ATLS MCQ #1 questions and answers graded
x x x x x x
a_+
x
A x22 xyear xold xman xis xhypotensive xand xtachycardic xafter xa xshotgun
xwound xtothe xleft xshoulder. xHis xblood xpressure xis xinitially x80/40
xmmHg. xAfter x2 xliters xof xcrystalloid xsolution xhis xblood xpressure
xincreases xto x122/84 xmmHg xHis xheart xrate xis xnow x100 xbeats xper xminute
xand xhis xrespiratory xrate xis x28 xbreaths xper xminute. xHis xbreath xsounds
xare xdecreased xin xthe xleft xhemithorax, and xafter xinitial xIV xfluid
,o
xresuscitation, xa xclosed xtube xthoracostomy xis xperformed xfor xdecreased
xleft xbreath xsounds xwith xthe xreturn xof xa xsmall xamount xof xblood xand xno
xair xleak. xAfter xchest xtube xinsertion, xthe xmost xapproriate xnext xstep xis
a) reexamine xthe xchest
b) performan xaortogram
c) obtain xa xCT xscan xof xthe xchest
d) Obtain xarterial xblood xgas xanalyses
e) perform xtranesohageal
xechocardiographythexanswerxisxd x;
xbut xa xwebsite xsaid xa
(and xaxmakes xmore xsensexto xme. xsoxi'll xgo
xwith xa)info: xchest xtube xinsertion, xp.108
ATLS xMCQ x#3
Duringxthexthirdxtrimesterxof xpregnancy,xallxofxthexfollowing
xchangesoccur xnormallyEXCEPT xa
a) decreasexin xPaCO2
b) decrease xin xleukocyte xcount
c) reduced xgastric xemptying xrate
d) diminished xresidual xlung xvolume
e) diminished xelvic
xligament xtensionthe
xanswer xis xb.
info:xpage x261
ATLS xMCQ x#4
In xmanaging xthe xhead xinjured xpatient,the xmost ximportant xinitial xstep xis xto
a) secure xthexairway
b. xobtain xc-spinefilm
c)xsupport xcirculation
c)xcontrol xscalp xhemorrhage
e) xdetermine xthe xGCS
xscorethe xanswer xis
xa. xinfo:xp.154
ATLS xMCQ x#5
A xpreviously xhealthy, x70kg x(154 xpound) xman xsuffers xan
xestimated xacute xbloodlossxofx2xliters. xWhichxonexof xthexfollowing
xstatements xapplies xtoxthis xpatient?
a) his xpulse xpressurexwill xbe xwidened
b) hisxurinary xoutputxwill xbe xat xthe xlowerxlimits xof xnormal
c) hexwillxhavextachycardia, xbutxnoxchangexin xhis xsystolic blood xpressure
,o
,d) his xsystolic xblood xpressure xwillxbe xdecreased xwith xaxnarrowed xpulse xressure x(true)
e) his xsystolicxblood xpressure xwillxbexmaintained xwith xan
xelevated xdiastolicpressurethe xanswer xis xd.
info.xpage x61
, ATLS xMCQ x#6
The xphysiologic xhypervolemia xof xpregnancy xhas xclinical xsignificance xin xthe
xmanagement of xthe xseverely xinjured, xgravid xwoman xby
,o
a) reducing xthe xneed xforxblood xtransfusion
b) increasing xthexrisk xof xpulmonary xedema
c) complicating xthe xmanagement xof xclosed xhead xinjury
d) reducing xthexvolume xof xcrystalloid xrequired xfor xresuscitation
e) increasing xthe xvolume xof xblood xloss xto xproduce
xmaternal xhypotension the xanswer xis xe.
,o
info.xpage x261
ATLS xMCQ x#7
Thexbest xguidexfor xadequate xfluid xresuscitation xof xthe xburn xpatient xis
a) adequate xurinary xoutput
b) reversal xof xsystemic xacidosis
c) normalization xof xthe xheart xrate
d) axnormal xcentral xvenous xpressure
e) 4mL/kg/percent xbody
xburn/24 xhoursthe xanswer xis xa.
x(not xsure..) xinfo: xpg. x216-
217background:
The xadequacy xof xtherapy xis xconfirmed xby xsimple xdetermination xof
xadequate xurine xoutputand xof xthe xhaemoglobin xand xhaematocrit
xlevels.
The xmost ximportant xguide xis xthexpatient’s
xclinical xresponsesource:
http://www.medbc.com/annals/review/vol_16/num_4/text/vol16n4p173.asp
ATLS xMCQ x#8
Establishing xa xdiagnosisof xshock xmust xinclude
a) hypoxemia
b) acidosis
c) hypotension
d) increased xvascular xresistance
e) evidence xof xinadequate
xorgan xperfusionthe xanswer
xis xe.
the xinfo: xp.58
ATLS xMCQ x#9
A x7 xyear xold xboy xis xbrought xto xthe xemergency xdepartment xby xhis xparents xseveral
xminutesafter xhe xfell xthrough xaxwindow. xHexis xbleedingxprofusely xfromxa x6-cm
xwound xof xhis xmedial xright xthigh.Immediate xmanagement xof xthe xwound xshould
xconsist xof
a) application xof xa xtourniquet
b) direct xpressurexon xthexwound
c) packing xthe xwound xwith xgauze
d) directxpressurexon xthexfemoral xartery xat xthe xgroin
e) debridement xof
xdevitalized xtissuethe
xanswer xis: xb
x x x x x x
a_+
x
A x22 xyear xold xman xis xhypotensive xand xtachycardic xafter xa xshotgun
xwound xtothe xleft xshoulder. xHis xblood xpressure xis xinitially x80/40
xmmHg. xAfter x2 xliters xof xcrystalloid xsolution xhis xblood xpressure
xincreases xto x122/84 xmmHg xHis xheart xrate xis xnow x100 xbeats xper xminute
xand xhis xrespiratory xrate xis x28 xbreaths xper xminute. xHis xbreath xsounds
xare xdecreased xin xthe xleft xhemithorax, and xafter xinitial xIV xfluid
,o
xresuscitation, xa xclosed xtube xthoracostomy xis xperformed xfor xdecreased
xleft xbreath xsounds xwith xthe xreturn xof xa xsmall xamount xof xblood xand xno
xair xleak. xAfter xchest xtube xinsertion, xthe xmost xapproriate xnext xstep xis
a) reexamine xthe xchest
b) performan xaortogram
c) obtain xa xCT xscan xof xthe xchest
d) Obtain xarterial xblood xgas xanalyses
e) perform xtranesohageal
xechocardiographythexanswerxisxd x;
xbut xa xwebsite xsaid xa
(and xaxmakes xmore xsensexto xme. xsoxi'll xgo
xwith xa)info: xchest xtube xinsertion, xp.108
ATLS xMCQ x#3
Duringxthexthirdxtrimesterxof xpregnancy,xallxofxthexfollowing
xchangesoccur xnormallyEXCEPT xa
a) decreasexin xPaCO2
b) decrease xin xleukocyte xcount
c) reduced xgastric xemptying xrate
d) diminished xresidual xlung xvolume
e) diminished xelvic
xligament xtensionthe
xanswer xis xb.
info:xpage x261
ATLS xMCQ x#4
In xmanaging xthe xhead xinjured xpatient,the xmost ximportant xinitial xstep xis xto
a) secure xthexairway
b. xobtain xc-spinefilm
c)xsupport xcirculation
c)xcontrol xscalp xhemorrhage
e) xdetermine xthe xGCS
xscorethe xanswer xis
xa. xinfo:xp.154
ATLS xMCQ x#5
A xpreviously xhealthy, x70kg x(154 xpound) xman xsuffers xan
xestimated xacute xbloodlossxofx2xliters. xWhichxonexof xthexfollowing
xstatements xapplies xtoxthis xpatient?
a) his xpulse xpressurexwill xbe xwidened
b) hisxurinary xoutputxwill xbe xat xthe xlowerxlimits xof xnormal
c) hexwillxhavextachycardia, xbutxnoxchangexin xhis xsystolic blood xpressure
,o
,d) his xsystolic xblood xpressure xwillxbe xdecreased xwith xaxnarrowed xpulse xressure x(true)
e) his xsystolicxblood xpressure xwillxbexmaintained xwith xan
xelevated xdiastolicpressurethe xanswer xis xd.
info.xpage x61
, ATLS xMCQ x#6
The xphysiologic xhypervolemia xof xpregnancy xhas xclinical xsignificance xin xthe
xmanagement of xthe xseverely xinjured, xgravid xwoman xby
,o
a) reducing xthe xneed xforxblood xtransfusion
b) increasing xthexrisk xof xpulmonary xedema
c) complicating xthe xmanagement xof xclosed xhead xinjury
d) reducing xthexvolume xof xcrystalloid xrequired xfor xresuscitation
e) increasing xthe xvolume xof xblood xloss xto xproduce
xmaternal xhypotension the xanswer xis xe.
,o
info.xpage x261
ATLS xMCQ x#7
Thexbest xguidexfor xadequate xfluid xresuscitation xof xthe xburn xpatient xis
a) adequate xurinary xoutput
b) reversal xof xsystemic xacidosis
c) normalization xof xthe xheart xrate
d) axnormal xcentral xvenous xpressure
e) 4mL/kg/percent xbody
xburn/24 xhoursthe xanswer xis xa.
x(not xsure..) xinfo: xpg. x216-
217background:
The xadequacy xof xtherapy xis xconfirmed xby xsimple xdetermination xof
xadequate xurine xoutputand xof xthe xhaemoglobin xand xhaematocrit
xlevels.
The xmost ximportant xguide xis xthexpatient’s
xclinical xresponsesource:
http://www.medbc.com/annals/review/vol_16/num_4/text/vol16n4p173.asp
ATLS xMCQ x#8
Establishing xa xdiagnosisof xshock xmust xinclude
a) hypoxemia
b) acidosis
c) hypotension
d) increased xvascular xresistance
e) evidence xof xinadequate
xorgan xperfusionthe xanswer
xis xe.
the xinfo: xp.58
ATLS xMCQ x#9
A x7 xyear xold xboy xis xbrought xto xthe xemergency xdepartment xby xhis xparents xseveral
xminutesafter xhe xfell xthrough xaxwindow. xHexis xbleedingxprofusely xfromxa x6-cm
xwound xof xhis xmedial xright xthigh.Immediate xmanagement xof xthe xwound xshould
xconsist xof
a) application xof xa xtourniquet
b) direct xpressurexon xthexwound
c) packing xthe xwound xwith xgauze
d) directxpressurexon xthexfemoral xartery xat xthe xgroin
e) debridement xof
xdevitalized xtissuethe
xanswer xis: xb
