Page 1 of 29
“ATLS POST TEST ”LATEST EXAM SOLVED
QUESTIONS & ANSWERS VERIFIED 100%
GRADED A+ (LATEST VERSION) WELL REVISED
100% GUARANTEE PASS
ATLS Post Test
A 47 year old house painter is brought to the hospital after falling 20 feet from
a ladder and landing straddled on a fence. Examination of his perineum
reveals extensive ecchymosis. There is blood in the external urethral meatus.
The initial diagnostic study for the evaluation of the urinary tract should be:
A. cystoscopy
B. cystography
C. intravenous pyelography
D. CT scan
E. retrograde urethrography
E. retrograde urethrography
-> any ecchymosis, needs to be done before catheter!
A 30 year old male presents after a MVC. Vitals are RR 18, HR 88, BP 130/72,
GCS 13. Laparatomy is indicated when:
A. There is a distinct seat belt sign over the abdomen
B. The CT demonstrates a grade 4 hepatic injury
C. There is evidence of extraperitoneal bladder injury
D. CT demonstrates retroperitoneal air
E. The abdomen is distended with localized rihgt upper quadrant tenderness
, Page 2 of 29
D. CT demonstrates retroperitoneal air
-> air, peritonitis (tenderness, rigidity), unstable vital signs
A 20 year old male is brought to the hospital approximately 30 minutes after
being stabbed in the chest. There is 3 cm wound just medial to the left nipple.
BP is 70/33 and HR is 140. Neck and arm veins are distended. Breath sounds
are normal. Heart sounds are diminished, IV access is established and warm
crystalloid is infusing. The next most important aspect of immediate
management is:
A. CT Chest
B. EKG
C. Left tube thoracostomy
D. RBC infusion
E. FAST exam
E. FAST exam
Tamponade: muffled heart sounds, JVD, and hypotension -> FAST cardiac exam
Will require pericardiocentesis
Neurogenic shock has all of the following characteristics except which one?
A. hypotension
B. vasodilation
C. bradycardia
D. neurologic deficit
E. narrowed pulse pressure
E. narrowed pulse pressure
always the answer :)
A 30 year old male sustains a gunshot wound to the right lower chest, midway
between the nipple and the costal margin. He is brought by ambulance to a
hospital with full surgical capabilities. In the ED, he is endotracheally
intubated, 2 L of crystalloid is infused rapidly, and a closed tube thoracostomy
is performed with the return of 200 mL of blood. A CXR reveals correct
placement of the chest tube and a small residual hemothorax. His BP is now
70/50 and HR 140. The most appropriate next step is:
A. Insert a second chest tube
B. Obtain CT Abd
C. Perform a thoracotomy in the ED
, Page 3 of 29
D. Perform a laporotomy in the OR
E. Perform a FAST exam
E. Perform a FAST exam
-> needs more CHEST exploration not abdomen, so FAST of chest
Which of the following is true regarding a PREGNANT patient who presents
following blunt trauma?
A. Early gastric decompression is important
B. A hemoglobin level of 10 indicates recent blood loss
C. The CVP response to volume resuscitation is blunted in pregnant patients
D. A lap belt is the best form of restraint due to the size of the gravid uterus
E. A PaCO2 of 40 provides reassurance about the adequancy of respiratory
function
A. Early gastric decompression is important
Which one of the following statements is FALSE concerning Rh
isoimmunization in pregnant trauma patients?
A. It occurs in blunt or penetrating abdominal trauma
B. It is produced by minor degrees of fetomaternal hemorrhage
C. Rh immunoglobulin therapy should be administered to pregnant females
who have sustained a gunshot wound to the leg
D. This is not a problem in traumatized, Rh-positive pregnant patients
E. Initiation of Rh immunoglobulin therapy does not require proof of
fetomaternal hemorrhage
C. Rh immunoglobulin therapy should be administered to pregnant females who
have sustained a gunshot wound to the leg
Which of the following statements is TRUE regarding access in pediatric
resuscitation?
A. Intraosseous access should be only be considered after 5 percutaneous
attempts
B. Cut down at the ankle is a preferred initial access technique
C. Blood transfusion can be delivered through intraosseous access
D. Internal jugular cannulation is the next preferred option when percutaneous
venous access fails
E. Intraosseous cannulation should be first choice for access
“ATLS POST TEST ”LATEST EXAM SOLVED
QUESTIONS & ANSWERS VERIFIED 100%
GRADED A+ (LATEST VERSION) WELL REVISED
100% GUARANTEE PASS
ATLS Post Test
A 47 year old house painter is brought to the hospital after falling 20 feet from
a ladder and landing straddled on a fence. Examination of his perineum
reveals extensive ecchymosis. There is blood in the external urethral meatus.
The initial diagnostic study for the evaluation of the urinary tract should be:
A. cystoscopy
B. cystography
C. intravenous pyelography
D. CT scan
E. retrograde urethrography
E. retrograde urethrography
-> any ecchymosis, needs to be done before catheter!
A 30 year old male presents after a MVC. Vitals are RR 18, HR 88, BP 130/72,
GCS 13. Laparatomy is indicated when:
A. There is a distinct seat belt sign over the abdomen
B. The CT demonstrates a grade 4 hepatic injury
C. There is evidence of extraperitoneal bladder injury
D. CT demonstrates retroperitoneal air
E. The abdomen is distended with localized rihgt upper quadrant tenderness
, Page 2 of 29
D. CT demonstrates retroperitoneal air
-> air, peritonitis (tenderness, rigidity), unstable vital signs
A 20 year old male is brought to the hospital approximately 30 minutes after
being stabbed in the chest. There is 3 cm wound just medial to the left nipple.
BP is 70/33 and HR is 140. Neck and arm veins are distended. Breath sounds
are normal. Heart sounds are diminished, IV access is established and warm
crystalloid is infusing. The next most important aspect of immediate
management is:
A. CT Chest
B. EKG
C. Left tube thoracostomy
D. RBC infusion
E. FAST exam
E. FAST exam
Tamponade: muffled heart sounds, JVD, and hypotension -> FAST cardiac exam
Will require pericardiocentesis
Neurogenic shock has all of the following characteristics except which one?
A. hypotension
B. vasodilation
C. bradycardia
D. neurologic deficit
E. narrowed pulse pressure
E. narrowed pulse pressure
always the answer :)
A 30 year old male sustains a gunshot wound to the right lower chest, midway
between the nipple and the costal margin. He is brought by ambulance to a
hospital with full surgical capabilities. In the ED, he is endotracheally
intubated, 2 L of crystalloid is infused rapidly, and a closed tube thoracostomy
is performed with the return of 200 mL of blood. A CXR reveals correct
placement of the chest tube and a small residual hemothorax. His BP is now
70/50 and HR 140. The most appropriate next step is:
A. Insert a second chest tube
B. Obtain CT Abd
C. Perform a thoracotomy in the ED
, Page 3 of 29
D. Perform a laporotomy in the OR
E. Perform a FAST exam
E. Perform a FAST exam
-> needs more CHEST exploration not abdomen, so FAST of chest
Which of the following is true regarding a PREGNANT patient who presents
following blunt trauma?
A. Early gastric decompression is important
B. A hemoglobin level of 10 indicates recent blood loss
C. The CVP response to volume resuscitation is blunted in pregnant patients
D. A lap belt is the best form of restraint due to the size of the gravid uterus
E. A PaCO2 of 40 provides reassurance about the adequancy of respiratory
function
A. Early gastric decompression is important
Which one of the following statements is FALSE concerning Rh
isoimmunization in pregnant trauma patients?
A. It occurs in blunt or penetrating abdominal trauma
B. It is produced by minor degrees of fetomaternal hemorrhage
C. Rh immunoglobulin therapy should be administered to pregnant females
who have sustained a gunshot wound to the leg
D. This is not a problem in traumatized, Rh-positive pregnant patients
E. Initiation of Rh immunoglobulin therapy does not require proof of
fetomaternal hemorrhage
C. Rh immunoglobulin therapy should be administered to pregnant females who
have sustained a gunshot wound to the leg
Which of the following statements is TRUE regarding access in pediatric
resuscitation?
A. Intraosseous access should be only be considered after 5 percutaneous
attempts
B. Cut down at the ankle is a preferred initial access technique
C. Blood transfusion can be delivered through intraosseous access
D. Internal jugular cannulation is the next preferred option when percutaneous
venous access fails
E. Intraosseous cannulation should be first choice for access
