ATLS Post Test 2023 QUESTIONS AND ANSWERS LATEST QUESTION AN
ALREADY GRADE A GRADE.
The primary indication for transferring a patient to Log-rolling may be destabiliz
a higher level trauma center is: from T-12 to L-1.
Adequate immobilizatio
unavailability of a surgeon or operating room staff. accomplished with the scoop str
multiple system injuries, including severe head Spinal cord injury below T-10 usually s
injury. and bladder functio
resource limitations as determined by the transferring Hyperflexion fractures in
doctor. thoracic spine are inherently un
resource limitations as determined by the hospital These patients rarely present with
administration. widened mediastinum on chest in association with cord injury
x-ray following blunt thoracic trauma.
5. young man sustains a ritle w
1. teen-aged bicycle rider is hit by a truck midabdomen. He is brought prom
traveling at a high rate of speed. In the emergency emergency department by prehos
department, she is actively bleeding from open personnel. His skin is cool and dia
fractures of her legs, and has abrasions on her systolic blood pressure is 58 rnm
chest and abdominal wall. Her blood pressure is armed crystalloid fluids are in
80/50 mm Hg, heart rate is improvement in his vital signs. The
140 beats per minute, respiratory rate is 8 breaths appropriate step is to perform:
per minute, and GCS score is 6. a
The first step in managing this patient is to: an abdominal CT scan
laparoscopy.
obtain a lateral cervical spine x-ray. ultrasonography. a
insert a central venous pressure line. peritoneal lavage.
administer 2 liters of crystalloid solution.
perform endotracheal intubation and ventilation.
apply the PASG and inflate the leg 6. young woman sustains a se
compartments. as the result of a motor vehicular
emergency department, her GCS s
blood pressure is 140/90 mm Hg a
3. Contraindication to nasogastric intubation is 80 beats per minute. She is intu
isthe presence of a: being mechanically ventilated. He
gastric perforation. in size and equally reactive to ligh
diaphragmatic rupture. open other apparent injury. The most im
depressed skull fracture. fracture of principle to follow in the early ma
the cervical spine. fracture of the head injury is to:
cribriform plate.
4. Which one of the following administer an osmot
statementsregarding patients with thoracic spine prevent secondary brain
,distinguish between intracranial hematoma and cerebral must be diagnosed by magneti
edema.
can be excluded by obtaining a C
sp
7. 22-year-old man is brought to the
may exist in the absence of ob
hospitalafter crashing his motorcycle into a
on x-ray studies
telephone pole. He is unconscious and in profound
shock. He has no open wounds or obvious is unlikely because of the inco
calcification of the vertebr
fractures. The cause of his shock is MOST LIKELY
caused by:
a subdural hematoma.
an epidural hematoma. 10. Immediate chest tube inser
a transected lumbar spinal cord.
indicatedfor which of the followin
Pneu
a transected cervical spinal cord.
Pneumomed
hemorrhage into the chest or abdomen.
Massive hem
8. 30-year-old man is struck by a car travelingat
Diaphragma
56 kph (35 mph). He has obvious fractures of the
Subcutaneous emp
left tibia near the knee, pain in the pelvic area, and
11. 18-year-old, helmeted mot
severe dyspnea. His heart rate is 180 beats per
brought by ambulance to the eme
minute, and his respiratory rate is 48
department following a high-spee
breaths per minute with no breath sounds heard in
Prehospital persormel report that
the left chest. A tension pneumothorax is relieved
15 meters (50 feet) off his bfice. H
by immediate needle decompression and tube
hypotension prior to arrival in the
thoracostomy. Subsequently, his heart rate
department, but is now awake, al
decreases to 140 beats per minute, his respiratory
conversational. Which of the follo
rate decreases to 36 breaths per minute, and his
is TRUE?
blood pressure is 80/50 inm Hg. Warmed Ringer's
Cerebral perfiision i
lactate is administered intravenously. The next
Intravascular volume status is n
priority should be to:
perform a urethrogram and cystogram. The patient has sensitive vaso
perform external fixation of the pelvis. Intraabdominal visceral inj
obtain abdominal and pelvic CT scans.
perform arterial embolization of the pelvic The patient probably has an
vessels. hematoma.
perform diagnostic peritoneal lavage or
abdominal ultrasound.
9. 8-year-old girl is an unrestrained passengerin 12. crosstable, lateral x-ray of t
a vehicle struck from behind. In the emergency must precede endotracheal intubation
department, her blood pressure is 80/60 mm Hg, cervical spine injury. is an essential p
heart rate is 80 beats per minute, and respiratory survey. is not necessary for unconsci
rate is 16 breaths per minute. Her GCS score is 14. penetrating cervical injuries. is unacce
She complains that her legs feel "funny and won't cervical vertebrae and the C-7 to T-1
, 13. During resuscitation, which one of the patient must fail t
thefollowing is the most reliable as a guide to intravenous fluid i
volume replacement? clinical evidence of inadequa
Pulse rate perfusion must be
Hematocrit
Blood pressure
17. Absence of breath sounds
Urinary output
percussion over the left hemith
Jugular venous pressure best explained by:
left hem
cardiac c
14. Which one of the following is left simple pneu
therecommended method for initially treating left diaphragmatic
frostbite? right tension pneum
Vasodilators 18. 17-year-old helmeted mot
Anticoagulants broadside by an automobile at an
Warm (40°C) water is unconscious at the scene with a
Padding and elevation pressure of 140/90 mm Hg, heart
Topical application of silvasulphadiazine beats per minute, and respiratory
breaths per minute. His respiratio
and deep. His GCS score is 6. Imm
15. young man sustains a gunshot wound to entire patient may include the use
theabdomen and is brought promptly to the following EXCEPT:
emergency department by prehospital
personnel. His skin is cool and diaphoretic, and he is bolstering
confused. His pulse is thready and his femoral pulse spine board.
is only weakly palpable. The defmitive treatment in stretcher. a se
managing this patient is to: collar.
administer 0-negative blood.
apply extemal warming devices.
control internal hemorrhage operatively. 19. During an altercation, a 32-
apply the pneumatic antishock garment. sustains a gunshot wound to the
infuse large volumes of intravenous hemithorax, above the nipple line
crystalloid solution. wound posteriorly above the scap
He is transported by ambulance t
hospital. He is endotracheally intu
16. To establish a diagnosis of shock: tube thoracostomy is
systolic blood pressure must be below 90 mm performed, and 2 liters of Ringer'
Hg. are infused through 2 large-calibe
the presence of a closed head injury should be pressure now is 60/0 mm Hg, hea
excluded. beats per minute, and respiratory
ALREADY GRADE A GRADE.
The primary indication for transferring a patient to Log-rolling may be destabiliz
a higher level trauma center is: from T-12 to L-1.
Adequate immobilizatio
unavailability of a surgeon or operating room staff. accomplished with the scoop str
multiple system injuries, including severe head Spinal cord injury below T-10 usually s
injury. and bladder functio
resource limitations as determined by the transferring Hyperflexion fractures in
doctor. thoracic spine are inherently un
resource limitations as determined by the hospital These patients rarely present with
administration. widened mediastinum on chest in association with cord injury
x-ray following blunt thoracic trauma.
5. young man sustains a ritle w
1. teen-aged bicycle rider is hit by a truck midabdomen. He is brought prom
traveling at a high rate of speed. In the emergency emergency department by prehos
department, she is actively bleeding from open personnel. His skin is cool and dia
fractures of her legs, and has abrasions on her systolic blood pressure is 58 rnm
chest and abdominal wall. Her blood pressure is armed crystalloid fluids are in
80/50 mm Hg, heart rate is improvement in his vital signs. The
140 beats per minute, respiratory rate is 8 breaths appropriate step is to perform:
per minute, and GCS score is 6. a
The first step in managing this patient is to: an abdominal CT scan
laparoscopy.
obtain a lateral cervical spine x-ray. ultrasonography. a
insert a central venous pressure line. peritoneal lavage.
administer 2 liters of crystalloid solution.
perform endotracheal intubation and ventilation.
apply the PASG and inflate the leg 6. young woman sustains a se
compartments. as the result of a motor vehicular
emergency department, her GCS s
blood pressure is 140/90 mm Hg a
3. Contraindication to nasogastric intubation is 80 beats per minute. She is intu
isthe presence of a: being mechanically ventilated. He
gastric perforation. in size and equally reactive to ligh
diaphragmatic rupture. open other apparent injury. The most im
depressed skull fracture. fracture of principle to follow in the early ma
the cervical spine. fracture of the head injury is to:
cribriform plate.
4. Which one of the following administer an osmot
statementsregarding patients with thoracic spine prevent secondary brain
,distinguish between intracranial hematoma and cerebral must be diagnosed by magneti
edema.
can be excluded by obtaining a C
sp
7. 22-year-old man is brought to the
may exist in the absence of ob
hospitalafter crashing his motorcycle into a
on x-ray studies
telephone pole. He is unconscious and in profound
shock. He has no open wounds or obvious is unlikely because of the inco
calcification of the vertebr
fractures. The cause of his shock is MOST LIKELY
caused by:
a subdural hematoma.
an epidural hematoma. 10. Immediate chest tube inser
a transected lumbar spinal cord.
indicatedfor which of the followin
Pneu
a transected cervical spinal cord.
Pneumomed
hemorrhage into the chest or abdomen.
Massive hem
8. 30-year-old man is struck by a car travelingat
Diaphragma
56 kph (35 mph). He has obvious fractures of the
Subcutaneous emp
left tibia near the knee, pain in the pelvic area, and
11. 18-year-old, helmeted mot
severe dyspnea. His heart rate is 180 beats per
brought by ambulance to the eme
minute, and his respiratory rate is 48
department following a high-spee
breaths per minute with no breath sounds heard in
Prehospital persormel report that
the left chest. A tension pneumothorax is relieved
15 meters (50 feet) off his bfice. H
by immediate needle decompression and tube
hypotension prior to arrival in the
thoracostomy. Subsequently, his heart rate
department, but is now awake, al
decreases to 140 beats per minute, his respiratory
conversational. Which of the follo
rate decreases to 36 breaths per minute, and his
is TRUE?
blood pressure is 80/50 inm Hg. Warmed Ringer's
Cerebral perfiision i
lactate is administered intravenously. The next
Intravascular volume status is n
priority should be to:
perform a urethrogram and cystogram. The patient has sensitive vaso
perform external fixation of the pelvis. Intraabdominal visceral inj
obtain abdominal and pelvic CT scans.
perform arterial embolization of the pelvic The patient probably has an
vessels. hematoma.
perform diagnostic peritoneal lavage or
abdominal ultrasound.
9. 8-year-old girl is an unrestrained passengerin 12. crosstable, lateral x-ray of t
a vehicle struck from behind. In the emergency must precede endotracheal intubation
department, her blood pressure is 80/60 mm Hg, cervical spine injury. is an essential p
heart rate is 80 beats per minute, and respiratory survey. is not necessary for unconsci
rate is 16 breaths per minute. Her GCS score is 14. penetrating cervical injuries. is unacce
She complains that her legs feel "funny and won't cervical vertebrae and the C-7 to T-1
, 13. During resuscitation, which one of the patient must fail t
thefollowing is the most reliable as a guide to intravenous fluid i
volume replacement? clinical evidence of inadequa
Pulse rate perfusion must be
Hematocrit
Blood pressure
17. Absence of breath sounds
Urinary output
percussion over the left hemith
Jugular venous pressure best explained by:
left hem
cardiac c
14. Which one of the following is left simple pneu
therecommended method for initially treating left diaphragmatic
frostbite? right tension pneum
Vasodilators 18. 17-year-old helmeted mot
Anticoagulants broadside by an automobile at an
Warm (40°C) water is unconscious at the scene with a
Padding and elevation pressure of 140/90 mm Hg, heart
Topical application of silvasulphadiazine beats per minute, and respiratory
breaths per minute. His respiratio
and deep. His GCS score is 6. Imm
15. young man sustains a gunshot wound to entire patient may include the use
theabdomen and is brought promptly to the following EXCEPT:
emergency department by prehospital
personnel. His skin is cool and diaphoretic, and he is bolstering
confused. His pulse is thready and his femoral pulse spine board.
is only weakly palpable. The defmitive treatment in stretcher. a se
managing this patient is to: collar.
administer 0-negative blood.
apply extemal warming devices.
control internal hemorrhage operatively. 19. During an altercation, a 32-
apply the pneumatic antishock garment. sustains a gunshot wound to the
infuse large volumes of intravenous hemithorax, above the nipple line
crystalloid solution. wound posteriorly above the scap
He is transported by ambulance t
hospital. He is endotracheally intu
16. To establish a diagnosis of shock: tube thoracostomy is
systolic blood pressure must be below 90 mm performed, and 2 liters of Ringer'
Hg. are infused through 2 large-calibe
the presence of a closed head injury should be pressure now is 60/0 mm Hg, hea
excluded. beats per minute, and respiratory
