ATLS 10th Edition Post Test Study Guide |
Trauma Assessment, Practice Questions &
Correct Answers.
1. Which of the following is the recommended Method for treatment frostbite?
A. Vasodilators
B. Anticigulants
C. Warm (40 degrees) water
D. Padding and elevation
E. Application of heat from a hairdryer:
Correct Answer C. Warm (40 degrees) water
2. Which of the following physical findings suggest a cause of hypotension other than
spinal cord injury?
A. Priapism
B. Bradycardia
,C. Diaphragmatic breathing
D. Presence of deep tendon reflexes
E. Ability to flex forearms but not extend them:
Correct Answer D. Presence of deep tendon reflexes. Spinal shock refers to loss of muscle toe (flaccidty) and loss of
reflexes.
3. The primary indication for transferring A patient to a higher level trauma center is:
A. Unavailibility of surgeon or operating staff
B. Multiple system injuries, including severe head injury
C. Resource limitations as determined by the transferring doctor
D. Resource limitations as determined by the hospital administration
E. Widened mediastinum on chest x-ray following blunt trauma:
Correct Answer C. Resource limita-tions as determined by the transferring doctor
4. A young man sustains a rifle wound to the mid-abdomen. He is brought promptly to the
ED by prehospital personnel. His skin is cool and diaphoretic, and his systolic blood pressure
is 58mmHg. Warmed crystalloid fluids are initiated without improvement in his vital signs.
The next, most appropriate, step is to perform:
A. a laparotomy
B. An abdominal CT-scan
C. Diagnostic laparoscopy
D. Abdominal ultrasonography
,E. A diagnostic peritoneal lavage:
Correct Answer A. Laparotomy because of hemodynamic abnormality
, 5. A 42-year-old man is trapped from the waist down beneath his overturned tractor for several
hours before medical assistance arrives. He is awake and alert until just before arriving in the
ED. He is now unconscious and responds only to painful stimuli by moaning. His pupils are
3mm in diameter and symmetrically reactive to light. Prehospital personnel indicate that they
have not seen the patient move either of his lower extremities. On examination in the ED, no
movement of his lower extremities are detected, even in response to painful stimuli. The most
likely cause for this finding is:
A. An epidural hematoma
B. A pelvic fracture
C. Central cord syndrome
D. Intracerebral hemorrhage
E. Bilateral compartment syndrome:
Correct Answer E. Bilateral compartment syndrome
6. A 6-year-o boy is struck by an automobile and brought to the ED. He is lethargic, but
withdraws purposefully from painful stimuli. His blood pressure is 90mmHg systolic, heart rate
140 beats per minute and his respiratory rate is 36 breaths per minute. The preferred route of
venous access in this patient is:
A. Percutaneous femoral vein cannulation
B. Cutdown on the saphenous vein at the ankle
C. Intraosseous catheter placement in the proximal tibia
D. Percutaneous peripheral veins in the upper extremities
E. Central venous access via the subclavian or internal jugular vein:
Correct Answer D. Percutaneous peripheral veins in the upper extremities
Trauma Assessment, Practice Questions &
Correct Answers.
1. Which of the following is the recommended Method for treatment frostbite?
A. Vasodilators
B. Anticigulants
C. Warm (40 degrees) water
D. Padding and elevation
E. Application of heat from a hairdryer:
Correct Answer C. Warm (40 degrees) water
2. Which of the following physical findings suggest a cause of hypotension other than
spinal cord injury?
A. Priapism
B. Bradycardia
,C. Diaphragmatic breathing
D. Presence of deep tendon reflexes
E. Ability to flex forearms but not extend them:
Correct Answer D. Presence of deep tendon reflexes. Spinal shock refers to loss of muscle toe (flaccidty) and loss of
reflexes.
3. The primary indication for transferring A patient to a higher level trauma center is:
A. Unavailibility of surgeon or operating staff
B. Multiple system injuries, including severe head injury
C. Resource limitations as determined by the transferring doctor
D. Resource limitations as determined by the hospital administration
E. Widened mediastinum on chest x-ray following blunt trauma:
Correct Answer C. Resource limita-tions as determined by the transferring doctor
4. A young man sustains a rifle wound to the mid-abdomen. He is brought promptly to the
ED by prehospital personnel. His skin is cool and diaphoretic, and his systolic blood pressure
is 58mmHg. Warmed crystalloid fluids are initiated without improvement in his vital signs.
The next, most appropriate, step is to perform:
A. a laparotomy
B. An abdominal CT-scan
C. Diagnostic laparoscopy
D. Abdominal ultrasonography
,E. A diagnostic peritoneal lavage:
Correct Answer A. Laparotomy because of hemodynamic abnormality
, 5. A 42-year-old man is trapped from the waist down beneath his overturned tractor for several
hours before medical assistance arrives. He is awake and alert until just before arriving in the
ED. He is now unconscious and responds only to painful stimuli by moaning. His pupils are
3mm in diameter and symmetrically reactive to light. Prehospital personnel indicate that they
have not seen the patient move either of his lower extremities. On examination in the ED, no
movement of his lower extremities are detected, even in response to painful stimuli. The most
likely cause for this finding is:
A. An epidural hematoma
B. A pelvic fracture
C. Central cord syndrome
D. Intracerebral hemorrhage
E. Bilateral compartment syndrome:
Correct Answer E. Bilateral compartment syndrome
6. A 6-year-o boy is struck by an automobile and brought to the ED. He is lethargic, but
withdraws purposefully from painful stimuli. His blood pressure is 90mmHg systolic, heart rate
140 beats per minute and his respiratory rate is 36 breaths per minute. The preferred route of
venous access in this patient is:
A. Percutaneous femoral vein cannulation
B. Cutdown on the saphenous vein at the ankle
C. Intraosseous catheter placement in the proximal tibia
D. Percutaneous peripheral veins in the upper extremities
E. Central venous access via the subclavian or internal jugular vein:
Correct Answer D. Percutaneous peripheral veins in the upper extremities
