ATLS TEST ACTUAL EXAM 100% WITH
QUESTIONS AND ANSWERS 2023\2024.
,1. A 22-year-old man is hypotensive and tachycardic after a shotgun wound
to the left shoulder. His blood pressure is initially 80/40 mm Hg. After initial
fluid resuscitation his blood pressure increases to 122/84 mm Hg. His heart
rate is now 100 beats per minute and his respiratory rate is 28 breaths per
minute. A tube thoracostomy is performed for decreased left chest breath
sounds with the return of a small amount of blood and no air leak. After chest
tube insertion, the most appropriate next step is:: re-examine the chest
2. . What findings in an adult is most likely to require immediate
management during the primary survey?: respiratory rate of 40 breaths per
minute
3. The most important, immediate step in the management of an open
pneumothorax is:: placement of an occlusive dressing over the wound
4. The following are contraindications for tetanus toxoid administration::
history of neurological reaction or severe hypersensitivity to the product
5. A 56-year-old man is thrown violently against the steering wheel of his
truck during a motor vehicle crash. On arrival in the emergency department
he is diaphoretic and complaining of chest pain. His blood pressure is 60/40
mm Hg and his respiratory rate is 40 breaths per minute. What best
,differentiates cardiac tamponade from tension pneumothorax as the cause of
his hypotension?: breath sounds
6. Bronchial intubation of the right or left mainstem bronchus can easily
occur during infant endotracheal intubation because:: The trachea is relatively
short.
7. A 23-year-old man sustains 4 stab wounds to the upper right chest during
an altercation and is brought by ambulance to a hospital that has full surgical
capabilities. His wounds are all above the nipple. He is endotracheally
intubated, closed tube thoracostomy is performed, fluid resuscitation is
initiated through 2 large-caliber IVs. FAST exam does not reveal
intraabdominal injuries. His blood pressure now is 60/0 mm Hg, heart rate is
160 beats per minute, and respiratory rate is 14 breaths per minute (ventilated
with 100% O2). 1500 mL of blood has drained from the right chest. The most
appropriate next step in managing this patient is to:: urgently transfer the
patient to the operating room
, 8. The best assessment of fluid resuscitation of the adult burn patient is::
urinary output of 0.5 mL/kg/hr
9. The diagnosis of shock must include:: evidence of inadequate organ
perfusion 9. A 7-year-old boy is brought to the emergency department 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:: direct pressure on the wound
10. For the patient with severe traumatic brain injury, profound hypocarbia
should be avoided to prevent:: cerebral vasoconstriction with diminished
perfusion
11. A construction worker falls two stories from a building and sustains
bilateral calcaneal fractures. In the emergency department, he is alert, vital
signs are normal, and he is complaining of severe pain in both heels and his
lower back. Lower extremity pulses are strong and there is no other deformity.
The suspected diagnosis is most likely to be confirmed by:: complete spine x-
ray series
12. What is true regarding the initial resuscitation of a trauma patient?:
Evidence of improved perfusion after fluid resuscitation could include improvement
in Glasgow
QUESTIONS AND ANSWERS 2023\2024.
,1. A 22-year-old man is hypotensive and tachycardic after a shotgun wound
to the left shoulder. His blood pressure is initially 80/40 mm Hg. After initial
fluid resuscitation his blood pressure increases to 122/84 mm Hg. His heart
rate is now 100 beats per minute and his respiratory rate is 28 breaths per
minute. A tube thoracostomy is performed for decreased left chest breath
sounds with the return of a small amount of blood and no air leak. After chest
tube insertion, the most appropriate next step is:: re-examine the chest
2. . What findings in an adult is most likely to require immediate
management during the primary survey?: respiratory rate of 40 breaths per
minute
3. The most important, immediate step in the management of an open
pneumothorax is:: placement of an occlusive dressing over the wound
4. The following are contraindications for tetanus toxoid administration::
history of neurological reaction or severe hypersensitivity to the product
5. A 56-year-old man is thrown violently against the steering wheel of his
truck during a motor vehicle crash. On arrival in the emergency department
he is diaphoretic and complaining of chest pain. His blood pressure is 60/40
mm Hg and his respiratory rate is 40 breaths per minute. What best
,differentiates cardiac tamponade from tension pneumothorax as the cause of
his hypotension?: breath sounds
6. Bronchial intubation of the right or left mainstem bronchus can easily
occur during infant endotracheal intubation because:: The trachea is relatively
short.
7. A 23-year-old man sustains 4 stab wounds to the upper right chest during
an altercation and is brought by ambulance to a hospital that has full surgical
capabilities. His wounds are all above the nipple. He is endotracheally
intubated, closed tube thoracostomy is performed, fluid resuscitation is
initiated through 2 large-caliber IVs. FAST exam does not reveal
intraabdominal injuries. His blood pressure now is 60/0 mm Hg, heart rate is
160 beats per minute, and respiratory rate is 14 breaths per minute (ventilated
with 100% O2). 1500 mL of blood has drained from the right chest. The most
appropriate next step in managing this patient is to:: urgently transfer the
patient to the operating room
, 8. The best assessment of fluid resuscitation of the adult burn patient is::
urinary output of 0.5 mL/kg/hr
9. The diagnosis of shock must include:: evidence of inadequate organ
perfusion 9. A 7-year-old boy is brought to the emergency department 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:: direct pressure on the wound
10. For the patient with severe traumatic brain injury, profound hypocarbia
should be avoided to prevent:: cerebral vasoconstriction with diminished
perfusion
11. A construction worker falls two stories from a building and sustains
bilateral calcaneal fractures. In the emergency department, he is alert, vital
signs are normal, and he is complaining of severe pain in both heels and his
lower back. Lower extremity pulses are strong and there is no other deformity.
The suspected diagnosis is most likely to be confirmed by:: complete spine x-
ray series
12. What is true regarding the initial resuscitation of a trauma patient?:
Evidence of improved perfusion after fluid resuscitation could include improvement
in Glasgow
