ATLS 10TH POST TEST 4
Questions And Answers
(PASSING 100% GUARANTEE 2025\2026
update
Which of the following is the recommended Method for trestemt frostbite?
A. Vasodilators
B. Anticigulants
C. Warm (40 degrees) water
D. Padding and elevation
E. Application of heat from a hairdryer - ANS>>C. Warm (40 degrees) water
Which of the following physical findings suggest a cause of hypotension
other than spinal cord injury?
A. Prispism
B. Bradycardia
C. Diaphragmatic breathing
D. Presence of deep tendon reflexes
E. Ability to flex forearms but not extend them - ANS>>D. Presence of deep
tendon reflexes. Spinal shock refers to loss of muscle toe (flaccidty) and loss
of reflexes.
The primary indication for transferring A patient to a higher level trauma
center is:
A. Unavailibility of surgeon or operating staff
,E. Widened mediastinum on chest x-ray following blunt trauma - ANS>>C.
Resource limitations as determined by the transferring doctor (MÅ
SJEKKES)
A young man sustains a rifle wound to the mid-abdomen. He is brought
promptly to the ED by prehospital personnel. His skin is cool and diaphoretic,
and his systolic blood pressure is 58mmHg. Warmed crystalloid fluids are
initiated without improvement in his vital signs. The next, most appropriate,
step is to perform:
A. a laparotomy
B. An abdominal CT-scan
C. Diagnostic laparoscopy
D. Abdominal ultrasonography
E. A diagnostic peritoneal lavage - ANS>>A. Laparotomy because of
hemodynamic abnormality
A 6-year-o boy is struck by an automobile and brought to the ED. He is
lethargic, but withdraws purposefully from painful stimuli. His blood
pressure is 90mmHg systolic, heart rate 140 beats per minute and his
respiratory rate is 36 breaths per minute. The preferred route of venous access
in this patient is:
A. Percutaneous femoral vein cannulation
B. Cutdown on the saphenous vein at the ankle
C. Intraosseous catheter placement in the proximal tibia
D. Percutaneous peripheral veins in the upper extremities
E. Central venous access via the subclavian or internal jugular vein - ANS>>D.
Percutaneous peripheral veins in the upper extremities
A young man sustains a gunshot wound to the abdomen and is brought
promptly to the ED by prehospital personnel. His skin is cool and diaphoretic,
and he is confused. His pulse is thready and his femoral pulse is only weakly
palpable. The definitive treatment in managing this patient is to:
,E. Infuse large volumes of intravenous crystalloid solutions. - ANS>>C.
Control internal hemorrhage operatively
Regarding shock in the child, which of the following is FALSE?
A. Vital signs are age-related
B. Children have greater physiologic reserves than do adults
C. Tachycardia is the primary physiologic response to hypovolemia
D. The absolute volume of blood loss required to produce shock is the same as
in adults
E. An initial fluid bolus for resuscitation should approximate 20ml/kg Ringers
Lactate - ANS>>D. The absolute volume of blood loss required to produce
shock is the same as in adults
A 33-year-old man is struck by a car travelling at 56km/h (35mph). He has
obvious fractures of the left tibia near the knee, pain in the pelvic area, and
severe dyspnea. His heart rate is 182 beats per minute, and his respiratory rate
is 48 breaths per minute with no breath sounds heard in the left chest. A
tension pneumothorax is relieved by immediate needle decompression and
tube thoracostomy. Subsequently, his heart rate decreases to 144 beats per
minute, his respirartory rate decreases to 36 breaths per minute and his blood
pressure is 81/53 mmHg. Warmed Ringers lactate is adminstered
intravenously. The next priority should be to:
A. Perform external fixation of the pelvis
B. Obtain abdominal and pelvic CT-scans
C. Perform arterial embolization of the pelvic vessel
D. Perform diagnostic peritoneal lavage or FAST
E. Perform a urethrogram and cystogram - ANS>>D. Perform diagnostic
peritoneal lavage or FAST
A 42-year-old man, injured in a motor vehicle crash, suffers a closed head
injury, multiple palpable left rib fractures, and bilateral femur fractures. He is
intubated orotracheally without difficulty. Initially, his ventilations are easily
assisted with a bag-mask device. It becomes more difficult to ventilate the
patient over the next 5 minutes, and his hemoglobin oxygen saturation level
, D. Increase the rate of assisted ventilations
E. Perform needle decompression of the left chest. - ANS>>A. Obtain a chest
x-ray (MÅ SJEKKES)
A 30-year-old man sustains a severely comminuted, open, distal right femur
fracture in a motorcycle crash. The wound is actively bleeding. Normal
sensation is present over the lateral aspect of the foot but decreased over the
medial foot and great toe. Normal motion of the foot is observed. Dorsalis
pedis and posterior tibial pulses are easily palpable on the left, but heard only
by Doppler on the right. Immediate efforts to improve circulation to the
injured extremity should involve:
A. Immediate angiography
B. Tamponade of the wound with a pressure dressing
C. Wound exploration and removal of bony fragments
D. Realignment of the fracture segments with a traction splint
E. Fasciotomy of all four compartments in the lower extremity - ANS>>B.
Tamponade of the wound with a pressure dressing
An 18-yeard-old, unhelmeted motorcyclist is brought by ambulance to the ED
following a crash. He had decreased level of consciousness at the scene, but
then was alert and conversational during transportation. Now his GCS is only
11. Which of the following statements is TRUE?
A. Cerebral perfusion is intact
B. Intravascular volume status is normal
C. The patient is in a postictal state
D. Intra-abdominal visceral injury is unlikely
E. The patient probably has an acute epidural hematoma - ANS>>E. The
patient probably has an acute epidural hematoma
A previously healthy, 70kg (175 pound) man suffers an estimated acute blood
loss of two liters. Which one of the following statements apply to this
patient?
A. His pulse pressure will be widened
Questions And Answers
(PASSING 100% GUARANTEE 2025\2026
update
Which of the following is the recommended Method for trestemt frostbite?
A. Vasodilators
B. Anticigulants
C. Warm (40 degrees) water
D. Padding and elevation
E. Application of heat from a hairdryer - ANS>>C. Warm (40 degrees) water
Which of the following physical findings suggest a cause of hypotension
other than spinal cord injury?
A. Prispism
B. Bradycardia
C. Diaphragmatic breathing
D. Presence of deep tendon reflexes
E. Ability to flex forearms but not extend them - ANS>>D. Presence of deep
tendon reflexes. Spinal shock refers to loss of muscle toe (flaccidty) and loss
of reflexes.
The primary indication for transferring A patient to a higher level trauma
center is:
A. Unavailibility of surgeon or operating staff
,E. Widened mediastinum on chest x-ray following blunt trauma - ANS>>C.
Resource limitations as determined by the transferring doctor (MÅ
SJEKKES)
A young man sustains a rifle wound to the mid-abdomen. He is brought
promptly to the ED by prehospital personnel. His skin is cool and diaphoretic,
and his systolic blood pressure is 58mmHg. Warmed crystalloid fluids are
initiated without improvement in his vital signs. The next, most appropriate,
step is to perform:
A. a laparotomy
B. An abdominal CT-scan
C. Diagnostic laparoscopy
D. Abdominal ultrasonography
E. A diagnostic peritoneal lavage - ANS>>A. Laparotomy because of
hemodynamic abnormality
A 6-year-o boy is struck by an automobile and brought to the ED. He is
lethargic, but withdraws purposefully from painful stimuli. His blood
pressure is 90mmHg systolic, heart rate 140 beats per minute and his
respiratory rate is 36 breaths per minute. The preferred route of venous access
in this patient is:
A. Percutaneous femoral vein cannulation
B. Cutdown on the saphenous vein at the ankle
C. Intraosseous catheter placement in the proximal tibia
D. Percutaneous peripheral veins in the upper extremities
E. Central venous access via the subclavian or internal jugular vein - ANS>>D.
Percutaneous peripheral veins in the upper extremities
A young man sustains a gunshot wound to the abdomen and is brought
promptly to the ED by prehospital personnel. His skin is cool and diaphoretic,
and he is confused. His pulse is thready and his femoral pulse is only weakly
palpable. The definitive treatment in managing this patient is to:
,E. Infuse large volumes of intravenous crystalloid solutions. - ANS>>C.
Control internal hemorrhage operatively
Regarding shock in the child, which of the following is FALSE?
A. Vital signs are age-related
B. Children have greater physiologic reserves than do adults
C. Tachycardia is the primary physiologic response to hypovolemia
D. The absolute volume of blood loss required to produce shock is the same as
in adults
E. An initial fluid bolus for resuscitation should approximate 20ml/kg Ringers
Lactate - ANS>>D. The absolute volume of blood loss required to produce
shock is the same as in adults
A 33-year-old man is struck by a car travelling at 56km/h (35mph). He has
obvious fractures of the left tibia near the knee, pain in the pelvic area, and
severe dyspnea. His heart rate is 182 beats per minute, and his respiratory rate
is 48 breaths per minute with no breath sounds heard in the left chest. A
tension pneumothorax is relieved by immediate needle decompression and
tube thoracostomy. Subsequently, his heart rate decreases to 144 beats per
minute, his respirartory rate decreases to 36 breaths per minute and his blood
pressure is 81/53 mmHg. Warmed Ringers lactate is adminstered
intravenously. The next priority should be to:
A. Perform external fixation of the pelvis
B. Obtain abdominal and pelvic CT-scans
C. Perform arterial embolization of the pelvic vessel
D. Perform diagnostic peritoneal lavage or FAST
E. Perform a urethrogram and cystogram - ANS>>D. Perform diagnostic
peritoneal lavage or FAST
A 42-year-old man, injured in a motor vehicle crash, suffers a closed head
injury, multiple palpable left rib fractures, and bilateral femur fractures. He is
intubated orotracheally without difficulty. Initially, his ventilations are easily
assisted with a bag-mask device. It becomes more difficult to ventilate the
patient over the next 5 minutes, and his hemoglobin oxygen saturation level
, D. Increase the rate of assisted ventilations
E. Perform needle decompression of the left chest. - ANS>>A. Obtain a chest
x-ray (MÅ SJEKKES)
A 30-year-old man sustains a severely comminuted, open, distal right femur
fracture in a motorcycle crash. The wound is actively bleeding. Normal
sensation is present over the lateral aspect of the foot but decreased over the
medial foot and great toe. Normal motion of the foot is observed. Dorsalis
pedis and posterior tibial pulses are easily palpable on the left, but heard only
by Doppler on the right. Immediate efforts to improve circulation to the
injured extremity should involve:
A. Immediate angiography
B. Tamponade of the wound with a pressure dressing
C. Wound exploration and removal of bony fragments
D. Realignment of the fracture segments with a traction splint
E. Fasciotomy of all four compartments in the lower extremity - ANS>>B.
Tamponade of the wound with a pressure dressing
An 18-yeard-old, unhelmeted motorcyclist is brought by ambulance to the ED
following a crash. He had decreased level of consciousness at the scene, but
then was alert and conversational during transportation. Now his GCS is only
11. Which of the following statements is TRUE?
A. Cerebral perfusion is intact
B. Intravascular volume status is normal
C. The patient is in a postictal state
D. Intra-abdominal visceral injury is unlikely
E. The patient probably has an acute epidural hematoma - ANS>>E. The
patient probably has an acute epidural hematoma
A previously healthy, 70kg (175 pound) man suffers an estimated acute blood
loss of two liters. Which one of the following statements apply to this
patient?
A. His pulse pressure will be widened
