ATLS PRACTICE
TEST 2024-2025 with
correct answers A+
Which one of the following situations requires Rh immunoglobulin
administration to an injured woman? - ANSWER: >>>>/positive
pregnancy test, Rh negative, and has torso trauma
A 22-year-old female athlete is stabbed in her left chest at the third
interspace in the anterior axillary line. On admission to the
emergency department and 15 minutes after the incident, she is
awake and alert. Her heart rate is 100 beats per minute, blood
pressure 80/60 mm Hg, and respiratory rate 20 breaths per minute.
A chest x-ray reveals a large left hemothorax. A left chest tube is
placed with an immediate return of 1600 mL of blood. The next
management step for this patient is: - ANSWER: >>>>/prepare for an
exploratory thoracotomy
A 6-year-old boy walking across the street is struck by the front
bumper of a sports utility vehicle traveling at 32 kph (20 mph). Which
one of the following statements is TRUE about this patient? -
ANSWER: >>>>/A pulmonary contusion may be present in the
absence of rib fractures.
Assessed first in trauma patient - ANSWER: >>>>/Airway
(*)Degree of burn that is characterized by bone involvement -
ANSWER: >>>>/Fourth
Complications of head trauma - ANSWER: >>>>/Intracerebral
hematoma
Extradural hematoma
,Brain abscess
Most common cause of laryngotracheal stenosis - ANSWER:
>>>>/Trauma
Intervention that can help prevent development of acute renal failure
- ANSWER: >>>>/Infusion of normal saline
A 26-year-old male is resuscitated with blood transfusion after a
motor vehicle collision that was complicated by a fractured pelvis. A
few hours later, the patient becomes febrile, hypotensive with a
normal CVP, and oliguric. Upon examination, the patient is found to
be bleeding from the NG tube and IV sites. Which of the following is
the most likely diagnosis?
A. Hemorrhagic shock
B. Acute adrenal insufficiency
C. Fat embolism syndrome
D. Transfusion reaction - ANSWER: >>>>/D. Transfusion reaction
Skin antiseptic - ANSWER: >>>>/-Ethanol 70% is an effective skin
antiseptic
-Acetic acid can be used to treat Gram- skin infections
-Salicylic acid is used to treat certain skin yeast infections
Class IV hemorrhage indicates what % blood loss - ANSWER:
>>>>/55%
How does shivering affect body temperature - ANSWER:
>>>>/Increases body temperature
Class III hemorrhage indicates what % of blood loss - ANSWER:
>>>>/35%
Management of a stable patient with kidney contusion - ANSWER:
>>>>/Observation
Associated with hypovolemic shock - ANSWER: >>>>/-Inadequate
tissue perfusion with resultant tissue hypoxia
,-Blood shunting to vital organs
-Decreased circulating blood volume and decreased venous return
-Low cardiac output
-Loss of less than 20% of the blood volume is usually without
symptom except for mild tachycardia
-Patients become orthostatic with losses between 20 and 40%
-Shock is evidenced by tachycardia, hypotension, oliguria, flat neck
veins
The most effective method of monitoring the success of resuscitation
during CPR? - ANSWER: >>>>/Reactivity of pupils to light
Used to ensure correct placement of endotracheal tube - ANSWER:
>>>>/-Ultrasound
-Bilateral breath sounds
-Sustained end-tidal CO2
Total body surface area involved in a burn in an adult to the anterior
chest and abdomen - ANSWER: >>>>/18%
What is often caused by carotid massage? - ANSWER:
>>>>/Bradycardia
Step in a patient diagnosed with tension pneumothorax - ANSWER:
>>>>/1. Needle decompression/ thoracotomy
2. Chest tube
True statements regarding diaphragmatic injuries - ANSWER: >>>>/-
Blunt diaphragmatic injuries are usually associated with skeletal
trauma
-Penetrating diaphragmatic injuries may be missed
-Repair of traumatic diaphragmatic injuries usually does not require
prosthetic material
First priority in the treatment of an unconscious patient - ANSWER:
>>>>/Checking the pulse
, A patient involved in a road accident is brought to the emergency
department in an unconscious state. On arrival, her vitals show a
temperature of 96.4 degrees Fahrenheit, a respiration rate of 24
breaths per minute, a heart rate of 140 beats per minute, and a blood
pressure of 80/40 mm Hg. She is cold, shivering, and perspiring
profusely. She has bilateral reactive pupils but she does not respond
to pain. On physical examination, she has no obvious sign of external
bleeding. Which of the following cannot be the cause of hypotension
in this patient?
A. Pelvic fracture
B. Fracture of femur
C. Intracranial hemorrhage
D. Hemothorax - ANSWER: >>>>/C. Intracranial hemorrhage
A patient suffered a slash to his right neck. The wound is over the
mid-portion of the sternocleidomastoid. There is a large hematoma
and brisk bleeding when uncovered. He is stable. What is the next
step in management?
A. Get an angiogram
B. Close the wound in the ER
C. Take him to the operating room
D. CT scan to evaluate neck structure - ANSWER: >>>>/C. Take him
to the OR
After abdominal injury, which of the following urinalysis findings
would be an indication for further testing?
A. 0-5 casts/HPF
B. 5-10 WBC/HPF
C. 10-20 RBC/HPF
D. Gross hematuria - ANSWER: >>>>/D. Gross hematuria
TEST 2024-2025 with
correct answers A+
Which one of the following situations requires Rh immunoglobulin
administration to an injured woman? - ANSWER: >>>>/positive
pregnancy test, Rh negative, and has torso trauma
A 22-year-old female athlete is stabbed in her left chest at the third
interspace in the anterior axillary line. On admission to the
emergency department and 15 minutes after the incident, she is
awake and alert. Her heart rate is 100 beats per minute, blood
pressure 80/60 mm Hg, and respiratory rate 20 breaths per minute.
A chest x-ray reveals a large left hemothorax. A left chest tube is
placed with an immediate return of 1600 mL of blood. The next
management step for this patient is: - ANSWER: >>>>/prepare for an
exploratory thoracotomy
A 6-year-old boy walking across the street is struck by the front
bumper of a sports utility vehicle traveling at 32 kph (20 mph). Which
one of the following statements is TRUE about this patient? -
ANSWER: >>>>/A pulmonary contusion may be present in the
absence of rib fractures.
Assessed first in trauma patient - ANSWER: >>>>/Airway
(*)Degree of burn that is characterized by bone involvement -
ANSWER: >>>>/Fourth
Complications of head trauma - ANSWER: >>>>/Intracerebral
hematoma
Extradural hematoma
,Brain abscess
Most common cause of laryngotracheal stenosis - ANSWER:
>>>>/Trauma
Intervention that can help prevent development of acute renal failure
- ANSWER: >>>>/Infusion of normal saline
A 26-year-old male is resuscitated with blood transfusion after a
motor vehicle collision that was complicated by a fractured pelvis. A
few hours later, the patient becomes febrile, hypotensive with a
normal CVP, and oliguric. Upon examination, the patient is found to
be bleeding from the NG tube and IV sites. Which of the following is
the most likely diagnosis?
A. Hemorrhagic shock
B. Acute adrenal insufficiency
C. Fat embolism syndrome
D. Transfusion reaction - ANSWER: >>>>/D. Transfusion reaction
Skin antiseptic - ANSWER: >>>>/-Ethanol 70% is an effective skin
antiseptic
-Acetic acid can be used to treat Gram- skin infections
-Salicylic acid is used to treat certain skin yeast infections
Class IV hemorrhage indicates what % blood loss - ANSWER:
>>>>/55%
How does shivering affect body temperature - ANSWER:
>>>>/Increases body temperature
Class III hemorrhage indicates what % of blood loss - ANSWER:
>>>>/35%
Management of a stable patient with kidney contusion - ANSWER:
>>>>/Observation
Associated with hypovolemic shock - ANSWER: >>>>/-Inadequate
tissue perfusion with resultant tissue hypoxia
,-Blood shunting to vital organs
-Decreased circulating blood volume and decreased venous return
-Low cardiac output
-Loss of less than 20% of the blood volume is usually without
symptom except for mild tachycardia
-Patients become orthostatic with losses between 20 and 40%
-Shock is evidenced by tachycardia, hypotension, oliguria, flat neck
veins
The most effective method of monitoring the success of resuscitation
during CPR? - ANSWER: >>>>/Reactivity of pupils to light
Used to ensure correct placement of endotracheal tube - ANSWER:
>>>>/-Ultrasound
-Bilateral breath sounds
-Sustained end-tidal CO2
Total body surface area involved in a burn in an adult to the anterior
chest and abdomen - ANSWER: >>>>/18%
What is often caused by carotid massage? - ANSWER:
>>>>/Bradycardia
Step in a patient diagnosed with tension pneumothorax - ANSWER:
>>>>/1. Needle decompression/ thoracotomy
2. Chest tube
True statements regarding diaphragmatic injuries - ANSWER: >>>>/-
Blunt diaphragmatic injuries are usually associated with skeletal
trauma
-Penetrating diaphragmatic injuries may be missed
-Repair of traumatic diaphragmatic injuries usually does not require
prosthetic material
First priority in the treatment of an unconscious patient - ANSWER:
>>>>/Checking the pulse
, A patient involved in a road accident is brought to the emergency
department in an unconscious state. On arrival, her vitals show a
temperature of 96.4 degrees Fahrenheit, a respiration rate of 24
breaths per minute, a heart rate of 140 beats per minute, and a blood
pressure of 80/40 mm Hg. She is cold, shivering, and perspiring
profusely. She has bilateral reactive pupils but she does not respond
to pain. On physical examination, she has no obvious sign of external
bleeding. Which of the following cannot be the cause of hypotension
in this patient?
A. Pelvic fracture
B. Fracture of femur
C. Intracranial hemorrhage
D. Hemothorax - ANSWER: >>>>/C. Intracranial hemorrhage
A patient suffered a slash to his right neck. The wound is over the
mid-portion of the sternocleidomastoid. There is a large hematoma
and brisk bleeding when uncovered. He is stable. What is the next
step in management?
A. Get an angiogram
B. Close the wound in the ER
C. Take him to the operating room
D. CT scan to evaluate neck structure - ANSWER: >>>>/C. Take him
to the OR
After abdominal injury, which of the following urinalysis findings
would be an indication for further testing?
A. 0-5 casts/HPF
B. 5-10 WBC/HPF
C. 10-20 RBC/HPF
D. Gross hematuria - ANSWER: >>>>/D. Gross hematuria
