ATLS Post Test
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1. A 22 year old male is brought by ambulance to a small E. Tracheobronchial injury
community hospital after falling from the top of an
8 foot ladder. Initially, he was found to have a large
right pneumothorax. A chest tube was inserted and
connected to an underwater seal drainage collection
system with negative pressure. A repeat CXR demon-
strates a residual, large right pneumothorax. After
transferring the patient to a verified trauma center, a
third chest x-ray reveals a persistent right pneumoth-
orax. The chest tube appears to be functioning and in
good position. He remains hemodynamically normal
with no signs of respiratory distress. The most likely
cause for the persistent right pneumothorax is:
A. Flail chest
B. Diaphragmatic injury
C. Pulmonary contusion
D. Esophageal perforation
E. Tracheobronchial injury
2. Which of the following is LEAST reliable for diagnosing D. oxygen saturation
ESOPHAGEAL intubation? >92%
A. symmetrical chest wall movement -> if it says ESOPHAGEAL,
B. end-tidal CO2 go with this answer
C. bilateral breath sounds
D. oxygen saturation >92%
E. ETT above carina on chest x-ray
3. Which of the following signs necessitates the need for C. Severe maxillofacial
a definitive airway in severe trauma patient? trauma
A. facial lacerations
B. repeated vomiting
C. severe maxillofacial trauma
, ATLS Post Test
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D. sternal fracture
E. GCS 12
4. Twenty seven people are severely injured in an air- E. Produce the great-
craft crash at a local airport. The principles of triage est number of survivors
include: based on available re-
A. establish a triage site within the internal perimeter sources
of the crash site
B. treat only the most severely injured patients first
C. immediately transport all patients to the nearest
hospital
D. treat the greatest number of patients in the short-
est period of time
E. produce the greatest number of survivors based on
available resources
5. Which of the following statements are correct? A. Cerebral contusions
A. Cerebral contusions may coalesce to form an intrac- may coalesce to form an
erebral hematoma intracerebral hematoma
B. Epidural hematomas are usually seen in the frontal EM: Epidural, middle
region meningeal
C. Subdural hematomas are caused by injury to the SuB: Subdural, Bridging
middle meningeal artery veins
D. Subdural hematomas typically have a lenticular
shape on CT
E. The associated brain damage is more severe in
epidural hematomas
6. An 18 year old male is brought to the ED after being A. Obtain a portable chest
shot. He has one bullet wound just below the right x-ray
clavicle and another just below the costal margin in need more info on chest,
the right posterior axillary line. His blood pressure is not abdomen
, ATLS Post Test
Study online at https://quizlet.com/_gorlqw
110/60, heart rate of 90, and respiratory rate of 34.
After ensuring a patent airway and inserting 2 large
caliber IV lines, the next most appropriate step is to:
A. Obtain a portable chest x-ray
B. Administer a bolus of additional IV fluid
C. Perform a laparatomy
D. Obtain an abdominal CT scan
E. Perform diagnostic peritoneal lavage
7. Which of the following should be performed FIRST D. Ensuring adequate oxy-
in any patient whose injuries may include multiple genation and ventilation
closed extremity fractures? (ABC's)
A. A thorough assessment of four limb perfusion
B. Manuevers to prevent necrosis of the skin
C. Extremity compartment syndrome release
D. Ensuring adequate oxygenation and ventilation
E. Evaluation for occult crush syndrome
8. A 22 year old male sustains a shotgun wound to the E. Repeat the physical
shoulder and chest at close range. His BP is 80/40 and exam of the chest
HR 130. After 2 L of crystalloid solution are rapidly
infused, his BP increases to 122/84 and HR decreases decreased breath sounds
to 100. He is tachypneic with RR of 28. On PE, his w/dullness -> hemotho-
breath sounds are decreased at the left upper chest rax, need tube to drain
with dullness on percussion. A large caliber tube tho- vs.
racostomy is inserted into the fifth intercostal space decreased/absent breath
with the return of 200 mL of blood and no air leak. The sounds w/hyperreso-
most appropriate next step is: nance -> tension pneu-
A. Insert a foley catheter monia, need needle de-
B. Begin to transfuse O negative blood compression followed by
C. Perform thoracotomy tube
, ATLS Post Test
Study online at https://quizlet.com/_gorlqw
D. Obtain a CT Chest/Abd
E. Repeat the physical exam of the chest
9. Which one of the following statements concerning B. A vertebral injury is un-
spine and spinal cord trauma is TRUE? likely in the absence of
A. A normal lateral C spine film excludes injury physical findings of a cord
B. A vertebral injury is unlikely in the absence of phys- injury
ical findings of a cord injury
C. A patient with a suspected spine injury requires
immobilization on a short spine
D. Diaphragmatic breathing in an unconscious patient
who has fallen is a sign of spine injury
E. Determination of whether a spinal cord lesion is
complete or incomplete must be made in the primary
survey
10. A 17 year old female is brought to the ED following a 6 D. Applying oxygen and
feet fall onto concrete. She is unresponsive and found maintaining airway
to have a RR of 32, BP of 90/60, and HR of 68. The FIRST First = ABCs
step in treatment is:
A. Administering vasopressors
B. Establishing IV access for drug-assisted intubation
C. Seeking the cause of her decreased level of con-
sciousness
D. Applying oxygen and maintaining airway
E. Excluding hemorrhage as a cause of shock
11. Signs and symptoms of airway compromise include all E. Decreased pulse pres-
of the following except: sure
A. Change in voice
B. Stridor
C. Tachypea
Study online at https://quizlet.com/_gorlqw
1. A 22 year old male is brought by ambulance to a small E. Tracheobronchial injury
community hospital after falling from the top of an
8 foot ladder. Initially, he was found to have a large
right pneumothorax. A chest tube was inserted and
connected to an underwater seal drainage collection
system with negative pressure. A repeat CXR demon-
strates a residual, large right pneumothorax. After
transferring the patient to a verified trauma center, a
third chest x-ray reveals a persistent right pneumoth-
orax. The chest tube appears to be functioning and in
good position. He remains hemodynamically normal
with no signs of respiratory distress. The most likely
cause for the persistent right pneumothorax is:
A. Flail chest
B. Diaphragmatic injury
C. Pulmonary contusion
D. Esophageal perforation
E. Tracheobronchial injury
2. Which of the following is LEAST reliable for diagnosing D. oxygen saturation
ESOPHAGEAL intubation? >92%
A. symmetrical chest wall movement -> if it says ESOPHAGEAL,
B. end-tidal CO2 go with this answer
C. bilateral breath sounds
D. oxygen saturation >92%
E. ETT above carina on chest x-ray
3. Which of the following signs necessitates the need for C. Severe maxillofacial
a definitive airway in severe trauma patient? trauma
A. facial lacerations
B. repeated vomiting
C. severe maxillofacial trauma
, ATLS Post Test
Study online at https://quizlet.com/_gorlqw
D. sternal fracture
E. GCS 12
4. Twenty seven people are severely injured in an air- E. Produce the great-
craft crash at a local airport. The principles of triage est number of survivors
include: based on available re-
A. establish a triage site within the internal perimeter sources
of the crash site
B. treat only the most severely injured patients first
C. immediately transport all patients to the nearest
hospital
D. treat the greatest number of patients in the short-
est period of time
E. produce the greatest number of survivors based on
available resources
5. Which of the following statements are correct? A. Cerebral contusions
A. Cerebral contusions may coalesce to form an intrac- may coalesce to form an
erebral hematoma intracerebral hematoma
B. Epidural hematomas are usually seen in the frontal EM: Epidural, middle
region meningeal
C. Subdural hematomas are caused by injury to the SuB: Subdural, Bridging
middle meningeal artery veins
D. Subdural hematomas typically have a lenticular
shape on CT
E. The associated brain damage is more severe in
epidural hematomas
6. An 18 year old male is brought to the ED after being A. Obtain a portable chest
shot. He has one bullet wound just below the right x-ray
clavicle and another just below the costal margin in need more info on chest,
the right posterior axillary line. His blood pressure is not abdomen
, ATLS Post Test
Study online at https://quizlet.com/_gorlqw
110/60, heart rate of 90, and respiratory rate of 34.
After ensuring a patent airway and inserting 2 large
caliber IV lines, the next most appropriate step is to:
A. Obtain a portable chest x-ray
B. Administer a bolus of additional IV fluid
C. Perform a laparatomy
D. Obtain an abdominal CT scan
E. Perform diagnostic peritoneal lavage
7. Which of the following should be performed FIRST D. Ensuring adequate oxy-
in any patient whose injuries may include multiple genation and ventilation
closed extremity fractures? (ABC's)
A. A thorough assessment of four limb perfusion
B. Manuevers to prevent necrosis of the skin
C. Extremity compartment syndrome release
D. Ensuring adequate oxygenation and ventilation
E. Evaluation for occult crush syndrome
8. A 22 year old male sustains a shotgun wound to the E. Repeat the physical
shoulder and chest at close range. His BP is 80/40 and exam of the chest
HR 130. After 2 L of crystalloid solution are rapidly
infused, his BP increases to 122/84 and HR decreases decreased breath sounds
to 100. He is tachypneic with RR of 28. On PE, his w/dullness -> hemotho-
breath sounds are decreased at the left upper chest rax, need tube to drain
with dullness on percussion. A large caliber tube tho- vs.
racostomy is inserted into the fifth intercostal space decreased/absent breath
with the return of 200 mL of blood and no air leak. The sounds w/hyperreso-
most appropriate next step is: nance -> tension pneu-
A. Insert a foley catheter monia, need needle de-
B. Begin to transfuse O negative blood compression followed by
C. Perform thoracotomy tube
, ATLS Post Test
Study online at https://quizlet.com/_gorlqw
D. Obtain a CT Chest/Abd
E. Repeat the physical exam of the chest
9. Which one of the following statements concerning B. A vertebral injury is un-
spine and spinal cord trauma is TRUE? likely in the absence of
A. A normal lateral C spine film excludes injury physical findings of a cord
B. A vertebral injury is unlikely in the absence of phys- injury
ical findings of a cord injury
C. A patient with a suspected spine injury requires
immobilization on a short spine
D. Diaphragmatic breathing in an unconscious patient
who has fallen is a sign of spine injury
E. Determination of whether a spinal cord lesion is
complete or incomplete must be made in the primary
survey
10. A 17 year old female is brought to the ED following a 6 D. Applying oxygen and
feet fall onto concrete. She is unresponsive and found maintaining airway
to have a RR of 32, BP of 90/60, and HR of 68. The FIRST First = ABCs
step in treatment is:
A. Administering vasopressors
B. Establishing IV access for drug-assisted intubation
C. Seeking the cause of her decreased level of con-
sciousness
D. Applying oxygen and maintaining airway
E. Excluding hemorrhage as a cause of shock
11. Signs and symptoms of airway compromise include all E. Decreased pulse pres-
of the following except: sure
A. Change in voice
B. Stridor
C. Tachypea
