ATLS Pretest QUESTIONS AND ANSWERS
1. A 20-year-antique lady who's at 32 weeks gestation, is stabbed in the higher right chest.
In the emergency department, her blood strain is eighty/60 mm Hg. She is gasping for
breath, extremely demanding, and yelling for assist. Breath sounds are faded within the
proper chest. The maximum appropriate first step is to: - ANSWER-carry out needle or
finger decompression of the right chest
2. A 22-year-vintage female athlete is stabbed in her left chest on the 0.33 interspace
inside the anterior axillary line. On admission to the emergency branch and 15 mins after
the incident, she is wide awake and alert. Her coronary heart price is a hundred beats
consistent with minute, blood stress 80/60 mm Hg, and respiration price 20 breaths in
line with minute. A chest x-ray reveals a huge left hemothorax. A left chest tube is placed
with an instantaneous go back of 1600 mL of blood. The subsequent management step
for this affected person is: - ANSWER-put together for an exploratory thoracotomy
3. A 22-year-old man is hypotensive and tachycardic after a shotgun wound to the left
shoulder. His blood pressure is initially 80/forty mm Hg. After preliminary fluid
resuscitation his blood pressure increases to 122/eighty four mm Hg. His heart fee is
now one hundred beats consistent with minute and his respiratory price is 28 breaths per
minute. A tube thoracostomy is accomplished for decreased left chest breath sounds
with the go back of a small quantity of blood and no air leak. After chest tube insertion,
the maximum suitable subsequent step is: - ANSWER-re-observe the chest
4. A 22-year-antique man sustains a gunshot wound to the left chest and is transported to
a small community health facility no surgical competencies are to be had. In the
emergency branch, a chest tube is inserted and seven hundred mL of blood is
evacuated. The trauma center accepts the patient in transfer. Just before the patient is
positioned inside the ambulance for switch, his blood stress decreases to 80/68 mm Hg
and his heart charge will increase to 136 beats in line with minute. The next step must be
to: - ANSWER-repeat the number one survey and continue with switch
5. A 23-yr-antique guy sustains four stab wounds to the upper proper chest for the duration
of an altercation and is introduced with the aid of ambulance to a hospital that has
complete surgical talents. His wounds are all above the nipple. He is endotracheally
intubated, closed tube thoracostomy is finished, fluid resuscitation is initiated thru 2
large-caliber IVs. FAST examination does not reveal intraabdominal injuries. His blood
stress now is 60/zero mm Hg, coronary heart rate is one hundred sixty beats in line with
minute, and respiration fee is 14 breaths consistent with minute (ventilated with a
hundred% O2). 1500 mL of blood has drained from the proper chest. The most suitable
next step in dealing with this patient is to: - ANSWER-urgently switch the affected
person to the operating room
6. A 25-yr-vintage guy, injured in a motor vehicular crash, is admitted to the emergency
branch. His pupils react sluggishly and his eyes open to pressure. He does not follow
instructions, but he does moan periodically. His proper arm is deformed and does no
, longer reply to stress; but, his left hand reaches purposefully towards the stimulus. Both
legs are stiffly extended. His GCS score is: - ANSWER-nine
7. A 32-yr-vintage guy's right leg is trapped beneath his overturned vehicle for nearly 2
hours earlier than he is extricated. On arrival inside the emergency department, his
proper lower extremity is cool, mottled, insensate, and immobile. Despite ordinary
important signs, pulses cannot be palpated under the proper femoral artery and the
muscle groups of the lower extremity are company and tough. During the control of this
affected person, which of the subsequent is maximum probably to improve the
probabilities for limb salvage? - ANSWER-surgical session for right lower extremity
fasciotomy
8. A 33-yr-old lady is involved in a head-on motor automobile crash. It took half-hour to
extricate her from the automobile. Upon arrival within the emergency branch, her heart
charge is one hundred twenty beats in line with minute, BP is ninety/70 mm Hg,
respiration price is sixteen breaths in keeping with minute, and her GCS rating is 15.
Examination famous bilaterally same breath sounds, anterior chest wall ecchymosis, and
distended neck veins. Her stomach is flat, gentle, and not soft. Her pelvis is solid.
Palpable distal pulses are located in all 4 extremities. Of the following, the most in all
likelihood diagnosis is: - ANSWER-cardiac tamponade
9. A 39-year-old man is admitted to the emergency department after an vehicle collision.
He is cyanotic, has insufficient respiratory effort, and has a GCS score of 6. His
complete beard makes it tough to healthy the oxygen facemask to his face. The
maximum suitable next step is to: - ANSWER-restrict cervical movement and attempt
orotracheal intubation the usage of 2 human beings
10.A 40-yr-old woman who changed into a restricted driver in a motor automobile crash is
evaluated within the emergency branch. She is hemodynamically normal and located to
be paraplegic at the level of T10. Which of the following are actual regarding her
assessment and control? - ANSWER-Log rolling the use of 4 human beings is a
secure technique to restriction spinal movement whilst shifting her.
11.A 56-yr-vintage guy is thrown violently against the steerage wheel of his truck all through
a motor automobile crash. On arrival in the emergency branch he's diaphoretic and
complaining of chest pain. His blood strain is 60/forty mm Hg and his respiration fee is
40 breaths per minute. Which of the following exceptional differentiates cardiac
tamponade from anxiety pneumothorax because the cause of his hypotension? -
ANSWER-breath sounds
12.A 6-yr-vintage boy taking walks throughout the road is struck by means of the the front
bumper of a sports activities utility car journeying at 32 kph (20 mph). Which one of the
following statements is TRUE about this affected person? - ANSWER-A pulmonary
contusion can be gift in the absence of rib fractures.
13.A 64-yr-old guy concerned in a high-pace automobile crash, is resuscitated initially in a
small health facility with out surgical skills. He has a closed head damage with a GCS
rating of thirteen. He has a widened mediastinum on chest x-ray with fractures of left ribs
2 thru four, however no pneumothorax. After starting up fluid resuscitation, his blood
pressure is a hundred and ten/74 mm Hg, coronary heart price is one hundred beats in
line with minute, and respiration charge is 18 breaths in step with minute. He has gross
1. A 20-year-antique lady who's at 32 weeks gestation, is stabbed in the higher right chest.
In the emergency department, her blood strain is eighty/60 mm Hg. She is gasping for
breath, extremely demanding, and yelling for assist. Breath sounds are faded within the
proper chest. The maximum appropriate first step is to: - ANSWER-carry out needle or
finger decompression of the right chest
2. A 22-year-vintage female athlete is stabbed in her left chest on the 0.33 interspace
inside the anterior axillary line. On admission to the emergency branch and 15 mins after
the incident, she is wide awake and alert. Her coronary heart price is a hundred beats
consistent with minute, blood stress 80/60 mm Hg, and respiration price 20 breaths in
line with minute. A chest x-ray reveals a huge left hemothorax. A left chest tube is placed
with an instantaneous go back of 1600 mL of blood. The subsequent management step
for this affected person is: - ANSWER-put together for an exploratory thoracotomy
3. A 22-year-old man is hypotensive and tachycardic after a shotgun wound to the left
shoulder. His blood pressure is initially 80/forty mm Hg. After preliminary fluid
resuscitation his blood pressure increases to 122/eighty four mm Hg. His heart fee is
now one hundred beats consistent with minute and his respiratory price is 28 breaths per
minute. A tube thoracostomy is accomplished for decreased left chest breath sounds
with the go back of a small quantity of blood and no air leak. After chest tube insertion,
the maximum suitable subsequent step is: - ANSWER-re-observe the chest
4. A 22-year-antique man sustains a gunshot wound to the left chest and is transported to
a small community health facility no surgical competencies are to be had. In the
emergency branch, a chest tube is inserted and seven hundred mL of blood is
evacuated. The trauma center accepts the patient in transfer. Just before the patient is
positioned inside the ambulance for switch, his blood stress decreases to 80/68 mm Hg
and his heart charge will increase to 136 beats in line with minute. The next step must be
to: - ANSWER-repeat the number one survey and continue with switch
5. A 23-yr-antique guy sustains four stab wounds to the upper proper chest for the duration
of an altercation and is introduced with the aid of ambulance to a hospital that has
complete surgical talents. His wounds are all above the nipple. He is endotracheally
intubated, closed tube thoracostomy is finished, fluid resuscitation is initiated thru 2
large-caliber IVs. FAST examination does not reveal intraabdominal injuries. His blood
stress now is 60/zero mm Hg, coronary heart rate is one hundred sixty beats in line with
minute, and respiration fee is 14 breaths consistent with minute (ventilated with a
hundred% O2). 1500 mL of blood has drained from the proper chest. The most suitable
next step in dealing with this patient is to: - ANSWER-urgently switch the affected
person to the operating room
6. A 25-yr-vintage guy, injured in a motor vehicular crash, is admitted to the emergency
branch. His pupils react sluggishly and his eyes open to pressure. He does not follow
instructions, but he does moan periodically. His proper arm is deformed and does no
, longer reply to stress; but, his left hand reaches purposefully towards the stimulus. Both
legs are stiffly extended. His GCS score is: - ANSWER-nine
7. A 32-yr-vintage guy's right leg is trapped beneath his overturned vehicle for nearly 2
hours earlier than he is extricated. On arrival inside the emergency department, his
proper lower extremity is cool, mottled, insensate, and immobile. Despite ordinary
important signs, pulses cannot be palpated under the proper femoral artery and the
muscle groups of the lower extremity are company and tough. During the control of this
affected person, which of the subsequent is maximum probably to improve the
probabilities for limb salvage? - ANSWER-surgical session for right lower extremity
fasciotomy
8. A 33-yr-old lady is involved in a head-on motor automobile crash. It took half-hour to
extricate her from the automobile. Upon arrival within the emergency branch, her heart
charge is one hundred twenty beats in line with minute, BP is ninety/70 mm Hg,
respiration price is sixteen breaths in keeping with minute, and her GCS rating is 15.
Examination famous bilaterally same breath sounds, anterior chest wall ecchymosis, and
distended neck veins. Her stomach is flat, gentle, and not soft. Her pelvis is solid.
Palpable distal pulses are located in all 4 extremities. Of the following, the most in all
likelihood diagnosis is: - ANSWER-cardiac tamponade
9. A 39-year-old man is admitted to the emergency department after an vehicle collision.
He is cyanotic, has insufficient respiratory effort, and has a GCS score of 6. His
complete beard makes it tough to healthy the oxygen facemask to his face. The
maximum suitable next step is to: - ANSWER-restrict cervical movement and attempt
orotracheal intubation the usage of 2 human beings
10.A 40-yr-old woman who changed into a restricted driver in a motor automobile crash is
evaluated within the emergency branch. She is hemodynamically normal and located to
be paraplegic at the level of T10. Which of the following are actual regarding her
assessment and control? - ANSWER-Log rolling the use of 4 human beings is a
secure technique to restriction spinal movement whilst shifting her.
11.A 56-yr-vintage guy is thrown violently against the steerage wheel of his truck all through
a motor automobile crash. On arrival in the emergency branch he's diaphoretic and
complaining of chest pain. His blood strain is 60/forty mm Hg and his respiration fee is
40 breaths per minute. Which of the following exceptional differentiates cardiac
tamponade from anxiety pneumothorax because the cause of his hypotension? -
ANSWER-breath sounds
12.A 6-yr-vintage boy taking walks throughout the road is struck by means of the the front
bumper of a sports activities utility car journeying at 32 kph (20 mph). Which one of the
following statements is TRUE about this affected person? - ANSWER-A pulmonary
contusion can be gift in the absence of rib fractures.
13.A 64-yr-old guy concerned in a high-pace automobile crash, is resuscitated initially in a
small health facility with out surgical skills. He has a closed head damage with a GCS
rating of thirteen. He has a widened mediastinum on chest x-ray with fractures of left ribs
2 thru four, however no pneumothorax. After starting up fluid resuscitation, his blood
pressure is a hundred and ten/74 mm Hg, coronary heart price is one hundred beats in
line with minute, and respiration charge is 18 breaths in step with minute. He has gross
