ATLS MCQ Test 1 Latest 2023/24 With Complete Solution

ATLS MCQ Test 1 Latest 2023/24 With Complete
Solution




A 22-year-old man is hypotensive and tachycardic after a shotgun wound to the left
l/ l/ l/ l/ l/ l/ l/ l/ l/ l/ l/ l/ l/




shoulder. His blood pressure is initially 80/40 mm Hg. After initial fluid
l/ l/ l/ l/ l/ l/ l/ l/ l/ l/ l/ l/




resuscitation his blood pressure increases to 122/84 mm Hg. His heart rate is now
l/ l/ l/ l/ l/ l/ l/ l/ l/ l/ l/ l/ l/ l/




100 beats per minute and his respiratory rate is 28 breaths per minute. A tube
l/ l/ l/ l/ l/ l/ l/ l/ l/ l/ l/ l/ l/ l/ l/




thoracostomy is performed for decreased left chest breath sounds with the return
l/ l/ l/ l/ l/ l/ l/ l/ l/ l/ l/ l/




of a small amount of blood and no air leak. After chest tube insertion, the most
l/ l/ l/ l/ l/ l/ l/ l/ l/ l/ l/ l/ l/ l/ l/ l/




appropriate next step is:
l/ l/ l/ l/




Select one: l/




a.
reexamine the chest l/ l/




b.
perform an aortogram l/ l/




c.
obtain a CT scan of the chest l/ l/ l/ l/ l/ l/




d.
obtain arterial blood gas analyses
l/ l/ l/ l/




e.
perform transesophageal echocardiography - Verified ANS ✔✔ - A) Reexamine
l/ l/ l/ l/ l/ l/ l/ l/ l/ l/ l/




the chest
l/ l/

,A construction worker falls two stories from a building and sustains bilateral
l/ l/ l/ l/ l/ l/ l/ l/ l/ l/ l/




calcaneal fractures. In the emergency department, he is alert, vital signs are
l/ l/ l/ l/ l/ l/ l/ l/ l/ l/ l/ l/




normal, and he is complaining of severe pain in both heels and his lower back.
l/ l/ l/ l/ l/ l/ l/ l/ l/ l/ l/ l/ l/ l/ l/




Lower extremity pulses are strong and there is no other deformity. The suspected
l/ l/ l/ l/ l/ l/ l/ l/ l/ l/ l/ l/ l/




diagnosis is most likely to be confirmed by:
l/ l/ l/ l/ l/ l/ l/ l/




Select one:
l/




a.
angiography
b.
compartment pressures l/




c.
retrograde urethrogram l/




d.
Doppler ultrasound studies
l/ l/




e.
complete spine x-ray series - Verified ANS ✔✔ - e) Complete spine x-ray series
l/ l/ l/ l/ l/ l/ l/ l/ l/ l/ l/ l/ l/ l/ l/




Which of the following is true regarding the initial resuscitation of a trauma
l/ l/ l/ l/ l/ l/ l/ l/ l/ l/ l/ l/




patient?
l/




Select one:
l/




a.
A patient that presents with a torso gunshot wound and is hypotensive should
l/ l/ l/ l/ l/ l/ l/ l/ l/ l/ l/ l/




receive crystalloid fluid resuscitation until the blood pressure is normal
l/ l/ l/ l/ l/ l/ l/ l/ l/ l/




b.
Evidence of improved perfusion after fluid resuscitation could include
l/ l/ l/ l/ l/ l/ l/ l/




improvement in Glasgow coma scale score on reevaluation
l/ l/ l/ l/ l/ l/ l/ l/

, c.
Massive transfusion is defined as transfusion of more than >10 of packed red blood
l/ l/ l/ l/ l/ l/ l/ l/ l/ l/ l/ l/ l/




cells and plasma in 24 hours
l/ l/ l/ l/ l/ l/




d.
When tranexamic acid is administered by pre-hospital providers a second dose is
l/ l/ l/ l/ l/ l/ l/ l/ l/ l/ l/




required within 24 hours
l/ l/ l/ l/




e.
Fluid resuscitation is far more important than bleeding control in trauma patients -
l/ l/ l/ l/ l/ l/ l/ l/ l/ l/ l/ l/




Verified ANS ✔✔ - b.
l/ l/ l/ l/ l/ l/ l/




Evidence of improved perfusion after fluid resuscitation could include
l/ l/ l/ l/ l/ l/ l/ l/




improvement in Glasgow coma scale score on reevaluation
l/ l/ l/ l/ l/ l/ l/ l/




In managing a patient with a severe traumatic brain injury, the most important
l/ l/ l/ l/ l/ l/ l/ l/ l/ l/ l/ l/




initial step is to:
l/ l/ l/ l/




Select one: l/




a.
Secure the airway l/ l/




b.
obtain a c-spine filml/ l/ l/




c.
support the circulation l/ l/




d.
control scalp hemorrhage l/ l/




e.
determine the GCS score l/ l/ l/




Feedback