Advanced Trauma Life Support (ATLS)
Advanced Trauma11th
LifeEdition
SupportTest Bank
(ATLS)
11th Edition Test Bank: 150 Questions &
Answers (Verified Answers) With
Detailed Rationales || Complete A+
Guide
Emergency decompression of the brain with a subdural hematoma should be evacuated if
there is a midline shift of what amount?
A. 1 mm
B. 2 mm
C. 5 mm
D. 10 mm –
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Advanced Trauma Life Support (ATLS)
Correct Answer :C. 5 mm 11th Edition Test Bank
To relieve a right tension pneumothorax, where should the needle should be placed?
A. 4th intercostal space left of the mediastinum
B. 2nd intercostal space left of the mediastinum
C. 4th intercostal space right of the mediastinum
D. 2nd intercostal space right of the mediastinum –
Correct Answer :D. 2nd intercostal space right of the mediastinum
A patient has been in a major MVA and is comatose. He has a high level of alcohol and is
hypothermic. Which of the following test can stand alone in certifying the patient as brain
dead?
A. Apnea test
B. Absence of oculocephalic and oculovestibular reflexes
C. Absence of blood flow on cerebral angiogram after warming
D. EEG –
Correct Answer :C. Absence of blood flow on cerebral angiogram after warming
A 30 year old male is brought to the hospital after falling 20 feet. Inspection reveals an
obvious flail chest on the right. The patient is tachypenic. Breath sounds are present and
symmetric. There is no significant hyperresonance or dullness. ABG obtained while the patient
receives oxygen by face mask are: PaO2 of 45, PaCO2 of 28, and pH of 7.47. The component
of injury that is most likely responsible for abnormalities in the patient's blood gases is:
A. Hypoventilation
B. Pulmonary contusion
C. Hypovolemia
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Advanced Trauma Life Support (ATLS)
D. Small pneumothorax 11th Edition Test Bank
E. Flail chest –
Correct Answer :A. Hypoventilation
retaining CO2, respiratory alkalosis
A 14 year old female is brought to the ED after falling from a horse. She is immoblized on a
long spine board with a hard collar and blocks. Cervical spine x-ray: - Correct Answer :??
The first priority in management of a long bone fracture is:
A. Reduction of pain
B. Prevention of infection in case of an open fracture
C. Prevention of further soft tissue injury
D. Improve long term function
E. Control of hemorrhage –
Correct Answer :E. Control of hemorrhage
stop the bleeding!
The most SPECIFIC test to evaluate for injuries of solid abdominal organs is:
A. Abdominal x-ray
B. Abdominal ultrasound
C. Diagnostic peritoneal lavage
D. Frequent abdominal examination
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Advanced Trauma Life Support (ATLS)
E. CT Abd/Pelvis – 11th Edition Test Bank
Correct Answer :E. CT Abd/Pelvis
To establish a diagnosis of shock,
A. Systolic blood pressure must be below 90mmHg
B. The presence of a closed head injury should be excluded
C. Acidosis should be present by arterial blood gas analysis
D. The patient must fail to respond to intravenous fluid infusion
E. Clinical evidence of inadequate organ perfusion must be present.
- Correct Answer :E. Clinical evidence of inadequate organ perfusion must be present.
A 29 year old female arrives in the ED after being involved in a motor vehicle crash. She is 30
weeks pregnant. She was restrained with a lap and shoulder belt, and an airbag deployed.
Which one of the following statements best describes the risk of injury?
A. The deployment of the airbag increased the risk of fetal loss
B. The risk of premature fetal delivery and death is reduced by the use of restraints
C. The use of seatbelts is associated with increased risk of maternal death
D. The mechanism of injury suggests the need for emergency C section due to the risk of
impending abruptio placentae
E. The deployment of the airbag increases the risk of maternal abdominal injury –
Correct Answer :B. The risk of premature fetal delivery and death is reduced by the use of
restraints
The most important consequence of inadequate organ perfusion is:
A. Vasodilation