ATLS POST ACTUAL EXAM NEWEST VERSION ACTUAL
EXAM WITH VERIFIED QUESTIONS AND CORRECT
ANSWERS.
Twenty seven people are severely 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 Correct Answers E. Produce the greatest number of survivors
based on available resources
Which of the following statements are correct?
A. Cerebral contusions may coalesce to form an intracerebral hematoma
B. Epidural hematomas are usually seen in the frontal region
C. Subdural hematomas are caused by injury to the middle meningeal
artery
D. Subdural hematomas typically have a lenticular shape on CT
E. The associated brain damage is more severe in epidural hematomas
Correct Answers A. Cerebral contusions may coalesce to form an
intracerebral hematoma
EM: Epidural, middle meningeal
SuB: Subdural, Bridging veins
,An 18 year old male is brought to the ED after being 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 blood pressure is
110/60, heart rate of 90, and respiratory rate of 34. After ensuring a
patent airway and inserting 2 large caliber IV lines, the next most
appropriate step is to:
A. Obtain a portable chest x-ray
B. Administer a bolus of additional IV fluid
C. Perform a laparatomy
D. Obtain an abdominal CT scan
E. Perform diagnostic peritoneal lavage Correct Answers A. Obtain a
portable chest x-ray
need more info on chest, not abdomen
Which of the following should be performed FIRST in any patient
whose injuries may include multiple closed extremity fractures?
A. A thorough assessment of four limb perfusion
B. Manuevers to prevent necrosis of the skin
C. Extremity compartment syndrome release
D. Ensuring adequate oxygenation and ventilation
E. Evaluation for occult crush syndrome Correct Answers D. Ensuring
adequate oxygenation and ventilation
(ABC's)
A 22 year old male sustains a shotgun wound to the shoulder and chest
at close range. His BP is 80/40 and HR 130. After 2 L of crystalloid
,solution are rapidly infused, his BP increases to 122/84 and HR
decreases to 100. He is tachypneic with RR of 28. On PE, his breath
sounds are decreased at the left upper chest with dullness on percussion.
A large caliber tube thoracostomy is inserted into the fifth intercostal
space with the return of 200 mL of blood and no air leak. The most
appropriate next step is:
A. Insert a foley catheter
B. Begin to transfuse O negative blood
C. Perform thoracotomy
D. Obtain a CT Chest/Abd
E. Repeat the physical exam of the chest Correct Answers E. Repeat the
physical exam of the chest
decreased breath sounds w/dullness -> hemothorax, need tube to drain
vs.
decreased/absent breath sounds w/hyperresonance -> tension
pneumonia, need needle decompression followed by tube
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 fallen is
a sign of spine injury
E. Determination of whether a spinal cord lesion is complete or
incomplete must be made in the primary survey Correct Answers B. A
vertebral injury is unlikely in the absence of physical findings of a cord
injury
A 17 year old female is brought to the ED following a 6 feet fall onto
concrete. She is unresponsive and found to have a RR of 32, BP of
90/60, and HR of 68. The FIRST step in treatment is:
A. Administering vasopressors
B. Establishing IV access for drug-assisted intubation
C. Seeking the cause of her decreased level of consciousness
D. Applying oxygen and maintaining airway
E. Excluding hemorrhage as a cause of shock Correct Answers D.
Applying oxygen and maintaining airway
First = ABCs
Signs and symptoms of airway compromise include all of the following
except:
A. Change in voice
B. Stridor
C. Tachypea
D. Dyspnea and agitation
E. Decreased pulse pressure Correct Answers E. Decreased pulse
pressure
EXAM WITH VERIFIED QUESTIONS AND CORRECT
ANSWERS.
Twenty seven people are severely 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 Correct Answers E. Produce the greatest number of survivors
based on available resources
Which of the following statements are correct?
A. Cerebral contusions may coalesce to form an intracerebral hematoma
B. Epidural hematomas are usually seen in the frontal region
C. Subdural hematomas are caused by injury to the middle meningeal
artery
D. Subdural hematomas typically have a lenticular shape on CT
E. The associated brain damage is more severe in epidural hematomas
Correct Answers A. Cerebral contusions may coalesce to form an
intracerebral hematoma
EM: Epidural, middle meningeal
SuB: Subdural, Bridging veins
,An 18 year old male is brought to the ED after being 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 blood pressure is
110/60, heart rate of 90, and respiratory rate of 34. After ensuring a
patent airway and inserting 2 large caliber IV lines, the next most
appropriate step is to:
A. Obtain a portable chest x-ray
B. Administer a bolus of additional IV fluid
C. Perform a laparatomy
D. Obtain an abdominal CT scan
E. Perform diagnostic peritoneal lavage Correct Answers A. Obtain a
portable chest x-ray
need more info on chest, not abdomen
Which of the following should be performed FIRST in any patient
whose injuries may include multiple closed extremity fractures?
A. A thorough assessment of four limb perfusion
B. Manuevers to prevent necrosis of the skin
C. Extremity compartment syndrome release
D. Ensuring adequate oxygenation and ventilation
E. Evaluation for occult crush syndrome Correct Answers D. Ensuring
adequate oxygenation and ventilation
(ABC's)
A 22 year old male sustains a shotgun wound to the shoulder and chest
at close range. His BP is 80/40 and HR 130. After 2 L of crystalloid
,solution are rapidly infused, his BP increases to 122/84 and HR
decreases to 100. He is tachypneic with RR of 28. On PE, his breath
sounds are decreased at the left upper chest with dullness on percussion.
A large caliber tube thoracostomy is inserted into the fifth intercostal
space with the return of 200 mL of blood and no air leak. The most
appropriate next step is:
A. Insert a foley catheter
B. Begin to transfuse O negative blood
C. Perform thoracotomy
D. Obtain a CT Chest/Abd
E. Repeat the physical exam of the chest Correct Answers E. Repeat the
physical exam of the chest
decreased breath sounds w/dullness -> hemothorax, need tube to drain
vs.
decreased/absent breath sounds w/hyperresonance -> tension
pneumonia, need needle decompression followed by tube
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 fallen is
a sign of spine injury
E. Determination of whether a spinal cord lesion is complete or
incomplete must be made in the primary survey Correct Answers B. A
vertebral injury is unlikely in the absence of physical findings of a cord
injury
A 17 year old female is brought to the ED following a 6 feet fall onto
concrete. She is unresponsive and found to have a RR of 32, BP of
90/60, and HR of 68. The FIRST step in treatment is:
A. Administering vasopressors
B. Establishing IV access for drug-assisted intubation
C. Seeking the cause of her decreased level of consciousness
D. Applying oxygen and maintaining airway
E. Excluding hemorrhage as a cause of shock Correct Answers D.
Applying oxygen and maintaining airway
First = ABCs
Signs and symptoms of airway compromise include all of the following
except:
A. Change in voice
B. Stridor
C. Tachypea
D. Dyspnea and agitation
E. Decreased pulse pressure Correct Answers E. Decreased pulse
pressure
