ATLS EXAM 2024 COMPREHENSIVE PRETEST AND POST
TEST QUESTIONS AND ANSWERS VERIFIED FOR
GUARANTEED PASS
To establish a diagnosis of shock,
A. Systolic blood pressure must be below 90mmHg
B. The presence of a closed head injury should be excluded
C. Acidosis should be present by arterial blood gas analysis
D. The patient must fail to respond to intravenous fluid infusion
E. Clinical evidence of inadequate organ perfusion must be present.
E. Clinical evidence of inadequate organ perfusion must be present.
A 32-year-old is brought to the hospital unconscious with severe facial
injuries and noisy respirations after an automobile collision. In the ED,
he has no apparent injury to the anterior aspect of his neck. He suddenly
becomes apneic, and attempted ventilation with a face mask is
unsuccessful. Examination of his mouth reveals a large hematoma of
the pharynx with loss of normal anatomic landmarks. Initial
management of his airways should be consist of:
A. Inserting an oropharyngeal airway
B. Inserting a nasopharyngeal airway
C. Performing a surgical cricothyroidotomy
D. Performing fiberoptic-guided nasotracheal intubation
E. Performin orotracheal intubation after obtaining a lateral c-spine x-ray
A. Inserting an oropharyngeal airway
A 25-year-old woman is brought to the ED after a motor vehicle crash.
She was initially lucid at the scene and then developed a dilated pupil
and contralateral extremity weakness. In the ED, she is unconscious and
has a GCS score of 6. The initial management step for this patient
should be to:
A. Obtain a CT-scan of the head
B. Administer decadron 20mg IV
C. Perform endotracheal intubation
D. Administer mannitol 1g/kg IV
E. Perform an emergency bone flap craniotomy on the side of the dilated
pupil.
C. Perform endotracheal intubation
A contraindication to nasogastric intubation is the presence of a:
A. Gastric perforation
,ATLS EXAM 2024 COMPREHENSIVE PRETEST AND POST
TEST QUESTIONS AND ANSWERS VERIFIED FOR
GUARANTEED PASS
B. Diaphragmatic rupture
C. Open depressed skull fracture
,ATLS EXAM 2024 COMPREHENSIVE PRETEST AND POST
TEST QUESTIONS AND ANSWERS VERIFIED FOR
GUARANTEED PASS
D. Fracture of the cervical spine
E. Fracture of the cribiform plate
E. Fracture of the cribiform plate
An 8-year-old girl is an unrestrained passenger in a vehicle struck from
behind. In the ED, her blood pressure is 80/60mmHg, heart rate is 80
beats per minute, and respiratory rate is 16 breaths per minute. Her GCS
score is 14. She complains that her legs feel "funny and wont move
right". However, her spine x-rays do not show a fracture or dislocation.
A spinal cord injury in this child:
A. Is most likely a central cord syndrome
B. Must be diagnosed by magnetic resonance imaging
C. Can be excluded by obtaining a CT-scan of the entire spine
D. May exist in the abscence of objective findings on x-ray studies
E. Is unlikely because of the incomplete calcification of the vertebral
bodies.
D. May exist in the abscence of objective findings on x-ray studies
Immediate chest tube insertion is indicated for which of the following
conditions?
A. Pneumothorax
B. Pneumomediastinum
C. Massive hemothorax
D. Diaphragmatic rupture
E. Subcutaneous emphysema
C. Massive hemothorax
Cardiac tamponade after trauma:
A. Is seldom life-threating
B. Can be excluded by an upright, AP chest x-ray
C. Can be confused with a tension pneumthorax
D. Causes a fall in systolic pressure of > 15mmHg with expiration
E. Most commonly occurs after blunt injury to the anterior chest wall
C. Can be confused with a tension pneumthorax
A 22-year-old man is brought to the hospital after crashing his
motorcycle into a telephone pole. He is unconscious and in profound
shock. He has no open wounds or obvious fractures. The cause of his
, ATLS EXAM 2024 COMPREHENSIVE PRETEST AND POST
TEST QUESTIONS AND ANSWERS VERIFIED FOR
GUARANTEED PASS
shock is MOST LIKELY caused by:
A. A subdural hematoma
B. An epidural hematoma
C. A transected lumbar spinal cord
D. A basilar skull fracture
E. Hemorrhage into the chest or abdomen
E. Hemorrhage into the chest or abdomen
TEST QUESTIONS AND ANSWERS VERIFIED FOR
GUARANTEED PASS
To establish a diagnosis of shock,
A. Systolic blood pressure must be below 90mmHg
B. The presence of a closed head injury should be excluded
C. Acidosis should be present by arterial blood gas analysis
D. The patient must fail to respond to intravenous fluid infusion
E. Clinical evidence of inadequate organ perfusion must be present.
E. Clinical evidence of inadequate organ perfusion must be present.
A 32-year-old is brought to the hospital unconscious with severe facial
injuries and noisy respirations after an automobile collision. In the ED,
he has no apparent injury to the anterior aspect of his neck. He suddenly
becomes apneic, and attempted ventilation with a face mask is
unsuccessful. Examination of his mouth reveals a large hematoma of
the pharynx with loss of normal anatomic landmarks. Initial
management of his airways should be consist of:
A. Inserting an oropharyngeal airway
B. Inserting a nasopharyngeal airway
C. Performing a surgical cricothyroidotomy
D. Performing fiberoptic-guided nasotracheal intubation
E. Performin orotracheal intubation after obtaining a lateral c-spine x-ray
A. Inserting an oropharyngeal airway
A 25-year-old woman is brought to the ED after a motor vehicle crash.
She was initially lucid at the scene and then developed a dilated pupil
and contralateral extremity weakness. In the ED, she is unconscious and
has a GCS score of 6. The initial management step for this patient
should be to:
A. Obtain a CT-scan of the head
B. Administer decadron 20mg IV
C. Perform endotracheal intubation
D. Administer mannitol 1g/kg IV
E. Perform an emergency bone flap craniotomy on the side of the dilated
pupil.
C. Perform endotracheal intubation
A contraindication to nasogastric intubation is the presence of a:
A. Gastric perforation
,ATLS EXAM 2024 COMPREHENSIVE PRETEST AND POST
TEST QUESTIONS AND ANSWERS VERIFIED FOR
GUARANTEED PASS
B. Diaphragmatic rupture
C. Open depressed skull fracture
,ATLS EXAM 2024 COMPREHENSIVE PRETEST AND POST
TEST QUESTIONS AND ANSWERS VERIFIED FOR
GUARANTEED PASS
D. Fracture of the cervical spine
E. Fracture of the cribiform plate
E. Fracture of the cribiform plate
An 8-year-old girl is an unrestrained passenger in a vehicle struck from
behind. In the ED, her blood pressure is 80/60mmHg, heart rate is 80
beats per minute, and respiratory rate is 16 breaths per minute. Her GCS
score is 14. She complains that her legs feel "funny and wont move
right". However, her spine x-rays do not show a fracture or dislocation.
A spinal cord injury in this child:
A. Is most likely a central cord syndrome
B. Must be diagnosed by magnetic resonance imaging
C. Can be excluded by obtaining a CT-scan of the entire spine
D. May exist in the abscence of objective findings on x-ray studies
E. Is unlikely because of the incomplete calcification of the vertebral
bodies.
D. May exist in the abscence of objective findings on x-ray studies
Immediate chest tube insertion is indicated for which of the following
conditions?
A. Pneumothorax
B. Pneumomediastinum
C. Massive hemothorax
D. Diaphragmatic rupture
E. Subcutaneous emphysema
C. Massive hemothorax
Cardiac tamponade after trauma:
A. Is seldom life-threating
B. Can be excluded by an upright, AP chest x-ray
C. Can be confused with a tension pneumthorax
D. Causes a fall in systolic pressure of > 15mmHg with expiration
E. Most commonly occurs after blunt injury to the anterior chest wall
C. Can be confused with a tension pneumthorax
A 22-year-old man is brought to the hospital after crashing his
motorcycle into a telephone pole. He is unconscious and in profound
shock. He has no open wounds or obvious fractures. The cause of his
, ATLS EXAM 2024 COMPREHENSIVE PRETEST AND POST
TEST QUESTIONS AND ANSWERS VERIFIED FOR
GUARANTEED PASS
shock is MOST LIKELY caused by:
A. A subdural hematoma
B. An epidural hematoma
C. A transected lumbar spinal cord
D. A basilar skull fracture
E. Hemorrhage into the chest or abdomen
E. Hemorrhage into the chest or abdomen
