Shinta R. Widya, MD – Post Test ATLS
1. Which of the following signs is LEAST reliable for diagnosing immobilizing the c-spine and initiating fluid
esophageal intubation? perform:
a Symmetrical chest wall movement a FAST exam
b End tidal CO2 presence by b Detailed neurological
colorimetry c Bilateral breath sounds exam c Rectal exam
d Oxygen saturation >92% d Cervical spine x-ray
e ETT above carina on chest x-ray e Urethral catheterization
2. Which one of the following signs necessitates a definitive airway in 9. A 22 year old male sustains a shotgun wound
severe trauma patients? at close range. His BP is 80/40 mmHg and h
a Facial lacerations of crystalloid solution are rapidly infused, h
b Repeated vomiting
mmHg, and HR decreases to 100 bpm. He is
c Severe maxillofacial fractures
On physical examination, his breath sounds
d Sternal fracture
chest with dullness on percussion. A large c
e GCS score of 12
thoracostomy is inserted in the fifth interco
200 ml of blood and no air leak. The most a
3. Twenty seven patients are seriously injured in an aircraft crash at a
to: a Insert a folley catheter
local airport. The principles of triage include:
b Begin to transfuse o-negative blood
a Establish a triage site within the internal p erimeter of the crash
c Perform thoracotomy
site b Treat only the most severely injured patients first
d Obtain a CT scan of the c hest and a
c Immediately transport all patients to the nearest hospital
e Repeat the physical examination of
d Treat the greatest number of patients in the shortest period of
chest
time e Produce the greatest number of survivors based on available
resources
10. Which one of the following statements conc
trauma is true?
4. Which one of the following statements is correct? a A normal lateral c-spine film exclude
a Cerebral contusions may coalesce to form an b A vertebral injury is unlikely in the a
intracerebral hematoma a cord injury
b Epidural hematomas are usually seen in frontal region
c A patient with a suspected spine inju
c Subdural hematomas are caused by injury to the middle a short spine
meningeal artery
d Diaphragmatic breathing in an uncon
d Subdural hematomas typically have a lenticular shape on CT scan is a sign of spine injury
e The associated brain damage is more severe in epidural hematomas e Determination of whether a spinal c
or incomplete must be made in the p
5. An 18 year old male is brought to the emergency department after having
been shot. He has one bullet wound j ust below the right clavicle and
11. A 20 year old athlete is involve in a motorcy
another just below the costal margin in the right posterior axillary line. the emergency department, he shouts that
His BP is 110/60 mmHg, HR is 90 bpm, and RR is 34 bpm. After ensuring a physical examination, there are no abnorma
patent airway and inserting 2 large caliber iv line, the next appropriate or pelvis. The patient has no sensation in hi
step is to: but his arms are moving. The patient’s RR is
a Obtain a portable chest x-ray BP is
b Administer a bolus of additional iv 80/60 mmHg. He is pale and sweaty. What i
fluid c Perform a laparotomy condition?
d Obtain an abdominal CT scan a Neurogenic shock
e Perform diagnostic peritoneal lavage b Cardiogenic shock
c Abdominal hemorrhage
6. An 8 year old boy falls 4,5 meters (15 feet) from a tree and is brought to d Myocardial contusion
the emergency department by his family. His vital signs are normal, but he e Hyperthermia
complains of left upper quadrant pain. An abdominal CT scan reveals a
moderately severe laceration of the spleen. The receiving institution does 12. A 28 year old male is brought to the emerge
not have 24 hour a day operating room capabilities. The most appropriate involved in a flight in which he was beaten
management of this patient would be: chest shows multiple severe bruises. His air
a Type and crossmatch for blood HR is 126 bpm, and SBP is 90 mmHg. Which
b Request consultation of a pediatrician performed during the primary survey?
c Transfer the patient to a trauma a GCS
center d Admit the patient to the ICU b Cervical spine x-ray
e Prepare the patient for surgery the next day c TT administration
d Blood alcohol level
7. A 17 year old helmeted motorcyclist is struck broadside by an automobile e Rectal exam
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 13. Which one of the following statements is tr
, Shinta R. Widya, MD – Post Test ATLS
This study source was downloaded by 100000821877874 from CourseHero.com on 02-02-2022 10:58:20 GMT -06:00
1. Which of the following signs is LEAST reliable for diagnosing immobilizing the c-spine and initiating fluid
esophageal intubation? perform:
a Symmetrical chest wall movement a FAST exam
b End tidal CO2 presence by b Detailed neurological
colorimetry c Bilateral breath sounds exam c Rectal exam
d Oxygen saturation >92% d Cervical spine x-ray
e ETT above carina on chest x-ray e Urethral catheterization
2. Which one of the following signs necessitates a definitive airway in 9. A 22 year old male sustains a shotgun wound
severe trauma patients? at close range. His BP is 80/40 mmHg and h
a Facial lacerations of crystalloid solution are rapidly infused, h
b Repeated vomiting
mmHg, and HR decreases to 100 bpm. He is
c Severe maxillofacial fractures
On physical examination, his breath sounds
d Sternal fracture
chest with dullness on percussion. A large c
e GCS score of 12
thoracostomy is inserted in the fifth interco
200 ml of blood and no air leak. The most a
3. Twenty seven patients are seriously injured in an aircraft crash at a
to: a Insert a folley catheter
local airport. The principles of triage include:
b Begin to transfuse o-negative blood
a Establish a triage site within the internal p erimeter of the crash
c Perform thoracotomy
site b Treat only the most severely injured patients first
d Obtain a CT scan of the c hest and a
c Immediately transport all patients to the nearest hospital
e Repeat the physical examination of
d Treat the greatest number of patients in the shortest period of
chest
time e Produce the greatest number of survivors based on available
resources
10. Which one of the following statements conc
trauma is true?
4. Which one of the following statements is correct? a A normal lateral c-spine film exclude
a Cerebral contusions may coalesce to form an b A vertebral injury is unlikely in the a
intracerebral hematoma a cord injury
b Epidural hematomas are usually seen in frontal region
c A patient with a suspected spine inju
c Subdural hematomas are caused by injury to the middle a short spine
meningeal artery
d Diaphragmatic breathing in an uncon
d Subdural hematomas typically have a lenticular shape on CT scan is a sign of spine injury
e The associated brain damage is more severe in epidural hematomas e Determination of whether a spinal c
or incomplete must be made in the p
5. An 18 year old male is brought to the emergency department after having
been shot. He has one bullet wound j ust below the right clavicle and
11. A 20 year old athlete is involve in a motorcy
another just below the costal margin in the right posterior axillary line. the emergency department, he shouts that
His BP is 110/60 mmHg, HR is 90 bpm, and RR is 34 bpm. After ensuring a physical examination, there are no abnorma
patent airway and inserting 2 large caliber iv line, the next appropriate or pelvis. The patient has no sensation in hi
step is to: but his arms are moving. The patient’s RR is
a Obtain a portable chest x-ray BP is
b Administer a bolus of additional iv 80/60 mmHg. He is pale and sweaty. What i
fluid c Perform a laparotomy condition?
d Obtain an abdominal CT scan a Neurogenic shock
e Perform diagnostic peritoneal lavage b Cardiogenic shock
c Abdominal hemorrhage
6. An 8 year old boy falls 4,5 meters (15 feet) from a tree and is brought to d Myocardial contusion
the emergency department by his family. His vital signs are normal, but he e Hyperthermia
complains of left upper quadrant pain. An abdominal CT scan reveals a
moderately severe laceration of the spleen. The receiving institution does 12. A 28 year old male is brought to the emerge
not have 24 hour a day operating room capabilities. The most appropriate involved in a flight in which he was beaten
management of this patient would be: chest shows multiple severe bruises. His air
a Type and crossmatch for blood HR is 126 bpm, and SBP is 90 mmHg. Which
b Request consultation of a pediatrician performed during the primary survey?
c Transfer the patient to a trauma a GCS
center d Admit the patient to the ICU b Cervical spine x-ray
e Prepare the patient for surgery the next day c TT administration
d Blood alcohol level
7. A 17 year old helmeted motorcyclist is struck broadside by an automobile e Rectal exam
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 13. Which one of the following statements is tr
, Shinta R. Widya, MD – Post Test ATLS
This study source was downloaded by 100000821877874 from CourseHero.com on 02-02-2022 10:58:20 GMT -06:00
