https://mcatest.wixsite.com/atls
ATLS Practice Test 5
1. A 30-year-old female has severe maxillofacial trauma and gurgling respirations. She is
hemodynamically stable without obvious severe hemorrhage. The first airway maneuver should
be:
a. blind nasotracheal intubation
b. suctioning, jaw thrust, then O2
c. immediate surgical airway
d. RSI with cricoid pressure
e. C-spine radiographs
2. Considerations in geriatric trauma include:
a. tachycardia is reliable indicator of shock despite beta-blocker usage.
b. no CPR
c. anticoagulants rarely matter
d. pain control should be withheld
e. lower physiologic reserve; avoid permissive hypotension; high index for occult injury
3. Which is true concerning electrical burns?
a. ECG, CK, and renal function may need to be monitored
b. rhabdomyolysis is rare if voltage is under 2,000 volts
c. only superficial damage is done if duration is less than one second
d. they never cause compartment syndrome
e. the Rule of Nines guides management
4. A 42-year-old male drowning victim is hypoxic and confused with a GCS of 8. What should be
the next step after attempted artificial respiration?
a. Heimlich maneuver
b. observe
c. oxygenation and RSI
d. diuretics
e. antibiotics
5. A 35-year-old female has second and third degree burns covering 50% TBSA and soot in the
mouth. What is the priority in management?
a. observe
b. early intubation
c. CPAP
d. cricothyroidotomy now
e. cooling bath
1
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6. A 50-year-old male involved in a motor vehicle collision presents with the seat belt sign. He has
stable vital signs, but abdominal tenderness. The primary survey, including FAST, is essentially
normal. In the secondary survey, what diagnostic mode would be most appropriate?
a. DPL
b. chest and abdominopelvic CT with IV contrast
c. complete abdominal ultrasound
d. MRI
e. abdominal radiograph
7. In the above patient, which labs should be monitored?
a. lipase
b. D-dimer
c. troponin
d. lactate, WBC, lipase
e. glucose and ketones
8. A ventilated trauma patient develops acute hypotension and desaturation. The most likely cause
to treat first is:
a. myocardial contusion
b. hemothorax
c. cardiac tamponade
d. pulmonary contusion
e. tension pneumothorax
9. A 32-year-old female sustained a crush injury to her leg. She now has dark urine and rising
creatinine. First-line management includes:
a. fluid restriction
b. aggressive IV fluids and monitor Cr, electrolytes, and ECG
c. immediate dialysis for all
d. No role for ECG monitoring
e. IVP
10. A 50-year-old male sustains a closed femur fracture. He is hemodynamically stable, but his foot
is cool and pulseless. What is the immediate next step?
a. CT angiography and vascular surgery consult
b. gentle alignment, traction splint, and reassess pulses
c. open reduction and internal fixation
d. observation
e. thrombolysis
2
ATLS Practice Test 5
1. A 30-year-old female has severe maxillofacial trauma and gurgling respirations. She is
hemodynamically stable without obvious severe hemorrhage. The first airway maneuver should
be:
a. blind nasotracheal intubation
b. suctioning, jaw thrust, then O2
c. immediate surgical airway
d. RSI with cricoid pressure
e. C-spine radiographs
2. Considerations in geriatric trauma include:
a. tachycardia is reliable indicator of shock despite beta-blocker usage.
b. no CPR
c. anticoagulants rarely matter
d. pain control should be withheld
e. lower physiologic reserve; avoid permissive hypotension; high index for occult injury
3. Which is true concerning electrical burns?
a. ECG, CK, and renal function may need to be monitored
b. rhabdomyolysis is rare if voltage is under 2,000 volts
c. only superficial damage is done if duration is less than one second
d. they never cause compartment syndrome
e. the Rule of Nines guides management
4. A 42-year-old male drowning victim is hypoxic and confused with a GCS of 8. What should be
the next step after attempted artificial respiration?
a. Heimlich maneuver
b. observe
c. oxygenation and RSI
d. diuretics
e. antibiotics
5. A 35-year-old female has second and third degree burns covering 50% TBSA and soot in the
mouth. What is the priority in management?
a. observe
b. early intubation
c. CPAP
d. cricothyroidotomy now
e. cooling bath
1
, https://mcatest.wixsite.com/atls
6. A 50-year-old male involved in a motor vehicle collision presents with the seat belt sign. He has
stable vital signs, but abdominal tenderness. The primary survey, including FAST, is essentially
normal. In the secondary survey, what diagnostic mode would be most appropriate?
a. DPL
b. chest and abdominopelvic CT with IV contrast
c. complete abdominal ultrasound
d. MRI
e. abdominal radiograph
7. In the above patient, which labs should be monitored?
a. lipase
b. D-dimer
c. troponin
d. lactate, WBC, lipase
e. glucose and ketones
8. A ventilated trauma patient develops acute hypotension and desaturation. The most likely cause
to treat first is:
a. myocardial contusion
b. hemothorax
c. cardiac tamponade
d. pulmonary contusion
e. tension pneumothorax
9. A 32-year-old female sustained a crush injury to her leg. She now has dark urine and rising
creatinine. First-line management includes:
a. fluid restriction
b. aggressive IV fluids and monitor Cr, electrolytes, and ECG
c. immediate dialysis for all
d. No role for ECG monitoring
e. IVP
10. A 50-year-old male sustains a closed femur fracture. He is hemodynamically stable, but his foot
is cool and pulseless. What is the immediate next step?
a. CT angiography and vascular surgery consult
b. gentle alignment, traction splint, and reassess pulses
c. open reduction and internal fixation
d. observation
e. thrombolysis
2
