ATLS PRETEST EXAM AND PRACTICE
EXAM 350 QUESTIONS WITH
DETAILED VERIFIED ANSWERS AND
RATIONALES (100% CORRECT) /A+
GRADE ASSURED
A trauma patient presents to your emergency department
with inspiratory stridor and a suspected c-spine injury.
Oxygen saturation is 88% on high-flow oxygen via a
nonrebreathing mask. The most appropriate next step is to: -
...ANSWER...restrict cervical motion and establish a
definitive airway
When applying the Rule of Nines to infants: -
...ANSWER...The head is proportionally larger in infants
than in adults.
A healthy young male is brought to the emergency
department following a motor vehicle crash. His vital signs
are a blood pressure of 84/60, pulse 123, GCS 10. The
patient moans when his pelvis is palpated. After initiating
fluid resuscitation, the next step in management is: -
...ANSWER...placement of a pelvic binder
Which one of the following situations requires Rh
immunoglobulin administration to an injured woman? -
...ANSWER...positive pregnancy test, Rh negative, and has
torso trauma
,A 22-year-old female athlete is stabbed in her left chest at
the third interspace in the anterior axillary line. On
admission to the emergency department and 15 minutes
after the incident, she is awake and alert. Her heart rate is
100 beats per minute, blood pressure 80/60 mm Hg, and
respiratory rate 20 breaths per minute. A chest x-ray reveals
a large left hemothorax. A left chest tube is placed with an
immediate return of 1600 mL of blood. The next
management step for this patient is: - ...ANSWER...prepare
for an exploratory thoracotomy
A 6-year-old boy walking across the street is struck by the
front bumper of a sports utility vehicle traveling at 32 kph
(20 mph). Which one of the following statements is
TRUE about this patient? - ...ANSWER...A pulmonary
contusion may be present in the absence of rib fractures.
When something crashes in secondary survey, you... -
...ANSWER...GO BACK TO PRIAMRY SURVEY
If the question says you do not have capabilities, you will
most likely - ...ANSWER...PREPARE FOR AND DO NOT
DELAY TRANSPORT
How much blood can femur lose - ...ANSWER...2L
What is always going to be the shock type to pick -
...ANSWER...Hemorrhagic
What are the classes of hemorrhagic shock -
...ANSWER...0-15% is class 1
15-30 is class 2
,30-40% is class 3
>40% is class 4
What is the EARLIEST predictor of shock at what class -
...ANSWER...Narrowed pulse pressure in class 2
What will be base deficit for class 2 shock? - ...ANSWER...-
2 to -6 meQ
What will be the deficit for class 4? - ...ANSWER...-10 or
less
When will urine output start to decrease in shock? -
...ANSWER...Class 3 and 4
When does BP start to fall in shock - ...ANSWER...Class 3
What is GCS? - ...ANSWER...E-4
V-5
M-6
Eye spont 4
To command 3
To pain 2
None 1
Verbal spont is 5
Verbal confused is 4
Inappropriate 3
Garbling is 2
None is 1
, Motor spont is 6
Localize pain is 5
Withdrawal pain is 4
Decorticating (flexion) is 3
Decebrate (extension) is 2
None is 1
Two main reasons to think about why GCS goes down? -
...ANSWER...TBI
Hemorrhagic shock
Why do you want to put in chest tube before needle
decompression? - ...ANSWER...SIMPLE PTX can turn into
TENSION PTX
When is DPL useful over fast? - ...ANSWER...No
ultrasound available.
What is LEMON for airway patency - ...ANSWER...Look
Evaluate
Malay-ATI
Obstruction
Neck mobility
What is DEFINITIVE airway? - ...ANSWER...Tube in
trachea BELOW vocal cords
WHEN is surgical airway indicated? - ...ANSWER...When
you CANNOT do any other form of airway (2 attempts
typically)
EXAM 350 QUESTIONS WITH
DETAILED VERIFIED ANSWERS AND
RATIONALES (100% CORRECT) /A+
GRADE ASSURED
A trauma patient presents to your emergency department
with inspiratory stridor and a suspected c-spine injury.
Oxygen saturation is 88% on high-flow oxygen via a
nonrebreathing mask. The most appropriate next step is to: -
...ANSWER...restrict cervical motion and establish a
definitive airway
When applying the Rule of Nines to infants: -
...ANSWER...The head is proportionally larger in infants
than in adults.
A healthy young male is brought to the emergency
department following a motor vehicle crash. His vital signs
are a blood pressure of 84/60, pulse 123, GCS 10. The
patient moans when his pelvis is palpated. After initiating
fluid resuscitation, the next step in management is: -
...ANSWER...placement of a pelvic binder
Which one of the following situations requires Rh
immunoglobulin administration to an injured woman? -
...ANSWER...positive pregnancy test, Rh negative, and has
torso trauma
,A 22-year-old female athlete is stabbed in her left chest at
the third interspace in the anterior axillary line. On
admission to the emergency department and 15 minutes
after the incident, she is awake and alert. Her heart rate is
100 beats per minute, blood pressure 80/60 mm Hg, and
respiratory rate 20 breaths per minute. A chest x-ray reveals
a large left hemothorax. A left chest tube is placed with an
immediate return of 1600 mL of blood. The next
management step for this patient is: - ...ANSWER...prepare
for an exploratory thoracotomy
A 6-year-old boy walking across the street is struck by the
front bumper of a sports utility vehicle traveling at 32 kph
(20 mph). Which one of the following statements is
TRUE about this patient? - ...ANSWER...A pulmonary
contusion may be present in the absence of rib fractures.
When something crashes in secondary survey, you... -
...ANSWER...GO BACK TO PRIAMRY SURVEY
If the question says you do not have capabilities, you will
most likely - ...ANSWER...PREPARE FOR AND DO NOT
DELAY TRANSPORT
How much blood can femur lose - ...ANSWER...2L
What is always going to be the shock type to pick -
...ANSWER...Hemorrhagic
What are the classes of hemorrhagic shock -
...ANSWER...0-15% is class 1
15-30 is class 2
,30-40% is class 3
>40% is class 4
What is the EARLIEST predictor of shock at what class -
...ANSWER...Narrowed pulse pressure in class 2
What will be base deficit for class 2 shock? - ...ANSWER...-
2 to -6 meQ
What will be the deficit for class 4? - ...ANSWER...-10 or
less
When will urine output start to decrease in shock? -
...ANSWER...Class 3 and 4
When does BP start to fall in shock - ...ANSWER...Class 3
What is GCS? - ...ANSWER...E-4
V-5
M-6
Eye spont 4
To command 3
To pain 2
None 1
Verbal spont is 5
Verbal confused is 4
Inappropriate 3
Garbling is 2
None is 1
, Motor spont is 6
Localize pain is 5
Withdrawal pain is 4
Decorticating (flexion) is 3
Decebrate (extension) is 2
None is 1
Two main reasons to think about why GCS goes down? -
...ANSWER...TBI
Hemorrhagic shock
Why do you want to put in chest tube before needle
decompression? - ...ANSWER...SIMPLE PTX can turn into
TENSION PTX
When is DPL useful over fast? - ...ANSWER...No
ultrasound available.
What is LEMON for airway patency - ...ANSWER...Look
Evaluate
Malay-ATI
Obstruction
Neck mobility
What is DEFINITIVE airway? - ...ANSWER...Tube in
trachea BELOW vocal cords
WHEN is surgical airway indicated? - ...ANSWER...When
you CANNOT do any other form of airway (2 attempts
typically)
