, ATLS 10TH EDÍTÍON POST TEST 1
1. Whích sígn ís LEAST relíable for díagnosíng
esophageal íntubatíon?
A. Symmetrícal chest wall movement
B. Presence of end-tídal CO₂ by colorímetry
C. Bílateral breath sounds
D. Oxygen saturatíon >92%
E. Endotracheal tube above the carína on chest x-ray
Correct Answer D
Explanatíon: Oxygen saturatíon may remaín normal for
several mínutes after esophageal íntubatíon due to pre-
oxygenatíon. ETCO₂ detectíon ís the most relíable
confírmatíon of tracheal placement.
2. Whích fíndíng mandates a defínítíve aírway ín a
severely ínjured trauma patíent?
A. Facíal laceratíons
B. Repeated vomítíng
C. Severe maxíllofacíal fractures
,D. Sternal fracture
E. Glasgow Coma Scale score of 12
Correct Answer C
Explanatíon: Severe maxíllofacíal trauma threatens
aírway patency due to bleedíng, edema, and dístorted
anatomy, necessítatíng early defínítíve aírway control.
3. Ín a mass-casualty íncídent, the prímary goal of
tríage ís to:
A. Establísh a tríage síte wíthín the ínner perímeter
B. Treat the most severely ínjured fírst
C. Transport all patíents to the nearest hospítal
D. Treat patíents ín order of arríval
E. Achíeve the greatest number of survívors wíth
avaílable resources
Correct Answer E
Explanatíon: ATLS tríage príorítízes savíng the greatest
number of líves rather than focusíng on índívídual
severíty.
, 4. Whích statement regardíng traumatíc braín
ínjuríes ís correct?
A. Cerebral contusíons may coalesce ínto íntracerebral
hematomas
B. Epídural hematomas are usually frontal
C. Subdural hematomas ínvolve the míddle meníngeal
artery
D. Subdural hematomas are lentícular on CT
E. Epídural hematomas cause more severe braín ínjury
Correct Answer A
Explanatíon: Cerebral contusíons can expand and
merge, formíng íntracerebral hematomas over tíme.
5. A hemodynamícally stable gunshot wound
patíent has thoracíc ínvolvement. After aírway and
ÍV access, the next step ís:
A. Portable chest x-ray
B. Addítíonal ÍV fluíd bolus
C. Ímmedíate laparotomy
1. Whích sígn ís LEAST relíable for díagnosíng
esophageal íntubatíon?
A. Symmetrícal chest wall movement
B. Presence of end-tídal CO₂ by colorímetry
C. Bílateral breath sounds
D. Oxygen saturatíon >92%
E. Endotracheal tube above the carína on chest x-ray
Correct Answer D
Explanatíon: Oxygen saturatíon may remaín normal for
several mínutes after esophageal íntubatíon due to pre-
oxygenatíon. ETCO₂ detectíon ís the most relíable
confírmatíon of tracheal placement.
2. Whích fíndíng mandates a defínítíve aírway ín a
severely ínjured trauma patíent?
A. Facíal laceratíons
B. Repeated vomítíng
C. Severe maxíllofacíal fractures
,D. Sternal fracture
E. Glasgow Coma Scale score of 12
Correct Answer C
Explanatíon: Severe maxíllofacíal trauma threatens
aírway patency due to bleedíng, edema, and dístorted
anatomy, necessítatíng early defínítíve aírway control.
3. Ín a mass-casualty íncídent, the prímary goal of
tríage ís to:
A. Establísh a tríage síte wíthín the ínner perímeter
B. Treat the most severely ínjured fírst
C. Transport all patíents to the nearest hospítal
D. Treat patíents ín order of arríval
E. Achíeve the greatest number of survívors wíth
avaílable resources
Correct Answer E
Explanatíon: ATLS tríage príorítízes savíng the greatest
number of líves rather than focusíng on índívídual
severíty.
, 4. Whích statement regardíng traumatíc braín
ínjuríes ís correct?
A. Cerebral contusíons may coalesce ínto íntracerebral
hematomas
B. Epídural hematomas are usually frontal
C. Subdural hematomas ínvolve the míddle meníngeal
artery
D. Subdural hematomas are lentícular on CT
E. Epídural hematomas cause more severe braín ínjury
Correct Answer A
Explanatíon: Cerebral contusíons can expand and
merge, formíng íntracerebral hematomas over tíme.
5. A hemodynamícally stable gunshot wound
patíent has thoracíc ínvolvement. After aírway and
ÍV access, the next step ís:
A. Portable chest x-ray
B. Addítíonal ÍV fluíd bolus
C. Ímmedíate laparotomy
