision. In the emergency condo, she's speaking and has marked artificial
demon crepitus. The highest priority have to accept to: - ANSWER-Upper airway
protection
6. 25 yr antique lady is added to the emergency branch after a motor car crash. She
changed into first of all lucid at the scene after which developed the dilated humans in
contralateral externally weak point. In the emergency department, she's subconscious
and has a GCS score of 6. The preliminary management step for this affected person
need to be to: - ANSWER-Perform endotracheal intubation
7. 28 year old male is delivered to ER. He changed into involved in a fight in which she
turned into crushed with a wood stick. His chest has more than one intense bruises.
Airways clear, respiratory rate 22, heart charge is 126, and systemic blood stress is
ninety. Which of the subsequent must be performed in the course of the primary survey?
, A. GCS
B. Cervical spine XR
C. TT management
D. Blood alcohol level
E. Rectal exam - ANSWER-A. GCS
8. 30 12 months antique guy is struck by way of a vehicle visiting 35mph. He has obvious
fractures of the left tibia close to the knee, ache in the pelvis region, and extreme
dyspnea. His HR is a hundred and eighty, RR 48 bpm with out a breath sounds heard
within the left chest. A tension PTX is relieved via on the spot needle decompression and
tube thoracostomy. Subsequently his HR reduced to 140, his RR decreased to 36 bpm,
and BP eighty/50 mmHg. Warmed LR is run intravenously. The next precedence have to
be to: - ANSWER-Perform outside fixation of the pelvis
9. 30 yr antique guy sustains a seriously, communities, open distal proper femur fracture in
a motorbike crash. The wound is actively bleeding. DP and PT are without problems
palpable at the left, but heard simplest by using Doppler at the proper. Immediate
attempt to improve circulate the injured extremity have to contain: -
ANSWER-Tamponade of the wound with a strain dressing
10.32 12 months old male is brought to the health facility unconscious with severe facial
accidents and noisy respirations after an automobile collision. In the emergency
department, he has no apparent harm to the anterior element of his neck. He
unexpectedly turns into apneic, and opportunity ventilation with a face masks is
unsuccessful. Examination of his mouth exhibits a large hematoma of the fairing with
loss of ordinary atomic landmarks. Initial management of his airway have to encompass:
A. Nasotracheal intubation
B. Emergency tracheostomy
C. Surgical cricothyroidotomy
D. Placement of an oropharyngeal airway
E. Placement of an nasopharyngeal airway - ANSWER-C. Surgical cricothyroidotomy
11.forty two 12 months antique guy injured in a motor vehicle crash, suffers a closed, head
damage, more than one palpable left roof fracture, bilateral femur fracture. He is
intubated orotracheally without problem. Initially, has ventilations are effortlessly assisted
with a bag tool. It will become extra tough to ventilate the affected person over the
subsequent five mins, and his hemoglobin oxygen saturation degree decreases from
ninety% to 89%. The most appropriate next step is to: - ANSWER-Auscultate the
patient's chest
12.forty two 12 months olds man is trapped from the waist down underneath his overturned
tractor for numerous hours before Medical systemized. He is conscious and alert until
simply earlier than arriving in emergency branch. He is now unconscious in response
only to painful stimulate through moaning. His students are three mm in diameter and
symmetrically reactive pleasure. Prehospital personnel imply that they have now not
seen the affected person pass both of his decrease extremities.: - ANSWER-A pelvic
fracture
13.5 12 months vintage boy is struck by an car and brought to the emergency department.
He is lethargic, but withdraws purposefully from painfully stimuli. His blood strain is 90
, mmHg, HR one hundred forty BPM, and RR is 36 bpm. The favored direction of venous
access in this affected person is: - ANSWER-Pertained veins inside the top
extremities
14.eight 12 months antique woman is an unrestrained passenger in a automobile struck
from in the back of. In the ED, her blood pressure is 80/60, coronary heart price is 80
bpm, and breathing price is 16 breaths in keeping with minute. Her GCS rating is 14.
She complains that her legs "feel humorous and won't move right", but, her spine x-rays
do no longer display a fracture dislocation. A spinal injury on this infant: - ANSWER-Can
be excluded by way of acquiring a CT of the complete backbone
15.A 14 year vintage female is introduced to the ED after falling from a horse. She is
immoblized on a protracted backbone board with a difficult collar and blocks. Cervical
backbone x-ray: - ANSWER-??
16.A 15 12 months antique male affords following a bike crash. Initial examination
well-knownshows everyday important signs. There is a big bruise over his epigastrium
that extends to the left flank. He has no other apparent injuries. A CT test of the
abdomen demonstrates a ruptured spleen surrounded by means of a large hematoma
and fluid inside the pelvis. The subsequent best step in the affected person's control is:
A. Splenic artery embolization
B. Pneumococcal vaccine
C. Urgent laporotomy
D. Surgical session
E. Transfer to a pediatrician - ANSWER-D. Surgical consultation
vs. Peritonitis or extraordinary vital symptoms --> pressing laporotomy
17.A 15-yr-antique male is introduced to ER after being involved in a motor car crash. He is
unconscious and changed into intubated at the scene via EMS. In ER, O2 is 92%. Heart
fee is ninety six and BP is 150/85. Breath sounds are decreased on the left aspect of the
thorax. The subsequent step is:
A. Immediate needle cricothyroidectomy
B. Reassess the placement of the ETT
C. Chest tube insertion
D. Immediate needle thoracentesis
E. Obtain a chest x-ray - ANSWER-Reassess the position of the ETT
18.A 17 yr antique lady is added to the ED following a 6 ft fall onto concrete. She is
unresponsive and located to have a RR of 32, BP of ninety/60, and HR of sixty eight.
The FIRST step in remedy is:
A. Administering vasopressors
B. Establishing IV access for drug-assisted intubation
C. Seeking the cause of her decreased level of recognition
D. Applying oxygen and maintaining airway
E. Excluding hemorrhage as a motive of shock - ANSWER-D. Applying oxygen and
retaining airway
First = ABCs
19.A 17-12 months-antique helmeted motorcyclist is struck broadside via an vehicle at an
intersection. He is unconscious at the scene with a blood pressure of one hundred
ANSWERS
1. 18 yr antique helmeted motorcyclist is added by way of ambulance to the emergency
branch following a high pace crash. Pre-sanatorium personnel report that he became
thrown 50 feet off his motorbike. He has a records of hypotension previous to arrival
within the ED, but is now awake, alert, and conversational. Which of the subsequent
statements is genuine? - ANSWER-The affected person likely has an acute epidural
hematoma (lucid c programming language)
2. 22 yr antique man is added to the health facility after crashing his bike right into a phone
pole. He is subconscious and in profound shock. He has no open wounds or apparent
fractures. The motive of his shocks is most in all likelihood as a result of: -
ANSWER-Hemorrhage into the chest or abdomen
not anything visible -> think chest or abdomen
3. 23 12 months antique guy is brought without delay to the emergency department from
the clinic car parking zone wherein he was shot inside the decrease stomach.
Examination reveals a unmarried bullet wound. He is breathing and has a thrash pulse.
However, he's unconscious and has no detectable blood strain. Optimal on the spot
control is to: - ANSWER-Transfer the patient to the running room even as starting
up fluid therapy
4. 24 year vintage male sustains multiple fractured ribs bilaterally due to being
overwhelmed in a press at plywood factory. Examination within the ED discovered a foil
phase on the patient's thorax. Primary resuscitation consists of high glide, oxygen
management through a non-respiratory masks, and initiation of ringers lactate answer.
The affected person reveals modern confusion, cyanosis, and kidney. Management at
the moment she encompass: - ANSWER-Endotracheal intubation and mechanical
ventilation
5. 24 year old lady passenger in an car, strikes the windscreen with her face all through a
head-on collision. In the emergency condo, she's speaking and has marked artificial
demon crepitus. The highest priority have to accept to: - ANSWER-Upper airway
protection
6. 25 yr antique lady is added to the emergency branch after a motor car crash. She
changed into first of all lucid at the scene after which developed the dilated humans in
contralateral externally weak point. In the emergency department, she's subconscious
and has a GCS score of 6. The preliminary management step for this affected person
need to be to: - ANSWER-Perform endotracheal intubation
7. 28 year old male is delivered to ER. He changed into involved in a fight in which she
turned into crushed with a wood stick. His chest has more than one intense bruises.
Airways clear, respiratory rate 22, heart charge is 126, and systemic blood stress is
ninety. Which of the subsequent must be performed in the course of the primary survey?
, A. GCS
B. Cervical spine XR
C. TT management
D. Blood alcohol level
E. Rectal exam - ANSWER-A. GCS
8. 30 12 months antique guy is struck by way of a vehicle visiting 35mph. He has obvious
fractures of the left tibia close to the knee, ache in the pelvis region, and extreme
dyspnea. His HR is a hundred and eighty, RR 48 bpm with out a breath sounds heard
within the left chest. A tension PTX is relieved via on the spot needle decompression and
tube thoracostomy. Subsequently his HR reduced to 140, his RR decreased to 36 bpm,
and BP eighty/50 mmHg. Warmed LR is run intravenously. The next precedence have to
be to: - ANSWER-Perform outside fixation of the pelvis
9. 30 yr antique guy sustains a seriously, communities, open distal proper femur fracture in
a motorbike crash. The wound is actively bleeding. DP and PT are without problems
palpable at the left, but heard simplest by using Doppler at the proper. Immediate
attempt to improve circulate the injured extremity have to contain: -
ANSWER-Tamponade of the wound with a strain dressing
10.32 12 months old male is brought to the health facility unconscious with severe facial
accidents and noisy respirations after an automobile collision. In the emergency
department, he has no apparent harm to the anterior element of his neck. He
unexpectedly turns into apneic, and opportunity ventilation with a face masks is
unsuccessful. Examination of his mouth exhibits a large hematoma of the fairing with
loss of ordinary atomic landmarks. Initial management of his airway have to encompass:
A. Nasotracheal intubation
B. Emergency tracheostomy
C. Surgical cricothyroidotomy
D. Placement of an oropharyngeal airway
E. Placement of an nasopharyngeal airway - ANSWER-C. Surgical cricothyroidotomy
11.forty two 12 months antique guy injured in a motor vehicle crash, suffers a closed, head
damage, more than one palpable left roof fracture, bilateral femur fracture. He is
intubated orotracheally without problem. Initially, has ventilations are effortlessly assisted
with a bag tool. It will become extra tough to ventilate the affected person over the
subsequent five mins, and his hemoglobin oxygen saturation degree decreases from
ninety% to 89%. The most appropriate next step is to: - ANSWER-Auscultate the
patient's chest
12.forty two 12 months olds man is trapped from the waist down underneath his overturned
tractor for numerous hours before Medical systemized. He is conscious and alert until
simply earlier than arriving in emergency branch. He is now unconscious in response
only to painful stimulate through moaning. His students are three mm in diameter and
symmetrically reactive pleasure. Prehospital personnel imply that they have now not
seen the affected person pass both of his decrease extremities.: - ANSWER-A pelvic
fracture
13.5 12 months vintage boy is struck by an car and brought to the emergency department.
He is lethargic, but withdraws purposefully from painfully stimuli. His blood strain is 90
, mmHg, HR one hundred forty BPM, and RR is 36 bpm. The favored direction of venous
access in this affected person is: - ANSWER-Pertained veins inside the top
extremities
14.eight 12 months antique woman is an unrestrained passenger in a automobile struck
from in the back of. In the ED, her blood pressure is 80/60, coronary heart price is 80
bpm, and breathing price is 16 breaths in keeping with minute. Her GCS rating is 14.
She complains that her legs "feel humorous and won't move right", but, her spine x-rays
do no longer display a fracture dislocation. A spinal injury on this infant: - ANSWER-Can
be excluded by way of acquiring a CT of the complete backbone
15.A 14 year vintage female is introduced to the ED after falling from a horse. She is
immoblized on a protracted backbone board with a difficult collar and blocks. Cervical
backbone x-ray: - ANSWER-??
16.A 15 12 months antique male affords following a bike crash. Initial examination
well-knownshows everyday important signs. There is a big bruise over his epigastrium
that extends to the left flank. He has no other apparent injuries. A CT test of the
abdomen demonstrates a ruptured spleen surrounded by means of a large hematoma
and fluid inside the pelvis. The subsequent best step in the affected person's control is:
A. Splenic artery embolization
B. Pneumococcal vaccine
C. Urgent laporotomy
D. Surgical session
E. Transfer to a pediatrician - ANSWER-D. Surgical consultation
vs. Peritonitis or extraordinary vital symptoms --> pressing laporotomy
17.A 15-yr-antique male is introduced to ER after being involved in a motor car crash. He is
unconscious and changed into intubated at the scene via EMS. In ER, O2 is 92%. Heart
fee is ninety six and BP is 150/85. Breath sounds are decreased on the left aspect of the
thorax. The subsequent step is:
A. Immediate needle cricothyroidectomy
B. Reassess the placement of the ETT
C. Chest tube insertion
D. Immediate needle thoracentesis
E. Obtain a chest x-ray - ANSWER-Reassess the position of the ETT
18.A 17 yr antique lady is added to the ED following a 6 ft fall onto concrete. She is
unresponsive and located to have a RR of 32, BP of ninety/60, and HR of sixty eight.
The FIRST step in remedy is:
A. Administering vasopressors
B. Establishing IV access for drug-assisted intubation
C. Seeking the cause of her decreased level of recognition
D. Applying oxygen and maintaining airway
E. Excluding hemorrhage as a motive of shock - ANSWER-D. Applying oxygen and
retaining airway
First = ABCs
19.A 17-12 months-antique helmeted motorcyclist is struck broadside via an vehicle at an
intersection. He is unconscious at the scene with a blood pressure of one hundred
