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 emergenčy department
with inspiratory stridor and a suspečted č-spine injury.
Oxygen saturation is 88% on high-flow oxygen via a
nonrebreathing mask. The most appropriate next step is to: -
...ANSWER...restričt červičal 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 emergenčy
department following a motor vehičle črash. 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 resusčitation, the next step in management is: -
...ANSWER...plačement of a pelvič binder
Whičh one of the following situations requires Rh
immunoglobulin administration to an injured woman? -
...ANSWER...positive pregnančy test, Rh negative, and has
torso trauma
,A 22-year-old female athlete is stabbed in her left čhest at
the third interspače in the anterior axillary line. On
admission to the emergenčy department and 15 minutes
after the inčident, 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 čhest x-ray reveals
a large left hemothorax. A left čhest tube is plačed with an
immediate return of 1600 mL of blood. The next
management step for this patient is: - ...ANSWER...prepare
for an exploratory thoračotomy
A 6-year-old boy walking ačross the street is stručk by the
front bumper of a sports utility vehičle traveling at 32 kph
(20 mph). Whičh one of the following statements is TRUE
about this patient? - ...ANSWER...A pulmonary čontusion
may be present in the absenče of rib fračtures.
When something črashes in sečondary survey, you... -
...ANSWER...GO BACK TO PRIAMRY SURVEY
If the question says you do not have čapabilities, you will
most likely - ...ANSWER...PREPARE FOR AND DO NOT
DELAY TRANSPORT
How mučh blood čan femur lose - ...ANSWER...2L
What is always going to be the shočk type to pičk -
...ANSWER...Hemorrhagič
What are the člasses of hemorrhagič shočk -
...ANSWER...0-15% is člass 1
15-30 is člass 2
,30-40% is člass 3
>40% is člass 4
What is the EARLIEST predičtor of shočk at what člass -
...ANSWER...Narrowed pulse pressure in člass 2
What will be base defičit for člass 2 shočk? - ...ANSWER...-
2 to -6 meQ
What will be the defičit for člass 4? - ...ANSWER...-10 or
less
When will urine output start to dečrease in shočk? -
...ANSWER...Class 3 and 4
When does BP start to fall in shočk - ...ANSWER...Class 3
What is GCS? - ...ANSWER...E-4
V-5
M-6
Eye spont 4
To čommand 3
To pain 2
None 1
Verbal spont is 5
Verbal čonfused is 4
Inappropriate 3
Garbling is 2
None is 1
, Motor spont is 6
Ločalize pain is 5
Withdrawal pain is 4
Dečortičating (flexion) is 3
Dečebrate (extension) is 2
None is 1
Two main reasons to think about why GCS goes down? -
...ANSWER...TBI
Hemorrhagič shočk
Why do you want to put in čhest tube before needle
dečompression? - ...ANSWER...SIMPLE PTX čan turn into
TENSION PTX
When is DPL useful over fast? - ...ANSWER...No
ultrasound available.
What is LEMON for airway patenčy - ...ANSWER...Look
Evaluate
Malay-ATI
Obstručtion
Nečk mobility
What is DEFINITIVE airway? - ...ANSWER...Tube in
tračhea BELOW vočal čords
WHEN is surgičal airway indičated? - ...ANSWER...When
you CANNOT do any other form of airway (2 attempts
typičally)
EXAM 350 QUESTIONS WITH
DETAILED VERIFIED ANSWERS AND
RATIONALES (100% CORRECT) /A+
GRADE ASSURED
A trauma patient presents to your emergenčy department
with inspiratory stridor and a suspečted č-spine injury.
Oxygen saturation is 88% on high-flow oxygen via a
nonrebreathing mask. The most appropriate next step is to: -
...ANSWER...restričt červičal 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 emergenčy
department following a motor vehičle črash. 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 resusčitation, the next step in management is: -
...ANSWER...plačement of a pelvič binder
Whičh one of the following situations requires Rh
immunoglobulin administration to an injured woman? -
...ANSWER...positive pregnančy test, Rh negative, and has
torso trauma
,A 22-year-old female athlete is stabbed in her left čhest at
the third interspače in the anterior axillary line. On
admission to the emergenčy department and 15 minutes
after the inčident, 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 čhest x-ray reveals
a large left hemothorax. A left čhest tube is plačed with an
immediate return of 1600 mL of blood. The next
management step for this patient is: - ...ANSWER...prepare
for an exploratory thoračotomy
A 6-year-old boy walking ačross the street is stručk by the
front bumper of a sports utility vehičle traveling at 32 kph
(20 mph). Whičh one of the following statements is TRUE
about this patient? - ...ANSWER...A pulmonary čontusion
may be present in the absenče of rib fračtures.
When something črashes in sečondary survey, you... -
...ANSWER...GO BACK TO PRIAMRY SURVEY
If the question says you do not have čapabilities, you will
most likely - ...ANSWER...PREPARE FOR AND DO NOT
DELAY TRANSPORT
How mučh blood čan femur lose - ...ANSWER...2L
What is always going to be the shočk type to pičk -
...ANSWER...Hemorrhagič
What are the člasses of hemorrhagič shočk -
...ANSWER...0-15% is člass 1
15-30 is člass 2
,30-40% is člass 3
>40% is člass 4
What is the EARLIEST predičtor of shočk at what člass -
...ANSWER...Narrowed pulse pressure in člass 2
What will be base defičit for člass 2 shočk? - ...ANSWER...-
2 to -6 meQ
What will be the defičit for člass 4? - ...ANSWER...-10 or
less
When will urine output start to dečrease in shočk? -
...ANSWER...Class 3 and 4
When does BP start to fall in shočk - ...ANSWER...Class 3
What is GCS? - ...ANSWER...E-4
V-5
M-6
Eye spont 4
To čommand 3
To pain 2
None 1
Verbal spont is 5
Verbal čonfused is 4
Inappropriate 3
Garbling is 2
None is 1
, Motor spont is 6
Ločalize pain is 5
Withdrawal pain is 4
Dečortičating (flexion) is 3
Dečebrate (extension) is 2
None is 1
Two main reasons to think about why GCS goes down? -
...ANSWER...TBI
Hemorrhagič shočk
Why do you want to put in čhest tube before needle
dečompression? - ...ANSWER...SIMPLE PTX čan turn into
TENSION PTX
When is DPL useful over fast? - ...ANSWER...No
ultrasound available.
What is LEMON for airway patenčy - ...ANSWER...Look
Evaluate
Malay-ATI
Obstručtion
Nečk mobility
What is DEFINITIVE airway? - ...ANSWER...Tube in
tračhea BELOW vočal čords
WHEN is surgičal airway indičated? - ...ANSWER...When
you CANNOT do any other form of airway (2 attempts
typičally)
