ATLS 10th Edition Post Test Actual Questions with
Verified Answers (), Verified Answers
||Complete A+ Guide
1. A 30 year old woman fell down four stairs landing on concrete.Witnesses report she
yi yi yi yi yi yi yi yi yi yi yi yi yi yi
was unconscious for five minutes beginning immediately after the fall. She regained full
yi yi yi yi yi yi yi yi yi yi yi yi yi
yi consciousness during the 10 minute transport to the hospital. Upon arrival to the ED,
yi yi yi yi yi yi yi yi yi yi yi yi yi
yi she is awake, alert, and responsive with a GCS of 15. Her only complaint is a slight
yi yi yi yi yi yi yi yi yi yi yi yi yi yi yi yi
yi headache.Thirty minutes later, she becomes unresponsive with a GCS of 6. On exam,
yi yi yi yi yi yi yi yi yi yi yi yi yi
her left pupil is large and nonreactive.The right pupil is normal.This is most consistent
yi yi yi yi yi yi yi yi yi yi yi yi yi yi yi yi
yi with:
A. Subdural hematoma yi
B. Epidural hematoma yi
C. Occipital lobe hemorrhage yi yi
D. Focal subarachnoid hemorrhage
yi yi
E. Cerebellar hemorrhage yi
Answer> B.Epidural hematoma (lucid interval)
yi yi yi yi yi
2. During resuscitation, which one of the following is the most reliable as a guide to
yi yi yi yi yi yi yi yi yi yi yi yi yi yi
,yi volume replacement?
yi
Answer> Urinary output yi yi
Adults: 0.5 cc/kg yi yi
Kids 1 cc/kg
yi yi
3. Whichoneofthefollowingistherecommendedmethodforinitiallytreating frostbite?
yi yi yi yi yi yi yi yi yi yi yi yi
A. Application of dry heat yi yi yi
B. Debridement of hemorrhagic blisters yi yi yi
,C. Early amputation to prevent septic complications
yi yi yi yi yi
D. Rapid rewarming of the body part in circulating warm water
yi yi yi yi yi yi yi yi yi
E. Massageoftheaffectedarea yi yi yi yi
Answer>D.Rapidrewarming ofthebodypartincirculating warm water
yi yi yi yi yi yi yi yi yi yi yi
4. A young man sustains a gunshot wound to the abdomen and is brought promptly to
yi yi yi yi yi yi yi yi yi yi yi yi yi yi
the ED by prehospital personnel. His skin is cool and diaphoretic, and he is confused. His
yi yi yi yi yi yi yi yi yi yi yi yi yi yi yi yi
yi pulse is thready and his femoral pulse is only weakly palpable.The definitive treatment
yi yi yi yi yi yi yi yi yi yi yi yi yi
yi in managing this patient is to:
yi yi yi yi yi
A. Administer O-negative blood yi yi
B. Apply external warming devices yi yi yi
C. Control internal hemorrhage operatively yi yi yi
D. Apply a pneumatic antishock garment (PASG) yi yi yi yi yi
E. Infuse large volumes of intravenous crystalloid solutions.
yi yi yi yi yi yi
Answer> C.Control internal hemorrhage operatively yi yi yi yi yi
Hemorrhage: STOP the bleeding! yi yi yi
5. A30yearold maleisbroughtto thehospitalafterfalling20feet.Inspection reveals an
yi yi yi yi yi yi yi yi yi yi yi yi yi yi yi yi
yi obvious flail chest on the right.The patient is tachypenic. Breath sounds are present and
yi yi yi yi yi yi yi yi yi yi yi yi yi yi
symmetric.There is no significant hyperresonance or dullness. ABG obtained while the
yi yi yi yi yi yi yi yi yi yi yi yi
yi patient receives oxygen by face mask are: PaO2 of 45,PaCO2 of 28,and pH of 7.47.The
yi yi yi yi yi yi yi yi yi yi yi yi yi yi yi yi yi
component of injury that is most likely responsible for abnormalities in the patient's
yi yi yi yi yi yi yi yi yi yi yi yi yi
yi blood gases is: yi yi
A. Hypoventilation
, B. Pulmonary contusion yi
C. Hypovolemia
D. Small pneumothorax yi
E. Flail chest yi
Answer> A.Hypoventilation yi yi
retaining CO2, respiratory alkalosis
yi yi yi
6. A 14 year old female is brought to the ED after falling from a horse. She is
yi yi yi yi yi yi yi yi yi yi yi yi yi yi yi yi
yi immoblized on a long spine board with a hard collar and blocks. Cervical spine x-ray::
yi yi yi yi yi yi yi yi yi yi yi yi yi yi
yi ??
7. The first priority in management of a long bone fracture is:
yi yi yi yi yi yi yi yi yi yi
A. Reduction of pain yi yi
B. Prevention of infection in case of an open fracture yi yi yi yi yi yi yi yi
C. Prevention of further soft tissue injury yi yi yi yi yi
D. Improve long term function yi yi yi
E. Control of hemorrhage yi yi
Answer> E.Control of hemorrhage yi yi yi yi
Verified Answers (), Verified Answers
||Complete A+ Guide
1. A 30 year old woman fell down four stairs landing on concrete.Witnesses report she
yi yi yi yi yi yi yi yi yi yi yi yi yi yi
was unconscious for five minutes beginning immediately after the fall. She regained full
yi yi yi yi yi yi yi yi yi yi yi yi yi
yi consciousness during the 10 minute transport to the hospital. Upon arrival to the ED,
yi yi yi yi yi yi yi yi yi yi yi yi yi
yi she is awake, alert, and responsive with a GCS of 15. Her only complaint is a slight
yi yi yi yi yi yi yi yi yi yi yi yi yi yi yi yi
yi headache.Thirty minutes later, she becomes unresponsive with a GCS of 6. On exam,
yi yi yi yi yi yi yi yi yi yi yi yi yi
her left pupil is large and nonreactive.The right pupil is normal.This is most consistent
yi yi yi yi yi yi yi yi yi yi yi yi yi yi yi yi
yi with:
A. Subdural hematoma yi
B. Epidural hematoma yi
C. Occipital lobe hemorrhage yi yi
D. Focal subarachnoid hemorrhage
yi yi
E. Cerebellar hemorrhage yi
Answer> B.Epidural hematoma (lucid interval)
yi yi yi yi yi
2. During resuscitation, which one of the following is the most reliable as a guide to
yi yi yi yi yi yi yi yi yi yi yi yi yi yi
,yi volume replacement?
yi
Answer> Urinary output yi yi
Adults: 0.5 cc/kg yi yi
Kids 1 cc/kg
yi yi
3. Whichoneofthefollowingistherecommendedmethodforinitiallytreating frostbite?
yi yi yi yi yi yi yi yi yi yi yi yi
A. Application of dry heat yi yi yi
B. Debridement of hemorrhagic blisters yi yi yi
,C. Early amputation to prevent septic complications
yi yi yi yi yi
D. Rapid rewarming of the body part in circulating warm water
yi yi yi yi yi yi yi yi yi
E. Massageoftheaffectedarea yi yi yi yi
Answer>D.Rapidrewarming ofthebodypartincirculating warm water
yi yi yi yi yi yi yi yi yi yi yi
4. A young man sustains a gunshot wound to the abdomen and is brought promptly to
yi yi yi yi yi yi yi yi yi yi yi yi yi yi
the ED by prehospital personnel. His skin is cool and diaphoretic, and he is confused. His
yi yi yi yi yi yi yi yi yi yi yi yi yi yi yi yi
yi pulse is thready and his femoral pulse is only weakly palpable.The definitive treatment
yi yi yi yi yi yi yi yi yi yi yi yi yi
yi in managing this patient is to:
yi yi yi yi yi
A. Administer O-negative blood yi yi
B. Apply external warming devices yi yi yi
C. Control internal hemorrhage operatively yi yi yi
D. Apply a pneumatic antishock garment (PASG) yi yi yi yi yi
E. Infuse large volumes of intravenous crystalloid solutions.
yi yi yi yi yi yi
Answer> C.Control internal hemorrhage operatively yi yi yi yi yi
Hemorrhage: STOP the bleeding! yi yi yi
5. A30yearold maleisbroughtto thehospitalafterfalling20feet.Inspection reveals an
yi yi yi yi yi yi yi yi yi yi yi yi yi yi yi yi
yi obvious flail chest on the right.The patient is tachypenic. Breath sounds are present and
yi yi yi yi yi yi yi yi yi yi yi yi yi yi
symmetric.There is no significant hyperresonance or dullness. ABG obtained while the
yi yi yi yi yi yi yi yi yi yi yi yi
yi patient receives oxygen by face mask are: PaO2 of 45,PaCO2 of 28,and pH of 7.47.The
yi yi yi yi yi yi yi yi yi yi yi yi yi yi yi yi yi
component of injury that is most likely responsible for abnormalities in the patient's
yi yi yi yi yi yi yi yi yi yi yi yi yi
yi blood gases is: yi yi
A. Hypoventilation
, B. Pulmonary contusion yi
C. Hypovolemia
D. Small pneumothorax yi
E. Flail chest yi
Answer> A.Hypoventilation yi yi
retaining CO2, respiratory alkalosis
yi yi yi
6. A 14 year old female is brought to the ED after falling from a horse. She is
yi yi yi yi yi yi yi yi yi yi yi yi yi yi yi yi
yi immoblized on a long spine board with a hard collar and blocks. Cervical spine x-ray::
yi yi yi yi yi yi yi yi yi yi yi yi yi yi
yi ??
7. The first priority in management of a long bone fracture is:
yi yi yi yi yi yi yi yi yi yi
A. Reduction of pain yi yi
B. Prevention of infection in case of an open fracture yi yi yi yi yi yi yi yi
C. Prevention of further soft tissue injury yi yi yi yi yi
D. Improve long term function yi yi yi
E. Control of hemorrhage yi yi
Answer> E.Control of hemorrhage yi yi yi yi
