ATLS Exam Questions and Answers
1. ______% of prehospital trauma-associated deaths involve mind damage -
ANSWER-ninety%
2. _____% of blunt chest injuries and ______% of penetrating chest injuries require
operative management - ANSWER-Blunt chest: < 10%
Penetrating chest: 15-30%
3. ABG tiers that imply shock - ANSWER-Low pH and base extra levels
4. Adequate urinary output in patients receiving volume alternative during resuscitation -
ANSWER-< 1 year old: 2 mL/kg/hr
Pediatric: 1 mL/kg/hr
Adult: 0.5 mL/kg/hr
5. Auscultation of chest for pneumothorax vs. Hemothorax - ANSWER-Pneumothorax:
high on anterior chest wall
Hemothorax: at posterior bases
6. Capnography - ANSWER-Confirm intubation of the airway (NOT the proper
placement of tube)
Measures concentration of CO2 in expired air over time
7. Provides insight into patient's ventilation, circulation and metabolism
8. Causes of shock - ANSWER-1) Tension pneumothorax
2) Hypotension following injury due to blood loss
9. Classic sign of uncal herniation - ANSWER-Ipsilateral dilated pupil with contralateral
hemiparesis.
10.Compartment syndrome P's - ANSWER-
11.Compensatory mechanisms can prevent a measurable fall in systolic pressure until up to
______ of a patient's blood volume is lost. - ANSWER-30%
Complications of specific burn injuries
12.Electrical burns - ANSWER-Rhabdomyolysis and cardiac dysrhythmias
Complications of specific burn injuries
13.Flames or explosions - ANSWER-Ocular injuries
Complications of specific burn injuries
14.Large burn resuscitations - ANSWER-Extremity or truncal compartment syndrome
15.Conditions in which PEA can be found on EKG - ANSWER-Cardiac tamponade
Tension pneumothorax
Profound hypovolemia
16.Contraindicated in management of hemorrhagic shock - ANSWER-Vasopressors
(worsen tissue perfusion)
17.Contraindication to FAST or DPL for patients in which you want to exclude
intra-abdominal hemorrhage - ANSWER-Existing indication for laparotomy
, 18.Definition of massive transfusion - ANSWER-> 10 Units of pRBCs inside first 24
hours of admission
OR
> four Units of pRBCs in 1 hour
19.Diagnosis of tachycardia by using age - ANSWER-Infant: > 160
Pre-school age: > one hundred forty
School age to puberty: > one hundred twenty
Adult: > 100
20.Do now not use ___________ to deal with metabolic acidosis from hypovolemic shock -
ANSWER-Sodium bicarbonate
21.Earliest measurable circulatory signal of surprise (in most instances) -
ANSWER-Tachycardia, cutaneous vasoconstriction (cool to touch)
22.Early signal of temporal lobe (uncal) herniation - ANSWER-Dilation of scholar and
loss of pupillary reaction to light
23.Findings of cardiac tamponade - ANSWER-Distant coronary heart sounds
Decreased pulse stress
Distended neck veins
Hyperresonance to percussion
24.Fractured tibia or humerus can result in ______ loss of blood
Fractured femur can bring about ______ loss of blood - ANSWER-Tibia/humerus: <
750mL
Femur: 1500mL
25.GCS rating that shows coma or severe damage - ANSWER-GCS < eight AKA intubate
26.Heated temperature of infused crystalloid fluids to save you hypothermia - ANSWER-39
C or 102.2 F
27.Initial isotonic fluid amount given to shock patients based totally on weight - ANSWER-<
forty kg: 20mL/kg
Adult: 1L
28.Injuries related to mistaken seatbelt utilization - ANSWER-Hollow visceral perforation
and lumbar spine injuries
29.Injuries with a high hazard of development of compartment syndrome - ANSWER-Long
bone fractures
Crush accidents
Prolonged ischemia
Circumferential thermal injuries
30.Interferes with energetic movement of affected structures - ANSWER-Muscle tendon
unit injuries
31.Lethal Triad - ANSWER-- Hypothermia
- Trauma brought on coagulopathy
- Acidosis
1. ______% of prehospital trauma-associated deaths involve mind damage -
ANSWER-ninety%
2. _____% of blunt chest injuries and ______% of penetrating chest injuries require
operative management - ANSWER-Blunt chest: < 10%
Penetrating chest: 15-30%
3. ABG tiers that imply shock - ANSWER-Low pH and base extra levels
4. Adequate urinary output in patients receiving volume alternative during resuscitation -
ANSWER-< 1 year old: 2 mL/kg/hr
Pediatric: 1 mL/kg/hr
Adult: 0.5 mL/kg/hr
5. Auscultation of chest for pneumothorax vs. Hemothorax - ANSWER-Pneumothorax:
high on anterior chest wall
Hemothorax: at posterior bases
6. Capnography - ANSWER-Confirm intubation of the airway (NOT the proper
placement of tube)
Measures concentration of CO2 in expired air over time
7. Provides insight into patient's ventilation, circulation and metabolism
8. Causes of shock - ANSWER-1) Tension pneumothorax
2) Hypotension following injury due to blood loss
9. Classic sign of uncal herniation - ANSWER-Ipsilateral dilated pupil with contralateral
hemiparesis.
10.Compartment syndrome P's - ANSWER-
11.Compensatory mechanisms can prevent a measurable fall in systolic pressure until up to
______ of a patient's blood volume is lost. - ANSWER-30%
Complications of specific burn injuries
12.Electrical burns - ANSWER-Rhabdomyolysis and cardiac dysrhythmias
Complications of specific burn injuries
13.Flames or explosions - ANSWER-Ocular injuries
Complications of specific burn injuries
14.Large burn resuscitations - ANSWER-Extremity or truncal compartment syndrome
15.Conditions in which PEA can be found on EKG - ANSWER-Cardiac tamponade
Tension pneumothorax
Profound hypovolemia
16.Contraindicated in management of hemorrhagic shock - ANSWER-Vasopressors
(worsen tissue perfusion)
17.Contraindication to FAST or DPL for patients in which you want to exclude
intra-abdominal hemorrhage - ANSWER-Existing indication for laparotomy
, 18.Definition of massive transfusion - ANSWER-> 10 Units of pRBCs inside first 24
hours of admission
OR
> four Units of pRBCs in 1 hour
19.Diagnosis of tachycardia by using age - ANSWER-Infant: > 160
Pre-school age: > one hundred forty
School age to puberty: > one hundred twenty
Adult: > 100
20.Do now not use ___________ to deal with metabolic acidosis from hypovolemic shock -
ANSWER-Sodium bicarbonate
21.Earliest measurable circulatory signal of surprise (in most instances) -
ANSWER-Tachycardia, cutaneous vasoconstriction (cool to touch)
22.Early signal of temporal lobe (uncal) herniation - ANSWER-Dilation of scholar and
loss of pupillary reaction to light
23.Findings of cardiac tamponade - ANSWER-Distant coronary heart sounds
Decreased pulse stress
Distended neck veins
Hyperresonance to percussion
24.Fractured tibia or humerus can result in ______ loss of blood
Fractured femur can bring about ______ loss of blood - ANSWER-Tibia/humerus: <
750mL
Femur: 1500mL
25.GCS rating that shows coma or severe damage - ANSWER-GCS < eight AKA intubate
26.Heated temperature of infused crystalloid fluids to save you hypothermia - ANSWER-39
C or 102.2 F
27.Initial isotonic fluid amount given to shock patients based totally on weight - ANSWER-<
forty kg: 20mL/kg
Adult: 1L
28.Injuries related to mistaken seatbelt utilization - ANSWER-Hollow visceral perforation
and lumbar spine injuries
29.Injuries with a high hazard of development of compartment syndrome - ANSWER-Long
bone fractures
Crush accidents
Prolonged ischemia
Circumferential thermal injuries
30.Interferes with energetic movement of affected structures - ANSWER-Muscle tendon
unit injuries
31.Lethal Triad - ANSWER-- Hypothermia
- Trauma brought on coagulopathy
- Acidosis
