ATLS Test practice study guide Quiz Bank Questions and
Answers with Complete Solution 2023 GRADED A+
A 22yo M is hypotensive and tachycardia after a shotgun wound to the L shoulder. His BP is initially
80/40. After 2L of fluids his BP increases to 122/84. HR is 100bpm and his RR is 28. Breath sounds are
decreased in the left hemithorax, and a closed tube thoracotomy is performed with a small amount of
blood return and no air leak. What is the next step? correct answers Reexamine the chest
A construction worker falls 2 stories and suffers bilateral calcanea fractures. He now is having back pain.
What would confirm diagnosis? correct answers Complete spine x-ray series
What is the principle of balanced resuscitation? correct answers permissive hypotension and early
plasma infusion
In managing a head-injured patient, what is the most important initial step? correct answers Secure the
airway
A previously healthy 70kg man suffered ~2L of acute blood loss. Which appropriately applies to this
patient? correct answers His systolic BP will be decreased with a narrowed pulse pressure
NOT his pulse pressure will be widened, urinary output at lower level of normal, tachy but no BP change,
or maintained systolic BP with elevated diastolic BP
The physiologic hypovolemia of pregnancy has clinical significance in the management of severely
injured, gravid woman by: correct answers increasing the volume of blood to produce maternal
hypotension
The best assessment of fluid resuscitation of the burn patient is correct answers adequate urinary
output
The diagnosis of shock MUST include: correct answers evidence of inadequate organ perfusion
A 7yo M is brought to the ED by his parents several minutes after falling through a window. He is
bleeding from a 6cm wound on the medial right thigh. Immediate management of the wound should
include? correct answers Direct pressure on the wound
**For the patient with severe traumatic brain injury, around HYPOCARBIA (dec CO2) should be avoided
in order to prevent what? correct answers cerebral vasoconstriction with diminished perfusion.
**A 25yo M is brought in to a facility with a general surgeon after being in an MVA, CT shows aortic
injury and spe=lenic lac with abdominal fluid, BP is 70mm Hg after CT. What is the next step? correct
answers exploratory laparotomy
Which one of the following statements regarding abdominal trauma in the pregnant patient is true?
correct answers leakage of amniotic fluid is indication for hospital admission
, What is the first maneuver to improve oxygenation after chest injury? correct answers administer
supplemental O2
25yo M in an MVC is admitted to the ED. Pupils react sluggishly and he opens his eyes to painful stimuli.
He does not follow commands, but he does moan periodically. His R arm is performed and does not
respond to pain, however his L hand reaches purposefully toward the pain. Both legs are stiffened. What
is his GCS? correct answers 9
20yo F is 32w gestation and stabbed in the R upper chest. In the ED her BP is 80/60. She is gasping for
breath, anxious, and yelling for help. BS are diminished in the right chest. Next step? correct answers
perform needle compression in the right chest
Which one of the following findings in an adult is most likely to require immediate management during
the primary survey? correct answers RR of 44
The most important, immediate step in the management of open PTX is? correct answers placement of
an occlusive dressing on the wound
What is a contraindication for tDap? correct answers history of neurological reaction or severe
hypersensitivity to the product
56yo M is thrown in against a steering wheel during MVC. On arrival to the ED he is diaphoretic and
having chest pain. BP is 60/40 and his RR is 40. Which of the following best differentiates cardiac
tamponade from tension PTX? correct answers breath sounds
Bronchial intubation of the right or left mainstream bronchus can easily occur during infant
endotracheal intubation because : correct answers the trachea is short
23yo M sustains 4 stab wounds to the right upper chest and is brought to a facility with full surgical
capabilities. All wounds are above the nipple. 2 IVs are placed, BP is 60/0, HR of 160, and RR of 14 on a
ventilator. 1500cc of blood is drained from the right chest. The most appropriate next step is what?
correct answers urgent transfer to the OR
39yo M comes to the ED after MVC. Pt is cyanotic, has insufficient respiratory effort and GCS of 6. His
beard makes him difficult to use oxygen face mask. What is the next step? correct answers Attempt
orotracheal intubation with 2 people and inline stabilization of C-Spine
Patient is brought to the ED after MVC. He is conscious with no obvious trauma. He arrives completely
immobilized on a long board. His BP is 60/40 and HR is 70. Skin is warm. Which statement is true?
correct answers flaccidity of the lower extremities and loss of deep tendon reflexes are expected.
Which of the following in the most effective initial treatment for frostbite? correct answers moist heat
32yo M who's right leg is trapped beneath his overturned car for >2 hours before he is extricated. On
arrival to the ED, RLE is cool, mottled, insensate, and motionless. Despite normal vital signs, pulses are
not palpated below the femoral vessel and the muscles of the lower extremity are firm and hard. During
the management of this patient, which of the following is likely to improve the changes for limb salvage?
correct answers Perform RLE fasciotomy
Answers with Complete Solution 2023 GRADED A+
A 22yo M is hypotensive and tachycardia after a shotgun wound to the L shoulder. His BP is initially
80/40. After 2L of fluids his BP increases to 122/84. HR is 100bpm and his RR is 28. Breath sounds are
decreased in the left hemithorax, and a closed tube thoracotomy is performed with a small amount of
blood return and no air leak. What is the next step? correct answers Reexamine the chest
A construction worker falls 2 stories and suffers bilateral calcanea fractures. He now is having back pain.
What would confirm diagnosis? correct answers Complete spine x-ray series
What is the principle of balanced resuscitation? correct answers permissive hypotension and early
plasma infusion
In managing a head-injured patient, what is the most important initial step? correct answers Secure the
airway
A previously healthy 70kg man suffered ~2L of acute blood loss. Which appropriately applies to this
patient? correct answers His systolic BP will be decreased with a narrowed pulse pressure
NOT his pulse pressure will be widened, urinary output at lower level of normal, tachy but no BP change,
or maintained systolic BP with elevated diastolic BP
The physiologic hypovolemia of pregnancy has clinical significance in the management of severely
injured, gravid woman by: correct answers increasing the volume of blood to produce maternal
hypotension
The best assessment of fluid resuscitation of the burn patient is correct answers adequate urinary
output
The diagnosis of shock MUST include: correct answers evidence of inadequate organ perfusion
A 7yo M is brought to the ED by his parents several minutes after falling through a window. He is
bleeding from a 6cm wound on the medial right thigh. Immediate management of the wound should
include? correct answers Direct pressure on the wound
**For the patient with severe traumatic brain injury, around HYPOCARBIA (dec CO2) should be avoided
in order to prevent what? correct answers cerebral vasoconstriction with diminished perfusion.
**A 25yo M is brought in to a facility with a general surgeon after being in an MVA, CT shows aortic
injury and spe=lenic lac with abdominal fluid, BP is 70mm Hg after CT. What is the next step? correct
answers exploratory laparotomy
Which one of the following statements regarding abdominal trauma in the pregnant patient is true?
correct answers leakage of amniotic fluid is indication for hospital admission
, What is the first maneuver to improve oxygenation after chest injury? correct answers administer
supplemental O2
25yo M in an MVC is admitted to the ED. Pupils react sluggishly and he opens his eyes to painful stimuli.
He does not follow commands, but he does moan periodically. His R arm is performed and does not
respond to pain, however his L hand reaches purposefully toward the pain. Both legs are stiffened. What
is his GCS? correct answers 9
20yo F is 32w gestation and stabbed in the R upper chest. In the ED her BP is 80/60. She is gasping for
breath, anxious, and yelling for help. BS are diminished in the right chest. Next step? correct answers
perform needle compression in the right chest
Which one of the following findings in an adult is most likely to require immediate management during
the primary survey? correct answers RR of 44
The most important, immediate step in the management of open PTX is? correct answers placement of
an occlusive dressing on the wound
What is a contraindication for tDap? correct answers history of neurological reaction or severe
hypersensitivity to the product
56yo M is thrown in against a steering wheel during MVC. On arrival to the ED he is diaphoretic and
having chest pain. BP is 60/40 and his RR is 40. Which of the following best differentiates cardiac
tamponade from tension PTX? correct answers breath sounds
Bronchial intubation of the right or left mainstream bronchus can easily occur during infant
endotracheal intubation because : correct answers the trachea is short
23yo M sustains 4 stab wounds to the right upper chest and is brought to a facility with full surgical
capabilities. All wounds are above the nipple. 2 IVs are placed, BP is 60/0, HR of 160, and RR of 14 on a
ventilator. 1500cc of blood is drained from the right chest. The most appropriate next step is what?
correct answers urgent transfer to the OR
39yo M comes to the ED after MVC. Pt is cyanotic, has insufficient respiratory effort and GCS of 6. His
beard makes him difficult to use oxygen face mask. What is the next step? correct answers Attempt
orotracheal intubation with 2 people and inline stabilization of C-Spine
Patient is brought to the ED after MVC. He is conscious with no obvious trauma. He arrives completely
immobilized on a long board. His BP is 60/40 and HR is 70. Skin is warm. Which statement is true?
correct answers flaccidity of the lower extremities and loss of deep tendon reflexes are expected.
Which of the following in the most effective initial treatment for frostbite? correct answers moist heat
32yo M who's right leg is trapped beneath his overturned car for >2 hours before he is extricated. On
arrival to the ED, RLE is cool, mottled, insensate, and motionless. Despite normal vital signs, pulses are
not palpated below the femoral vessel and the muscles of the lower extremity are firm and hard. During
the management of this patient, which of the following is likely to improve the changes for limb salvage?
correct answers Perform RLE fasciotomy
