1S|SPS aS gS e
ATLS POST- S
TEST EXAM|| ACTUAL EXAM ALL QUESTIONS A S S S S S S
ND 100% QUESTIONS AND 100% CORRECT ANS
S S S S S S
WERS ALREADY GRADED A+|| LATEST AND CO S S S S S S
MPLETE UPDATE 2024- S S
2025 WITH VERIFIED SOLUTIONS|| ASSURED PA
S S S S S
SS!!!
A 22-year-
S
old man is hypotensive and tachycardic after a shotgun wound to the left shoulder. H
S S S S S S S S S S S S S S
is blood pressure is initially 80/40 mm Hg. After 2 liters of crystalloid solution his bl
S S S S S S S S S S S S S S S
ood pressure increases to 122/84 mm Hg. His heart rate is now 100 beats per minute
S S S S S S S S S S S S S S S S
and his respiratory rate is 28 breaths per minute. His breath sounds are decreased in t
S S S S S S S S S S S S S S S
he left hemithorax, and after initial IV fluid resuscitation, a closed tube thoracostom
S S S S S S S S S S S S
y is performed for decreased left breath sounds with the return of a small amount of
S S S S S S S S S S S S S S S S
blood and no air leak. After chest tube insertion, the most appropriate next step is:
S S S S S S S S S S S S S S
a) reexamine the chest. S S
b) perform an aortogram. S S
c) obtain a CT scan of the chest.
S S S S S S
d) obtain arterial blood gas analyses - ANSWER: a) reexamine the chest
S S S S S S S S S S
Which one of the following physical findings suggests a cause of hypotension other
S S S S S S S S S S S S S
than spinal cord injury?S S S
a) priapism.
b) bradycardia.
c) diaphragmatic breathing. S
d) presence of deep tendon reflexes. - S S S S S
ANSWER: d) presence of deep tendon reflexes.
S S S S S S S
,2S|SPS aS gS e
A construction worker falls two stories from a building and sustains bilateral calcan
S S S S S S S S S S S S
eal fractures. In the emergency department, he is alert, vital signs are normal, and h
S S S S S S S S S S S S S S
e is complaining of severe pain in both heels and his lower back. Lower extremity p
S S S S S S S S S S S S S S S
ulses are strong and there is no other deformity. The suspected diagnosis is most like
S S S S S S S S S S S S S S
ly to be confirmed by:
S S S S
a) compartment pressures S
b) retrograde urethrogram S
c) Doppler-ultrasound studies S
d) complete spine x-ray series - ANSWER: d) complete spine x-ray series
S S S S S S S S S S
In managing the head-injured patient, the most important initial step is to:
S S S S S S S S S S S
a) obtain c-spine film.S S
b) secure the airway. S S
c) support the circulation.S S
d) control scalp hemorrhage. - ANSWER: b) secure the airway.
S S S S S S S S
A previously healthy, 70-kg (154-
S S S S
pound) man suffers an estimated acute blood loss of 2 liters. Which one of the follow
S S S S S S S S S S S S S S S
ing statements applies to this patient?
S S S S S
a) His pulse pressure will be widened.
S S S S S
b) His urinary output will be at the lower limits of normal.
S S S S S S S S S S
c) He will have tachycardia, but no change in his systolic blood pressure.
S S S S S S S S S S S
d) His systolic blood pressure will be decreased with a narrowed pulse pres
S S S S S S S S S S S
sure. - S
ANSWER: d) His systolic blood pressure will be decreased with a narrowed p
S S S S S S S S S S S S S
ulse pressure. S
,3S|SPS aS gS e
The physiologic hypervolemia of pregnancy has clinical significance in the managemen
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t of the severely injured, gravid woman by:
S S S S S S S
a) reducing the need for blood transfusion.
S S S S S
b) increasing the risk of pulmonary edema. S S S S S
c) increasing the volume of blood loss to produce maternal hypotension.
S S S S S S S S S
d) complicating the mangement of closed head injury. - S S S S S S S
ANSWER: c) increasing the volume of blood loss to produce maternal hy
S S S S S S S S S S S S
potension.
The best assessment of fluid resuscitation of the burn patient is:
S S S S S S S S S S
a) adequate urinary output. S S
b) reversal of systemic acidosis. S S S
c) normalization of the heart rate. S S S S
d) a normal central venous pressure. - ANSWER: a) adequate urinary output.
S S S S S S S S S S
The diagnosis of shock must include:
S S S S S
a) increased vascular resistance. S S
b) evidence of inadequate organ perfusion.
S S S S
c) acidosis.
d) hypoxemia. - ANSWER: b) evidence of inadequate organ perfusion.
S S S S S S S S
A 7-year-
S
old boy is brought to the emergency department by his parents several minutes after
S S S S S S S S S S S S S S
he fell through a window. He is bleeding profusely from a 6-
S S S S S S S S S S S
cm wound of his medial right thigh. Immediate management of the wound should c
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onsist of: S
, 4S|SPS aS gS e
a) application of a tourniquet. S S S
b) direct pressure on the wound.
S S S S
c) packing the wound with gauze.
S S S S
d) direct pressure on the femoral artery at the groin. -
S S S S S S S S S
ANSWER: b) direct pressure on the wound.
S S S S S S S
For the patient with severe traumatic brain injury, profound hypocarbia should be avoide
S S S S S S S S S S S S
d to prevent:
S S
a) respiratory acidosis. S
b) metabolic acidosis. S
c) cerebral vasoconstriction with diminished perfusion.
S S S S
d) neurogenic pulmonary edema. - S S S
ANSWER: c) cerebral vasoconstriction with diminished perfusion.
S S S S S S S
A 25-year-
S
old man is brought to a hospital with a general surgeon after being involved in a mot
S S S S S S S S S S S S S S S S
or vehicle crash. Computed tomography shows an aortic injury and splenic laceratio
S S S S S S S S S S S
n with free abdominal fluid. His blood pressure falls to 70 mm Hg after CT. The next
S S S S S S S S S S S S S S S S S
step is: S
a) contrast angiography. S
b) transfer to a higher level trauma center.
S S S S S S
c) exploratory laparotomy. S
d) infuse additional crystalloids. - ANSWER: c) exploratory laparotomy.
S S S S S S S
Which one of the following statements regarding abdominal trauma in the pregnant pati
S S S S S S S S S S S S
ent is TRUE?S S
ATLS POST- S
TEST EXAM|| ACTUAL EXAM ALL QUESTIONS A S S S S S S
ND 100% QUESTIONS AND 100% CORRECT ANS
S S S S S S
WERS ALREADY GRADED A+|| LATEST AND CO S S S S S S
MPLETE UPDATE 2024- S S
2025 WITH VERIFIED SOLUTIONS|| ASSURED PA
S S S S S
SS!!!
A 22-year-
S
old man is hypotensive and tachycardic after a shotgun wound to the left shoulder. H
S S S S S S S S S S S S S S
is blood pressure is initially 80/40 mm Hg. After 2 liters of crystalloid solution his bl
S S S S S S S S S S S S S S S
ood pressure increases to 122/84 mm Hg. His heart rate is now 100 beats per minute
S S S S S S S S S S S S S S S S
and his respiratory rate is 28 breaths per minute. His breath sounds are decreased in t
S S S S S S S S S S S S S S S
he left hemithorax, and after initial IV fluid resuscitation, a closed tube thoracostom
S S S S S S S S S S S S
y is performed for decreased left breath sounds with the return of a small amount of
S S S S S S S S S S S S S S S S
blood and no air leak. After chest tube insertion, the most appropriate next step is:
S S S S S S S S S S S S S S
a) reexamine the chest. S S
b) perform an aortogram. S S
c) obtain a CT scan of the chest.
S S S S S S
d) obtain arterial blood gas analyses - ANSWER: a) reexamine the chest
S S S S S S S S S S
Which one of the following physical findings suggests a cause of hypotension other
S S S S S S S S S S S S S
than spinal cord injury?S S S
a) priapism.
b) bradycardia.
c) diaphragmatic breathing. S
d) presence of deep tendon reflexes. - S S S S S
ANSWER: d) presence of deep tendon reflexes.
S S S S S S S
,2S|SPS aS gS e
A construction worker falls two stories from a building and sustains bilateral calcan
S S S S S S S S S S S S
eal fractures. In the emergency department, he is alert, vital signs are normal, and h
S S S S S S S S S S S S S S
e is complaining of severe pain in both heels and his lower back. Lower extremity p
S S S S S S S S S S S S S S S
ulses are strong and there is no other deformity. The suspected diagnosis is most like
S S S S S S S S S S S S S S
ly to be confirmed by:
S S S S
a) compartment pressures S
b) retrograde urethrogram S
c) Doppler-ultrasound studies S
d) complete spine x-ray series - ANSWER: d) complete spine x-ray series
S S S S S S S S S S
In managing the head-injured patient, the most important initial step is to:
S S S S S S S S S S S
a) obtain c-spine film.S S
b) secure the airway. S S
c) support the circulation.S S
d) control scalp hemorrhage. - ANSWER: b) secure the airway.
S S S S S S S S
A previously healthy, 70-kg (154-
S S S S
pound) man suffers an estimated acute blood loss of 2 liters. Which one of the follow
S S S S S S S S S S S S S S S
ing statements applies to this patient?
S S S S S
a) His pulse pressure will be widened.
S S S S S
b) His urinary output will be at the lower limits of normal.
S S S S S S S S S S
c) He will have tachycardia, but no change in his systolic blood pressure.
S S S S S S S S S S S
d) His systolic blood pressure will be decreased with a narrowed pulse pres
S S S S S S S S S S S
sure. - S
ANSWER: d) His systolic blood pressure will be decreased with a narrowed p
S S S S S S S S S S S S S
ulse pressure. S
,3S|SPS aS gS e
The physiologic hypervolemia of pregnancy has clinical significance in the managemen
S S S S S S S S S S
t of the severely injured, gravid woman by:
S S S S S S S
a) reducing the need for blood transfusion.
S S S S S
b) increasing the risk of pulmonary edema. S S S S S
c) increasing the volume of blood loss to produce maternal hypotension.
S S S S S S S S S
d) complicating the mangement of closed head injury. - S S S S S S S
ANSWER: c) increasing the volume of blood loss to produce maternal hy
S S S S S S S S S S S S
potension.
The best assessment of fluid resuscitation of the burn patient is:
S S S S S S S S S S
a) adequate urinary output. S S
b) reversal of systemic acidosis. S S S
c) normalization of the heart rate. S S S S
d) a normal central venous pressure. - ANSWER: a) adequate urinary output.
S S S S S S S S S S
The diagnosis of shock must include:
S S S S S
a) increased vascular resistance. S S
b) evidence of inadequate organ perfusion.
S S S S
c) acidosis.
d) hypoxemia. - ANSWER: b) evidence of inadequate organ perfusion.
S S S S S S S S
A 7-year-
S
old boy is brought to the emergency department by his parents several minutes after
S S S S S S S S S S S S S S
he fell through a window. He is bleeding profusely from a 6-
S S S S S S S S S S S
cm wound of his medial right thigh. Immediate management of the wound should c
S S S S S S S S S S S S S
onsist of: S
, 4S|SPS aS gS e
a) application of a tourniquet. S S S
b) direct pressure on the wound.
S S S S
c) packing the wound with gauze.
S S S S
d) direct pressure on the femoral artery at the groin. -
S S S S S S S S S
ANSWER: b) direct pressure on the wound.
S S S S S S S
For the patient with severe traumatic brain injury, profound hypocarbia should be avoide
S S S S S S S S S S S S
d to prevent:
S S
a) respiratory acidosis. S
b) metabolic acidosis. S
c) cerebral vasoconstriction with diminished perfusion.
S S S S
d) neurogenic pulmonary edema. - S S S
ANSWER: c) cerebral vasoconstriction with diminished perfusion.
S S S S S S S
A 25-year-
S
old man is brought to a hospital with a general surgeon after being involved in a mot
S S S S S S S S S S S S S S S S
or vehicle crash. Computed tomography shows an aortic injury and splenic laceratio
S S S S S S S S S S S
n with free abdominal fluid. His blood pressure falls to 70 mm Hg after CT. The next
S S S S S S S S S S S S S S S S S
step is: S
a) contrast angiography. S
b) transfer to a higher level trauma center.
S S S S S S
c) exploratory laparotomy. S
d) infuse additional crystalloids. - ANSWER: c) exploratory laparotomy.
S S S S S S S
Which one of the following statements regarding abdominal trauma in the pregnant pati
S S S S S S S S S S S S
ent is TRUE?S S