ATLS PRE-TEST QUESTIONS WITH 100% CORRECT
gh gh gh gh gh
ANSWERS 2024/25 gh gh
AK22-year-
old ghman ghis ghhypotensive ghand ghtachycardic ghafter gha ghshotgun ghwound ghto ghthe ghleft ghshoulder. ghHis ghblood
ghpressure ghis ghinitially gh80/40Kmm ghHg. ghAfter ghinitial ghfluid ghresuscitation ghhis ghblood ghpressure ghincreases
ghto gh122/84 ghmm ghHg. ghHis ghheart ghrate ghis ghnow gh100 ghbeats ghper ghminute ghand ghhis ghrespiratory ghrate ghis
gh28 ghbreaths ghper ghminute. ghA ghtube ghthoraco ghstomy ghis ghperformed ghfor ghdecreased ghleft ghchest ghbreath
ghsounds ghwith ghthe ghreturn ghof gha ghsmall ghamount ghof ghblood gha ghnd ghno ghair ghleak. ghAfter ghchest ghtube
ghinsertion, ghthe ghmost ghappropriate ghnext ghstep ghis: gh- ghcorrect ghanswer-- gh*Re-
examine ghthe ghchest*
- Perform ghan ghaortogram
- Obtain gha ghCT ghscan ghof ghthe ghchest
- Obtain ghABG ghanalysis
- Transesophageal ghechocardiography
A ghconstruction ghworker ghfalls ghtwo ghstoriesKfrom gha ghbuilding ghand ghsustains ghbilateral ghcalcaneal
ghfractures. ghIn ghthe ghe ghmergency ghdepartment, ghhe ghis ghalert, ghvital ghsigns ghare ghnormal, ghand ghhe
ghisKcomplaining ghof ghsevere ghpain ghin ghboth ghhe ghels ghand ghhis ghlower ghback. ghLower ghextremity ghpulses ghare
ghstrong ghand ghthere ghis ghno ghother ghdeformity. ghThe ghsuspected ghdiagnosis ghis ghmost ghlikely ghto ghbe
ghconfirmed ghby: gh- ghcorrect ghanswer-- ghcomplete ghspine ghx-ray ghseries
Which ghof ghthe ghfollowing ghis ghtrue ghregardingKthe ghinitial ghresuscitation ghof gha ghtrauma ghpatient? gh- ghcorrect
ghanswer--
A ghpatient ghwith gha ghtorso ghgunshot ghwound ghand ghhypotension ghshould ghreceive ghcrystalloid ghfluid
ghresuscitation ghunti ghl ghthe ghblood ghpressure ghis ghnormal
-
* ghEvidence ghof ghimproved ghperfusion ghafter ghfluid ghresuscitation ghcould ghinclude ghimprovement ghin
ghGlasgow ghComa ghScale ghscore ghon ghreevaluation*
-
Massive ghtransfusion ghis ghdefined ghas ghtransfusion ghof ghmore ghthan gh10 ghunits ghof ghpacked ghred ghblood ghcells
ghand ghplasm gha ghwithin gh24 ghhours
- When ghtranexamic ghacid ghis ghadministered ghby ghpre-
hospital ghproviders, gha ghsecond ghdose ghis ghrequired ghwithin gh24 ghhours
- Fluid ghresuscitation ghis ghfar ghmore ghimportant ghthan ghbleeding ghcontrol ghin ghtrauma ghpatient
In ghmanaging gha ghpatient ghwith gha ghsevere ghtraumatic ghbrain ghinjury, ghthe ghmost ghimportant ghinitial ghstep
ghis ghto: gh- ghcorrect ghanswer-- ghSecure ghthe ghairway
, AKpreviously ghhealthy, gh70-kg gh(154-
pound) ghman ghsuffers ghan ghestimated ghacute ghblood ghloss ghof gh2 ghliters. ghWhich ghone ghof ghthe ghfollowing
ghstatements ghapp ghlies ghto ghthis ghpatient? gh- ghcorrect ghanswer-- ghHis ghpulse ghpressure ghwill ghbe ghwidened.
- His ghurinary ghoutput ghwill ghbe ghat ghthe ghlower ghlimits ghof ghnormal. ghxxx
- He ghwill ghhave ghtachycardia, ghbut ghno ghchange ghin ghhis ghsystolic ghblood ghpressure.
- *An ghABG ghwould ghdemonstrate gha ghbase ghdeficit ghbetween gh-6 ghand gh-10 ghmEq/L.*
- His ghsystolic ghblood ghpressure ghwill ghbe ghmaintained ghwith ghan ghelevated ghdiastolic ghpressure.
The ghphysiological ghhypervolemia ghof ghpregnancy ghhas ghclinical ghsignificance ghin ghthe ghmanagement ghof ghthe
ghseverely ghinjured, ghgravid ghwoman ghby: gh-Kcorrect ghanswer--
increasing ghthe ghvolume ghof ghblood ghloss ghto ghproduce ghmaternal ghhypotension.
The ghbest ghassessment ghof ghfluid ghresuscitation ghof ghthe ghadult ghburn ghpatient ghis: gh- ghcorrect
ghanswer-- ghurinary ghoutput ghof gh0.5 ghmL/kg/hr
The ghdiagnosis ghof ghshock ghmust ghinclude: gh- ghcorrect ghanswer-- ghevidence ghof ghinadequate ghorgan ghperfusion
A gh7-year-
old ghboy ghis ghbrought ghto ghthe ghemergency ghdepartment ghby ghhis ghparents ghseveral ghminutes ghafter ghhe ghfell
ghthrough gha ghw ghindow. ghHe ghis ghbleeding ghprofusely ghfrom gha gh6-
cm ghwound ghof ghhis ghmedial ghright ghthigh. ghImmediate ghmanagement ghof ghthe ghwound ghshould
ghconsistKof: gh- ghcorrect ghanswer-- ghdirect ghpressure ghon ghthe ghwound
For ghthe ghpatient ghwith ghsevere ghtraumatic ghbrain ghinjury, ghprofound ghhypocarbia ghshould ghbe ghavoided ghto
ghprevent: gh- ghcorrect ghanswer-- ghrespiratory ghacidosis ghxxx
- metabolic ghacidosis
- *Cerebral ghvasoconstriction ghwith ghdiminished ghperfusion*
- neurogenic ghpulmonary ghedema
- shift ghof ghthe ghoxyhemoglobin ghdissociation ghcurve
After ghbeing ghinvolved ghin gha ghmotor ghvehicle ghcrash, gha gh25-year-
old ghman ghis ghbrought ghto gha ghhospital ghthat ghhas ghsurgery ghcapabilities ghavailable. ghComputed ghtomography ghof
ghthe ghch
gh gh gh gh gh
ANSWERS 2024/25 gh gh
AK22-year-
old ghman ghis ghhypotensive ghand ghtachycardic ghafter gha ghshotgun ghwound ghto ghthe ghleft ghshoulder. ghHis ghblood
ghpressure ghis ghinitially gh80/40Kmm ghHg. ghAfter ghinitial ghfluid ghresuscitation ghhis ghblood ghpressure ghincreases
ghto gh122/84 ghmm ghHg. ghHis ghheart ghrate ghis ghnow gh100 ghbeats ghper ghminute ghand ghhis ghrespiratory ghrate ghis
gh28 ghbreaths ghper ghminute. ghA ghtube ghthoraco ghstomy ghis ghperformed ghfor ghdecreased ghleft ghchest ghbreath
ghsounds ghwith ghthe ghreturn ghof gha ghsmall ghamount ghof ghblood gha ghnd ghno ghair ghleak. ghAfter ghchest ghtube
ghinsertion, ghthe ghmost ghappropriate ghnext ghstep ghis: gh- ghcorrect ghanswer-- gh*Re-
examine ghthe ghchest*
- Perform ghan ghaortogram
- Obtain gha ghCT ghscan ghof ghthe ghchest
- Obtain ghABG ghanalysis
- Transesophageal ghechocardiography
A ghconstruction ghworker ghfalls ghtwo ghstoriesKfrom gha ghbuilding ghand ghsustains ghbilateral ghcalcaneal
ghfractures. ghIn ghthe ghe ghmergency ghdepartment, ghhe ghis ghalert, ghvital ghsigns ghare ghnormal, ghand ghhe
ghisKcomplaining ghof ghsevere ghpain ghin ghboth ghhe ghels ghand ghhis ghlower ghback. ghLower ghextremity ghpulses ghare
ghstrong ghand ghthere ghis ghno ghother ghdeformity. ghThe ghsuspected ghdiagnosis ghis ghmost ghlikely ghto ghbe
ghconfirmed ghby: gh- ghcorrect ghanswer-- ghcomplete ghspine ghx-ray ghseries
Which ghof ghthe ghfollowing ghis ghtrue ghregardingKthe ghinitial ghresuscitation ghof gha ghtrauma ghpatient? gh- ghcorrect
ghanswer--
A ghpatient ghwith gha ghtorso ghgunshot ghwound ghand ghhypotension ghshould ghreceive ghcrystalloid ghfluid
ghresuscitation ghunti ghl ghthe ghblood ghpressure ghis ghnormal
-
* ghEvidence ghof ghimproved ghperfusion ghafter ghfluid ghresuscitation ghcould ghinclude ghimprovement ghin
ghGlasgow ghComa ghScale ghscore ghon ghreevaluation*
-
Massive ghtransfusion ghis ghdefined ghas ghtransfusion ghof ghmore ghthan gh10 ghunits ghof ghpacked ghred ghblood ghcells
ghand ghplasm gha ghwithin gh24 ghhours
- When ghtranexamic ghacid ghis ghadministered ghby ghpre-
hospital ghproviders, gha ghsecond ghdose ghis ghrequired ghwithin gh24 ghhours
- Fluid ghresuscitation ghis ghfar ghmore ghimportant ghthan ghbleeding ghcontrol ghin ghtrauma ghpatient
In ghmanaging gha ghpatient ghwith gha ghsevere ghtraumatic ghbrain ghinjury, ghthe ghmost ghimportant ghinitial ghstep
ghis ghto: gh- ghcorrect ghanswer-- ghSecure ghthe ghairway
, AKpreviously ghhealthy, gh70-kg gh(154-
pound) ghman ghsuffers ghan ghestimated ghacute ghblood ghloss ghof gh2 ghliters. ghWhich ghone ghof ghthe ghfollowing
ghstatements ghapp ghlies ghto ghthis ghpatient? gh- ghcorrect ghanswer-- ghHis ghpulse ghpressure ghwill ghbe ghwidened.
- His ghurinary ghoutput ghwill ghbe ghat ghthe ghlower ghlimits ghof ghnormal. ghxxx
- He ghwill ghhave ghtachycardia, ghbut ghno ghchange ghin ghhis ghsystolic ghblood ghpressure.
- *An ghABG ghwould ghdemonstrate gha ghbase ghdeficit ghbetween gh-6 ghand gh-10 ghmEq/L.*
- His ghsystolic ghblood ghpressure ghwill ghbe ghmaintained ghwith ghan ghelevated ghdiastolic ghpressure.
The ghphysiological ghhypervolemia ghof ghpregnancy ghhas ghclinical ghsignificance ghin ghthe ghmanagement ghof ghthe
ghseverely ghinjured, ghgravid ghwoman ghby: gh-Kcorrect ghanswer--
increasing ghthe ghvolume ghof ghblood ghloss ghto ghproduce ghmaternal ghhypotension.
The ghbest ghassessment ghof ghfluid ghresuscitation ghof ghthe ghadult ghburn ghpatient ghis: gh- ghcorrect
ghanswer-- ghurinary ghoutput ghof gh0.5 ghmL/kg/hr
The ghdiagnosis ghof ghshock ghmust ghinclude: gh- ghcorrect ghanswer-- ghevidence ghof ghinadequate ghorgan ghperfusion
A gh7-year-
old ghboy ghis ghbrought ghto ghthe ghemergency ghdepartment ghby ghhis ghparents ghseveral ghminutes ghafter ghhe ghfell
ghthrough gha ghw ghindow. ghHe ghis ghbleeding ghprofusely ghfrom gha gh6-
cm ghwound ghof ghhis ghmedial ghright ghthigh. ghImmediate ghmanagement ghof ghthe ghwound ghshould
ghconsistKof: gh- ghcorrect ghanswer-- ghdirect ghpressure ghon ghthe ghwound
For ghthe ghpatient ghwith ghsevere ghtraumatic ghbrain ghinjury, ghprofound ghhypocarbia ghshould ghbe ghavoided ghto
ghprevent: gh- ghcorrect ghanswer-- ghrespiratory ghacidosis ghxxx
- metabolic ghacidosis
- *Cerebral ghvasoconstriction ghwith ghdiminished ghperfusion*
- neurogenic ghpulmonary ghedema
- shift ghof ghthe ghoxyhemoglobin ghdissociation ghcurve
After ghbeing ghinvolved ghin gha ghmotor ghvehicle ghcrash, gha gh25-year-
old ghman ghis ghbrought ghto gha ghhospital ghthat ghhas ghsurgery ghcapabilities ghavailable. ghComputed ghtomography ghof
ghthe ghch
