ATLS PRETEST (LATEST 2023/ 2024 UPDATE)
x x x x x x
QUESTIONS AND VERIFIED ANSWERS| 100%
x x x x x
CORRECT | ALREADY GRADED A
x x x x x
x
A x22-year-old xman xis xhypotensive xand xtachycardic xafter xa xshotgun xwound xto xthe xleft
xshoulder. xHis xblood xpressure xis xinitially x80/40 xmm xHg. xAfter xinitial xfluid xresuscitation
xhis xblood xpressure xincreases xto x122/84 xmm xHg. xHis xheart xrate xis xnow x100 xbeats
xper xminute xand xhis xrespiratory xrate xis x28 xbreaths xper xminute. xA xtube xthoracostomy
xis xperformed xfor xdecreased xleft xchest xbreath xsounds xwith xthe xreturn xof xa xsmall
xamount xof xblood xand xno xair xleak. xAfter xchest xtube xinsertion, xthe xmost xappropriate
xnext xstep xis: x- xre-examine xthe xchest x
x
A xconstruction xworker xfalls xtwo xstories xfrom xa xbuilding xand xsustains xbilateral
xcalcaneal xfractures. xIn xthe xemergency xdepartment, xhe xis xalert, xvital xsigns xare
xnormal, xand xhe xis xcomplaining xof xsevere xpain xin xboth xheels xand xhis xlower xback.
xLower xextremity xpulses xare xstrong xand xthere xis xno xother xdeformity. xThe xsuspected
xdiagnosis xis xmost xlikely xto xbe xconfirmed xby: x- xcomplete xspine xx-ray xseries x
x
Which xof xthe xfollowing xis xtrue xregarding xthe xinitial xresuscitation xof xa xtrauma xpatient?
x- xEvidence xof ximproved xperfusion xafter xfluid xresuscitation xcould xinclude ximprovement
xin xGlasgow xComa xScale xscore xon xreevaluation. x
x
In xmanaging xa xpatient xwith xa xsevere xtraumatic xbrain xinjury, xthe xmost ximportant xinitial
xstep x
x
is xto: x- xsecure xthe
xairway
x
A xpreviously xhealthy, x70-kg x(154-pound) xman xsuffers xan xestimated xacute xblood xloss
xof x2 x
x
liters. xWhich xone xof xthe xfollowing xstatements xapplies xto xthis xpatient? x- xAn xABG
xwould
x
demonstrate xa xbase xdeficit xbetween x-6 xand x-10
xmEq/L.
x
The xphysiological xhypervolemia xof xpregnancy xhas xclinical xsignificance xin xthe
xmanagement xof xthe xseverely xinjured, xgravid xwoman xby: x- xincreasing xthe xvolume xof
xblood xloss xto xproduce xmaternal xhypotension x
x
The xbest xassessment xof xfluid xresuscitation xof xthe xadult xburn xpatient xis: x- xurinary
xoutput xof x
x
0.5
xmL/kg/hr
x
The xdiagnosis xof xshock xmust xinclude: x- xevidence xof xinadequate xorgan xperfusion x
x
, A x7-year-old xboy xis xbrought xto xthe xemergency xdepartment xby xhis xparents xseveral
xminutes xafter xhe xfell xthrough xa xwindow. xHe xis xbleeding xprofusely xfrom xa x6-cm
xwound xof xhis xmedial xright xthigh. xImmediate xmanagement xof xthe xwound xshould
xconsist xof: x- xdirect xpressure xon xthe xwound x
x
For xthe xpatient xwith xsevere xtraumatic xbrain xinjury, xprofound xhypocarbia xshould
xbe x
x
avoided xto xprevent: x- xcerebral xvasoconstriction xwith xdiminished
xperfusion
x
After xbeing xinvolved xin xa xmotor xvehicle xcrash, xa x25-year-old xman xis xbrought xto xa
xhospital xthat xhas xsurgery xcapabilities xavailable.. xComputed xtomography xof xthe xchest
xand xabdomen xshows xan xaortic xinjury xand xsplenic xlaceration xwith xfree xabdominal
xfluid. xHis xblood xpressure xfalls xto x70 xmm xHg xafter xCT. xThe xnext xstep xis: x- xperform
xan xexploratory xlaparotomy x
x
Which xone xof xthe xfollowing xstatements xregarding xabdominal xtrauma xin xthe
xpregnant x
patient xis xTRUE? x- xLeakage xof xamniotic xfluid xis xan xindication xfor xhospital
xadmission.
x
The xfirst xmaneuver xto ximprove xoxygenation xafter xchest xinjury xis: x-
xadminister x
x
supplemental
xoxygen
x
A x25-year-old xman, xinjured xin xa xmotor xvehicular xcrash, xis xadmitted xto xthe xemergency
xdepartment. xHis xpupils xreact xsluggishly xand xhis xeyes xopen xto xpressure. xHe xdoes
xnot xfollow xcommands, xbut xhe xdoes xmoan xperiodically. xHis xright xarm xis xdeformed
xand xdoes xnot xrespond xto xpressure; xhowever, xhis xleft xhand xreaches xpurposefully
xtoward xthe xstimulus. xBoth xlegs xare xstiffly xextended. xHis xGCS xscore xis: x- x9 x
x
A x20-year-old xwoman xwho xis xat x32 xweeks xgestation, xis xstabbed xin xthe xupper xright
xchest. xIn xthe xemergency xdepartment, xher xblood xpressure xis x80/60 xmm xHg. xShe xis
xgasping xfor xbreath, xextremely xanxious, xand xyelling xfor xhelp. xBreath xsounds xare
xdiminished xin xthe xright xchest. xThe xmost xappropriate xfirst xstep xis xto: x- xperform xneedle
xor xfinger xdecompression xof xthe xright xchest x
x
x
Which xone xof xthe xfollowing xfindings xin xan xadult xis xmost xlikely xto xrequire
ximmediate
management xduring xthe xprimary xsurvey? x- xrespiratory xrate xof x40 xbreaths xper
xminute
x
The xmost ximportant, ximmediate xstep xin xthe xmanagement xof xan xopen xpneumothorax
xis: x-
x
placement xof xan xocclusive xdressing xover xthe
xwound
x
x x x x x x
QUESTIONS AND VERIFIED ANSWERS| 100%
x x x x x
CORRECT | ALREADY GRADED A
x x x x x
x
A x22-year-old xman xis xhypotensive xand xtachycardic xafter xa xshotgun xwound xto xthe xleft
xshoulder. xHis xblood xpressure xis xinitially x80/40 xmm xHg. xAfter xinitial xfluid xresuscitation
xhis xblood xpressure xincreases xto x122/84 xmm xHg. xHis xheart xrate xis xnow x100 xbeats
xper xminute xand xhis xrespiratory xrate xis x28 xbreaths xper xminute. xA xtube xthoracostomy
xis xperformed xfor xdecreased xleft xchest xbreath xsounds xwith xthe xreturn xof xa xsmall
xamount xof xblood xand xno xair xleak. xAfter xchest xtube xinsertion, xthe xmost xappropriate
xnext xstep xis: x- xre-examine xthe xchest x
x
A xconstruction xworker xfalls xtwo xstories xfrom xa xbuilding xand xsustains xbilateral
xcalcaneal xfractures. xIn xthe xemergency xdepartment, xhe xis xalert, xvital xsigns xare
xnormal, xand xhe xis xcomplaining xof xsevere xpain xin xboth xheels xand xhis xlower xback.
xLower xextremity xpulses xare xstrong xand xthere xis xno xother xdeformity. xThe xsuspected
xdiagnosis xis xmost xlikely xto xbe xconfirmed xby: x- xcomplete xspine xx-ray xseries x
x
Which xof xthe xfollowing xis xtrue xregarding xthe xinitial xresuscitation xof xa xtrauma xpatient?
x- xEvidence xof ximproved xperfusion xafter xfluid xresuscitation xcould xinclude ximprovement
xin xGlasgow xComa xScale xscore xon xreevaluation. x
x
In xmanaging xa xpatient xwith xa xsevere xtraumatic xbrain xinjury, xthe xmost ximportant xinitial
xstep x
x
is xto: x- xsecure xthe
xairway
x
A xpreviously xhealthy, x70-kg x(154-pound) xman xsuffers xan xestimated xacute xblood xloss
xof x2 x
x
liters. xWhich xone xof xthe xfollowing xstatements xapplies xto xthis xpatient? x- xAn xABG
xwould
x
demonstrate xa xbase xdeficit xbetween x-6 xand x-10
xmEq/L.
x
The xphysiological xhypervolemia xof xpregnancy xhas xclinical xsignificance xin xthe
xmanagement xof xthe xseverely xinjured, xgravid xwoman xby: x- xincreasing xthe xvolume xof
xblood xloss xto xproduce xmaternal xhypotension x
x
The xbest xassessment xof xfluid xresuscitation xof xthe xadult xburn xpatient xis: x- xurinary
xoutput xof x
x
0.5
xmL/kg/hr
x
The xdiagnosis xof xshock xmust xinclude: x- xevidence xof xinadequate xorgan xperfusion x
x
, A x7-year-old xboy xis xbrought xto xthe xemergency xdepartment xby xhis xparents xseveral
xminutes xafter xhe xfell xthrough xa xwindow. xHe xis xbleeding xprofusely xfrom xa x6-cm
xwound xof xhis xmedial xright xthigh. xImmediate xmanagement xof xthe xwound xshould
xconsist xof: x- xdirect xpressure xon xthe xwound x
x
For xthe xpatient xwith xsevere xtraumatic xbrain xinjury, xprofound xhypocarbia xshould
xbe x
x
avoided xto xprevent: x- xcerebral xvasoconstriction xwith xdiminished
xperfusion
x
After xbeing xinvolved xin xa xmotor xvehicle xcrash, xa x25-year-old xman xis xbrought xto xa
xhospital xthat xhas xsurgery xcapabilities xavailable.. xComputed xtomography xof xthe xchest
xand xabdomen xshows xan xaortic xinjury xand xsplenic xlaceration xwith xfree xabdominal
xfluid. xHis xblood xpressure xfalls xto x70 xmm xHg xafter xCT. xThe xnext xstep xis: x- xperform
xan xexploratory xlaparotomy x
x
Which xone xof xthe xfollowing xstatements xregarding xabdominal xtrauma xin xthe
xpregnant x
patient xis xTRUE? x- xLeakage xof xamniotic xfluid xis xan xindication xfor xhospital
xadmission.
x
The xfirst xmaneuver xto ximprove xoxygenation xafter xchest xinjury xis: x-
xadminister x
x
supplemental
xoxygen
x
A x25-year-old xman, xinjured xin xa xmotor xvehicular xcrash, xis xadmitted xto xthe xemergency
xdepartment. xHis xpupils xreact xsluggishly xand xhis xeyes xopen xto xpressure. xHe xdoes
xnot xfollow xcommands, xbut xhe xdoes xmoan xperiodically. xHis xright xarm xis xdeformed
xand xdoes xnot xrespond xto xpressure; xhowever, xhis xleft xhand xreaches xpurposefully
xtoward xthe xstimulus. xBoth xlegs xare xstiffly xextended. xHis xGCS xscore xis: x- x9 x
x
A x20-year-old xwoman xwho xis xat x32 xweeks xgestation, xis xstabbed xin xthe xupper xright
xchest. xIn xthe xemergency xdepartment, xher xblood xpressure xis x80/60 xmm xHg. xShe xis
xgasping xfor xbreath, xextremely xanxious, xand xyelling xfor xhelp. xBreath xsounds xare
xdiminished xin xthe xright xchest. xThe xmost xappropriate xfirst xstep xis xto: x- xperform xneedle
xor xfinger xdecompression xof xthe xright xchest x
x
x
Which xone xof xthe xfollowing xfindings xin xan xadult xis xmost xlikely xto xrequire
ximmediate
management xduring xthe xprimary xsurvey? x- xrespiratory xrate xof x40 xbreaths xper
xminute
x
The xmost ximportant, ximmediate xstep xin xthe xmanagement xof xan xopen xpneumothorax
xis: x-
x
placement xof xan xocclusive xdressing xover xthe
xwound
x
