ATLS ALL POSSIBLE QUESTIONS IN POST AND PRE TESTS
24/2/24, 5:41PM 2024
ATLS FINAL PRACTICE EXAM-WITH 100%
VERIFIED SOLUTIONS-2023-(EVERYTHING
YOU REQUIRE FOR POST PRE AND FINAL
ATLS EXAMS)2021/2022/2023 AND
2024/2025 LATEST UPDATE
Patients with a GSC of less than usually require intubation.
8
The "A" in ABCD stands for .
Airway maintenance with CERVICAL SPINE PROTECTION
You should assume that any patient in a multisystem trauma with an altered level of
consciousness or blunt injury above the clavicle has what type of injury?
Cervical spine injury
Flail chest is invariably accompanied by which can interfere with blood oxygenation.
pulmonary contusion - do NOT over fluid resuscitate these patients!
Hypotension is caused by until proven otherwise.
hypovolemia
When you don't have/can't get a blood pressure, what are three things to look for when
evaluating perfusion.
1. Level of consciousness (brain perfusion), 2. Skin color (ashen face/grey extremities) 3.
Pulse (bilateral femoral - thready/tachy)
Elderly patients have a limited ability to to compensate for blood loss.
increase heart rate
Resuscitation fluids should be warmed 39 degrees Celsius (102.2 F). Can you use a
microwave to do this?
YES - for CRYSTALLOID ONLY (but NOT for blood products).
ATLS 1/16
, ATLS ALL POSSIBLE QUESTIONS IN POST AND PRE TESTS
24/2/24, 5:41PM 2024
Urinary catheters are good for assessing renal perfusion and volume status. List 5 signs of
urethral injury that might prevent you from inserting one.
Blood at urethral meatus, perineal ecchymosis, blood in scrotum, high-riding/non-palpable
prostate, pelvic fracture
Which arm should you NOT put a pulse-ox on?
The arm with a blood pressure cuff on it
Name two anatomical things that can interfere with doing a FAST scan.
Obesity & intraluminal bowel gas
When should radiographs be obtained?
During the SECONDARY survey.
How do you get an ample patient history?
A=Allergies, M=Medications, P=PMH/Pregnancy, L=Last meal, E=Events/Environment of
injury
Why might you want a Bair Hugger for a patient who smells of alcohol?
Vasodilation can lead to hypothermia
What things are you looking for when you do a DRE in a trauma?
Blood, high-riding prostate (in males), and sphincter tone
What should you do for every female patient?
Pregnancy test (females of childbearing age)
Adult patients should maintain UOP of at least mL/kg/hr. Kids should have at least
mL/kg/hr.
Adults 0.5 mL/kg/hr, Kids 1.0 ml/kg/hr
ATLS 2/16
, ATLS ALL POSSIBLE QUESTIONS IN POST AND PRE TESTS
24/2/24, 5:41PM 2024
Preventing hypercarbia is critical in patients who have sustained a injury.
head
What two places would you LOOK at a patient if you suspect hypoxemia?
Lips and fingernail beds
Patients may be abusive and belligerent because of , so don't just assume it's due to
drugs, alcohol, or the fact that they are just inherently a jerk.
hypoxia
Can a patient breathe on their own after complete cervical cord transection?
Yes, if the phrenic nerves (C3-C5) are spared. This will result in "abdominal" breathing. The
intercostal muscles will be paralyzed though.
Can you use an OPA (Guedel) in a conscious patient?
No, it could make them vomit. An NPA (trumpet) would be okay.
Bougies are typically inserted blindly, how do you know you are in the trachea and not the
esophagus?
You can feel the "clicks" as the distal tip rubs against the cartilaginous tracheal rings, or it
will deviate right or left when entering either bronchus (usually at 50 cm).
What do you NOT want to hear if you ascultate a patient after placement of an ET tube?
Borborygmi - rumbling or gurgling noises suggesting esophageal insertion.
What is the RSI dose for etomidate?
0.3 mg/kg (usually 20 mg)
What is the RSI dose for sux?
1-2 mg/kg (usually 100 mg)
ATLS 3/16
24/2/24, 5:41PM 2024
ATLS FINAL PRACTICE EXAM-WITH 100%
VERIFIED SOLUTIONS-2023-(EVERYTHING
YOU REQUIRE FOR POST PRE AND FINAL
ATLS EXAMS)2021/2022/2023 AND
2024/2025 LATEST UPDATE
Patients with a GSC of less than usually require intubation.
8
The "A" in ABCD stands for .
Airway maintenance with CERVICAL SPINE PROTECTION
You should assume that any patient in a multisystem trauma with an altered level of
consciousness or blunt injury above the clavicle has what type of injury?
Cervical spine injury
Flail chest is invariably accompanied by which can interfere with blood oxygenation.
pulmonary contusion - do NOT over fluid resuscitate these patients!
Hypotension is caused by until proven otherwise.
hypovolemia
When you don't have/can't get a blood pressure, what are three things to look for when
evaluating perfusion.
1. Level of consciousness (brain perfusion), 2. Skin color (ashen face/grey extremities) 3.
Pulse (bilateral femoral - thready/tachy)
Elderly patients have a limited ability to to compensate for blood loss.
increase heart rate
Resuscitation fluids should be warmed 39 degrees Celsius (102.2 F). Can you use a
microwave to do this?
YES - for CRYSTALLOID ONLY (but NOT for blood products).
ATLS 1/16
, ATLS ALL POSSIBLE QUESTIONS IN POST AND PRE TESTS
24/2/24, 5:41PM 2024
Urinary catheters are good for assessing renal perfusion and volume status. List 5 signs of
urethral injury that might prevent you from inserting one.
Blood at urethral meatus, perineal ecchymosis, blood in scrotum, high-riding/non-palpable
prostate, pelvic fracture
Which arm should you NOT put a pulse-ox on?
The arm with a blood pressure cuff on it
Name two anatomical things that can interfere with doing a FAST scan.
Obesity & intraluminal bowel gas
When should radiographs be obtained?
During the SECONDARY survey.
How do you get an ample patient history?
A=Allergies, M=Medications, P=PMH/Pregnancy, L=Last meal, E=Events/Environment of
injury
Why might you want a Bair Hugger for a patient who smells of alcohol?
Vasodilation can lead to hypothermia
What things are you looking for when you do a DRE in a trauma?
Blood, high-riding prostate (in males), and sphincter tone
What should you do for every female patient?
Pregnancy test (females of childbearing age)
Adult patients should maintain UOP of at least mL/kg/hr. Kids should have at least
mL/kg/hr.
Adults 0.5 mL/kg/hr, Kids 1.0 ml/kg/hr
ATLS 2/16
, ATLS ALL POSSIBLE QUESTIONS IN POST AND PRE TESTS
24/2/24, 5:41PM 2024
Preventing hypercarbia is critical in patients who have sustained a injury.
head
What two places would you LOOK at a patient if you suspect hypoxemia?
Lips and fingernail beds
Patients may be abusive and belligerent because of , so don't just assume it's due to
drugs, alcohol, or the fact that they are just inherently a jerk.
hypoxia
Can a patient breathe on their own after complete cervical cord transection?
Yes, if the phrenic nerves (C3-C5) are spared. This will result in "abdominal" breathing. The
intercostal muscles will be paralyzed though.
Can you use an OPA (Guedel) in a conscious patient?
No, it could make them vomit. An NPA (trumpet) would be okay.
Bougies are typically inserted blindly, how do you know you are in the trachea and not the
esophagus?
You can feel the "clicks" as the distal tip rubs against the cartilaginous tracheal rings, or it
will deviate right or left when entering either bronchus (usually at 50 cm).
What do you NOT want to hear if you ascultate a patient after placement of an ET tube?
Borborygmi - rumbling or gurgling noises suggesting esophageal insertion.
What is the RSI dose for etomidate?
0.3 mg/kg (usually 20 mg)
What is the RSI dose for sux?
1-2 mg/kg (usually 100 mg)
ATLS 3/16
