ATLS PRETEST EXAM QUESTIONS WITH COMPLETE
SOLUTIONS CERTIFIED AND VERIFIED GRADED A+
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
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.
The principle of balanced resuscitation is:
Permissive hypotension and early plasma infusion
Question:4 In managing the head-injured patient, the most important initial step is
to
secure 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?
His systolic blood pressure will be decreased with a narrowed pulse pressure.
The diagnosis of shock must include
poor organ perfusion
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
For the patient with severe traumatic brain injury, profound hypocarbia should be
avoided to prevent
cerebral vasoconstriction with diminished perfusion.
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 laparotomy.
SOLUTIONS CERTIFIED AND VERIFIED GRADED A+
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
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.
The principle of balanced resuscitation is:
Permissive hypotension and early plasma infusion
Question:4 In managing the head-injured patient, the most important initial step is
to
secure 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?
His systolic blood pressure will be decreased with a narrowed pulse pressure.
The diagnosis of shock must include
poor organ perfusion
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
For the patient with severe traumatic brain injury, profound hypocarbia should be
avoided to prevent
cerebral vasoconstriction with diminished perfusion.
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 laparotomy.
