ATLS PRETEST QUESTIONS
A 24 year - old man is brought to the Emergency Department after
falling from a bull. He is immobilized on a long spine board with a hard
collar and blocks. Which of the following statements is CORRECT
regarding cervical spine xrays:
Will show cervical spine injury in more than 20% of these patients.
Will exclude cervical spine injury if no abnormalities are found on the
xrays.
Are not needed if she is awake, alert, neurologically normal, and has no
neck pain or midline tenderness.
,Should be performed before addressing potential breathing or
circulatory problems.
May show atlantooccipital dislocation if the Power's ratio is less than 1.
- Correct Answer Correct Answer ✔️✔️Are not needed if she is
awake, alert, neurologically normal, and has no neck pain or midline
tenderness.
Regarding injuries of solid abdominal organs, which is the most specific
test for their evaluation?:
Abdominal x-rays.
Abdominal ultrasonography.
Diagnostic peritoneal lavage.
Frequent abdominal examinations.
,CT of abdomen and pelvis. - Correct Answer Correct Answer ✔️
✔️CT of abdomen and pelvis.
A 35 year-old female obese patient, agitated with a Glasgow Coma
Scale score of 8 requires to be transferred to have a brain CT Scan.
Before transferring to the scanner, which is the main measure you
should take care of?:
Give more sedative drugs.
Insert a multilumen esophageal airway.
Insert a definitive airway.
Request a lateral cervical spine film.
Insert a nasogastric tube. - Correct Answer Correct Answer ✔️✔
️Insert a definitive airway.
, A 37 y/o construction worker is brought to the ED after falling from a 9
meter (30 feet) scaffolding. Heart rate 140, blood pressure 96/60 mm
Hg, and RR 36. He is complaining of lower abdominal and lower limb
pain, and has obvious deformity of both lower legs with bilateral open
tibial fractures.
Which one of the following statements concerning this patient is
CORRECT?:
Pelvic injury can be ruled out based on the mechanism of injury.
Blood loss from the lower limbs is the most likely cause of his
hypotension.
A 24 year - old man is brought to the Emergency Department after
falling from a bull. He is immobilized on a long spine board with a hard
collar and blocks. Which of the following statements is CORRECT
regarding cervical spine xrays:
Will show cervical spine injury in more than 20% of these patients.
Will exclude cervical spine injury if no abnormalities are found on the
xrays.
Are not needed if she is awake, alert, neurologically normal, and has no
neck pain or midline tenderness.
,Should be performed before addressing potential breathing or
circulatory problems.
May show atlantooccipital dislocation if the Power's ratio is less than 1.
- Correct Answer Correct Answer ✔️✔️Are not needed if she is
awake, alert, neurologically normal, and has no neck pain or midline
tenderness.
Regarding injuries of solid abdominal organs, which is the most specific
test for their evaluation?:
Abdominal x-rays.
Abdominal ultrasonography.
Diagnostic peritoneal lavage.
Frequent abdominal examinations.
,CT of abdomen and pelvis. - Correct Answer Correct Answer ✔️
✔️CT of abdomen and pelvis.
A 35 year-old female obese patient, agitated with a Glasgow Coma
Scale score of 8 requires to be transferred to have a brain CT Scan.
Before transferring to the scanner, which is the main measure you
should take care of?:
Give more sedative drugs.
Insert a multilumen esophageal airway.
Insert a definitive airway.
Request a lateral cervical spine film.
Insert a nasogastric tube. - Correct Answer Correct Answer ✔️✔
️Insert a definitive airway.
, A 37 y/o construction worker is brought to the ED after falling from a 9
meter (30 feet) scaffolding. Heart rate 140, blood pressure 96/60 mm
Hg, and RR 36. He is complaining of lower abdominal and lower limb
pain, and has obvious deformity of both lower legs with bilateral open
tibial fractures.
Which one of the following statements concerning this patient is
CORRECT?:
Pelvic injury can be ruled out based on the mechanism of injury.
Blood loss from the lower limbs is the most likely cause of his
hypotension.
