ATLS POST TEST PRACTICE EXAM 2024 QUESTIONS
1.Which of the following signs is LEAST reliable for diagnosing esophageal
intubation?
a Symmetrical chest wall movement
b End tidal CO2 presence by colorimetry
c Bilateral breath sounds
d Oxygen saturation >92%
e ETT above carina on chest x-ray
1. Which one of the following signs necessitates a definitive airway in
severetrauma patients?
a Facial lacerations
b Repeated vomiting
c Severe maxillofacial fractures
d Sternal fracture
e GCS score of 12
2. Twenty seven patients are seriously injured in an aircraft crash at a
localairport. The principles of triage include:
a Establish a triage site within the internal perimeter of the crash site
b Treat only the most severely injured patients first
c Immediately transport all patients to the nearest hospital
d Treat the greatest number of patients in the shortest period of time
e Produce the greatest number of survivors based on available
resources
3. Which one of the following statements is correct?
a Cerebral contusions may coalesce to form an intracerebral
hematoma
,b Epidural hematomas are usually seen in frontal region
c Subdural hematomas are caused by injury to the middle meningeal
artery
d Subdural hematomas typically have a lenticular shape on CT scan
e The associated brain damage is more severe in epidural hematomas
4. An 18 year old male is brought to the emergency department after
havingbeen shot. He has one bullet wound just below the right clavicle
and another just below the costal margin in the right posterior axillary
line. His BP is 110/60 mmHg, HR is 90 bpm, and RR is 34 bpm. After
ensuring a patent airway and inserting 2 large caliber iv line, the next
appropriate step is to:
a Obtain a portable chest x-ray
b Administer a bolus of additional iv fluid
c Perform a laparotomy
d Obtain an abdominal CT scan
e Perform diagnostic peritoneal lavage
5. An 8 year old boy falls 4,5 meters (15 feet) from a tree and is brought
to theemergency department by his family. His vital signs are normal, but he
complains of left upper quadrant pain. An abdominal CT scan reveals a
moderately severe laceration of the spleen. The receiving institution does
not have 24 hour a day operating room capabilities. The most appropriate
management of this patient would be:
a Type and crossmatch for blood
b Request consultation of a pediatrician
c Transfer the patient to a trauma center
d Admit the patient to the ICU
e Prepare the patient for surgery the next day
6. A 17 year old helmeted motorcyclist is struck broadside by an automobile
, at an intersection. He is unconscious at the scene with a BP of 140/90
mmHg, HR of 90 bpm, and RR of 22 bpm. 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 ...
d ...
e ...
7. A construction worker falls from a scaffold and is transferred to
the emergency department. His HR is 124 bpm and BP is 85/60
mmHg. He
complains of lower abdominal pain. After assessing the airway and chest,
immobilizing the c-spine and initiating fluid resuscitation, the next step is to
perform:
a FAST exam
b Detailed neurological exam
c Rectal exam
d Cervical spine x-ray
e Urethral catheterization
8. A 22 year old male sustains a shotgun wound to the left shoulder and
chest at close range. His BP is 80/40 mmHg and his HR is 130 bpm. After 2
liters ofcrystalloid solution are rapidly infused, his BP increases to 122/84
mmHg, and HR decreases to 100 bpm. He is tachypneic with RR of 28 bpm.
On physical examination, his breath sounds are decreased at the left upper
chest with dullness on percussion. A large caliber (36 french) tube
thoracostomy is inserted in the fifth intercostal space with the return of
200 ml of blood and no air leak. The most appropriate next step is to:
a Insert a folley catheter
1.Which of the following signs is LEAST reliable for diagnosing esophageal
intubation?
a Symmetrical chest wall movement
b End tidal CO2 presence by colorimetry
c Bilateral breath sounds
d Oxygen saturation >92%
e ETT above carina on chest x-ray
1. Which one of the following signs necessitates a definitive airway in
severetrauma patients?
a Facial lacerations
b Repeated vomiting
c Severe maxillofacial fractures
d Sternal fracture
e GCS score of 12
2. Twenty seven patients are seriously injured in an aircraft crash at a
localairport. The principles of triage include:
a Establish a triage site within the internal perimeter of the crash site
b Treat only the most severely injured patients first
c Immediately transport all patients to the nearest hospital
d Treat the greatest number of patients in the shortest period of time
e Produce the greatest number of survivors based on available
resources
3. Which one of the following statements is correct?
a Cerebral contusions may coalesce to form an intracerebral
hematoma
,b Epidural hematomas are usually seen in frontal region
c Subdural hematomas are caused by injury to the middle meningeal
artery
d Subdural hematomas typically have a lenticular shape on CT scan
e The associated brain damage is more severe in epidural hematomas
4. An 18 year old male is brought to the emergency department after
havingbeen shot. He has one bullet wound just below the right clavicle
and another just below the costal margin in the right posterior axillary
line. His BP is 110/60 mmHg, HR is 90 bpm, and RR is 34 bpm. After
ensuring a patent airway and inserting 2 large caliber iv line, the next
appropriate step is to:
a Obtain a portable chest x-ray
b Administer a bolus of additional iv fluid
c Perform a laparotomy
d Obtain an abdominal CT scan
e Perform diagnostic peritoneal lavage
5. An 8 year old boy falls 4,5 meters (15 feet) from a tree and is brought
to theemergency department by his family. His vital signs are normal, but he
complains of left upper quadrant pain. An abdominal CT scan reveals a
moderately severe laceration of the spleen. The receiving institution does
not have 24 hour a day operating room capabilities. The most appropriate
management of this patient would be:
a Type and crossmatch for blood
b Request consultation of a pediatrician
c Transfer the patient to a trauma center
d Admit the patient to the ICU
e Prepare the patient for surgery the next day
6. A 17 year old helmeted motorcyclist is struck broadside by an automobile
, at an intersection. He is unconscious at the scene with a BP of 140/90
mmHg, HR of 90 bpm, and RR of 22 bpm. 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 ...
d ...
e ...
7. A construction worker falls from a scaffold and is transferred to
the emergency department. His HR is 124 bpm and BP is 85/60
mmHg. He
complains of lower abdominal pain. After assessing the airway and chest,
immobilizing the c-spine and initiating fluid resuscitation, the next step is to
perform:
a FAST exam
b Detailed neurological exam
c Rectal exam
d Cervical spine x-ray
e Urethral catheterization
8. A 22 year old male sustains a shotgun wound to the left shoulder and
chest at close range. His BP is 80/40 mmHg and his HR is 130 bpm. After 2
liters ofcrystalloid solution are rapidly infused, his BP increases to 122/84
mmHg, and HR decreases to 100 bpm. He is tachypneic with RR of 28 bpm.
On physical examination, his breath sounds are decreased at the left upper
chest with dullness on percussion. A large caliber (36 french) tube
thoracostomy is inserted in the fifth intercostal space with the return of
200 ml of blood and no air leak. The most appropriate next step is to:
a Insert a folley catheter
