ATLS-POST AND PRE TEST COMPLETED exam questions with
answers (answers outlined!!) 2023
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ATLS-POST ANDMaterial PRE TEST COMPLETED exam questions with
Shinta R. Widya, MD – Post Test answers (answers outlined!!) 2023
ATLS
1. Which of the following signs is LEAST reliable for diagnosing
immobilizing the c-spine and initiating fluid resuscitation, the next step is
esophageal intubation?
to perform:
a Symmetrical chest wall movement
a FAST exam
b End tidal CO2 presence by colorimetry
b Detailed neurological exam
c Bilateral breath sounds
c Rectal exam
d Oxygen saturation >92%
d Cervical spine x-ray
e ETT above carina on chest x-ray
e Urethral catheterization
2. Which one of the following signs necessitates a definitive airway in
9. A 22 year old male sustains a shotgun wound to the left shoulder and chest
severe trauma patients?
at close range. His BP is 80/40 mmHg and his HR is 130 bpm. After 2 liters
a Facial lacerations of crystalloid solution are rapidly infused, his BP increases to 122/84
b Repeated vomiting
mmHg, and HR decreases to 100 bpm. He is tachypneic with RR of 28
c Severe maxillofacial fractures bpm. On physical examination, his breath sounds are decreased at the left
d Sternal fracture upper chest with dullness on percussion. A large caliber (36 french) tube
e GCS score of 12 thoracostomy is inserted in the fifth intercostal space with the return of
200 ml of blood and no air leak. The most appropriate next step is to:
3. Twenty seven patients are seriously injured in an aircraft crash at a a Insert a folley catheter
local airport. The principles of triage include: b Begin to transfuse o-negative blood
a Establish a triage site within the internal perimeter of the crash site c Perform thoracotomy
b Treat only the most severely injured patients first d Obtain a CT scan of the chest and abdomen
c Immediately transport all patients to the nearest hospital
e Repeat the physical examination of the chest
d Treat the greatest number of patients in the shortest period of time
e Produce the greatest number of survivors based on
10. Which one of the following statements concerning spine and spinal
available resources cord trauma is true?
a A normal lateral c-spine film excludes injury
4. Which one of the following statements is correct? b A vertebral injury is unlikely in the absence of physical findings of
a Cerebral contusions may coalesce to form an a cord injury
intracerebral hematoma c A patient with a suspected spine injury requires immobilization on
b Epidural hematomas are usually seen in frontal region a short spine
c Subdural hematomas are caused by injury to the middle d Diaphragmatic breathing in an unconscious patient who has fallen
meningeal artery is a sign of spine injury
d Subdural hematomas typically have a lenticular shape on CT scan e Determination of whether a spinal cord lesion is complete
e The associated brain damage is more severe in epidural hematomas or incomplete must be made in the primary survey
5. An 18 year old male is brought to the emergency department after having 11. A 20 year old athlete is involve in a motorcycle crash. When he arrives in
been shot. He has one bullet wound just below the right clavicle and the emergency department, he shouts that he cannot move his legs. On
another just below the costal margin in the right posterior axillary line. His physical examination, there are no abnormalities of the chest, abdomen
BP is 110/60 mmHg, HR is 90 bpm, and RR is 34 bpm. After ensuring a or pelvis. The patient has no sensation in his legs and cannot move them,
patent airway and inserting 2 large caliber iv line, the next appropriate but his arms are moving. The patient’s RR is 22 bpm, HR is 88 bpm, and
step is to: BP is 80/60 mmHg. He is pale and sweaty. What is the most likely cause
a Obtain a portable chest x-ray of this condition?
b Administer a bolus of additional iv fluid a Neurogenic shock
c Perform a laparotomy b Cardiogenic shock
d Obtain an abdominal CT scan c Abdominal hemorrhage
e Perform diagnostic peritoneal lavage d Myocardial contusion
e Hyperthermia
6. An 8 year old boy falls 4,5 meters (15 feet) from a tree and is brought to
the emergency department by his family. His vital signs are normal, but 12. A 28 year old male is brought to the emergency department. He was
he complains of left upper quadrant pain. An abdominal CT scan reveals a involved in a flight in which he was beaten with a wooden stick. His
moderately severe laceration of the spleen. The receiving institution does chest shows multiple severe bruises. His airway is clear, RR is 22 bpm,
not have 24 hour a day operating room capabilities. The most appropriate HR is 126 bpm, and SBP is 90 mmHg. Which of the following should be
management of this patient would be: performed during the primary survey?
a Type and crossmatch for blood a GCS
b Request consultation of a pediatrician b Cervical spine x-ray
c Transfer the patient to a trauma center c TT administration
d Admit the patient to the ICU d Blood alcohol level
e Prepare the patient for surgery the next day e Rectal exam
7. A 17 year old helmeted motorcyclist is struck broadside by an automobile 13. Which one of the following statements is true regarding access in
at an intersection. He is unconscious at the scene with a BP of 140/90 pediatric resuscitation?
mmHg, HR of 90 bpm, and RR of 22 bpm. His respirations are sonorous a Intraosseous access should only be considered after
and deep. His GCS score is 6. Immobilization of the entire patient may five percutaneous attempts
include the use of all the following, except: b Cut down at the ankle is a preferred initial access technique
a Air splints c Blood transfusion can be delivered through intraosseous access
b Bolstering devices d Internal jugular cannulation is the next preferred opinion
c ... when percutaneous venous access fails
d ... e Intraosseous cannulation should be first choice for access
e ...
14. A 23 year old male is stabbed below the right nipple. He is alert, and
8. A construction worker falls from a scaffold and is transferred to the his oxygen saturation is 98%. Chest tube was placed for treatment of
emergency department. His HR is 124 bpm and BP is 85/60 mmHg. He hemopneumothorax. BP is 90/60 mmHg after administration of 1 L of
complains of lower abdominal pain. After assessing the airway and crystalloid solution. What is the next step in treatment?
chest, a Re-examine the chest
1
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answers (answers outlined!!) 2023
rce was downloaded by 100000849987416 from CourseHero.com on 08-20-2023 06:02:01 GMT -05:00
Downloaded by: FLYINGHIGHER | Want to earn
$1.236
https://www.coursehero.com/file/209874499/Stuvia-1232910-pDoisstt-rtiebsut-taiotlns-o20f 2th1i-sshdiontcau-rm-weindtyias-mi l l extra per year?
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ATLS-POST ANDMaterial PRE TEST COMPLETED exam questions with
Shinta R. Widya, MD – Post Test answers (answers outlined!!) 2023
ATLS
1. Which of the following signs is LEAST reliable for diagnosing
immobilizing the c-spine and initiating fluid resuscitation, the next step is
esophageal intubation?
to perform:
a Symmetrical chest wall movement
a FAST exam
b End tidal CO2 presence by colorimetry
b Detailed neurological exam
c Bilateral breath sounds
c Rectal exam
d Oxygen saturation >92%
d Cervical spine x-ray
e ETT above carina on chest x-ray
e Urethral catheterization
2. Which one of the following signs necessitates a definitive airway in
9. A 22 year old male sustains a shotgun wound to the left shoulder and chest
severe trauma patients?
at close range. His BP is 80/40 mmHg and his HR is 130 bpm. After 2 liters
a Facial lacerations of crystalloid solution are rapidly infused, his BP increases to 122/84
b Repeated vomiting
mmHg, and HR decreases to 100 bpm. He is tachypneic with RR of 28
c Severe maxillofacial fractures bpm. On physical examination, his breath sounds are decreased at the left
d Sternal fracture upper chest with dullness on percussion. A large caliber (36 french) tube
e GCS score of 12 thoracostomy is inserted in the fifth intercostal space with the return of
200 ml of blood and no air leak. The most appropriate next step is to:
3. Twenty seven patients are seriously injured in an aircraft crash at a a Insert a folley catheter
local airport. The principles of triage include: b Begin to transfuse o-negative blood
a Establish a triage site within the internal perimeter of the crash site c Perform thoracotomy
b Treat only the most severely injured patients first d Obtain a CT scan of the chest and abdomen
c Immediately transport all patients to the nearest hospital
e Repeat the physical examination of the chest
d Treat the greatest number of patients in the shortest period of time
e Produce the greatest number of survivors based on
10. Which one of the following statements concerning spine and spinal
available resources cord trauma is true?
a A normal lateral c-spine film excludes injury
4. Which one of the following statements is correct? b A vertebral injury is unlikely in the absence of physical findings of
a Cerebral contusions may coalesce to form an a cord injury
intracerebral hematoma c A patient with a suspected spine injury requires immobilization on
b Epidural hematomas are usually seen in frontal region a short spine
c Subdural hematomas are caused by injury to the middle d Diaphragmatic breathing in an unconscious patient who has fallen
meningeal artery is a sign of spine injury
d Subdural hematomas typically have a lenticular shape on CT scan e Determination of whether a spinal cord lesion is complete
e The associated brain damage is more severe in epidural hematomas or incomplete must be made in the primary survey
5. An 18 year old male is brought to the emergency department after having 11. A 20 year old athlete is involve in a motorcycle crash. When he arrives in
been shot. He has one bullet wound just below the right clavicle and the emergency department, he shouts that he cannot move his legs. On
another just below the costal margin in the right posterior axillary line. His physical examination, there are no abnormalities of the chest, abdomen
BP is 110/60 mmHg, HR is 90 bpm, and RR is 34 bpm. After ensuring a or pelvis. The patient has no sensation in his legs and cannot move them,
patent airway and inserting 2 large caliber iv line, the next appropriate but his arms are moving. The patient’s RR is 22 bpm, HR is 88 bpm, and
step is to: BP is 80/60 mmHg. He is pale and sweaty. What is the most likely cause
a Obtain a portable chest x-ray of this condition?
b Administer a bolus of additional iv fluid a Neurogenic shock
c Perform a laparotomy b Cardiogenic shock
d Obtain an abdominal CT scan c Abdominal hemorrhage
e Perform diagnostic peritoneal lavage d Myocardial contusion
e Hyperthermia
6. An 8 year old boy falls 4,5 meters (15 feet) from a tree and is brought to
the emergency department by his family. His vital signs are normal, but 12. A 28 year old male is brought to the emergency department. He was
he complains of left upper quadrant pain. An abdominal CT scan reveals a involved in a flight in which he was beaten with a wooden stick. His
moderately severe laceration of the spleen. The receiving institution does chest shows multiple severe bruises. His airway is clear, RR is 22 bpm,
not have 24 hour a day operating room capabilities. The most appropriate HR is 126 bpm, and SBP is 90 mmHg. Which of the following should be
management of this patient would be: performed during the primary survey?
a Type and crossmatch for blood a GCS
b Request consultation of a pediatrician b Cervical spine x-ray
c Transfer the patient to a trauma center c TT administration
d Admit the patient to the ICU d Blood alcohol level
e Prepare the patient for surgery the next day e Rectal exam
7. A 17 year old helmeted motorcyclist is struck broadside by an automobile 13. Which one of the following statements is true regarding access in
at an intersection. He is unconscious at the scene with a BP of 140/90 pediatric resuscitation?
mmHg, HR of 90 bpm, and RR of 22 bpm. His respirations are sonorous a Intraosseous access should only be considered after
and deep. His GCS score is 6. Immobilization of the entire patient may five percutaneous attempts
include the use of all the following, except: b Cut down at the ankle is a preferred initial access technique
a Air splints c Blood transfusion can be delivered through intraosseous access
b Bolstering devices d Internal jugular cannulation is the next preferred opinion
c ... when percutaneous venous access fails
d ... e Intraosseous cannulation should be first choice for access
e ...
14. A 23 year old male is stabbed below the right nipple. He is alert, and
8. A construction worker falls from a scaffold and is transferred to the his oxygen saturation is 98%. Chest tube was placed for treatment of
emergency department. His HR is 124 bpm and BP is 85/60 mmHg. He hemopneumothorax. BP is 90/60 mmHg after administration of 1 L of
complains of lower abdominal pain. After assessing the airway and crystalloid solution. What is the next step in treatment?
chest, a Re-examine the chest
1
This study source was downloaded by 110000000000884299968872441961 from CourseHero.com on 0087--2208--22002231 0064:0524:0119 GMT -
05:00 Want to earn
Downloaded by: FLYINGHIGHER | $1.236
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m e n t i s ill e g a l f extra per year?
