ATLS practice questions AND ANSWERS
1. (*)Degree of burn this is characterised by bone involvement - ANSWER-Fourth
2. 37-yr-old guy is struck on the facet of the pinnacle but is conscious and talkative after the
damage. No evidence of skull fracture. Several days later, he turns into an increasing
number of torpid, rather pressured, and unable to transport his right facet. Which sort of
event has most likely happened?
A. Subdural hematoma
B. Epidural hematoma
C. Carotid dissection
D. Brain contusion - ANSWER-A. Subdural hematoma
3. 7-year-old woman is observed at the lowest of a swimming pool. Initially she changed
into in full arrest however after five minutes she confirmed sinus tachycardia but no
respiratory attempt. Intubation turned into carried out inside the subject and cervical
collar positioned. After transport to the emergency branch she become unresponsive
with a blood pressure of one hundred/60 mmHg, pulse one hundred and five,
temperature 34.3C, and oxygen saturation a hundred%. The students were three mm
and sluggishly conscious of light. There is not any response to pain. The lungs show
wheezing at the left and coarse breath sounds bilaterally. The monitor indicates sinus
tachycardia. There is no rectal tone. Which of the following need to be the following step
in control?
A. Cervical backbone movies and CT of the head B. Portable chest radiograph
C. Arterial blood fuel
D. Right and left decubitus chest radiographs - ANSWER-A. Cervical backbone
movies and CT of the pinnacle
4. A 13 12 months vintage boy fell even as riding his bicycle and hit his head. He became
subconscious for four or 5 minutes. He vomited twice. He has no memory of the
occasion or a headache. His exam is entirely normal. Glasgow coma score is 15. Select
the following step in control.
A. Discharge home with concussion commands
B. CT of the head
C. Skull movies
D. Admit for observation - ANSWER-B. CT of the pinnacle
5. A 17-12 months-old male is hit on the top with a baseball bat. He withdraws and opens
his eyes in reaction to deep painful stimuli. He additionally mumbles incomprehensibly.
What is his Glasgow coma scale score? - ANSWER-eight
6. A 18-12 months-antique male sustains a right femur fracture and a cerebral concussion
in a motor automobile twist of fate. His initial blood pressure is seventy five/50 mmHg
with a pulse of ninety beats in keeping with minute. After giving him 2 liters of Ringer
lactate he stabilizes, but the blood strain falls while he's visible in the ER. Which of the
subsequent will be the reason of suspected hypotension on this affected person?
A. Subdural hematoma
, B. Undiagnosed facial fracture
C. Ruptured spleen
D. 10% pneumothorax - ANSWER-C. Ruptured spleen
7. A 22-12 months-vintage guy sustains a gunshot wound to the abdomen and provides
with surprise. He calls for a couple of gadgets of packed crimson blood cells at some
point of resuscitation. Later he complains of numbness around his mouth. Physical exam
well-knownshows carpopedal spasm and a fine Chvostek signal. An electrocardiogram
demonstrates a prolonged QT c program languageperiod. Which of the subsequent is
the maximum suitable treatment?
A. IV bicarbonate
B. IV furosemide
C. IV calcium
D. IV insulin - ANSWER-C. IV calcium
8. A 26-yr-antique male is resuscitated with blood transfusion after a motor car collision that
became complicated via a fractured pelvis. A few hours later, the affected person turns
into febrile, hypotensive with a ordinary CVP, and oliguric. Upon examination, the
affected person is determined to be bleeding from the NG tube and IV websites. Which
of the subsequent is the maximum probably diagnosis?
A. Hemorrhagic shock
B. Acute adrenal insufficiency
C. Fat embolism syndrome
D. Transfusion reaction - ANSWER-D. Transfusion reaction
9. A 28-yr-vintage male was involved in a motor automobile coincidence. He is strong.
When he is requested to sit up, the umbilicus actions up towards the neck area. What
kind of injury can this imply?
A. Rectus hematoma
B. Diastasis recti
C. T6-T10 spinal cord damage
D. Muscle spasms - ANSWER-C. T6-T10 spinal wire damage
10.A 34-12 months-antique with severe head trauma and expanded intracranial pressures
is intubated. Which of the subsequent must be the goal for mechanical air flow? -
ANSWER-Set PaCO2 between 30-35
11.A fifty six-yr-old man is thrown violently in opposition to the steerage wheel of his truck
throughout a motor vehicle crash. On arrival inside the emergency branch he is
diaphoretic and complaining of chest ache. His blood strain is 60/forty mm Hg and his
respiration charge is forty breaths in step with minute. Which of the following nice
differentiates cardiac tamponade from tension pneumothorax as the reason of his
hypotension?
A. Tachycardia
B. Pulse quantity
C. Breath sounds
D. Pulse stress
E. Jugular venous stress - ANSWER-C. Breath sounds
, 12.A lady is transported to the emergency department after a motor vehicle coincidence
with trauma to the left leg and again. Vital signs and symptoms display
temperature=37.1ºC, BP= a hundred twenty five/75 mm Hg, HR= 94, R=20. GCS is 15.
There is paraplegia, T12 sensory degree, and decreased rectal tone. Hemoglobin is
normal and strong at 1 hour. Which of the subsequent ought to be finished to assess for
intraperitoneal bleeding?
A. Diagnostic peritoneal lavage
B. CT of the abdomen
C. Abdominal ultrasound
D. Flat plate of the abdomen - ANSWER-C. Abdominal ultrasound
13.A healthful 24-12 months-vintage is worried in a motor automobile accident. He loses
recognition however regains it inside a few hours and appears everyday to pals. He later
provides to the emergency room very torpid, weak, and with a dilated student on the left
facet. The patient most likely has which of the subsequent situations?
A. Acute subdural hematoma
B. Subarachnoid hemorrhage
C. Acute epidural hematoma
D. Intra-cerebral hemorrhage - ANSWER-C. Acute epidural hematoma
14.A hemodynamically everyday 10-year-vintage girl is hospitalized for statement after a
Grade III (reasonably extreme) splenic damage has been confirmed by using computed
tomography (CT). Which of the subsequent mandates activate celiotomy (laparotomy)?
A. A serum amylase of 200
B. A leukocyte be counted of 14,000
C. Evidence of retroperitoneal hematoma on CT experiment
D. Improvement of peritonitis on physical exam
E. A fall inside the hemoglobin level from 12 g/dL to eight g/dL over 24 hours -
ANSWER-D. Development of peritonitis on physical exam
15.A laceration of the neck superficial to the deep cervical fascia along the
sternocleidomastoid muscle at its midpoint could reason bleeding from which structure? -
ANSWER-External jugular vein
16.A affected person admitted with mild hypothermia is at risk to develop:
A. Atrial fibrillation
B. Ventricular tachycardia
C. Heart failure
D. Loss of their extremity - ANSWER-A. Atrial traumatic inflammation
17.A affected person has been in a main MVA and is comatose. He has a high stage of
alcohol and is hypothermic. Which of the following check can stand on my own in
certifying the affected person as mind useless?
A. Apnea check
B. Absence of oculocephalic and oculovestibular reflexes
C. Absence of blood glide on cerebral angiogram after warming
D. EEG - ANSWER-C. Absence of blood drift on cerebral angiogram after warming
18.A affected person injures his left arm and is located to have a transected nerve. Which is
authentic approximately this harm?
1. (*)Degree of burn this is characterised by bone involvement - ANSWER-Fourth
2. 37-yr-old guy is struck on the facet of the pinnacle but is conscious and talkative after the
damage. No evidence of skull fracture. Several days later, he turns into an increasing
number of torpid, rather pressured, and unable to transport his right facet. Which sort of
event has most likely happened?
A. Subdural hematoma
B. Epidural hematoma
C. Carotid dissection
D. Brain contusion - ANSWER-A. Subdural hematoma
3. 7-year-old woman is observed at the lowest of a swimming pool. Initially she changed
into in full arrest however after five minutes she confirmed sinus tachycardia but no
respiratory attempt. Intubation turned into carried out inside the subject and cervical
collar positioned. After transport to the emergency branch she become unresponsive
with a blood pressure of one hundred/60 mmHg, pulse one hundred and five,
temperature 34.3C, and oxygen saturation a hundred%. The students were three mm
and sluggishly conscious of light. There is not any response to pain. The lungs show
wheezing at the left and coarse breath sounds bilaterally. The monitor indicates sinus
tachycardia. There is no rectal tone. Which of the following need to be the following step
in control?
A. Cervical backbone movies and CT of the head B. Portable chest radiograph
C. Arterial blood fuel
D. Right and left decubitus chest radiographs - ANSWER-A. Cervical backbone
movies and CT of the pinnacle
4. A 13 12 months vintage boy fell even as riding his bicycle and hit his head. He became
subconscious for four or 5 minutes. He vomited twice. He has no memory of the
occasion or a headache. His exam is entirely normal. Glasgow coma score is 15. Select
the following step in control.
A. Discharge home with concussion commands
B. CT of the head
C. Skull movies
D. Admit for observation - ANSWER-B. CT of the pinnacle
5. A 17-12 months-old male is hit on the top with a baseball bat. He withdraws and opens
his eyes in reaction to deep painful stimuli. He additionally mumbles incomprehensibly.
What is his Glasgow coma scale score? - ANSWER-eight
6. A 18-12 months-antique male sustains a right femur fracture and a cerebral concussion
in a motor automobile twist of fate. His initial blood pressure is seventy five/50 mmHg
with a pulse of ninety beats in keeping with minute. After giving him 2 liters of Ringer
lactate he stabilizes, but the blood strain falls while he's visible in the ER. Which of the
subsequent will be the reason of suspected hypotension on this affected person?
A. Subdural hematoma
, B. Undiagnosed facial fracture
C. Ruptured spleen
D. 10% pneumothorax - ANSWER-C. Ruptured spleen
7. A 22-12 months-vintage guy sustains a gunshot wound to the abdomen and provides
with surprise. He calls for a couple of gadgets of packed crimson blood cells at some
point of resuscitation. Later he complains of numbness around his mouth. Physical exam
well-knownshows carpopedal spasm and a fine Chvostek signal. An electrocardiogram
demonstrates a prolonged QT c program languageperiod. Which of the subsequent is
the maximum suitable treatment?
A. IV bicarbonate
B. IV furosemide
C. IV calcium
D. IV insulin - ANSWER-C. IV calcium
8. A 26-yr-antique male is resuscitated with blood transfusion after a motor car collision that
became complicated via a fractured pelvis. A few hours later, the affected person turns
into febrile, hypotensive with a ordinary CVP, and oliguric. Upon examination, the
affected person is determined to be bleeding from the NG tube and IV websites. Which
of the subsequent is the maximum probably diagnosis?
A. Hemorrhagic shock
B. Acute adrenal insufficiency
C. Fat embolism syndrome
D. Transfusion reaction - ANSWER-D. Transfusion reaction
9. A 28-yr-vintage male was involved in a motor automobile coincidence. He is strong.
When he is requested to sit up, the umbilicus actions up towards the neck area. What
kind of injury can this imply?
A. Rectus hematoma
B. Diastasis recti
C. T6-T10 spinal cord damage
D. Muscle spasms - ANSWER-C. T6-T10 spinal wire damage
10.A 34-12 months-antique with severe head trauma and expanded intracranial pressures
is intubated. Which of the subsequent must be the goal for mechanical air flow? -
ANSWER-Set PaCO2 between 30-35
11.A fifty six-yr-old man is thrown violently in opposition to the steerage wheel of his truck
throughout a motor vehicle crash. On arrival inside the emergency branch he is
diaphoretic and complaining of chest ache. His blood strain is 60/forty mm Hg and his
respiration charge is forty breaths in step with minute. Which of the following nice
differentiates cardiac tamponade from tension pneumothorax as the reason of his
hypotension?
A. Tachycardia
B. Pulse quantity
C. Breath sounds
D. Pulse stress
E. Jugular venous stress - ANSWER-C. Breath sounds
, 12.A lady is transported to the emergency department after a motor vehicle coincidence
with trauma to the left leg and again. Vital signs and symptoms display
temperature=37.1ºC, BP= a hundred twenty five/75 mm Hg, HR= 94, R=20. GCS is 15.
There is paraplegia, T12 sensory degree, and decreased rectal tone. Hemoglobin is
normal and strong at 1 hour. Which of the subsequent ought to be finished to assess for
intraperitoneal bleeding?
A. Diagnostic peritoneal lavage
B. CT of the abdomen
C. Abdominal ultrasound
D. Flat plate of the abdomen - ANSWER-C. Abdominal ultrasound
13.A healthful 24-12 months-vintage is worried in a motor automobile accident. He loses
recognition however regains it inside a few hours and appears everyday to pals. He later
provides to the emergency room very torpid, weak, and with a dilated student on the left
facet. The patient most likely has which of the subsequent situations?
A. Acute subdural hematoma
B. Subarachnoid hemorrhage
C. Acute epidural hematoma
D. Intra-cerebral hemorrhage - ANSWER-C. Acute epidural hematoma
14.A hemodynamically everyday 10-year-vintage girl is hospitalized for statement after a
Grade III (reasonably extreme) splenic damage has been confirmed by using computed
tomography (CT). Which of the subsequent mandates activate celiotomy (laparotomy)?
A. A serum amylase of 200
B. A leukocyte be counted of 14,000
C. Evidence of retroperitoneal hematoma on CT experiment
D. Improvement of peritonitis on physical exam
E. A fall inside the hemoglobin level from 12 g/dL to eight g/dL over 24 hours -
ANSWER-D. Development of peritonitis on physical exam
15.A laceration of the neck superficial to the deep cervical fascia along the
sternocleidomastoid muscle at its midpoint could reason bleeding from which structure? -
ANSWER-External jugular vein
16.A affected person admitted with mild hypothermia is at risk to develop:
A. Atrial fibrillation
B. Ventricular tachycardia
C. Heart failure
D. Loss of their extremity - ANSWER-A. Atrial traumatic inflammation
17.A affected person has been in a main MVA and is comatose. He has a high stage of
alcohol and is hypothermic. Which of the following check can stand on my own in
certifying the affected person as mind useless?
A. Apnea check
B. Absence of oculocephalic and oculovestibular reflexes
C. Absence of blood glide on cerebral angiogram after warming
D. EEG - ANSWER-C. Absence of blood drift on cerebral angiogram after warming
18.A affected person injures his left arm and is located to have a transected nerve. Which is
authentic approximately this harm?
