ATLS 2025 Questions and Answers ()
(Verified Answers)
.22 year old male fall from 2m, large right pneumothorax. Chest tube placed,
connected to drainage. Control x-ray shows pneumothorax, third x-ray reveals
pneumothorax - ANSWER-Tracheobronchal injury
.30-year-old woman fell down four stair landing on concrete. Unconscious for 5
minutes after the fall, full consciousness during 10 minute transport to hospital,
GCS 15, complaint is a slight headache, 30 minute later she is unresponsive with
GCS 6 and left pupil is large. - ANSWER-Epidural hematoma
.A 14 year old female is brought to the ED after falling from a horse. She is
immobilized on a long spine board with a hard collar and blocks. Cervical spine
x-ray:
A. Will show cervical spine injury in more than 20% of these patients
B. Will exclude cervical spine injury if no abnormalities are found on the x-rays
C. Are not needed if she is awake, alert, neurologically normal, and has no neck
pain or midline tenderness
D. Should be performed before adressing potential breating or circulatory
problems
E. May show atlanto-occipital dislocation if the Powers ratio is <1 --> 1:noraml,
>1 anterior, <1 posterior - ANSWER-C. Are not needed if she is awake, alert,
neurologically normal, and has no neck pain or midline tenderness
,.A 15 year old male is brought to the ED after being involved in a motor vehicle
crash. He is unconscious and was intubated at the scene by emergency
personnel. Upon arrival at the ED, the patients oxygen saturation is 92%, HR is
96 bpm and BP is 150/85 Breath sounds are decreased on the left side of the
thorax. The next step is:
A. Immediate needle crycothyroidotomy
B. Reassess the position of the endotracheal tube
C. Chest tube insertion
D. Immediate needle thoracentesis
E. Obtain a chest x-ray - ANSWER-B. Reassess the position of the endotracheal
tube
.A 15 year old male present following a motorcycle crash. INitial examinations
reveals normal vital signs. There is a large bruise over his epigastrium that
extends to the left flank. He has no other apparent injuries. A CT-scan of the
abdomen demonstrate a ruptured spleen surrounded by a large hematoma and
fluid in the pelvis. The next step in the patients management is:
A. Splenic artery embolization
B. Pneumococcal vaccine
C. Urgent laparotomy
D. Surgical consult
E. Transfer to a pediatrician - ANSWER-D. Surgical consult
Hemodynamisk stabil, ingen fri luft.
.A 17 year old female is brought to the ED following a 2 meter fall onto
concrete. She is unresponsive and found to have a RR of 32, BP 90/60 and HR
68. The first step in treatment is:
A. Adminstering vasopressors
,B. Establishing IV access for drug-assisted intubation
C. Seeking the cause of her decreased level of consciousness
D. Applying oxygen and maintaining airway
E. Excluding hemorrhage as a cause of shock - ANSWER-D. Applying oxygen and
maintaining airway
.A 17-year-old helmeted motorcyclist is struck broadside by an automobile at an
intersection. He is unconscious at the scene with a blood pressure of
140/90mmHg, heart rate of 90 beats per minute, and respiratory rate of 22
breaths per minute. His respirations are sonorous and deep. His GCS score is 6.
Immobilization of the entire patient may include the use of all the following
EXCEPT:
A. Air splints
B. Bolstering devices
C. A long spine board
D. A scoop-style stretcher
E. A semi-rigid cervical collar - ANSWER-A. Air splints
.A 17-year-old helmeted motorcyclist loses consciousness when he is struck
broad side by an automobile at an intersection. He arrives in the ED with a
blood pressure of 140/92, pulse rate 88 beats per minute, a respiratory rate of
18 breaths per minue, and a GCS of 7. Appropriate initial immobilization of this
patient should include a semi-rigid cervical collar and:
A. A scoop stretcher
B. A long spine board
C. A short spine board
D. Cervical traction tongs
, E. Pneumatic antishock garment - ANSWER-B. A long spine board
.A 20 year old athlete is involved in a motorcycle crash. When he arrives in the
ED, he shouts that he cannot move his legs. On physical examination, there are
noe abnormalities of the chest, abdomen or pelvis. The patient has no sensation
in his legs and cannot move them, but his arms are moving. The patients RR is
28 bpm, HR is 88bpm and BP is 80/60mmHg. He is pale and sweaty. What is the
most likely cause of this condition?
A. Neurogenic shock
B. Cardiogenic shock
C. Abdominal hemorrhage
D. Myocardial contusion
E. Hyperthermia. - ANSWER-A. Neurogenic shock
.A 20 year old male is brought to the hospital approximately 30 minutes after
being stabbed in the chest. There is 3cm wound just medial to the left nipple.
His BP is 70/33 and HR is 140. Neck and arm veins are distended. Breath sounds
are normal. Heart sounds are diminshed, iv access has been established and
warm crystalloid is infusing. The next most important aspect of immediate
management is:
A. CT scan of the chest
B. 12 lead ECG
C. Left tube thoracostomy
D. Begin infusion of RBCs
E. FAST exam - ANSWER-E. FAST exam For å se etter tamponade? Normale
resp.lyder bilateralt taler mot trykkpneumothorax. EKG vil ikke gi noe
informasjon. Thoracostomy ikke indisert da det ikke er mistenkt
pneumo/hemothorax. CT uaktuelt pga hemodynamisk ustabil
(Verified Answers)
.22 year old male fall from 2m, large right pneumothorax. Chest tube placed,
connected to drainage. Control x-ray shows pneumothorax, third x-ray reveals
pneumothorax - ANSWER-Tracheobronchal injury
.30-year-old woman fell down four stair landing on concrete. Unconscious for 5
minutes after the fall, full consciousness during 10 minute transport to hospital,
GCS 15, complaint is a slight headache, 30 minute later she is unresponsive with
GCS 6 and left pupil is large. - ANSWER-Epidural hematoma
.A 14 year old female is brought to the ED after falling from a horse. She is
immobilized on a long spine board with a hard collar and blocks. Cervical spine
x-ray:
A. Will show cervical spine injury in more than 20% of these patients
B. Will exclude cervical spine injury if no abnormalities are found on the x-rays
C. Are not needed if she is awake, alert, neurologically normal, and has no neck
pain or midline tenderness
D. Should be performed before adressing potential breating or circulatory
problems
E. May show atlanto-occipital dislocation if the Powers ratio is <1 --> 1:noraml,
>1 anterior, <1 posterior - ANSWER-C. Are not needed if she is awake, alert,
neurologically normal, and has no neck pain or midline tenderness
,.A 15 year old male is brought to the ED after being involved in a motor vehicle
crash. He is unconscious and was intubated at the scene by emergency
personnel. Upon arrival at the ED, the patients oxygen saturation is 92%, HR is
96 bpm and BP is 150/85 Breath sounds are decreased on the left side of the
thorax. The next step is:
A. Immediate needle crycothyroidotomy
B. Reassess the position of the endotracheal tube
C. Chest tube insertion
D. Immediate needle thoracentesis
E. Obtain a chest x-ray - ANSWER-B. Reassess the position of the endotracheal
tube
.A 15 year old male present following a motorcycle crash. INitial examinations
reveals normal vital signs. There is a large bruise over his epigastrium that
extends to the left flank. He has no other apparent injuries. A CT-scan of the
abdomen demonstrate a ruptured spleen surrounded by a large hematoma and
fluid in the pelvis. The next step in the patients management is:
A. Splenic artery embolization
B. Pneumococcal vaccine
C. Urgent laparotomy
D. Surgical consult
E. Transfer to a pediatrician - ANSWER-D. Surgical consult
Hemodynamisk stabil, ingen fri luft.
.A 17 year old female is brought to the ED following a 2 meter fall onto
concrete. She is unresponsive and found to have a RR of 32, BP 90/60 and HR
68. The first step in treatment is:
A. Adminstering vasopressors
,B. Establishing IV access for drug-assisted intubation
C. Seeking the cause of her decreased level of consciousness
D. Applying oxygen and maintaining airway
E. Excluding hemorrhage as a cause of shock - ANSWER-D. Applying oxygen and
maintaining airway
.A 17-year-old helmeted motorcyclist is struck broadside by an automobile at an
intersection. He is unconscious at the scene with a blood pressure of
140/90mmHg, heart rate of 90 beats per minute, and respiratory rate of 22
breaths per minute. His respirations are sonorous and deep. His GCS score is 6.
Immobilization of the entire patient may include the use of all the following
EXCEPT:
A. Air splints
B. Bolstering devices
C. A long spine board
D. A scoop-style stretcher
E. A semi-rigid cervical collar - ANSWER-A. Air splints
.A 17-year-old helmeted motorcyclist loses consciousness when he is struck
broad side by an automobile at an intersection. He arrives in the ED with a
blood pressure of 140/92, pulse rate 88 beats per minute, a respiratory rate of
18 breaths per minue, and a GCS of 7. Appropriate initial immobilization of this
patient should include a semi-rigid cervical collar and:
A. A scoop stretcher
B. A long spine board
C. A short spine board
D. Cervical traction tongs
, E. Pneumatic antishock garment - ANSWER-B. A long spine board
.A 20 year old athlete is involved in a motorcycle crash. When he arrives in the
ED, he shouts that he cannot move his legs. On physical examination, there are
noe abnormalities of the chest, abdomen or pelvis. The patient has no sensation
in his legs and cannot move them, but his arms are moving. The patients RR is
28 bpm, HR is 88bpm and BP is 80/60mmHg. He is pale and sweaty. What is the
most likely cause of this condition?
A. Neurogenic shock
B. Cardiogenic shock
C. Abdominal hemorrhage
D. Myocardial contusion
E. Hyperthermia. - ANSWER-A. Neurogenic shock
.A 20 year old male is brought to the hospital approximately 30 minutes after
being stabbed in the chest. There is 3cm wound just medial to the left nipple.
His BP is 70/33 and HR is 140. Neck and arm veins are distended. Breath sounds
are normal. Heart sounds are diminshed, iv access has been established and
warm crystalloid is infusing. The next most important aspect of immediate
management is:
A. CT scan of the chest
B. 12 lead ECG
C. Left tube thoracostomy
D. Begin infusion of RBCs
E. FAST exam - ANSWER-E. FAST exam For å se etter tamponade? Normale
resp.lyder bilateralt taler mot trykkpneumothorax. EKG vil ikke gi noe
informasjon. Thoracostomy ikke indisert da det ikke er mistenkt
pneumo/hemothorax. CT uaktuelt pga hemodynamisk ustabil
