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ATLS Post Test. MCQ With Answers 2023 Updated

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1. Which of the following signs is LEAST reliable for diagnosing esophageal intubation? a. symmetrical chest wall movement b. end-tidal CO2 presence by colorimetry c. bilateral breath sounds d. oxygen saturation 92% e. ETT above carina on chest x-ray 2. Which of the following signs the necessitates a definitive airway in severe trauma patients? a. fascial lacerations b. repeated vomiting d. sternal fracture e. Glasgow Coma Scale score of 12 3. Twenty-seven patients are seriously injured in an aircraft crash at a local airport. The principles of triage include: a. establish a triage site within the internal perimeter of the crash site b. treat only the most severely injured patients first c. immediately transport all patients to the nearest hospital d. treat the greatest number of patients in the shortest period of time e. produce the greatest number of survivors based on available resources 4. Which of the following statements is correct? a. Cerebral contusions may coalesce to form an intracerebral hematoma. b. Epidural hematomas are usually seen in the frontal region. c. Subdural hematomas are caused by injury to the middle meningeal artery. d. Subdural hematomas typically have a lenticular shape on CT scan. e. The associated brain damage is more severe in epidural hematomas. 5. An 18-ycar-old male is brought to the emergenc} department after having been shot. He has one bullet wound just below the right clavicle and another just below the costal margin in the right posterior axillary line. His blood pressure is110/60 mm Hg... Continues...

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ATLS POST TEST. MCQ WITH ANSWERS

2023 UPDATED
1. Which of the following is least reliable for diagnosing esophageal intuba- tion?
v v v v v v v v v v v




.....ASNSWER>>> ETT above carina on chest x ray v v v v v v v




2. Which of the following signs necessitates the need for a definitive airway in severe trauma patient?
v v v v v v v v v v v v v v v




.....ASNSWER>>> Severe maxillofacial trauma v v




3. Twenty seven people are severely injured in an aircraft crash at a local air-
v v v v v v v v v v v v v v port. The principles of triage
v v v v



include
v




.....ASNSWER>>>: Produce the greatest number of survivors based on available resources
v v v v v v v v v v




4. Which of the following statements are correct?
v v v v v v




.....ASNSWER>>> Cerebral contusions may coalesce to form an intracerebral hematoma
v v v v v v v v v




5. The primary indication for transferring a patient to a higher level trauma center is
v v v v v v v v v v v v v




.....ASNSWER>>> Resource limitations as determined by the transferring doctor
v v v v v v v v




6. A teenaged bicycle rider is hit by a truck traveling at high speed. In the emergency department, she is
v v v v v v v v v v v v v v v v v v



v actively bleeding from open fractures of her legs, and has abrasions on her chest and abdominal wall. Her blood
v v v v v v v v v v v v v v v v v v



pressure is 80/50 mm Hg, heart rate is 140 beats per minute, respiratory rate is 8 breaths per minute, and GCS score
v v v v v v v v v v v v v v v v v v v v v v



v is 6.The first step in managing this patient is to:
v v v v v v v v v v




a) obtain a lateral cervical spine xray.
v v v v v




b) administer 2 liters of crystalloid solution.
v v v v v

1 v/
v11

, c) insert a central venous pressure line.
v v v v v




d) perform endotracheal intubation and ventilation
v v v v v




.....ASNSWER>>> D. Perform endotracheal intubation and ventilation v v v v v




7. Contraindication to nasogastric intubation is the presence of a v v v v v v v v




8.
.....ASNSWER>>> Fracture of the cribiform plate v v v v v




9. Which of the following statements regarding patients with thoracic spine injuries is true?
v v v v v v v v v v v v




.....ASNSWER>>> Log rolling may be destabilizing to fractures from T12-L1
v v v v v v v v v




10. A young man sustains a rifle wound to the mid-abdomen. He is brought promptly to the ED by
v v v v v v v v v v v v v v v v v



v prehospital personnel. His skin is cool and diaphoretic, and his systolic blood pressure is 58mmHg. Warmed
v v v v v v v v v v v v v v v



v crystalloid fluids are initiated without improvement in his vital signs.The next, most appropriate, step is to
v v v v v v v v v v v v v v v v



v perform:

A. a laparotomyv




B. An abdominal CT-scan
v v




C. Diagnostic laparoscopy v




D. Abdominal ultrasonography v




E. A diagnostic peritoneal lavage
v v v




.....ASNSWER>>> A celiotomy v v




11. Young women sustains a severe head injury as the result of a motor vehicle crash. In the emergency department
v v v v v v v v v v v v v v v v v v



v her GCS is 6. Her BP is 140/90 mmHg and her HR is 80. She is intubated and is being mechanically ventilated. Her
v v v v v v v v v v v v v v v v v v v v v v



v pupils




2 v/
v11

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