ATLS POST TEST 2024-2025 – Actual
Questions & Answers 100%
Guarantee Pass
22 year old male fall from 2m, large right pneumothorax. Chest tube placed,
connected to drainage. Control x-ray shows pneumothorax, third x-ray reveals
pneumothorax - ------------ANS: Tracheobronchal injury
30-year-old woman fell down four stair landing on concrete. Unconscious for 5
minutes after the fall, full consciousness during 10 minute transport to hospital, GCS
15, complaint is a slight headache, 30 minute later she is unresponsive with GCS 6
and left pupil is large. - ------------ANS: Epidural hematoma
A 6 month old infant, being held in her mothers arms, is ejected on impact from a
vehicle that is struck head on by an oncoming car traveling at 65kph. The infant
arrives in the ED with multiple facial injuries, is lethargic, and is in severe respiratoy
distress. Respiratory support is not effective using a bag mask device, and her
oxygen saturation is falling. Repeated attempts at orotracheal intubation are
unsuccessful. the most appropriate procedure to perform next is:
A. perform needle cricothyroidotomy with jet insufflation
B. Administer heliox and racemic epinephrine
C. Perform nasotracheal intubation
D. Perform surgical cricothyroidotomy
E. Repeat orotracheal intubation - ------------ANS: A. perform needle
cricothyroidotomy with jet insufflation
A 6-year-o boy is struck by an automobile and brought to the ED. He is lethargic, but
withdraws purposefully from painful stimuli. His blood pressure is 90mmHg systolic,
heart rate 140 beats per minute and his respiratory rate is 36 breaths per minute.
The preferred route of venous access in this patient is:
A. Percutaneous femoral vein cannulation
B. Cutdown on the saphenous vein at the ankle
C. Intraosseous catheter placement in the proximal tibia
D. Percutaneous peripheral veins in the upper extremities
E. Central venous access via the subclavian or internal jugular vein - ------------ANS:
D. Percutaneous peripheral veins in the upper extremities
,A 6-year-old boy walking across the street is struck by the front bumper of a sports
utility vehicle traveling at 32kph (20mph). Which one of the following statements is
TRUE?
A. A flail chest is probable
B. A symptomatic cardiac contusion is expected
C. A pulmonary contusion may be present in the absence of rib fractures
D. Transection of the thoracic aorta is more likely than in an adult patient
E. Rib fractures are commonly found in children with this mechanism of injury -
------------ANS: C. A pulmonary contusion may be present in the absence of rib
fractures
A 7-year-old boy is brought to the ED by his parents several minutes after he fell
through a window. He is bleeding profusely from a 6-cm wound of his medial right
thigh. Immediate management of the wound should consist of:
A. Application of a torniquet
B. Direct pressure on the wound
C. Packing the wound with gauze
D. Direct pressure on the femoral artery at the groin
E. Debridement of devitalized tissue - ------------ANS: B. Direct pressure on the
wound
A 14 year old female is brought to the ED after falling from a horse. She is
immobilized on a long spine board with a hard collar and blocks. Cervical spine
x-ray:
A. Will show cervical spine injury in more than 20% of these patients
B. Will exclude cervical spine injury if no abnormalities are found on the x-rays
C. Are not needed if she is awake, alert, neurologically normal, and has no neck pain
or midline tenderness
D. Should be performed before adressing potential breating or circulatory problems
E. May show atlanto-occipital dislocation if the Powers ratio is <1 --> 1:noraml, >1
anterior, <1 posterior - ------------ANS: C. Are not needed if she is awake, alert,
neurologically normal, and has no neck pain or midline tenderness
A 15 year old male is brought to the ED after being involved in a motor vehicle crash.
He is unconscious and was intubated at the scene by emergency personnel. Upon
arrival at the ED, the patients oxygen saturation is 92%, HR is 96 bpm and BP is
150/85 Breath sounds are decreased on the left side of the thorax. The next step is:
A. Immediate needle crycothyroidotomy
B. Reassess the position of the endotracheal tube
C. Chest tube insertion
D. Immediate needle thoracentesis
E. Obtain a chest x-ray - ------------ANS: B. Reassess the position of the
endotracheal tube
,A 15 year old male present following a motorcycle crash. INitial examinations reveals
normal vital signs. There is a large bruise over his epigastrium that extends to the left
flank. He has no other apparent injuries. A CT-scan of the abdomen demonstrate a
ruptured spleen surrounded by a large hematoma and fluid in the pelvis. The next
step in the patients management is:
A. Splenic artery embolization
B. Pneumococcal vaccine
C. Urgent laparotomy
D. Surgical consult
E. Transfer to a pediatrician - ------------ANS: D. Surgical consult
Hemodynamisk stabil, ingen fri luft.
A 17 year old female is brought to the ED following a 2 meter fall onto concrete. She
is unresponsive and found to have a RR of 32, BP 90/60 and HR 68. The first step in
treatment is:
A. Adminstering vasopressors
B. Establishing IV access for drug-assisted intubation
C. Seeking the cause of her decreased level of consciousness
D. Applying oxygen and maintaining airway
E. Excluding hemorrhage as a cause of shock - ------------ANS: D. Applying oxygen
and maintaining airway
A 17-year-old helmeted motorcyclist is struck broadside by an automobile at an
intersection. He is unconscious at the scene with a blood pressure of 140/90mmHg,
heart rate of 90 beats per minute, and respiratory rate of 22 breaths per minute. His
respirations are sonorous and deep. His GCS score is 6. Immobilization of the entire
patient may include the use of all the following EXCEPT:
A. Air splints
B. Bolstering devices
C. A long spine board
D. A scoop-style stretcher
E. A semi-rigid cervical collar - ------------ANS: A. Air splints
A 17-year-old helmeted motorcyclist loses consciousness when he is struck broad
side by an automobile at an intersection. He arrives in the ED with a blood pressure
of 140/92, pulse rate 88 beats per minute, a respiratory rate of 18 breaths per minue,
and a GCS of 7. Appropriate initial immobilization of this patient should include a
semi-rigid cervical collar and:
A. A scoop stretcher
B. A long spine board
C. A short spine board
D. Cervical traction tongs
E. Pneumatic antishock garment - ------------ANS: B. A long spine board
, A 20 year old athlete is involved in a motorcycle crash. When he arrives in the ED,
he shouts that he cannot move his legs. On physical examination, there are noe
abnormalities of the chest, abdomen or pelvis. The patient has no sensation in his
legs and cannot move them, but his arms are moving. The patients RR is 28 bpm,
HR is 88bpm and BP is 80/60mmHg. He is pale and sweaty. What is the most likely
cause of this condition?
A. Neurogenic shock
B. Cardiogenic shock
C. Abdominal hemorrhage
D. Myocardial contusion
E. Hyperthermia. - ------------ANS: A. Neurogenic shock
A 20 year old male is brought to the hospital approximately 30 minutes after being
stabbed in the chest. There is 3cm wound just medial to the left nipple. His BP is
70/33 and HR is 140. Neck and arm veins are distended. Breath sounds are normal.
Heart sounds are diminshed, iv access has been established and warm crystalloid is
infusing. The next most important aspect of immediate management is:
A. CT scan of the chest
B. 12 lead ECG
C. Left tube thoracostomy
D. Begin infusion of RBCs
E. FAST exam - ------------ANS: E. FAST exam For å se etter tamponade? Normale
resp.lyder bilateralt taler mot trykkpneumothorax. EKG vil ikke gi noe informasjon.
Thoracostomy ikke indisert da det ikke er mistenkt pneumo/hemothorax. CT uaktuelt
pga hemodynamisk ustabil
A 20-year-old woman, at 32 weeks gestation, is stabbed in the upper right chest. In
the ED, her blood pressure is 80/60mmHg. She is gasping for breath, extremely
anxious, and yelling for help. Breath sounds are diminished in the right chest. The
most appropriate first step is to:
A. perform tracheal intubation
B. Insert an oropharyngeal airway
C. Perform needle decompression of the right chest
D. Manually displace the gravid uterus to the left side of the abdomen
E. Initiate 2 large-caliber peripheral IV lines and crystalloid infusion - ------------ANS:
C. Perform needle decompression of the right chest
A 22 year old male is assaulted in a bar. A semi-rigid cervical collar is applied and he
is immobilized on a spine board. On initial examination, his vital signs are normal,
and his GCS is 15. Which of the following is an indication for CT in this patient with
possible minor traumatic brain injury?
A. Blood alcohol concentration of 0,16%
B. Presence of an isolated 10cm scalp laceration
C. Presence of a mandibular fracture
Questions & Answers 100%
Guarantee Pass
22 year old male fall from 2m, large right pneumothorax. Chest tube placed,
connected to drainage. Control x-ray shows pneumothorax, third x-ray reveals
pneumothorax - ------------ANS: Tracheobronchal injury
30-year-old woman fell down four stair landing on concrete. Unconscious for 5
minutes after the fall, full consciousness during 10 minute transport to hospital, GCS
15, complaint is a slight headache, 30 minute later she is unresponsive with GCS 6
and left pupil is large. - ------------ANS: Epidural hematoma
A 6 month old infant, being held in her mothers arms, is ejected on impact from a
vehicle that is struck head on by an oncoming car traveling at 65kph. The infant
arrives in the ED with multiple facial injuries, is lethargic, and is in severe respiratoy
distress. Respiratory support is not effective using a bag mask device, and her
oxygen saturation is falling. Repeated attempts at orotracheal intubation are
unsuccessful. the most appropriate procedure to perform next is:
A. perform needle cricothyroidotomy with jet insufflation
B. Administer heliox and racemic epinephrine
C. Perform nasotracheal intubation
D. Perform surgical cricothyroidotomy
E. Repeat orotracheal intubation - ------------ANS: A. perform needle
cricothyroidotomy with jet insufflation
A 6-year-o boy is struck by an automobile and brought to the ED. He is lethargic, but
withdraws purposefully from painful stimuli. His blood pressure is 90mmHg systolic,
heart rate 140 beats per minute and his respiratory rate is 36 breaths per minute.
The preferred route of venous access in this patient is:
A. Percutaneous femoral vein cannulation
B. Cutdown on the saphenous vein at the ankle
C. Intraosseous catheter placement in the proximal tibia
D. Percutaneous peripheral veins in the upper extremities
E. Central venous access via the subclavian or internal jugular vein - ------------ANS:
D. Percutaneous peripheral veins in the upper extremities
,A 6-year-old boy walking across the street is struck by the front bumper of a sports
utility vehicle traveling at 32kph (20mph). Which one of the following statements is
TRUE?
A. A flail chest is probable
B. A symptomatic cardiac contusion is expected
C. A pulmonary contusion may be present in the absence of rib fractures
D. Transection of the thoracic aorta is more likely than in an adult patient
E. Rib fractures are commonly found in children with this mechanism of injury -
------------ANS: C. A pulmonary contusion may be present in the absence of rib
fractures
A 7-year-old boy is brought to the ED by his parents several minutes after he fell
through a window. He is bleeding profusely from a 6-cm wound of his medial right
thigh. Immediate management of the wound should consist of:
A. Application of a torniquet
B. Direct pressure on the wound
C. Packing the wound with gauze
D. Direct pressure on the femoral artery at the groin
E. Debridement of devitalized tissue - ------------ANS: B. Direct pressure on the
wound
A 14 year old female is brought to the ED after falling from a horse. She is
immobilized on a long spine board with a hard collar and blocks. Cervical spine
x-ray:
A. Will show cervical spine injury in more than 20% of these patients
B. Will exclude cervical spine injury if no abnormalities are found on the x-rays
C. Are not needed if she is awake, alert, neurologically normal, and has no neck pain
or midline tenderness
D. Should be performed before adressing potential breating or circulatory problems
E. May show atlanto-occipital dislocation if the Powers ratio is <1 --> 1:noraml, >1
anterior, <1 posterior - ------------ANS: C. Are not needed if she is awake, alert,
neurologically normal, and has no neck pain or midline tenderness
A 15 year old male is brought to the ED after being involved in a motor vehicle crash.
He is unconscious and was intubated at the scene by emergency personnel. Upon
arrival at the ED, the patients oxygen saturation is 92%, HR is 96 bpm and BP is
150/85 Breath sounds are decreased on the left side of the thorax. The next step is:
A. Immediate needle crycothyroidotomy
B. Reassess the position of the endotracheal tube
C. Chest tube insertion
D. Immediate needle thoracentesis
E. Obtain a chest x-ray - ------------ANS: B. Reassess the position of the
endotracheal tube
,A 15 year old male present following a motorcycle crash. INitial examinations reveals
normal vital signs. There is a large bruise over his epigastrium that extends to the left
flank. He has no other apparent injuries. A CT-scan of the abdomen demonstrate a
ruptured spleen surrounded by a large hematoma and fluid in the pelvis. The next
step in the patients management is:
A. Splenic artery embolization
B. Pneumococcal vaccine
C. Urgent laparotomy
D. Surgical consult
E. Transfer to a pediatrician - ------------ANS: D. Surgical consult
Hemodynamisk stabil, ingen fri luft.
A 17 year old female is brought to the ED following a 2 meter fall onto concrete. She
is unresponsive and found to have a RR of 32, BP 90/60 and HR 68. The first step in
treatment is:
A. Adminstering vasopressors
B. Establishing IV access for drug-assisted intubation
C. Seeking the cause of her decreased level of consciousness
D. Applying oxygen and maintaining airway
E. Excluding hemorrhage as a cause of shock - ------------ANS: D. Applying oxygen
and maintaining airway
A 17-year-old helmeted motorcyclist is struck broadside by an automobile at an
intersection. He is unconscious at the scene with a blood pressure of 140/90mmHg,
heart rate of 90 beats per minute, and respiratory rate of 22 breaths per minute. His
respirations are sonorous and deep. His GCS score is 6. Immobilization of the entire
patient may include the use of all the following EXCEPT:
A. Air splints
B. Bolstering devices
C. A long spine board
D. A scoop-style stretcher
E. A semi-rigid cervical collar - ------------ANS: A. Air splints
A 17-year-old helmeted motorcyclist loses consciousness when he is struck broad
side by an automobile at an intersection. He arrives in the ED with a blood pressure
of 140/92, pulse rate 88 beats per minute, a respiratory rate of 18 breaths per minue,
and a GCS of 7. Appropriate initial immobilization of this patient should include a
semi-rigid cervical collar and:
A. A scoop stretcher
B. A long spine board
C. A short spine board
D. Cervical traction tongs
E. Pneumatic antishock garment - ------------ANS: B. A long spine board
, A 20 year old athlete is involved in a motorcycle crash. When he arrives in the ED,
he shouts that he cannot move his legs. On physical examination, there are noe
abnormalities of the chest, abdomen or pelvis. The patient has no sensation in his
legs and cannot move them, but his arms are moving. The patients RR is 28 bpm,
HR is 88bpm and BP is 80/60mmHg. He is pale and sweaty. What is the most likely
cause of this condition?
A. Neurogenic shock
B. Cardiogenic shock
C. Abdominal hemorrhage
D. Myocardial contusion
E. Hyperthermia. - ------------ANS: A. Neurogenic shock
A 20 year old male is brought to the hospital approximately 30 minutes after being
stabbed in the chest. There is 3cm wound just medial to the left nipple. His BP is
70/33 and HR is 140. Neck and arm veins are distended. Breath sounds are normal.
Heart sounds are diminshed, iv access has been established and warm crystalloid is
infusing. The next most important aspect of immediate management is:
A. CT scan of the chest
B. 12 lead ECG
C. Left tube thoracostomy
D. Begin infusion of RBCs
E. FAST exam - ------------ANS: E. FAST exam For å se etter tamponade? Normale
resp.lyder bilateralt taler mot trykkpneumothorax. EKG vil ikke gi noe informasjon.
Thoracostomy ikke indisert da det ikke er mistenkt pneumo/hemothorax. CT uaktuelt
pga hemodynamisk ustabil
A 20-year-old woman, at 32 weeks gestation, is stabbed in the upper right chest. In
the ED, her blood pressure is 80/60mmHg. She is gasping for breath, extremely
anxious, and yelling for help. Breath sounds are diminished in the right chest. The
most appropriate first step is to:
A. perform tracheal intubation
B. Insert an oropharyngeal airway
C. Perform needle decompression of the right chest
D. Manually displace the gravid uterus to the left side of the abdomen
E. Initiate 2 large-caliber peripheral IV lines and crystalloid infusion - ------------ANS:
C. Perform needle decompression of the right chest
A 22 year old male is assaulted in a bar. A semi-rigid cervical collar is applied and he
is immobilized on a spine board. On initial examination, his vital signs are normal,
and his GCS is 15. Which of the following is an indication for CT in this patient with
possible minor traumatic brain injury?
A. Blood alcohol concentration of 0,16%
B. Presence of an isolated 10cm scalp laceration
C. Presence of a mandibular fracture
