ATLS Pre-test EXAM QUESTIONS ACCURATE
TESTED VERSIONS OF THE EXAM FROM
2023TO 2024 | ACCURATE AND VERIFIED
ANSWERS | NEXT GEN FORMAT |
GUARANTEED PASS WITH 150 QUESTIONS
A 34-year-old man is brought to the ED after being pinned to the wall of building by a cement
truck. He is in obvious shock, and has deformities and marked swelling of both thighs. Although
no open wound are present, his shock:
A. Cannot be explained without concomitant pelvic fracture
B. Signifies a loss of approximately 15%
C. Is consistent with blood loss from bilateral femoral fracture
D. Will likely be reversed if appropriate traction splint are applied
E. Cannot be explained by his observed injuries unless a major arterial injury exist
- ANSWERS-C. Is consistent with blood loss from bilateral femoral fracture
Prior to passage of urinary catheter in a man, it is essential to:
A. Examine the abdomen
B. Determine pelvic stability
C. Examine the rectum and perineum
D. Perform a retrograde urethrogram
E. Know the history and mechanism of injury
- ANSWERS-C. Examine the rectum and perineum
The best guide for adequate fluid resuscitation of the burn patient is:
A. Adequate urinary output
,B. Reversal of systemic acidosis
C. Normalization of the heart rate
D. A normal central venous pressure
E. 4ml/kg/percent body burn/24 hours
- ANSWERS-A. Adequate urinary output
A 36-year-old woman is beaten about the head and face and is brought to the local community
hospital in full spinal immobilization. Her BP is 13088, HR 70/minutes, and RR 18/minute. Pulse
oximetry indicated 98% while she was given 100% O2 via a non rebreather mask. Her airway is
clear. She has marked swellings on her face and several lacerations of her scalp that are not
actively bleeding. She does not respond to verbal stimuli, but localizes to painful stiumuli and
opens her eyes. She moves all extremities equally. The remainder of her physical exam is
normal. There is no neurosurgeon at the local hospital. After ensuring the patient airway, the
most appropriate course of action is to:
A. Admit the patient to the hospital for observation
B. Obtain x-ray of her facial bones prior to transfer
C. Obtain complete x-ray evaluation of the cervical spine
D. Transfer the patient to a neurosurgeon without performing a CT-sca
- ANSWERS-D. Transfer the patient to a neurosurgeon without performing a CT-scan
For the trauma patient with cerebral edema, hypercarbia should be avoided to prevent:
A. metabolic acidosis
B. Respiratory acidosis
C. Cerebral vasodilatation
D. Neurogenic pulmonary edema
E. Reciprocal high level of PaCO2
- ANSWERS-C. Cerebral vasodilatation
A 29 y/o male is brought to the ED after being involved in a motor vehicular collision when his
car struck a bridge abutment. He is intoxicated, has GCS 13 and complains of abdominal pain.
, His BP was 80mmHg systolic by palpation on admission, but rapidly increased to 110/70 with
the administration of IV fluid. His heart rate is 120/minute. The chest x-ray show loss of aortic
know, widening of mediastinum, no rib fracture and no hemopneumothorax. Contrast
angiography:
A. Is not indicated
B. Should be performed after CT scan of the chest
C. Is positive ofr aortic rupture in 80% of similar cases
D. Is not necessary if the CT-scan of the chest is normal
E. Should be performed after DPL
- ANSWERS-D. Is not necessary if the CT-scan of the chest is normal
Important screening x-rays to obtain in the multiple system trauma patient are:
A. Skull, chest and abdomen
B. Chest, abdomen and pelvis
C. Skull cervical spine and pelvis
D. Cervical spine, chest and pelvis
E. Cervical spine, chest and abdomen
- ANSWERS-D. Cervical spine, chest and pelvis
All of the following statement regarding pulse oxymetry are true EXCEPT
A. excessive surrounding room light can interfere with the accuracy of the reading
B. Significant levels of dysfunctional hemoglobin can affect the accuracy of the reading
C. It provides a continuous measurement of the partial pressure of oxygen
D. It is dependent on differential light absorption by oxygenated and deoxygenated hemoglobin
E. It provides a continuous, non-invasiv measurement of pulse rate that is updated with each
HR
- ANSWERS-C. It provides a continuous measurement of the partial pressure of oxygen
TESTED VERSIONS OF THE EXAM FROM
2023TO 2024 | ACCURATE AND VERIFIED
ANSWERS | NEXT GEN FORMAT |
GUARANTEED PASS WITH 150 QUESTIONS
A 34-year-old man is brought to the ED after being pinned to the wall of building by a cement
truck. He is in obvious shock, and has deformities and marked swelling of both thighs. Although
no open wound are present, his shock:
A. Cannot be explained without concomitant pelvic fracture
B. Signifies a loss of approximately 15%
C. Is consistent with blood loss from bilateral femoral fracture
D. Will likely be reversed if appropriate traction splint are applied
E. Cannot be explained by his observed injuries unless a major arterial injury exist
- ANSWERS-C. Is consistent with blood loss from bilateral femoral fracture
Prior to passage of urinary catheter in a man, it is essential to:
A. Examine the abdomen
B. Determine pelvic stability
C. Examine the rectum and perineum
D. Perform a retrograde urethrogram
E. Know the history and mechanism of injury
- ANSWERS-C. Examine the rectum and perineum
The best guide for adequate fluid resuscitation of the burn patient is:
A. Adequate urinary output
,B. Reversal of systemic acidosis
C. Normalization of the heart rate
D. A normal central venous pressure
E. 4ml/kg/percent body burn/24 hours
- ANSWERS-A. Adequate urinary output
A 36-year-old woman is beaten about the head and face and is brought to the local community
hospital in full spinal immobilization. Her BP is 13088, HR 70/minutes, and RR 18/minute. Pulse
oximetry indicated 98% while she was given 100% O2 via a non rebreather mask. Her airway is
clear. She has marked swellings on her face and several lacerations of her scalp that are not
actively bleeding. She does not respond to verbal stimuli, but localizes to painful stiumuli and
opens her eyes. She moves all extremities equally. The remainder of her physical exam is
normal. There is no neurosurgeon at the local hospital. After ensuring the patient airway, the
most appropriate course of action is to:
A. Admit the patient to the hospital for observation
B. Obtain x-ray of her facial bones prior to transfer
C. Obtain complete x-ray evaluation of the cervical spine
D. Transfer the patient to a neurosurgeon without performing a CT-sca
- ANSWERS-D. Transfer the patient to a neurosurgeon without performing a CT-scan
For the trauma patient with cerebral edema, hypercarbia should be avoided to prevent:
A. metabolic acidosis
B. Respiratory acidosis
C. Cerebral vasodilatation
D. Neurogenic pulmonary edema
E. Reciprocal high level of PaCO2
- ANSWERS-C. Cerebral vasodilatation
A 29 y/o male is brought to the ED after being involved in a motor vehicular collision when his
car struck a bridge abutment. He is intoxicated, has GCS 13 and complains of abdominal pain.
, His BP was 80mmHg systolic by palpation on admission, but rapidly increased to 110/70 with
the administration of IV fluid. His heart rate is 120/minute. The chest x-ray show loss of aortic
know, widening of mediastinum, no rib fracture and no hemopneumothorax. Contrast
angiography:
A. Is not indicated
B. Should be performed after CT scan of the chest
C. Is positive ofr aortic rupture in 80% of similar cases
D. Is not necessary if the CT-scan of the chest is normal
E. Should be performed after DPL
- ANSWERS-D. Is not necessary if the CT-scan of the chest is normal
Important screening x-rays to obtain in the multiple system trauma patient are:
A. Skull, chest and abdomen
B. Chest, abdomen and pelvis
C. Skull cervical spine and pelvis
D. Cervical spine, chest and pelvis
E. Cervical spine, chest and abdomen
- ANSWERS-D. Cervical spine, chest and pelvis
All of the following statement regarding pulse oxymetry are true EXCEPT
A. excessive surrounding room light can interfere with the accuracy of the reading
B. Significant levels of dysfunctional hemoglobin can affect the accuracy of the reading
C. It provides a continuous measurement of the partial pressure of oxygen
D. It is dependent on differential light absorption by oxygenated and deoxygenated hemoglobin
E. It provides a continuous, non-invasiv measurement of pulse rate that is updated with each
HR
- ANSWERS-C. It provides a continuous measurement of the partial pressure of oxygen
