ATLS Test 1
Actual Questions with Verified Answers (),
100% Guarantee Score Pass
1. A 22-year-old man is hypotensive and tachycardic after a shotgun wound to
the left shoulder. His blood pressure is initially 80/40 mm Hg. After initial fluid
resuscitation his blood pressure increases to 122/84 mm Hg. His heart rate is
now 100 beats per minute and his respiratory rate is 28 breaths per minute. A
tube thoracostomy is performed for decreased left chest breath sounds with
the return of a small amount of blood and no air leak. After chest tube insertion
the most appropriate next step is:
Select one:
a
reexamine the chest
b.
perform an aortogram
c.
obtain a CT scan of the chest
d.
mailto:https://www.stuvia.com/user/Wisdoms
, obtain arterial blood gas analyses
e.
perform transesophageal echocardiography
Answer
: A) Reexamine the chest
2. A construction worker falls two stories from a building and sustains bilateral
calcaneal fractures. In the emergency department, he is alert, vital signs are
normal, and he is complaining of severe pain in both heels and his lower
back. Lower extremity pulses are strong and there is no other deformity. The
suspected diagnosis is most likely to be confirmed by:
Select one:
a.
angiography
b.
compartment pressures
c.
retrograde urethrogram
d.
Doppler ultrasound studies
e.
complete spine x-ray series
Answer
: e) Complete spine x-ray series
3. Which of the following is true regarding the initial resuscitation of a trauma
patient?
Select one:
a.
mailto:https://www.stuvia.com/user/Wisdoms
, A patient that presents with a torso gunshot wound and is hypotensive should
mailto:https://www.stuvia.com/user/Wisdoms
, receive crystalloid fluid resuscitation until the blood pressure is normal
b.
Evidence of improved perfusion after fluid resuscitation could include im-
provement in Glasgow coma scale score on reevaluation
c.
Massive transfusion is defined as transfusion of more than >10 of packed red
blood cells and plasma in 24 hours
d.
When tranexamic acid is administered by pre-hospital providers a second
dose is required within 24 hours
e.
Fluid resuscitation is far more important than bleeding control in trauma
patients
Answer
: b.
Evidence of improved perfusion after fluid resuscitation could include improvement
in Glasgow coma scale score on reevaluation
4. In managing a patient with a severe traumatic brain injury, the most impor-
tant initial step is to:
Select one:
a.
Secure the airway
b.
obtain a c-spine film
c.
mailto:https://www.stuvia.com/user/Wisdoms
Actual Questions with Verified Answers (),
100% Guarantee Score Pass
1. A 22-year-old man is hypotensive and tachycardic after a shotgun wound to
the left shoulder. His blood pressure is initially 80/40 mm Hg. After initial fluid
resuscitation his blood pressure increases to 122/84 mm Hg. His heart rate is
now 100 beats per minute and his respiratory rate is 28 breaths per minute. A
tube thoracostomy is performed for decreased left chest breath sounds with
the return of a small amount of blood and no air leak. After chest tube insertion
the most appropriate next step is:
Select one:
a
reexamine the chest
b.
perform an aortogram
c.
obtain a CT scan of the chest
d.
mailto:https://www.stuvia.com/user/Wisdoms
, obtain arterial blood gas analyses
e.
perform transesophageal echocardiography
Answer
: A) Reexamine the chest
2. A construction worker falls two stories from a building and sustains bilateral
calcaneal fractures. In the emergency department, he is alert, vital signs are
normal, and he is complaining of severe pain in both heels and his lower
back. Lower extremity pulses are strong and there is no other deformity. The
suspected diagnosis is most likely to be confirmed by:
Select one:
a.
angiography
b.
compartment pressures
c.
retrograde urethrogram
d.
Doppler ultrasound studies
e.
complete spine x-ray series
Answer
: e) Complete spine x-ray series
3. Which of the following is true regarding the initial resuscitation of a trauma
patient?
Select one:
a.
mailto:https://www.stuvia.com/user/Wisdoms
, A patient that presents with a torso gunshot wound and is hypotensive should
mailto:https://www.stuvia.com/user/Wisdoms
, receive crystalloid fluid resuscitation until the blood pressure is normal
b.
Evidence of improved perfusion after fluid resuscitation could include im-
provement in Glasgow coma scale score on reevaluation
c.
Massive transfusion is defined as transfusion of more than >10 of packed red
blood cells and plasma in 24 hours
d.
When tranexamic acid is administered by pre-hospital providers a second
dose is required within 24 hours
e.
Fluid resuscitation is far more important than bleeding control in trauma
patients
Answer
: b.
Evidence of improved perfusion after fluid resuscitation could include improvement
in Glasgow coma scale score on reevaluation
4. In managing a patient with a severe traumatic brain injury, the most impor-
tant initial step is to:
Select one:
a.
Secure the airway
b.
obtain a c-spine film
c.
mailto:https://www.stuvia.com/user/Wisdoms
