ATLS: PRETESTS QUESTIONS & ANSWERS 2023

ATLS:
PRETESTS
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QUESTION
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S
&

ANSWERS

,2023
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, ATLS: Pretests Q&A 2023
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1. Thoracic trauma. v v v Chest tube insertion. v v




A 22 year old man :is hypotensive and tachycarclic after a shotgun wound to the left
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shoulder. His blood after initial N
v v fluid resuscitation, a closed tube thoracostomy
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:is performed for decreased 1eft breath sounds
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a) reexamine the chest v v


b) perform an aortogram v v


c) obtain a CT scan of the chest v v v v v v


d) obtain arterial blood gas analyses
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e) perform tranesohageal echocardiographyv v




answer: a.
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info: chest tube insertion, p. 108.
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2. Musculoskeletaltrauma. Extremity trauma. v v




A construction worker falls two stories from a building and sustains bilateral cakaneal
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fractures. In the emergency department, he :is alert, vital signs are normal, and he :is
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complaining of severe pain in both heels andh:is lower back. Lower extremity pulses are
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strong and there is no other deformity. The suspected diagnos:is:is most likelyto be
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confirmed by
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a) ang iography v


b) compartment pre ssures v v


c) retrograde urethrogram v


d) Doppler-ultrasound studies v


e) complete spine x-ray v v




v series answer: e. v v




3. Trauma in women. v v




During the third trimester of pregnancy, all of the following changes occur
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normallyEXCEPT a
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a) decrease in PaC02 v v


b) decrease in leukocyte count v v v


c) reduced gastric emptying rate v v v


d) diminished res:idual lungvolume v v


e) diminished elvic ligament v v




v tension answer: b. v v




info: p. 261.v v




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