ATLS Post Test. MCQ With Answers
1. Which h,of h,the h,following h,signs h,is h,LEAST h,reliable h,for h,diagnosing h,esophageal h,intubation?
a. symmetrical h,chest h,wall h,movement
b. end-tidal h,CO2 h,presence h,by h,colorimetry
c. bilateral h,breath h,sounds
d. oxygen h,saturation h,>92%
e. ETT h,above h,carina h,on h,chest h,x-ray
2. Which h,of h,the h,following h,signs h,the h,necessitates h,a h,definitive h,airway h,in h,severe h,trauma h,patients?
a. fascial h,lacerations
b. repeated h,vomiting
c. severe h,maxillofacial h,fractures
d. sternal h,fracture
e. Glasgow h,Coma h,Scale h,score h,of h,12
3. Twenty-seven h , patients h , are h , seriously h , injured h , in h , an h , aircraft h , crash h , at h , a
h , local h , airport. h , The h,principles h,of h,triage h, include:
a. establish h,a h,triage h,site h,within h,the h,internal h,perimeter h,of h,the h,crash h,site
b. treat h,only h,the h,most h,severely h,injured h,patients h,first
c. immediately h,transport h,all h,patients h,to h,the h,nearest h,hospital
d. treat h,the h,greatest h,number h,of h,patients h,in h,the h,shortest h,period h,of h,time
e. produce h,the h,greatest h,number h,of h,survivors h,based h,on h,available h,resources
4. Which h,of h,the h,following h,statements h,is h,correct?
a. Cerebral h,contusions h,may h,coalesce h,to h,form h,an h,intracerebral h,hematoma.
b. Epidural h,hematomas h,are h,usually h,seen h,in h,the h,frontal h,region.
c. Subdural h,hematomas h,are h,caused h,by h,injury h,to h,the h,middle h,meningeal h,artery.
d. Subdural h,hematomas h,typically h,have h,a h,lenticular h,shape h,on h,CT h,scan.
e. The h,associated h,brain h,damage h,is h,more h,severe h,in h,epidural h,hematomas.
5. An h,18-ycar-old h,male h,is h,brought h,to h,the h,emergenc} h,department h,after h,having
h, been h,shot. h,He h,has h,one h,bullet h,wound h,just h,below h, the h,right h,clavicle h,and h, another
h,just h, below h,the h,costal h, margin h, in h,the h,right h,posterior h,axillary h,line. h,His h, blood
h,pressure h, is110/60 h, mm h, Hg. h, heart h,rate h, is h,90 h, beats h,per h, minute, h,and h,respiratory
h,rate h, is h,34 h, breaths h,per h, minute. h,After h,ensuring h,a h, patent h,airway h,and h, inserting h,2
h, large h, caliber h,IVlines., h,the h, next h,appropriate h, step h, is h,to: h,a. h,obtain h,a h,portable
h,chest h, x-ray
b. administer h,a h,bolus h,of h,additional h,IV h,fluid
, c. perform h,a h,laparotomy
d. obtain h,an h,abdominal h,CT h,scan
e. perform h,diagnostic h,peritoneal h,lavage
6. A h,47-year-old h,house h,painter h,is h,brought h,to h,the h,hospital h,after h,falling h,6 h,meters h,(20 h,feet)
h, from h,a h, ladder h, and h, landing h,straddled h,on h,a h, fence. h,Examination h,of h, his h,perineum h,reveals
h,extensive h,ecchymosis. h,There h, is h, a h, blood h, in h,the h,external h,urethral h, meatus. h,The h, initial
h,diagnostic h, study h, for h,the h,evaluation h,of h,the h, urinary h,tract h, in h,this h,patient h,should h, be: h,a.
h,cystoscopy
b. cystography
c. intravenous h,pyelography
d. CT h,scan
e. retrograde h,urethrography
7. Neurogenic h,shock h,has h,all h,of h,the h,following h,classic h,characteristics h,except h,which
h,one? h,a. h,hypotension
b. vasodilation
c. bradycardia
d. neurologic h,deficit
e. narrowed h,pulse h,pressure
8. Which h , one h , of h , the h , following h , statements h , is h , false h , concerning h , Rh h , isoimmunization
h , in h , pregnant h,trauma h,patients?
a. It h,occurs h,in h,blunt h,or h,penetrating h,abdominal h,trauma.
b. It h,is h,produced h,by h,minor h,degrees h,of h,fetomaternal h,hemorrhage.
c. Rh h,immunoglobulin h,therapy h,should h,be h,administered h,to h,pregnant h,females h,who h,have h,sustained h,a h ,
gunshot wound to the leg.
d. This h,is h,not h,a h,problem h,in h,traumatized, h,Rh-positive h,pregnant h,patients.
e. Initiation h,of h,Rh h,immunoglobulin h,therapy h,does h,not h,require h,proof h,of h,fetomaternal h,hemorrhage.
9. An h,18-year-old h,motorcyclist h,sustains h,massive h,facial h,injuries h,in h,a h,head-on h,crash h,with h,a h,pick-up
h,truck. h,He h,is h,brought h,to h,t he h,e mergency h,department h,completely h,immobilized h,o n h,a h,long h,spine h,board h,and
h , wearing h, a h , cervical h , collar. h , His h , blood h , pressure h , is h , 150/88 h , mmHg, h , heart h , rate h , is h , 88
h , beats h , per h, minute h, and h,regular, h,and h,respiratory h,rate h, is h,26 h, breaths h,per h, minute. h,His h,respirations
h,are h, labored h,and h,sonorous. h,His h,Glasgow h,Coma h,Scale h,score h,is h,7. h,Attempts h,at h,orotracheal
h,intubation h,with h,manual h,inline h,stabilization h,of h,the h,c-spine h, are h,unsuccessful h,due h,to h,bleeding h,and
h,distorted h,anatomy. h,The h,patient h, becomes h,apneic. h,The h, best h,procedure h,for h,airway h, management h, in
h,this h,situation h, is: h,a. h, nasotracheal h, intubation
b. emercency h,tracheostomy
c. surgical h,cricothyroidotomy
d. placement h,of h,an h,oropharyngeal h,airway
e. placement h,of h,a h,nasopharyngeal h,airway
1. Which h,of h,the h,following h,signs h,is h,LEAST h,reliable h,for h,diagnosing h,esophageal h,intubation?
a. symmetrical h,chest h,wall h,movement
b. end-tidal h,CO2 h,presence h,by h,colorimetry
c. bilateral h,breath h,sounds
d. oxygen h,saturation h,>92%
e. ETT h,above h,carina h,on h,chest h,x-ray
2. Which h,of h,the h,following h,signs h,the h,necessitates h,a h,definitive h,airway h,in h,severe h,trauma h,patients?
a. fascial h,lacerations
b. repeated h,vomiting
c. severe h,maxillofacial h,fractures
d. sternal h,fracture
e. Glasgow h,Coma h,Scale h,score h,of h,12
3. Twenty-seven h , patients h , are h , seriously h , injured h , in h , an h , aircraft h , crash h , at h , a
h , local h , airport. h , The h,principles h,of h,triage h, include:
a. establish h,a h,triage h,site h,within h,the h,internal h,perimeter h,of h,the h,crash h,site
b. treat h,only h,the h,most h,severely h,injured h,patients h,first
c. immediately h,transport h,all h,patients h,to h,the h,nearest h,hospital
d. treat h,the h,greatest h,number h,of h,patients h,in h,the h,shortest h,period h,of h,time
e. produce h,the h,greatest h,number h,of h,survivors h,based h,on h,available h,resources
4. Which h,of h,the h,following h,statements h,is h,correct?
a. Cerebral h,contusions h,may h,coalesce h,to h,form h,an h,intracerebral h,hematoma.
b. Epidural h,hematomas h,are h,usually h,seen h,in h,the h,frontal h,region.
c. Subdural h,hematomas h,are h,caused h,by h,injury h,to h,the h,middle h,meningeal h,artery.
d. Subdural h,hematomas h,typically h,have h,a h,lenticular h,shape h,on h,CT h,scan.
e. The h,associated h,brain h,damage h,is h,more h,severe h,in h,epidural h,hematomas.
5. An h,18-ycar-old h,male h,is h,brought h,to h,the h,emergenc} h,department h,after h,having
h, been h,shot. h,He h,has h,one h,bullet h,wound h,just h,below h, the h,right h,clavicle h,and h, another
h,just h, below h,the h,costal h, margin h, in h,the h,right h,posterior h,axillary h,line. h,His h, blood
h,pressure h, is110/60 h, mm h, Hg. h, heart h,rate h, is h,90 h, beats h,per h, minute, h,and h,respiratory
h,rate h, is h,34 h, breaths h,per h, minute. h,After h,ensuring h,a h, patent h,airway h,and h, inserting h,2
h, large h, caliber h,IVlines., h,the h, next h,appropriate h, step h, is h,to: h,a. h,obtain h,a h,portable
h,chest h, x-ray
b. administer h,a h,bolus h,of h,additional h,IV h,fluid
, c. perform h,a h,laparotomy
d. obtain h,an h,abdominal h,CT h,scan
e. perform h,diagnostic h,peritoneal h,lavage
6. A h,47-year-old h,house h,painter h,is h,brought h,to h,the h,hospital h,after h,falling h,6 h,meters h,(20 h,feet)
h, from h,a h, ladder h, and h, landing h,straddled h,on h,a h, fence. h,Examination h,of h, his h,perineum h,reveals
h,extensive h,ecchymosis. h,There h, is h, a h, blood h, in h,the h,external h,urethral h, meatus. h,The h, initial
h,diagnostic h, study h, for h,the h,evaluation h,of h,the h, urinary h,tract h, in h,this h,patient h,should h, be: h,a.
h,cystoscopy
b. cystography
c. intravenous h,pyelography
d. CT h,scan
e. retrograde h,urethrography
7. Neurogenic h,shock h,has h,all h,of h,the h,following h,classic h,characteristics h,except h,which
h,one? h,a. h,hypotension
b. vasodilation
c. bradycardia
d. neurologic h,deficit
e. narrowed h,pulse h,pressure
8. Which h , one h , of h , the h , following h , statements h , is h , false h , concerning h , Rh h , isoimmunization
h , in h , pregnant h,trauma h,patients?
a. It h,occurs h,in h,blunt h,or h,penetrating h,abdominal h,trauma.
b. It h,is h,produced h,by h,minor h,degrees h,of h,fetomaternal h,hemorrhage.
c. Rh h,immunoglobulin h,therapy h,should h,be h,administered h,to h,pregnant h,females h,who h,have h,sustained h,a h ,
gunshot wound to the leg.
d. This h,is h,not h,a h,problem h,in h,traumatized, h,Rh-positive h,pregnant h,patients.
e. Initiation h,of h,Rh h,immunoglobulin h,therapy h,does h,not h,require h,proof h,of h,fetomaternal h,hemorrhage.
9. An h,18-year-old h,motorcyclist h,sustains h,massive h,facial h,injuries h,in h,a h,head-on h,crash h,with h,a h,pick-up
h,truck. h,He h,is h,brought h,to h,t he h,e mergency h,department h,completely h,immobilized h,o n h,a h,long h,spine h,board h,and
h , wearing h, a h , cervical h , collar. h , His h , blood h , pressure h , is h , 150/88 h , mmHg, h , heart h , rate h , is h , 88
h , beats h , per h, minute h, and h,regular, h,and h,respiratory h,rate h, is h,26 h, breaths h,per h, minute. h,His h,respirations
h,are h, labored h,and h,sonorous. h,His h,Glasgow h,Coma h,Scale h,score h,is h,7. h,Attempts h,at h,orotracheal
h,intubation h,with h,manual h,inline h,stabilization h,of h,the h,c-spine h, are h,unsuccessful h,due h,to h,bleeding h,and
h,distorted h,anatomy. h,The h,patient h, becomes h,apneic. h,The h, best h,procedure h,for h,airway h, management h, in
h,this h,situation h, is: h,a. h, nasotracheal h, intubation
b. emercency h,tracheostomy
c. surgical h,cricothyroidotomy
d. placement h,of h,an h,oropharyngeal h,airway
e. placement h,of h,a h,nasopharyngeal h,airway
