ATLS Review Practice Test.
1. A 22yo M is hypotensive and tachycardia after Reexamine the chest
a shot- gun wound to the L shoulder. His BP is
initially 80/40. After 2L of fluids his BP
increases to 122/84. HR is 100bpm and his RR is
28. Breath sounds are decreased in the left
hemithorax, and a closed tube thoracotomy is
performed with a small amount of blood return
and no air leak. What is the next step?
Complete spine x-ray
2. A construction worker falls 2 stories and suffers se- ries
bilat- eral calcanea fractures. He now is having
back pain. What would confirm diagnosis?
3. What is the principle of balanced resuscitation? permissive
hypotension
and early plasma infusion
4. In managing a head-injured patient, what is Secure the airway
the most important initial step?
5. A previously healthy 70kg man suffered ~2L of His systolic BP will be
acute de-
blood loss. Which appropriately applies to this patient? creased with a
narrowed
pulse pressure
NOT his pulse
pressure will be
widened, urinary output
at lower level of
normal, tachy but no BP
change, or
maintained systolic BP
1/
29
, ATLS Review Practice Test.
with elevated diastolic
BP
6. The physiologic hypovolemia of pregnancy has clinical increasing the
volume of
significance in the management of severely blood to produce maternal
injured, gravid woman by: hypotension
2/
29
, ATLS Review Practice Test.
7. The best assessment of fluid resuscitation of adequate urinary output
the burn patient is
8. The diagnosis of shock MUST include: evidence of
inadequate organ
perfusion
9. A 7yo M is brought to the ED by his parents several Direct pressure on
the
minutes after falling through a window. He is bleeding wound
from a 6cm wound on the medial right thigh.
Immedi- ate management of the wound
should include?
10. **For the patient with severe traumatic react
brain injury, around HYPOCARBIA (dec CO2) sluggishly
should be avoided in order to prevent what? and he
opens his
11. **A 25yo M is brought in to a facility with a eyes to
general surgeon after being in an MVA, CT painful
shows aortic injury and spe=lenic lac with stimuli. He
abdominal fluid, BP is 70mm Hg after CT. What does not
is the next step? follow
commands,
12. Which one of the following statements
but he does
regarding ab- dominal trauma in the
moan
pregnant patient is true?
period-
ically. His R
13. What is the first maneuver to improve arm is
oxygenation after chest injury? performed
and does
14. 25yo M in an MVC is admitted to the ED. Pupils not respond
3/
29
1. A 22yo M is hypotensive and tachycardia after Reexamine the chest
a shot- gun wound to the L shoulder. His BP is
initially 80/40. After 2L of fluids his BP
increases to 122/84. HR is 100bpm and his RR is
28. Breath sounds are decreased in the left
hemithorax, and a closed tube thoracotomy is
performed with a small amount of blood return
and no air leak. What is the next step?
Complete spine x-ray
2. A construction worker falls 2 stories and suffers se- ries
bilat- eral calcanea fractures. He now is having
back pain. What would confirm diagnosis?
3. What is the principle of balanced resuscitation? permissive
hypotension
and early plasma infusion
4. In managing a head-injured patient, what is Secure the airway
the most important initial step?
5. A previously healthy 70kg man suffered ~2L of His systolic BP will be
acute de-
blood loss. Which appropriately applies to this patient? creased with a
narrowed
pulse pressure
NOT his pulse
pressure will be
widened, urinary output
at lower level of
normal, tachy but no BP
change, or
maintained systolic BP
1/
29
, ATLS Review Practice Test.
with elevated diastolic
BP
6. The physiologic hypovolemia of pregnancy has clinical increasing the
volume of
significance in the management of severely blood to produce maternal
injured, gravid woman by: hypotension
2/
29
, ATLS Review Practice Test.
7. The best assessment of fluid resuscitation of adequate urinary output
the burn patient is
8. The diagnosis of shock MUST include: evidence of
inadequate organ
perfusion
9. A 7yo M is brought to the ED by his parents several Direct pressure on
the
minutes after falling through a window. He is bleeding wound
from a 6cm wound on the medial right thigh.
Immedi- ate management of the wound
should include?
10. **For the patient with severe traumatic react
brain injury, around HYPOCARBIA (dec CO2) sluggishly
should be avoided in order to prevent what? and he
opens his
11. **A 25yo M is brought in to a facility with a eyes to
general surgeon after being in an MVA, CT painful
shows aortic injury and spe=lenic lac with stimuli. He
abdominal fluid, BP is 70mm Hg after CT. What does not
is the next step? follow
commands,
12. Which one of the following statements
but he does
regarding ab- dominal trauma in the
moan
pregnant patient is true?
period-
ically. His R
13. What is the first maneuver to improve arm is
oxygenation after chest injury? performed
and does
14. 25yo M in an MVC is admitted to the ED. Pupils not respond
3/
29
