361061653 Post Test Atls Updated 2023-100%
Pass
1. Which of the following signs is LEAST reliable for diagnosing esophageal intubation?
a Symmetrical chest wall movement b
End tidal CO2 presence by colorimetry
c Bilateral breath sounds d Oxygen
saturation >92% e ETT above carina on
chest x-ray
2. Which one of the following signs necessitates a definitive airway in severe
trauma patients? a Facial lacerations b Repeated vomiting c Severe
maxillofacial fractures d Sternal fracture e GCS score of 12
3. Twenty seven patients are seriously injured in an aircraft crash at a local
airport. The principles of triage include: a Establish a triage site within
the internal perimeter 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 shortest period of
time e Produce the greatest number of survivors based on available
resources
4. Which one of the following statements is correct?
a Cerebral contusions may coalesce to form an intracerebral
hematoma
b Epidural hematomas are usually seen in frontal region c Subdural
hematomas are caused by injury to the middle meningeal artery d
Subdural hematomas typically have a lenticular shape on CT scan e The
associated brain damage is more severe in epidural hematomas 5. An 18
361061653 Post Test Atls Updated 2023-100% Pass
,year old male is brought to the emergency department after having been
shot. He has one bullet wound just below the right clavicle and another
just below the costal margin in the right posterior axillary line. His BP is
110/60 mmHg, HR is 90 bpm, and RR is 34 bpm. After ensuring a
patent airway and inserting 2 large caliber iv line, the next appropriate
step is to:
a Obtain a portable chest x-ray b
Administer a bolus of additional iv fluid
c Perform a laparotomy d Obtain an
abdominal CT scan e Perform diagnostic
peritoneal lavage
6. An 8 year old boy falls 4,5 meters (15 feet) from a tree and is brought to the
emergency department by his family. His vital signs are normal, but he complains
of left upper quadrant pain. An abdominal CT scan reveals a moderately severe
laceration of the spleen. The receiving institution does not have 24 hour a day
operating room capabilities. The most appropriate management of this patient
would be: a Type and crossmatch for blood b Request consultation of a
pediatrician c Transfer the patient to a trauma center d Admit the patient to the
ICU e Prepare the patient for surgery the next day
7. A 17 year old helmeted motorcyclist is struck broadside by an automobile
at an intersection. He is unconscious at the scene with a BP of 140/90
mmHg, HR of 90 bpm, and RR of 22 bpm. 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 ... d
...
e ...
8. A construction worker falls from a scaffold and is transferred to the
emergency department. His HR is 124 bpm and BP is 85/60 mmHg. He
complains of lower abdominal pain. After assessing the airway and chest,
immobilizing the c-spine and initiating fluid resuscitation, the next step is to
perform: a FAST exam b Detailed neurological exam c Rectal exam d
Cervical spine x-ray e Urethral catheterization
9. A 22 year old male sustains a shotgun wound to the left shoulder and
chest at close range. His BP is 80/40 mmHg and his HR is 130 bpm. After 2
liters of crystalloid solution are rapidly infused, his BP increases to 122/84
mmHg, and HR decreases to 100 bpm. He is tachypneic with RR of 28 bpm.
On physical examination, his breath sounds are decreased at the left upper
chest with dullness on percussion. A large caliber (36 french) tube
thoracostomy is inserted in the fifth intercostal space with the return of
200 ml of blood and no air leak. The most appropriate next step is to:
a Insert a folley catheter
b Begin to transfuse o-negative blood c Perform thoracotomy d
Obtain a CT scan of the chest and abdomen e Repeat the physical
examination of the chest
10. Which one of the following statements concerning spine and spinal
cord trauma is true? a A normal lateral c-spine film excludes injury b A
vertebral injury is unlikely in the absence of physical 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
361061653 Post Test Atls Updated 2023-100% Pass
Pass
1. Which of the following signs is LEAST reliable for diagnosing esophageal intubation?
a Symmetrical chest wall movement b
End tidal CO2 presence by colorimetry
c Bilateral breath sounds d Oxygen
saturation >92% e ETT above carina on
chest x-ray
2. Which one of the following signs necessitates a definitive airway in severe
trauma patients? a Facial lacerations b Repeated vomiting c Severe
maxillofacial fractures d Sternal fracture e GCS score of 12
3. Twenty seven patients are seriously injured in an aircraft crash at a local
airport. The principles of triage include: a Establish a triage site within
the internal perimeter 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 shortest period of
time e Produce the greatest number of survivors based on available
resources
4. Which one of the following statements is correct?
a Cerebral contusions may coalesce to form an intracerebral
hematoma
b Epidural hematomas are usually seen in frontal region c Subdural
hematomas are caused by injury to the middle meningeal artery d
Subdural hematomas typically have a lenticular shape on CT scan e The
associated brain damage is more severe in epidural hematomas 5. An 18
361061653 Post Test Atls Updated 2023-100% Pass
,year old male is brought to the emergency department after having been
shot. He has one bullet wound just below the right clavicle and another
just below the costal margin in the right posterior axillary line. His BP is
110/60 mmHg, HR is 90 bpm, and RR is 34 bpm. After ensuring a
patent airway and inserting 2 large caliber iv line, the next appropriate
step is to:
a Obtain a portable chest x-ray b
Administer a bolus of additional iv fluid
c Perform a laparotomy d Obtain an
abdominal CT scan e Perform diagnostic
peritoneal lavage
6. An 8 year old boy falls 4,5 meters (15 feet) from a tree and is brought to the
emergency department by his family. His vital signs are normal, but he complains
of left upper quadrant pain. An abdominal CT scan reveals a moderately severe
laceration of the spleen. The receiving institution does not have 24 hour a day
operating room capabilities. The most appropriate management of this patient
would be: a Type and crossmatch for blood b Request consultation of a
pediatrician c Transfer the patient to a trauma center d Admit the patient to the
ICU e Prepare the patient for surgery the next day
7. A 17 year old helmeted motorcyclist is struck broadside by an automobile
at an intersection. He is unconscious at the scene with a BP of 140/90
mmHg, HR of 90 bpm, and RR of 22 bpm. 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 ... d
...
e ...
8. A construction worker falls from a scaffold and is transferred to the
emergency department. His HR is 124 bpm and BP is 85/60 mmHg. He
complains of lower abdominal pain. After assessing the airway and chest,
immobilizing the c-spine and initiating fluid resuscitation, the next step is to
perform: a FAST exam b Detailed neurological exam c Rectal exam d
Cervical spine x-ray e Urethral catheterization
9. A 22 year old male sustains a shotgun wound to the left shoulder and
chest at close range. His BP is 80/40 mmHg and his HR is 130 bpm. After 2
liters of crystalloid solution are rapidly infused, his BP increases to 122/84
mmHg, and HR decreases to 100 bpm. He is tachypneic with RR of 28 bpm.
On physical examination, his breath sounds are decreased at the left upper
chest with dullness on percussion. A large caliber (36 french) tube
thoracostomy is inserted in the fifth intercostal space with the return of
200 ml of blood and no air leak. The most appropriate next step is to:
a Insert a folley catheter
b Begin to transfuse o-negative blood c Perform thoracotomy d
Obtain a CT scan of the chest and abdomen e Repeat the physical
examination of the chest
10. Which one of the following statements concerning spine and spinal
cord trauma is true? a A normal lateral c-spine film excludes injury b A
vertebral injury is unlikely in the absence of physical 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
361061653 Post Test Atls Updated 2023-100% Pass
