ATLS POST TEST 4 LATEST VERSIONS
2024-2025 REAL EXAM 160 QUESTIONS
AND CORRECT ANSWERS |AGRADE
1. 22 12 months old male fall from 2m, large proper pneumothorax. Chest tube positioned,
linked to drainage. Control x-ray shows pneumothorax, 1/3 x-ray exhibits pneumothorax
- ANSWER-Tracheobronchal injury
2. 30-year-vintage female fell down four stair landing on concrete. Unconscious for 5 mins
after the fall, complete attention in the course of 10 minute delivery to sanatorium, GCS
15, complaint is a moderate headache, 30 minute later she is unresponsive with GCS 6
and left scholar is huge. - ANSWER-Epidural hematoma
3. A 14 12 months vintage girl is introduced to the ED after falling from a horse. She is
immobilized on a long backbone board with a tough collar and blocks. Cervical
backbone x-ray:
A. Will display cervical backbone injury in more than 20% of these sufferers
B. Will exclude cervical backbone injury if no abnormalities are determined on the x-rays
C. Are not wanted if she is wakeful, alert, neurologically regular, and has no neck ache
or midline tenderness
D. Should be finished earlier than adressing capacity breating or circulatory problems
E. May show atlanto-occipital dislocation if the Powers ratio is <1 --> 1:noraml, >1
anterior, <1 posterior - ANSWER-C. Are no longer wished if she is unsleeping, alert,
neurologically normal, and has no neck ache or midline tenderness
4. A 15 12 months antique male is introduced to the ED after being involved in a motor car
crash. He is subconscious and was intubated on the scene via emergency employees.
Upon arrival at the ED, the sufferers oxygen saturation is ninety two%, HR is ninety six
bpm and BP is one hundred fifty/eighty five Breath sounds are decreased at the left side
of the thorax. The next step is:
A. Immediate needle crycothyroidotomy
B. Reassess the location of the endotracheal tube
C. Chest tube insertion
D. Immediate needle thoracentesis
E. Obtain a chest x-ray - ANSWER-B. Reassess the placement of the endotracheal
tube
5. A 15 yr vintage male gift following a bike crash. INitial examinations famous ordinary
important signs and symptoms. There is a large bruise over his epigastrium that extends
to the left flank. He has no other apparent injuries. A CT-scan of the stomach exhibit a
ruptured spleen surrounded by a massive hematoma and fluid in the pelvis. The
subsequent step inside the sufferers control is:
A. Splenic artery embolization
, B. Pneumococcal vaccine
C. Urgent laparotomy
D. Surgical seek advice from
E. Transfer to a pediatrician - ANSWER-D. Surgical seek advice from
Hemodynamisk stabil, ingen fri luft.
6. A 17 year vintage lady is introduced to the ED following a 2 meter fall onto concrete. She
is unresponsive and discovered to have a RR of 32, BP 90/60 and HR sixty eight. The
first step in remedy is:
A. Adminstering vasopressors
B. Establishing IV get admission to for drug-assisted intubation
C. Seeking the reason of her decreased level of awareness
D. Applying oxygen and preserving airway
E. Excluding hemorrhage as a cause of surprise - ANSWER-D. Applying oxygen and
retaining airway
7. A 17-year-vintage helmeted motorcyclist is struck broadside by using an vehicle at an
intersection. He is subconscious on the scene with a blood stress of a hundred and
forty/90mmHg, heart rate of ninety beats according to minute, and respiratory price of 22
breaths in line with minute. His respirations are sonorous and deep. His GCS rating is 6.
Immobilization of the complete patient may additionally consist of the usage of all the
following EXCEPT:
A. Air splints
B. Bolstering devices
C. A long spine board
D. A scoop-style stretcher
E. A semi-inflexible cervical collar - ANSWER-A. Air splints
8. A 17-yr-antique helmeted motorcyclist loses consciousness while he is struck extensive
facet with the aid of an automobile at an intersection. He arrives in the ED with a blood
strain of one hundred forty/92, pulse fee 88 beats per minute, a respiratory charge of 18
breaths consistent with minue, and a GCS of seven. Appropriate initial immobilization of
this affected person must consist of a semi-inflexible cervical collar and:
A. A scoop stretcher
B. A long backbone board
C. A brief spine board
D. Cervical traction tongs
E. Pneumatic antishock garment - ANSWER-B. A lengthy backbone board
9. A 20 year old athlete is worried in a bike crash. When he arrives inside the ED, he
shouts that he cannot flow his legs. On physical examination, there are noe
abnormalities of the chest, stomach or pelvis. The patient has no sensation in his legs
and can not circulate them, however his hands are moving. The patients RR is 28 bpm,
HR is 88bpm and BP is eighty/60mmHg. He is pale and sweaty. What is the most
possibly motive of this situation?
A. Neurogenic surprise
B. Cardiogenic shock
C. Abdominal hemorrhage
, D. Myocardial contusion
E. Hyperthermia. - ANSWER-A. Neurogenic shock
10.A 20 12 months vintage male is added to the health center approximately half-hour after
being stabbed within the chest. There is 3cm wound just medial to the left nipple. His BP
is 70/33 and HR is one hundred forty. Neck and arm veins are distended. Breath sounds
are regular. Heart sounds are diminshed, iv access has been installed and heat
crystalloid is infusing. The subsequent maximum essential aspect of immediate
management is:
A. CT test of the chest
B. 12 lead ECG
C. Left tube thoracostomy
D. Begin infusion of RBCs
E. FAST exam - ANSWER-E. FAST examination For å se etter tamponade? Normale
resp.Lyder bilateralt taler mot trykkpneumothorax. EKG vil ikke gi noe
informasjon. Thoracostomy ikke indisert da det ikke er mistenkt
pneumo/hemothorax. CT uaktuelt pga hemodynamisk ustabil
11.A 20-yr-antique female, at 32 weeks gestation, is stabbed inside the higher right chest.
In the ED, her blood stress is eighty/60mmHg. She is gasping for breath, extremely
nerve-racking, and yelling for assist. Breath sounds are dwindled inside the right chest.
The most appropriate first step is to:
A. Perform tracheal intubation
B. Insert an oropharyngeal airway
C. Perform needle decompression of the proper chest
D. Manually displace the gravid uterus to the left side of the stomach
E. Initiate 2 massive-caliber peripheral IV traces and crystalloid infusion - ANSWER-C.
Perform needle decompression of the proper chest
12.A 22 yr vintage male is assaulted in a bar. A semi-rigid cervical collar is implemented
and he's immobilized on a backbone board. On initial exam, his crucial signs are
ordinary, and his GCS is 15. Which of the following is a sign for CT on this affected
person with viable minor annoying brain harm?
A. Blood alcohol attention of zero,16%
B. Presence of an remoted 10cm scalp laceration
C. Presence of a mandibular fracture
D. Presence of hemotympanum
E. History of assault - ANSWER-D. Presence of hemotympanum
13.A 22 yr vintage male gift following a motorcycle crash. He complains of the incapability to
transport his legs. His BP is eighty/50, HR 70, RR 18 and GCS 15. Oxygen saturation is
99% on 21 nasal prongs. Chest x-ray, pelvic x-ray and FAST are normal. Extremities are
everyday. His management must be:
A: 2L of iv . Crystalloid and two units of pRBCs
B. 2L of iv crystalloid and vasopressors if BP does not respond
C. 2L of iv. Crystalloid, mannitol and iv steroids
D. Vasopressors and laparotomy
, E. 1 unit of albumin and compression stockings - ANSWER-B. 2L of iv crystalloid and
vasopressors if BP does no longer reply
14.A 22 yr vintage male sustains a shotgun wound to the left shoulder and chest at close
variety. His BP is eighty/40mmHg and his HR is 130bpm. After 2 liters of crystalloid
solution are unexpectedly infused, his BP increases to 122/eighty four, and HR
decreases to 100bpm. He is tachypneic with RR of 28. On bodily exam, his breath
sounds are reduced on the left top chest with dullness on percussion. A big caliber (36
french) tube thoracostomy is inserted in the fifth intercostal area with the go back of
200ml of blood and no air leak. The maximum suitable next step is to:
A. Insert a foley catheter
B. Begin to transfuse o-bad blood
C. Perform thoracotomy
D. Obtain a CT-scan of chest and stomach
E. Repeat the physical exam of the chest - ANSWER-E. Repeat the physical
examination of the chest
15.A 22-12 months-antique female athlete is stabbed in her left chest on the 0.33
interspace within the anterior axillary line. On admission to the ED and 15 mins after the
incident, she is wakeful and alert. Her coronary heart rate is a hundred beats per minute,
BP eighty/60mmHg, and respiratory fee is 20 breaths per minute. A chest x-ray exhibits
a big left hemithorax. A left chest tube is placed with a direct return of 1600ml of blood.
The next control step for this affected person is:
16.A. Carry out a thoracoscopy
17.B. Perform an arch aortogram
18.C. Insert a 2nd left chest tube
19.D. Prepare for an exploratory thoracotomy
20.E. Perform a chest CT - ANSWER-D. Prepare for an exploratory thoracotomy
21.A 22-12 months-antique guy is delivered to the hospital after crashing his motorbike right
into a phone pole. He is subconscious and in profound surprise. He has no open wounds
or apparent fractures. The reason of his shock is MOST LIKELY resulting from:
22.A. A subdural hematoma
23.B. An epidural hematoma
24.C. A transected lumbar spinal wire
25.D. A basilar cranium fracture
26.E. Hemorrhage into the chest or stomach - ANSWER-E. Hemorrhage into the chest or
abdomen
27.A 22-12 months-antique man is hypotensive and tachycardic after a shotgun wound to
the left shoulder. His BP is initially 80/40mmHg. After 2 liters of crystalloid answer his
blood strain will increase to 122/84mmHg. His coronary heart fee is now a hundred beats
in line with minute and his respiratory price is 28 breaths per minute. His breath sounds
are decreased within the left hemithorax, and after preliminary IV fluid resusciation, a
closed tube thoracostomy is carried out for decreased left breath sound with the return of
small amount of blood and no air leak. After chest tube insertion, the maximum
appropriate next step is to:
28.A. Reexamine the chest
2024-2025 REAL EXAM 160 QUESTIONS
AND CORRECT ANSWERS |AGRADE
1. 22 12 months old male fall from 2m, large proper pneumothorax. Chest tube positioned,
linked to drainage. Control x-ray shows pneumothorax, 1/3 x-ray exhibits pneumothorax
- ANSWER-Tracheobronchal injury
2. 30-year-vintage female fell down four stair landing on concrete. Unconscious for 5 mins
after the fall, complete attention in the course of 10 minute delivery to sanatorium, GCS
15, complaint is a moderate headache, 30 minute later she is unresponsive with GCS 6
and left scholar is huge. - ANSWER-Epidural hematoma
3. A 14 12 months vintage girl is introduced to the ED after falling from a horse. She is
immobilized on a long backbone board with a tough collar and blocks. Cervical
backbone x-ray:
A. Will display cervical backbone injury in more than 20% of these sufferers
B. Will exclude cervical backbone injury if no abnormalities are determined on the x-rays
C. Are not wanted if she is wakeful, alert, neurologically regular, and has no neck ache
or midline tenderness
D. Should be finished earlier than adressing capacity breating or circulatory problems
E. May show atlanto-occipital dislocation if the Powers ratio is <1 --> 1:noraml, >1
anterior, <1 posterior - ANSWER-C. Are no longer wished if she is unsleeping, alert,
neurologically normal, and has no neck ache or midline tenderness
4. A 15 12 months antique male is introduced to the ED after being involved in a motor car
crash. He is subconscious and was intubated on the scene via emergency employees.
Upon arrival at the ED, the sufferers oxygen saturation is ninety two%, HR is ninety six
bpm and BP is one hundred fifty/eighty five Breath sounds are decreased at the left side
of the thorax. The next step is:
A. Immediate needle crycothyroidotomy
B. Reassess the location of the endotracheal tube
C. Chest tube insertion
D. Immediate needle thoracentesis
E. Obtain a chest x-ray - ANSWER-B. Reassess the placement of the endotracheal
tube
5. A 15 yr vintage male gift following a bike crash. INitial examinations famous ordinary
important signs and symptoms. There is a large bruise over his epigastrium that extends
to the left flank. He has no other apparent injuries. A CT-scan of the stomach exhibit a
ruptured spleen surrounded by a massive hematoma and fluid in the pelvis. The
subsequent step inside the sufferers control is:
A. Splenic artery embolization
, B. Pneumococcal vaccine
C. Urgent laparotomy
D. Surgical seek advice from
E. Transfer to a pediatrician - ANSWER-D. Surgical seek advice from
Hemodynamisk stabil, ingen fri luft.
6. A 17 year vintage lady is introduced to the ED following a 2 meter fall onto concrete. She
is unresponsive and discovered to have a RR of 32, BP 90/60 and HR sixty eight. The
first step in remedy is:
A. Adminstering vasopressors
B. Establishing IV get admission to for drug-assisted intubation
C. Seeking the reason of her decreased level of awareness
D. Applying oxygen and preserving airway
E. Excluding hemorrhage as a cause of surprise - ANSWER-D. Applying oxygen and
retaining airway
7. A 17-year-vintage helmeted motorcyclist is struck broadside by using an vehicle at an
intersection. He is subconscious on the scene with a blood stress of a hundred and
forty/90mmHg, heart rate of ninety beats according to minute, and respiratory price of 22
breaths in line with minute. His respirations are sonorous and deep. His GCS rating is 6.
Immobilization of the complete patient may additionally consist of the usage of all the
following EXCEPT:
A. Air splints
B. Bolstering devices
C. A long spine board
D. A scoop-style stretcher
E. A semi-inflexible cervical collar - ANSWER-A. Air splints
8. A 17-yr-antique helmeted motorcyclist loses consciousness while he is struck extensive
facet with the aid of an automobile at an intersection. He arrives in the ED with a blood
strain of one hundred forty/92, pulse fee 88 beats per minute, a respiratory charge of 18
breaths consistent with minue, and a GCS of seven. Appropriate initial immobilization of
this affected person must consist of a semi-inflexible cervical collar and:
A. A scoop stretcher
B. A long backbone board
C. A brief spine board
D. Cervical traction tongs
E. Pneumatic antishock garment - ANSWER-B. A lengthy backbone board
9. A 20 year old athlete is worried in a bike crash. When he arrives inside the ED, he
shouts that he cannot flow his legs. On physical examination, there are noe
abnormalities of the chest, stomach or pelvis. The patient has no sensation in his legs
and can not circulate them, however his hands are moving. The patients RR is 28 bpm,
HR is 88bpm and BP is eighty/60mmHg. He is pale and sweaty. What is the most
possibly motive of this situation?
A. Neurogenic surprise
B. Cardiogenic shock
C. Abdominal hemorrhage
, D. Myocardial contusion
E. Hyperthermia. - ANSWER-A. Neurogenic shock
10.A 20 12 months vintage male is added to the health center approximately half-hour after
being stabbed within the chest. There is 3cm wound just medial to the left nipple. His BP
is 70/33 and HR is one hundred forty. Neck and arm veins are distended. Breath sounds
are regular. Heart sounds are diminshed, iv access has been installed and heat
crystalloid is infusing. The subsequent maximum essential aspect of immediate
management is:
A. CT test of the chest
B. 12 lead ECG
C. Left tube thoracostomy
D. Begin infusion of RBCs
E. FAST exam - ANSWER-E. FAST examination For å se etter tamponade? Normale
resp.Lyder bilateralt taler mot trykkpneumothorax. EKG vil ikke gi noe
informasjon. Thoracostomy ikke indisert da det ikke er mistenkt
pneumo/hemothorax. CT uaktuelt pga hemodynamisk ustabil
11.A 20-yr-antique female, at 32 weeks gestation, is stabbed inside the higher right chest.
In the ED, her blood stress is eighty/60mmHg. She is gasping for breath, extremely
nerve-racking, and yelling for assist. Breath sounds are dwindled inside the right chest.
The most appropriate first step is to:
A. Perform tracheal intubation
B. Insert an oropharyngeal airway
C. Perform needle decompression of the proper chest
D. Manually displace the gravid uterus to the left side of the stomach
E. Initiate 2 massive-caliber peripheral IV traces and crystalloid infusion - ANSWER-C.
Perform needle decompression of the proper chest
12.A 22 yr vintage male is assaulted in a bar. A semi-rigid cervical collar is implemented
and he's immobilized on a backbone board. On initial exam, his crucial signs are
ordinary, and his GCS is 15. Which of the following is a sign for CT on this affected
person with viable minor annoying brain harm?
A. Blood alcohol attention of zero,16%
B. Presence of an remoted 10cm scalp laceration
C. Presence of a mandibular fracture
D. Presence of hemotympanum
E. History of assault - ANSWER-D. Presence of hemotympanum
13.A 22 yr vintage male gift following a motorcycle crash. He complains of the incapability to
transport his legs. His BP is eighty/50, HR 70, RR 18 and GCS 15. Oxygen saturation is
99% on 21 nasal prongs. Chest x-ray, pelvic x-ray and FAST are normal. Extremities are
everyday. His management must be:
A: 2L of iv . Crystalloid and two units of pRBCs
B. 2L of iv crystalloid and vasopressors if BP does not respond
C. 2L of iv. Crystalloid, mannitol and iv steroids
D. Vasopressors and laparotomy
, E. 1 unit of albumin and compression stockings - ANSWER-B. 2L of iv crystalloid and
vasopressors if BP does no longer reply
14.A 22 yr vintage male sustains a shotgun wound to the left shoulder and chest at close
variety. His BP is eighty/40mmHg and his HR is 130bpm. After 2 liters of crystalloid
solution are unexpectedly infused, his BP increases to 122/eighty four, and HR
decreases to 100bpm. He is tachypneic with RR of 28. On bodily exam, his breath
sounds are reduced on the left top chest with dullness on percussion. A big caliber (36
french) tube thoracostomy is inserted in the fifth intercostal area with the go back of
200ml of blood and no air leak. The maximum suitable next step is to:
A. Insert a foley catheter
B. Begin to transfuse o-bad blood
C. Perform thoracotomy
D. Obtain a CT-scan of chest and stomach
E. Repeat the physical exam of the chest - ANSWER-E. Repeat the physical
examination of the chest
15.A 22-12 months-antique female athlete is stabbed in her left chest on the 0.33
interspace within the anterior axillary line. On admission to the ED and 15 mins after the
incident, she is wakeful and alert. Her coronary heart rate is a hundred beats per minute,
BP eighty/60mmHg, and respiratory fee is 20 breaths per minute. A chest x-ray exhibits
a big left hemithorax. A left chest tube is placed with a direct return of 1600ml of blood.
The next control step for this affected person is:
16.A. Carry out a thoracoscopy
17.B. Perform an arch aortogram
18.C. Insert a 2nd left chest tube
19.D. Prepare for an exploratory thoracotomy
20.E. Perform a chest CT - ANSWER-D. Prepare for an exploratory thoracotomy
21.A 22-12 months-antique guy is delivered to the hospital after crashing his motorbike right
into a phone pole. He is subconscious and in profound surprise. He has no open wounds
or apparent fractures. The reason of his shock is MOST LIKELY resulting from:
22.A. A subdural hematoma
23.B. An epidural hematoma
24.C. A transected lumbar spinal wire
25.D. A basilar cranium fracture
26.E. Hemorrhage into the chest or stomach - ANSWER-E. Hemorrhage into the chest or
abdomen
27.A 22-12 months-antique man is hypotensive and tachycardic after a shotgun wound to
the left shoulder. His BP is initially 80/40mmHg. After 2 liters of crystalloid answer his
blood strain will increase to 122/84mmHg. His coronary heart fee is now a hundred beats
in line with minute and his respiratory price is 28 breaths per minute. His breath sounds
are decreased within the left hemithorax, and after preliminary IV fluid resusciation, a
closed tube thoracostomy is carried out for decreased left breath sound with the return of
small amount of blood and no air leak. After chest tube insertion, the maximum
appropriate next step is to:
28.A. Reexamine the chest
