ATLS:
PRETESTS
QUESTIONS
&
ANSWERS
2023
, ATLS: Pretests Q&A 2023
1. ThoracicM trauma.M M ChestM tubeM insertion.
AM22M yearM oldMmanM :isM hypotensiveM andM tachycarclicM afterM aMshotgunM woundM toMtheM leftM shou
lder.MHisM bloodMafterM initialM N
fluidM resuscitation,M aMclosedM tubeMthoracostomyM:isMperformedM f
orMdecreasedM1eftMbreathMsounds
a) reexamineMtheMchest
b) performManMaortogram
c) obtainMaMCTMscanMofM theM chest
d) obtainMarterialM bloodMgasManalyses
e) performMtranesohagealMechocardiograph
yManswer:M a.
info:M chestMtubeMinsertion,Mp.M 108.
2. Musculoskeletaltrauma.MExtremityM trauma.
AMconstructionMworkerMfallsMtwoMstoriesMfromMaMbuildingMandMsustainsMbilateralMcakanealMfrac
tures.MInMtheMemergencyMdepartment,MheM :isMalert,MvitalMsignsMareMnormal,MandMheM :isMcomplai
ningMofMsevereMpainMinMbothMheelsMandh:isMlowerMback.M LowerMextremityMpulsesM areMstrongMa
ndMthereMisM noMotherMdeformity.MTheMsuspectedMdiagnos:is:isMmostMlikelytoMbeMconfirmedMby
a) angMiography
b) compartmentMpreMssures
c) retrogradeMurethrogram
d) Doppler-ultrasoundM studies
e) completeMspineM x-
rayM seriesManswer:M e.
3. TraumaMinM women.
DuringMtheMthirdMtrimesterMofMpregnancy,MallMofMtheMfollowingMchangesMoccurMnormallyEXC
EPTMa
a) decreaseM inM PaC02
b) decreaseM inM leukocyteMcount
c) reducedMgastricMemptyingM rate
d) diminishedM res:idualMlungvolume
e) diminishedM elvicMligamentM tensio
nManswer:Mb.
info:Mp.M 261.
1
, 4. HeadM Trauma.
InM managingM theM headM injuredM patient,M theM mostM importantM initialM stepM isM to
a) secureM theMairway
b) obtainM c-spineM film
c) supportM M circu1ation
c)M controlM scalpM hemorrhage
e)MdetermineMtheMGCSM scoreMans
wer:M a.
info:M p.M 154.
5. Shock.
AMpreviouslyMhealthy,M 70kgM (154M pound)M manM suffersM anM estimatedM acuteMbloodM 1ossM ofM2M li
ters.MWhichM oneM ofM theM followingMstatementsMappliesMtoMthisM patient?
a) hisM pu1seMpressureM willM beM widened
b) hisM urinaryM outputM willM beM atM theM 1owerM limitsM ofM normal
c) heM willM haveM tachycardia,M butM noM changeM inM hisM systolicM b1oodM pressure
d) hisM systolicM bloodM pressureM willM beM decreasedM M withM aM narrowedM M pu1seMressureM (true)
e) hisMsystolicMbloodMpressureM willM beMmaintainedMwithManMelevatedMdiastolicM press
ureManswer:M d.
info:M p.M61.
6. TraumaM inM Women.
TheM physio1ogicM hypervolem:iaM ofM pregnancyM hasM clinicalM significanceM inM theM managementM
ofMtheM severelyM injured,MgravidMwomanM by
a) reducingM theM needM forMbloodM transfusion
b) increasingM theM riskM ofM pulmonaryM edema
c) complicating theM managementM ofM cJosedM headM injury
d) reducingM theM volumeM ofM crystalloidM requiredM forM resuscitation
e) increasingMtheMvo1umeMofMb1oodM 1os
sMtoMproduceMmaternalM hypotension
answer:M e.
info:Mp.M 261.
7. ThermalM Injuries.M InjuryM DueM toM BurnM andM Cold.
TheM bestM guideM forM adequateM fluidM resuscitationM ofM theM burnM patientM is
2
PRETESTS
QUESTIONS
&
ANSWERS
2023
, ATLS: Pretests Q&A 2023
1. ThoracicM trauma.M M ChestM tubeM insertion.
AM22M yearM oldMmanM :isM hypotensiveM andM tachycarclicM afterM aMshotgunM woundM toMtheM leftM shou
lder.MHisM bloodMafterM initialM N
fluidM resuscitation,M aMclosedM tubeMthoracostomyM:isMperformedM f
orMdecreasedM1eftMbreathMsounds
a) reexamineMtheMchest
b) performManMaortogram
c) obtainMaMCTMscanMofM theM chest
d) obtainMarterialM bloodMgasManalyses
e) performMtranesohagealMechocardiograph
yManswer:M a.
info:M chestMtubeMinsertion,Mp.M 108.
2. Musculoskeletaltrauma.MExtremityM trauma.
AMconstructionMworkerMfallsMtwoMstoriesMfromMaMbuildingMandMsustainsMbilateralMcakanealMfrac
tures.MInMtheMemergencyMdepartment,MheM :isMalert,MvitalMsignsMareMnormal,MandMheM :isMcomplai
ningMofMsevereMpainMinMbothMheelsMandh:isMlowerMback.M LowerMextremityMpulsesM areMstrongMa
ndMthereMisM noMotherMdeformity.MTheMsuspectedMdiagnos:is:isMmostMlikelytoMbeMconfirmedMby
a) angMiography
b) compartmentMpreMssures
c) retrogradeMurethrogram
d) Doppler-ultrasoundM studies
e) completeMspineM x-
rayM seriesManswer:M e.
3. TraumaMinM women.
DuringMtheMthirdMtrimesterMofMpregnancy,MallMofMtheMfollowingMchangesMoccurMnormallyEXC
EPTMa
a) decreaseM inM PaC02
b) decreaseM inM leukocyteMcount
c) reducedMgastricMemptyingM rate
d) diminishedM res:idualMlungvolume
e) diminishedM elvicMligamentM tensio
nManswer:Mb.
info:Mp.M 261.
1
, 4. HeadM Trauma.
InM managingM theM headM injuredM patient,M theM mostM importantM initialM stepM isM to
a) secureM theMairway
b) obtainM c-spineM film
c) supportM M circu1ation
c)M controlM scalpM hemorrhage
e)MdetermineMtheMGCSM scoreMans
wer:M a.
info:M p.M 154.
5. Shock.
AMpreviouslyMhealthy,M 70kgM (154M pound)M manM suffersM anM estimatedM acuteMbloodM 1ossM ofM2M li
ters.MWhichM oneM ofM theM followingMstatementsMappliesMtoMthisM patient?
a) hisM pu1seMpressureM willM beM widened
b) hisM urinaryM outputM willM beM atM theM 1owerM limitsM ofM normal
c) heM willM haveM tachycardia,M butM noM changeM inM hisM systolicM b1oodM pressure
d) hisM systolicM bloodM pressureM willM beM decreasedM M withM aM narrowedM M pu1seMressureM (true)
e) hisMsystolicMbloodMpressureM willM beMmaintainedMwithManMelevatedMdiastolicM press
ureManswer:M d.
info:M p.M61.
6. TraumaM inM Women.
TheM physio1ogicM hypervolem:iaM ofM pregnancyM hasM clinicalM significanceM inM theM managementM
ofMtheM severelyM injured,MgravidMwomanM by
a) reducingM theM needM forMbloodM transfusion
b) increasingM theM riskM ofM pulmonaryM edema
c) complicating theM managementM ofM cJosedM headM injury
d) reducingM theM volumeM ofM crystalloidM requiredM forM resuscitation
e) increasingMtheMvo1umeMofMb1oodM 1os
sMtoMproduceMmaternalM hypotension
answer:M e.
info:Mp.M 261.
7. ThermalM Injuries.M InjuryM DueM toM BurnM andM Cold.
TheM bestM guideM forM adequateM fluidM resuscitationM ofM theM burnM patientM is
2
