ATLS Post Test Questions with All correct Answers

ATLS Post Test Questions with All correct Answers
(Advanced trauma life support) 2024/2025




1.
Cardiac k tamponade k k after k trauma
a. is kseldom k life-threatening
b. can k be k excluded k by k an k upright, k AP kchest k x-ray

c. can k be k k confused k k with k k a k tension k k pneumothorax
d. causes ka k fall k in k systolic k kpressure k k of k > k 15 k mm k Hg kwith kexpiration
e. most k commonly k occurs k after kblunt k injury kto k the k anterior k chest k wall


2. Which kone k of k the k following kstatements k regarding k patients k with
kthoracic k spine kinjuries k is kTRUE?

a. Log-rolling k may k be k destabilizing k k to k fractures k from kT-12 kto k L-1.
b. Adequate k immobilization k can k be k accomplished k with k the k scoop
k stretcher.

c. Spinal k cord k injury k below k T-10 k usually k spares k bowel k and k bladder
k function.

d. Hyperflexion k fractures k in k the k upper k thoracic k spine k are

k inherentlykunstable.

e. These k patients k rarely k present k k with kspinal k shock k in k association k k with
kcord

injury.


3. Absence k of k breath k sounds k and k dullness k to k percussion k over k the k left
k hemithorax kare kfmdings k best k explained k by
a. Left khemothorax.

b. cardiac kcontusion

c. left ksimple k pneumothorax

,d. left kdiaphragmatic k rupture

e. right k tension k pneumothorax.




4. A kyoung k man k sustains ka kgunshot kwound kto kthe k abdomen k kand k kis
kbrought k promptly kto kthe k emergency k department kby kprehospital kpersonnel.

kHis kskin k k is kcool kand k diaphoretic, k and k he k is k confused. k His kpulse k is

k thready k and k his k femoral

, pulse k is k only k weakly kpalpable. k The k defmitive k treatment kin k managing
k this kpatient k is kto

a. administer k 0-negative k blood
b. applyextemal k warming k devices.

c. Control k internal k k hemorrhage k k operatively
d. apply k the k pneumatic k antishock k garment
e. infuse k large k volumes k of k intravenous k crystalloid k solution.
5. To k establish k a k diagnosis k of k shock,
a. systolic k blood k pressure k must k be k below k90 k mm k Hg.
b. the k kpresence k k of k ka k closed k k head k k injury kshould k k be k excluded
c. acidosis k should k be k present k by karterial k blood k \gas k analysis
d. the k kpatient k must k kfail kto k respond k to k intravenous k fluid k k infusion.
e. clinical k k evidence k k k of k kinadequate k k organ k k perfusion k k must k
k be k k present.



6. A k23-year-old k man k is k brought k immediately k to k the k emergency
k department k from kthe khospital' ks kparking k klot k kwhere k he k was kshot kin kthe
k klower k abdomen. kExamination k reveals k a ksingle k bullet k wound. k He kis
kbreathing k and k has k a k thready k pulse. k However, khe k is k unconscious kand
k has k no k detectable k blood k pressure.
Optimal k immediate k management k k is k to
a. perform k diagnostic k k peritoneal k lavage.
b. initiate k infusion kof k packed k red k blood k cells.

c. insert k a k nasogastric k tube k and k urinary k catheter.

d. transfer k the k patient k to k the k operating k room, k while k initiating
k fluidktherapy.

e. initiate k fluid ktherapy k to k return k his k blood k pressure k to k normotensive


7. An kelectrician k k is k k electrocuted k kby k ka k kdowned k kpower k kline k kafter k ka k
kthunderstorm. k He k k apparently k k made k kcontact k k with kthe k k wire k at k kthe k

klevel k kof k kthe k kright k k mid kthigh. kIn k the k k emergency k k department, k k k his k

k vital k signs k k are k normal k and k k no k dysrhythmia kis knoted kon kECG. kOn
k examination, kthere kis k an k kexit k wound k on kthe k k bottom k kof k kthe kright kfoot.

k His kurine kis kpositive kfor k blood k by kdip k stick k but kno k RBCs kare k seen

k microscopically. k Initial k management k should k include
a. immediate kangiography.