ATLS Pretest
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1. A 22-year-old man is hypotensive and tachycardic after a shotgun
wound to the left shoulder. His blood pressure is initially 80/40 mm Hg.
After initial fluid resuscitation his blood pressure increases to 122/84 mm
Hg. His heart rate is now 100 beats per minute and his respiratory rate is
28 breaths per minute. A tube thoracostomy is performed for decreased
left chest breath sounds with the return of a small amount of blood and no
air leak. After chest tube insertion, the most appropriate next step is:: re-
examine the chest
2. A construction worker falls two stories from a building and sustains
bilat- eral calcaneal fractures. In the emergency department, he is alert,
vital signs are normal, and he is complaining of severe pain in both heels
and his lower back. Lower extremity pulses are strong and there is no
other deformity. The suspected diagnosis is most likely to be confirmed
by:: complete spine x-ray series
3. Which of the following is true regarding the initial resuscitation of a
trauma patient?: Evidence of improved perfusion after fluid
resuscitation could include improvement in Glasgow Coma Scale score
on reevaluation.
4. In managing a patient with a severe traumatic brain injury, the most
impor- tant initial step is to:: secure the airway
5. A previously healthy, 70-kg (154-pound) man suffers an estimated acute
blood loss of 2 liters. Which one of the following statements applies to
this patient?: An ABG would demonstrate a base deficit between -6
and -10 mEq/L.
6. The physiological hypervolemia of pregnancy has clinical significance
in the management of the severely injured, gravid woman by:: increasing
the volume of blood loss to produce maternal hypotension
7. The best assessment of fluid resuscitation of the adult burn patient is::
-
urinary output of 0.5 mL/kg/hr
1/5
, 8. The diagnosis of shock must include:: evidence of inadequate organ
perfu- sion
9. A 7-year-old boy is brought to the emergency department by his parents
several minutes after he fell through a window. He is bleeding profusely
from a 6-cm wound of his medial right thigh. Immediate management of the
wound should consist of:: direct pressure on the wound
10.For the patient with severe traumatic brain injury, profound hypocarbia
should be avoided to prevent:: cerebral vasoconstriction with diminished
perfu- sion
2/5
^^^^^^^^^^^^^^^^^^
1. A 22-year-old man is hypotensive and tachycardic after a shotgun
wound to the left shoulder. His blood pressure is initially 80/40 mm Hg.
After initial fluid resuscitation his blood pressure increases to 122/84 mm
Hg. His heart rate is now 100 beats per minute and his respiratory rate is
28 breaths per minute. A tube thoracostomy is performed for decreased
left chest breath sounds with the return of a small amount of blood and no
air leak. After chest tube insertion, the most appropriate next step is:: re-
examine the chest
2. A construction worker falls two stories from a building and sustains
bilat- eral calcaneal fractures. In the emergency department, he is alert,
vital signs are normal, and he is complaining of severe pain in both heels
and his lower back. Lower extremity pulses are strong and there is no
other deformity. The suspected diagnosis is most likely to be confirmed
by:: complete spine x-ray series
3. Which of the following is true regarding the initial resuscitation of a
trauma patient?: Evidence of improved perfusion after fluid
resuscitation could include improvement in Glasgow Coma Scale score
on reevaluation.
4. In managing a patient with a severe traumatic brain injury, the most
impor- tant initial step is to:: secure the airway
5. A previously healthy, 70-kg (154-pound) man suffers an estimated acute
blood loss of 2 liters. Which one of the following statements applies to
this patient?: An ABG would demonstrate a base deficit between -6
and -10 mEq/L.
6. The physiological hypervolemia of pregnancy has clinical significance
in the management of the severely injured, gravid woman by:: increasing
the volume of blood loss to produce maternal hypotension
7. The best assessment of fluid resuscitation of the adult burn patient is::
-
urinary output of 0.5 mL/kg/hr
1/5
, 8. The diagnosis of shock must include:: evidence of inadequate organ
perfu- sion
9. A 7-year-old boy is brought to the emergency department by his parents
several minutes after he fell through a window. He is bleeding profusely
from a 6-cm wound of his medial right thigh. Immediate management of the
wound should consist of:: direct pressure on the wound
10.For the patient with severe traumatic brain injury, profound hypocarbia
should be avoided to prevent:: cerebral vasoconstriction with diminished
perfu- sion
2/5
