ATLS POST TEST EXAM WITH QUESTIONS
AND CORRECT ANSWERS LATEST
UPDATED
a 35 year old female ustains multiple linjuries in a MVA and is transported to a small
hospital. She has a GCS of V2E2M2. Spinal motion restrictions are in place. ET is
performed, IV and wamred fluids are administered. She remains hemodynamically
normal, and preparations are made to transfer to another facility for definitive neuro
care. Which of the following tests or treatment should occur before transport? a. ct
abdomen and chest
b. chest xray
c. lateral cervical spine xray
d. admin of methlyprednisolone
e. transfusion of 2 units packed RBCs - b. chest xray
A 22 year old male sustains a shotgun wound to the left shoulder and chest at close
range. His BP is 80/40mmHg and his HR is 130bpm. Fluid resusciation is initiated, his
BP increases to 122/84, and HR decreases to 100bpm. He is tachypneic with RR of 28.
On physical examination, his breath sounds are decreased at the left upper chest with
dullness on percussion. A tube thoracostomy is inserted in the fifth intercostal space
with the return of 200ml of blood and no air leak. The most appropriate next step is to:
a. measure blood pressure again
b. begin transfuse O negative blood
c. wait until the chest xray is completed
d. obtain a CT scan of the chest and abdomen
e. repeat the physical exam of the chest - e. repeat the physical exam of the chest
an 18yo male is brought to the emergency department after being dumped by a large
wave while surfing. He landed head first on the firm beach sand. His vital signs are
blood pressure 85/60 mmHg, heart rate 60, and respiratory rate 18; he is unable to
move his lower extremities. He appears calm and asks if he will ever walk again. The
most appropriate next step is to:
, a. reassure patient that he will walk again
b. proceed to a more detailed neuro exam
c. obtain c spin xrays
d. begin infusion of vasopressors
e. begin bolus of warm IV crystalloid - e. begin bolus of warm IV crystalloid
Whic one of the following statements is true regarding access in pediatric resuscitation?
a. intraosseous access should be considered only after 5 percutaneous attempts
b. cutdown at teh ankle is the preferred initial access technique
c. internal jugular cannulation is the next preferred option when percutaneous venous
access fails
d. intraosseous cannulation should be the first choice
e. blood transfusion can be delivered through intraosseous access - e. blood
transfusion can be delivered through intraosseous access
A 22 yo male is brought to the ED after being assaulted in a bar. On intial exam, his vital
signs are normal and his Glasgow Coma scale is V5E4M6. A definite indication for a
head CT is
a. prescence of hemotympanum
b. complains of headache
c. prescense of 10cm scapl laceration
d. prescence of mandibular fracture
e. history of assault - a. prescence of hemotympanum
a 23 yo construction worker is brought to the ED after falling more than 9 meters from
scaffolding. He is reported to have landed on his feet and then been unable to bear
weight. His vital signs are heart 140, blood pressure 96/60 mmHg, resp rate 36. He is
complaining of lower abdbominal and lower limb pain, and has obvious deformity of
both lower legs with bilateral open tibial fractures. WHich one of the following
statements concerning this patient is true?
a. pelvic injury can be ruled out, based on the MOI
b. blood loss from the lower limbs is the most likely cause of his tachycardia
c. xrays of the patient chest and pevlic are important adjuncts in the inital assessment
d. spinal cord injury is the most likely cause of hypotension
e. aortic injury is likely - c. xrays of the patient chest and pevlic are important adjuncts in
the inital assessment
25 yo female in the third trimester of preganacy is brought to the ED following a high
speed MVA. She is conscious, and her vital signs are RR 16, HR 120, BP 70/50. The
laboratory results show a PaCO2 of 50mmHg/5.3kPa (normal range 35-45). Which one
of the following statments concerning this patient is true? a. fetal assessment should
take priority
b. logrolling the patient to the right will decompress the vena cava
AND CORRECT ANSWERS LATEST
UPDATED
a 35 year old female ustains multiple linjuries in a MVA and is transported to a small
hospital. She has a GCS of V2E2M2. Spinal motion restrictions are in place. ET is
performed, IV and wamred fluids are administered. She remains hemodynamically
normal, and preparations are made to transfer to another facility for definitive neuro
care. Which of the following tests or treatment should occur before transport? a. ct
abdomen and chest
b. chest xray
c. lateral cervical spine xray
d. admin of methlyprednisolone
e. transfusion of 2 units packed RBCs - b. chest xray
A 22 year old male sustains a shotgun wound to the left shoulder and chest at close
range. His BP is 80/40mmHg and his HR is 130bpm. Fluid resusciation is initiated, his
BP increases to 122/84, and HR decreases to 100bpm. He is tachypneic with RR of 28.
On physical examination, his breath sounds are decreased at the left upper chest with
dullness on percussion. A tube thoracostomy is inserted in the fifth intercostal space
with the return of 200ml of blood and no air leak. The most appropriate next step is to:
a. measure blood pressure again
b. begin transfuse O negative blood
c. wait until the chest xray is completed
d. obtain a CT scan of the chest and abdomen
e. repeat the physical exam of the chest - e. repeat the physical exam of the chest
an 18yo male is brought to the emergency department after being dumped by a large
wave while surfing. He landed head first on the firm beach sand. His vital signs are
blood pressure 85/60 mmHg, heart rate 60, and respiratory rate 18; he is unable to
move his lower extremities. He appears calm and asks if he will ever walk again. The
most appropriate next step is to:
, a. reassure patient that he will walk again
b. proceed to a more detailed neuro exam
c. obtain c spin xrays
d. begin infusion of vasopressors
e. begin bolus of warm IV crystalloid - e. begin bolus of warm IV crystalloid
Whic one of the following statements is true regarding access in pediatric resuscitation?
a. intraosseous access should be considered only after 5 percutaneous attempts
b. cutdown at teh ankle is the preferred initial access technique
c. internal jugular cannulation is the next preferred option when percutaneous venous
access fails
d. intraosseous cannulation should be the first choice
e. blood transfusion can be delivered through intraosseous access - e. blood
transfusion can be delivered through intraosseous access
A 22 yo male is brought to the ED after being assaulted in a bar. On intial exam, his vital
signs are normal and his Glasgow Coma scale is V5E4M6. A definite indication for a
head CT is
a. prescence of hemotympanum
b. complains of headache
c. prescense of 10cm scapl laceration
d. prescence of mandibular fracture
e. history of assault - a. prescence of hemotympanum
a 23 yo construction worker is brought to the ED after falling more than 9 meters from
scaffolding. He is reported to have landed on his feet and then been unable to bear
weight. His vital signs are heart 140, blood pressure 96/60 mmHg, resp rate 36. He is
complaining of lower abdbominal and lower limb pain, and has obvious deformity of
both lower legs with bilateral open tibial fractures. WHich one of the following
statements concerning this patient is true?
a. pelvic injury can be ruled out, based on the MOI
b. blood loss from the lower limbs is the most likely cause of his tachycardia
c. xrays of the patient chest and pevlic are important adjuncts in the inital assessment
d. spinal cord injury is the most likely cause of hypotension
e. aortic injury is likely - c. xrays of the patient chest and pevlic are important adjuncts in
the inital assessment
25 yo female in the third trimester of preganacy is brought to the ED following a high
speed MVA. She is conscious, and her vital signs are RR 16, HR 120, BP 70/50. The
laboratory results show a PaCO2 of 50mmHg/5.3kPa (normal range 35-45). Which one
of the following statments concerning this patient is true? a. fetal assessment should
take priority
b. logrolling the patient to the right will decompress the vena cava
