ATLS TEST 4 ACTUAL EXAM 100%
WITH QUESTIONS AND ANSWERS
2023\2024.
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:
Select one:
a.reexamine the chest
b.perform an aortogram
c.obtain a CT scan of the
chest
d.obtain arterial blood gas analyses
e.perform transesophageal echocardiography {{Correct Ans- A) Reexamine the chest
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:
Select one:
a.angiography
b.compartment pressures
c.retrograde urethrogram
d.Doppler ultrasound
studies
e.complete spine x-ray series {{Correct Ans- e) Complete spine x-ray series
Which of the following is true regarding the initial
resuscitation of a trauma patient? Select one:
a. Apatient that presents with a torso gunshot wound and is hypotensive should receive
crystalloid fluid resuscitation until the blood pressure is normal
b. Evidence of improved perfusion after fluid resuscitation could include improvement in
Glasgow coma scale score on reevaluation
c. Massive transfusion is defined as transfusion of more than >10 of packed red blood cells
and plasma in 24 hours
, d. When tranexamic acid is administered by pre-hospital providers a second dose is
required within 24 hours
e. Fluid resuscitation is far more important than bleeding control in trauma patients
{{Correct Ans- b. Evidence of improved perfusion after fluid resuscitation could include
improvement in Glasgow coma scale score on reevaluation
In managing a patient with a severe traumatic brain injury, the most
important initial step is to: Select one:
a.Secure the airway
b.obtain a c-spine film
c.support the circulation
d.control scalp
hemorrhage e.determine
the GCS score
Feedback
Your answer is corr {{Correct
Ans- a. Secure the airway
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?
Select one:
a. His pulse pressure will be widened.
b. His urinary output will be at the lower limits of normal.
c.He will have tachycardia, but no change in his systolic blood
pressure. d.An ABG would demonstrate a base deficit between -6
and -10 mEq/L
WITH QUESTIONS AND ANSWERS
2023\2024.
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:
Select one:
a.reexamine the chest
b.perform an aortogram
c.obtain a CT scan of the
chest
d.obtain arterial blood gas analyses
e.perform transesophageal echocardiography {{Correct Ans- A) Reexamine the chest
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:
Select one:
a.angiography
b.compartment pressures
c.retrograde urethrogram
d.Doppler ultrasound
studies
e.complete spine x-ray series {{Correct Ans- e) Complete spine x-ray series
Which of the following is true regarding the initial
resuscitation of a trauma patient? Select one:
a. Apatient that presents with a torso gunshot wound and is hypotensive should receive
crystalloid fluid resuscitation until the blood pressure is normal
b. Evidence of improved perfusion after fluid resuscitation could include improvement in
Glasgow coma scale score on reevaluation
c. Massive transfusion is defined as transfusion of more than >10 of packed red blood cells
and plasma in 24 hours
, d. When tranexamic acid is administered by pre-hospital providers a second dose is
required within 24 hours
e. Fluid resuscitation is far more important than bleeding control in trauma patients
{{Correct Ans- b. Evidence of improved perfusion after fluid resuscitation could include
improvement in Glasgow coma scale score on reevaluation
In managing a patient with a severe traumatic brain injury, the most
important initial step is to: Select one:
a.Secure the airway
b.obtain a c-spine film
c.support the circulation
d.control scalp
hemorrhage e.determine
the GCS score
Feedback
Your answer is corr {{Correct
Ans- a. Secure the airway
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?
Select one:
a. His pulse pressure will be widened.
b. His urinary output will be at the lower limits of normal.
c.He will have tachycardia, but no change in his systolic blood
pressure. d.An ABG would demonstrate a base deficit between -6
and -10 mEq/L
