ATLS POST TEST 4 LATEST VERSIONS 2023-2024 REAL EXAM 30
QUESTIONS AND CORRECT ANSWERS |AGRADE
1. A 22 year old man is hypotensive and tachycardic after a shotgun wound
to the left shoulder. His blood after initial IV fluid resuscitation, a closed tube
thoracostomy is performed for decreased left breath sounds: reexamine the
chest
2. A construction worker falls two stories from a building and sustains bilateral
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. The principle of balanced resuscitation is:: Permissive hypotension and early
plasma infusion
4. Question:4 In managing the head-injured patient, the most important initial
step is to: secure 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?: His systolic blood pressure will be decreased with a narrowed pulse
pressure.
6. The diagnosis of shock must include: poor organ perfusion
7. Question: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
8. For the patient with severe traumatic brain injury, profound hypocarbia
should be avoided to prevent: cerebral vasoconstriction with diminished perfu-
sion.
9. Question:11 A 25-year-old man is brought to a hospital with a general
surgeon after being involved in a motor vehicle crash. Computed tomography
shows an aortic injury and splenic laceration with free abdominal fluid. His
blood pressure falls to 70 mm Hg after CT. The next step is: exploratory laparo-
tomy.
10. 20-year-old woman, at 32 weeks gestation, is stabbed in the upper right
chest. In the emergency department, her blood pressure is 80/60 mm Hg. She
is gasping for breath, extremely anxious, and yelling for help. Breath sounds
are diminished in the right chest. The most appropriate first step is to: perform
needle decompression of the right chest.
11. Which one of the following findings in an adult is most likely to require
immediate management during the primary survey?: resp of 40/mi
1/4
QUESTIONS AND CORRECT ANSWERS |AGRADE
1. A 22 year old man is hypotensive and tachycardic after a shotgun wound
to the left shoulder. His blood after initial IV fluid resuscitation, a closed tube
thoracostomy is performed for decreased left breath sounds: reexamine the
chest
2. A construction worker falls two stories from a building and sustains bilateral
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. The principle of balanced resuscitation is:: Permissive hypotension and early
plasma infusion
4. Question:4 In managing the head-injured patient, the most important initial
step is to: secure 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?: His systolic blood pressure will be decreased with a narrowed pulse
pressure.
6. The diagnosis of shock must include: poor organ perfusion
7. Question: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
8. For the patient with severe traumatic brain injury, profound hypocarbia
should be avoided to prevent: cerebral vasoconstriction with diminished perfu-
sion.
9. Question:11 A 25-year-old man is brought to a hospital with a general
surgeon after being involved in a motor vehicle crash. Computed tomography
shows an aortic injury and splenic laceration with free abdominal fluid. His
blood pressure falls to 70 mm Hg after CT. The next step is: exploratory laparo-
tomy.
10. 20-year-old woman, at 32 weeks gestation, is stabbed in the upper right
chest. In the emergency department, her blood pressure is 80/60 mm Hg. She
is gasping for breath, extremely anxious, and yelling for help. Breath sounds
are diminished in the right chest. The most appropriate first step is to: perform
needle decompression of the right chest.
11. Which one of the following findings in an adult is most likely to require
immediate management during the primary survey?: resp of 40/mi
1/4
