ATLS POST TEST 2024-2025
Which of the following is the recommended Method for
treatment frostbite?
A. Vasodilators
B. Anticigulants C. Warm (40 degrees) water
C. Warm (40 degrees) water
D. Padding and elevation
E. Application of heat from a hairdryer
Which of the following physical findings suggest a cause
of hypotension other than spinal cord injury?
A. Priapism
D. Presence of deep tendon reflexes. Spinal shock refers
B. Bradycardia
to loss of muscle toe (flaccidty) and loss of reflexes.
C. Diaphragmatic breathing
D. Presence of deep tendon reflexes
E. Ability to flex forearms but not extend them
The primary indication for transferring A patient to a high-
er level trauma center is:
A. Unavailibility of surgeon or operating staff
B. Multiple system injuries, including severe head injury
C. Resource limitations as determined by the transferring C. Resource limitations as determined by the transferring
doctor doctor
D. Resource limitations as determined by the hospital
administration
E. Widened mediastinum on chest x-ray following blunt
trauma
A young man sustains a rifle wound to the mid-abdomen.
He is brought promptly to the ED by prehospital per-
sonnel. His skin is cool and diaphoretic, and his systolic
A. Laparotomy because of hemodynamic abnormality
blood pressure is 58mmHg. Warmed crystalloid fluids are
initiated without improvement in his vital signs. The next,
most appropriate, step is to perform:
, ATLS POST TEST 2024-2025
A. a laparotomy
B. An abdominal CT-scan
C. Diagnostic laparoscopy
D. Abdominal ultrasonography
E. A diagnostic peritoneal lavage
A 42-year-old man is trapped from the waist down be-
neath his overturned tractor for several hours before med-
ical assistance arrives. He is awake and alert until just
before arriving in the ED. He is now unconscious and
responds only to painful stimuli by moaning. His pupils
are 3mm in diameter and symmetrically reactive to light.
Prehospital personnel indicate that they have not seen the
patient move either of his lower extremities. On examina-
E. Bilateral compartment syndrome
tion in the ED, no movement of his lower extremities are
detected, even in response to painful stimuli. The most
likely cause for this finding is:
A. An epidural hematoma
B. A pelvic fracture
C. Central cord syndrome
D. Intracerebral hemorrhage
E. Bilateral compartment syndrome
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
D. Percutaneous peripheral veins in the upper extremities
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 extremi-
, ATLS POST TEST 2024-2025
ties
E. Central venous access via the subclavian or internal
jugular vein
A young man sustains a gunshot wound to the abdomen
and is brought promptly to the ED by prehospital person-
nel. 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 pa-
tient is to:
C. Control internal hemorrhage operatively
A. Administer O-negative blood
B. Apply external warming devices
C. Control internal hemorrhage operatively
D. Apply a pneumatic antishock garment (PASG)
E. Infuse large volumes of intravenous crystalloid solu-
tions.
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
D. The absolute volume of blood loss required to produce
C. Tachycardia is the primary physiologic response to hy-
shock is the same as in adults
povolemia
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 approxi-
mate 20ml/kg Ringers Lactate
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
, ATLS POST TEST 2024-2025
the left chest. A tension pneumothorax is relieved by im-
mediate 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 pri-
D. Perform diagnostic peritoneal lavage or FAST
ority 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
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 decreases A. Obtain a chest x-ray
from 98% to 89%. The most appropriate next step is to:
A. Obtain a chest x-ray
B. Decrease the tidal volume
C. Decrease PEEP
D. Increase the rate of assisted ventilations
E. Perform needle decompression of the left chest.
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
Which of the following is the recommended Method for
treatment frostbite?
A. Vasodilators
B. Anticigulants C. Warm (40 degrees) water
C. Warm (40 degrees) water
D. Padding and elevation
E. Application of heat from a hairdryer
Which of the following physical findings suggest a cause
of hypotension other than spinal cord injury?
A. Priapism
D. Presence of deep tendon reflexes. Spinal shock refers
B. Bradycardia
to loss of muscle toe (flaccidty) and loss of reflexes.
C. Diaphragmatic breathing
D. Presence of deep tendon reflexes
E. Ability to flex forearms but not extend them
The primary indication for transferring A patient to a high-
er level trauma center is:
A. Unavailibility of surgeon or operating staff
B. Multiple system injuries, including severe head injury
C. Resource limitations as determined by the transferring C. Resource limitations as determined by the transferring
doctor doctor
D. Resource limitations as determined by the hospital
administration
E. Widened mediastinum on chest x-ray following blunt
trauma
A young man sustains a rifle wound to the mid-abdomen.
He is brought promptly to the ED by prehospital per-
sonnel. His skin is cool and diaphoretic, and his systolic
A. Laparotomy because of hemodynamic abnormality
blood pressure is 58mmHg. Warmed crystalloid fluids are
initiated without improvement in his vital signs. The next,
most appropriate, step is to perform:
, ATLS POST TEST 2024-2025
A. a laparotomy
B. An abdominal CT-scan
C. Diagnostic laparoscopy
D. Abdominal ultrasonography
E. A diagnostic peritoneal lavage
A 42-year-old man is trapped from the waist down be-
neath his overturned tractor for several hours before med-
ical assistance arrives. He is awake and alert until just
before arriving in the ED. He is now unconscious and
responds only to painful stimuli by moaning. His pupils
are 3mm in diameter and symmetrically reactive to light.
Prehospital personnel indicate that they have not seen the
patient move either of his lower extremities. On examina-
E. Bilateral compartment syndrome
tion in the ED, no movement of his lower extremities are
detected, even in response to painful stimuli. The most
likely cause for this finding is:
A. An epidural hematoma
B. A pelvic fracture
C. Central cord syndrome
D. Intracerebral hemorrhage
E. Bilateral compartment syndrome
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
D. Percutaneous peripheral veins in the upper extremities
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 extremi-
, ATLS POST TEST 2024-2025
ties
E. Central venous access via the subclavian or internal
jugular vein
A young man sustains a gunshot wound to the abdomen
and is brought promptly to the ED by prehospital person-
nel. 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 pa-
tient is to:
C. Control internal hemorrhage operatively
A. Administer O-negative blood
B. Apply external warming devices
C. Control internal hemorrhage operatively
D. Apply a pneumatic antishock garment (PASG)
E. Infuse large volumes of intravenous crystalloid solu-
tions.
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
D. The absolute volume of blood loss required to produce
C. Tachycardia is the primary physiologic response to hy-
shock is the same as in adults
povolemia
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 approxi-
mate 20ml/kg Ringers Lactate
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
, ATLS POST TEST 2024-2025
the left chest. A tension pneumothorax is relieved by im-
mediate 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 pri-
D. Perform diagnostic peritoneal lavage or FAST
ority 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
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 decreases A. Obtain a chest x-ray
from 98% to 89%. The most appropriate next step is to:
A. Obtain a chest x-ray
B. Decrease the tidal volume
C. Decrease PEEP
D. Increase the rate of assisted ventilations
E. Perform needle decompression of the left chest.
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
