ATLS EXAM 2024-2025 175 QUESTIONS
AND ANSWERS 100 % PASS SOLUTION
A+ GRADE
Which of the following signs is LEAST reliable for diagnosing
esophageal intubation?
• Symmetrical chest movement
• End-tidal CO2 presence by colorimetry
• Bilateral breath sounds
• Oxygen saturation > 92%
• ETT above carina on chest x-ray -ANSWER- E. ETT above
carina on chest x-ray
,Which one of the following signs necessitates a definitive
airway in severe trauma patients?
• Facial lacerations
• Repeated vomiting
• Severe maxillofacial fractures
• Sternal fracture
• GCS score of 12 -ANSWER- C. Severe maxillofacial
fractures
Which one of the following statements is correct?
• Cerebral contusion may coalesce to form an
intracerebral hematoma
• Epidural hematomas are usually seen in frontal region
• Subdural hematomas are caused by injury to the middle
meningeal artery
,• Subdural hematomas typically have a lenticular shape on
CTscan
• The associated brain damage is more severe in epidural
hematomas. - ANSWER- A. Cerebral contusion may coalesce
to form an intracerebral hematoma
An 18 year old male is brought to the ED after having been
shot. He has one bullet wound just below the right clavicle
and another just below the costal margin in the right
posterior axillary line. His BP is 110/60, HR is 90bpm, and RR
is 34bpm. After ensuring a patent airway and inserting 2 large
caliber iv line, the next appropriate step is to:
• Obtain a chest x-ray
• Adminster a bolus of additional iv fluid
• Perform a laparotomy
• Obtain abdominal CT-scan
• Perform DPL -ANSWER- A. Obtain a chest x-ray
, An 8 year old boy falls 4,5meters from a tree and is brought
to the ED by his familiy. His vital signs are normal, but he
complains of left upper quadrant pain. An abdominal CT scan
reveals a moderately severe laceration of the spleen. The
receiving institution does not have 24 hour a day operating
room capabilities. The most appropriate management of this
patient would be:
• Type and crossmatch for blood
• Request consultation of a pediatrician
• Transfer the patient to a trauma center
• Ad -ANSWER- D. Admit the patient to the ICU
A construction worker falls from a scaffold and is transferred
to the ED. His HR is 124 bpm and BP is 85/60mmHg. He
complains of lower abdominal pain. After assessing the
airway and chest, immobilizing the c-spine and initiating fluid
resuscitation, the next step is to perform
• FAST
AND ANSWERS 100 % PASS SOLUTION
A+ GRADE
Which of the following signs is LEAST reliable for diagnosing
esophageal intubation?
• Symmetrical chest movement
• End-tidal CO2 presence by colorimetry
• Bilateral breath sounds
• Oxygen saturation > 92%
• ETT above carina on chest x-ray -ANSWER- E. ETT above
carina on chest x-ray
,Which one of the following signs necessitates a definitive
airway in severe trauma patients?
• Facial lacerations
• Repeated vomiting
• Severe maxillofacial fractures
• Sternal fracture
• GCS score of 12 -ANSWER- C. Severe maxillofacial
fractures
Which one of the following statements is correct?
• Cerebral contusion may coalesce to form an
intracerebral hematoma
• Epidural hematomas are usually seen in frontal region
• Subdural hematomas are caused by injury to the middle
meningeal artery
,• Subdural hematomas typically have a lenticular shape on
CTscan
• The associated brain damage is more severe in epidural
hematomas. - ANSWER- A. Cerebral contusion may coalesce
to form an intracerebral hematoma
An 18 year old male is brought to the ED after having been
shot. He has one bullet wound just below the right clavicle
and another just below the costal margin in the right
posterior axillary line. His BP is 110/60, HR is 90bpm, and RR
is 34bpm. After ensuring a patent airway and inserting 2 large
caliber iv line, the next appropriate step is to:
• Obtain a chest x-ray
• Adminster a bolus of additional iv fluid
• Perform a laparotomy
• Obtain abdominal CT-scan
• Perform DPL -ANSWER- A. Obtain a chest x-ray
, An 8 year old boy falls 4,5meters from a tree and is brought
to the ED by his familiy. His vital signs are normal, but he
complains of left upper quadrant pain. An abdominal CT scan
reveals a moderately severe laceration of the spleen. The
receiving institution does not have 24 hour a day operating
room capabilities. The most appropriate management of this
patient would be:
• Type and crossmatch for blood
• Request consultation of a pediatrician
• Transfer the patient to a trauma center
• Ad -ANSWER- D. Admit the patient to the ICU
A construction worker falls from a scaffold and is transferred
to the ED. His HR is 124 bpm and BP is 85/60mmHg. He
complains of lower abdominal pain. After assessing the
airway and chest, immobilizing the c-spine and initiating fluid
resuscitation, the next step is to perform
• FAST
