ATLS Practice Test
4
1
, 1. A 25-year-old man, injured in a motor vehicular crash, is admitted to the emergency department.
His pupils react sluggishly and his eyes open to painful stimuli. He does not follow commands,
but he does moan periodically. His right arm is deformed and does not respond to painful
stimulus; however, his left hand reaches toward it. Both legs are stiffly extended. His Glasgow
Coma Scale score is
a. two
b. four
c. six
d. nine
e. twelve
2. Which one of the following statements concerning massive hemothorax is TRUE?
a. It is usually caused by blunt thoracic trauma.
b. It is commonly confused with a pneumothorax.
c. The diagnosis should be confirmed by upright, plain chest roentgenograms prior to
treatment.
d. The initial draining of 1,000 mL of blood after chest tube insertion requires
immediate thoracotomy.
e. The condition should be suspected in situations associated with shock and unilateral
absent breath sounds.
3. A 25-year-old man is brought to the hospital after being involved in a motor vehicular crash when
his car struck a bridge abutment. He is intoxicated, has a Glasgow Coma Scale score of 13, and
complains of abdominal pain. His blood pressure was 80 mm Hg systolic by palpation on
admission to the hospital, but it rapidly increased to 110/70 with the administration of
intravenous fluids. His heart rate is now 120 beats per minute. The chest roentgenogram shows
loss of the aortic knob, widening of the mediastinum, no rib fractures, and no
hemopneumothorax. Contrast CT angiography
a. is not indicated.
b. should be performed after tube thoracostomy.
c. is not necessary if non-contrast CT scan of the chest is normal.
d. should be performed after a FAST scan.
e. is positive for aortic rupture in 80% of similar cases.
4. Which one of the following statements regarding abdominal trauma in the pregnant patient is
TRUE?
a. The fetus is in jeopardy only with major abdominal trauma.
b. Leakage of amniotic fluid is an indication for hospital admission.
c. Indications for peritoneal lavage are different from those in the nonpregnant patient.
d. Penetration of an abdominal hollow viscus is more common in late than in early pregnancy.
2
4
1
, 1. A 25-year-old man, injured in a motor vehicular crash, is admitted to the emergency department.
His pupils react sluggishly and his eyes open to painful stimuli. He does not follow commands,
but he does moan periodically. His right arm is deformed and does not respond to painful
stimulus; however, his left hand reaches toward it. Both legs are stiffly extended. His Glasgow
Coma Scale score is
a. two
b. four
c. six
d. nine
e. twelve
2. Which one of the following statements concerning massive hemothorax is TRUE?
a. It is usually caused by blunt thoracic trauma.
b. It is commonly confused with a pneumothorax.
c. The diagnosis should be confirmed by upright, plain chest roentgenograms prior to
treatment.
d. The initial draining of 1,000 mL of blood after chest tube insertion requires
immediate thoracotomy.
e. The condition should be suspected in situations associated with shock and unilateral
absent breath sounds.
3. A 25-year-old man is brought to the hospital after being involved in a motor vehicular crash when
his car struck a bridge abutment. He is intoxicated, has a Glasgow Coma Scale score of 13, and
complains of abdominal pain. His blood pressure was 80 mm Hg systolic by palpation on
admission to the hospital, but it rapidly increased to 110/70 with the administration of
intravenous fluids. His heart rate is now 120 beats per minute. The chest roentgenogram shows
loss of the aortic knob, widening of the mediastinum, no rib fractures, and no
hemopneumothorax. Contrast CT angiography
a. is not indicated.
b. should be performed after tube thoracostomy.
c. is not necessary if non-contrast CT scan of the chest is normal.
d. should be performed after a FAST scan.
e. is positive for aortic rupture in 80% of similar cases.
4. Which one of the following statements regarding abdominal trauma in the pregnant patient is
TRUE?
a. The fetus is in jeopardy only with major abdominal trauma.
b. Leakage of amniotic fluid is an indication for hospital admission.
c. Indications for peritoneal lavage are different from those in the nonpregnant patient.
d. Penetration of an abdominal hollow viscus is more common in late than in early pregnancy.
2
