ATLS POST TEST QUESTIONS WITH DETAILED VERIFIED
AND 100% ACCURATE ANSWERS
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 Answers C. Warm (40
degrees) water
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 Answers D.
Presence of deep tendon reflexes. Spinal shock refers to loss of muscle
toe (flaccidty) and loss of reflexes.
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
Answers C. Resource limitations as determined by the transferring
doctor
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 Answers A. Laparotomy
because of hemodynamic abnormality
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 Answers E. Bilateral
compartment syndrome
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 Answers D. Percutaneous peripheral veins in the upper
extremities
A young man sustains a gunshot wound to the abdomen and is brought
promptly to the ED by prehospital personnel. His skin is cool and
diaphoretic, and he is confused. His pulse is thready and his femoral
pulse is only weakly palpable. The definitive treatment in managing this
patient is to:
A. Administer O-negative blood
, B. Apply external warming devices
C. Control internal hemorrhage operatively
D. Apply a pneumatic antishock garment (PASG)
E. Infuse large volumes of intravenous crystalloid solutions. Correct
Answers C. Control internal hemorrhage operatively
Regarding shock in the child, which of the following is FALSE?
A. Vital signs are age-related
B. Children have greater physiologic reserves than do adults
C. Tachycardia is the primary physiologic response to hypovolemia
D. The absolute volume of blood loss required to produce shock is the
same as in adults
E. An initial fluid bolus for resuscitation should approximate 20ml/kg
Ringers Lactate Correct Answers D. The absolute volume of blood loss
required to produce shock is the same as in adults
A 33-year-old man is struck by a car travelling at 56km/h (35mph). He
has obvious fractures of the left tibia near the knee, pain in the pelvic
area, and severe dyspnea. His heart rate is 182 beats per minute, and his
respiratory rate is 48 breaths per minute with no breath sounds heard in
the left chest. A tension pneumothorax is relieved by immediate needle
decompression and tube thoracostomy. Subsequently, his heart rate
decreases to 144 beats per minute, his respirartory rate decreases to 36
breaths per minute and his blood pressure is 81/53 mmHg. Warmed
Ringers lactate is adminstered intravenously. The next priority should be
to:
A. Perform external fixation of the pelvis
AND 100% ACCURATE ANSWERS
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 Answers C. Warm (40
degrees) water
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 Answers D.
Presence of deep tendon reflexes. Spinal shock refers to loss of muscle
toe (flaccidty) and loss of reflexes.
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
Answers C. Resource limitations as determined by the transferring
doctor
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 Answers A. Laparotomy
because of hemodynamic abnormality
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 Answers E. Bilateral
compartment syndrome
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 Answers D. Percutaneous peripheral veins in the upper
extremities
A young man sustains a gunshot wound to the abdomen and is brought
promptly to the ED by prehospital personnel. His skin is cool and
diaphoretic, and he is confused. His pulse is thready and his femoral
pulse is only weakly palpable. The definitive treatment in managing this
patient is to:
A. Administer O-negative blood
, B. Apply external warming devices
C. Control internal hemorrhage operatively
D. Apply a pneumatic antishock garment (PASG)
E. Infuse large volumes of intravenous crystalloid solutions. Correct
Answers C. Control internal hemorrhage operatively
Regarding shock in the child, which of the following is FALSE?
A. Vital signs are age-related
B. Children have greater physiologic reserves than do adults
C. Tachycardia is the primary physiologic response to hypovolemia
D. The absolute volume of blood loss required to produce shock is the
same as in adults
E. An initial fluid bolus for resuscitation should approximate 20ml/kg
Ringers Lactate Correct Answers D. The absolute volume of blood loss
required to produce shock is the same as in adults
A 33-year-old man is struck by a car travelling at 56km/h (35mph). He
has obvious fractures of the left tibia near the knee, pain in the pelvic
area, and severe dyspnea. His heart rate is 182 beats per minute, and his
respiratory rate is 48 breaths per minute with no breath sounds heard in
the left chest. A tension pneumothorax is relieved by immediate needle
decompression and tube thoracostomy. Subsequently, his heart rate
decreases to 144 beats per minute, his respirartory rate decreases to 36
breaths per minute and his blood pressure is 81/53 mmHg. Warmed
Ringers lactate is adminstered intravenously. The next priority should be
to:
A. Perform external fixation of the pelvis
