ATLS 10 POST-TEST AND PRE-TEST 2024/2025 ACTUAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS|ALREADY GRADED A+ATLS 10 POST-TEST AND PRE-TEST 2024/2025
ACTUAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS|ALREADY GRADED A+(LATEST
UPDATE) MOST TESTED QUESTIONS
A 22-year-old man is hypotensive and tachycardic after a shotgun wound to the left shoulder.
His blood pressure is initially 80/40 mm Hg. After initial fluid resuscitation his blood pressure
increases to 122/84 mm Hg. His heart rate is now 100 beats per minute and his respiratory rate
is 28 breaths per minute. A tube thoracostomy is performed for decreased left chest breath
sounds with the return of a small amount of blood and no air leak. After chest tube insertion,
the most appropriate next step is: - correct answer - *Re-examine the chest*
- Perform an aortogram
- Obtain a CT scan of the chest
- Obtain ABG analysis
- Transesophageal echocardiography
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: - correct answer -
complete spine x-ray series
Which of the following is true regarding the initial resuscitation of a trauma patient? - correct
answer - A patient with a torso gunshot wound and hypotension should receive crystalloid fluid
resuscitation until the blood pressure is normal
-* Evidence of improved perfusion after fluid resuscitation could include improvement in
Glasgow Coma Scale score on reevaluation*
- Massive transfusion is defined as transfusion of more than 10 units of packed red blood cells
and plasma within 24 hours
- When tranexamic acid is administered by pre-hospital providers, a second dose is required
within 24 hours
- Fluid resuscitation is far more important than bleeding control in trauma patient
In managing a patient with a severe traumatic brain injury, the most important initial step is to:
- correct answer - Secure the 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? - correct answer - His pulse
pressure will be widened.
- His urinary output will be at the lower limits of normal. xxx
- He will have tachycardia, but no change in his systolic blood pressure.
- *An ABG would demonstrate a base deficit between -6 and -10 mEq/L.*
- His systolic blood pressure will be maintained with an elevated diastolic pressure.
The physiological hypervolemia of pregnancy has clinical significance in the management of the
severely injured, gravid woman by: - correct answer - increasing the volume of blood loss to
produce maternal hypotension.
The best assessment of fluid resuscitation of the adult burn patient is: - correct answer -
urinary output of 0.5 mL/kg/hr
The diagnosis of shock must include: - correct answer - evidence of inadequate organ perfusion
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: - correct answer - direct pressure on
the wound
For the patient with severe traumatic brain injury, profound hypocarbia should be avoided to
prevent: - correct answer - respiratory acidosis xxx
- metabolic acidosis
- *Cerebral vasoconstriction with diminished perfusion*
- neurogenic pulmonary edema
- shift of the oxyhemoglobin dissociation curve
After being involved in a motor vehicle crash, a 25-year-old man is brought to a hospital that
has surgery capabilities available. Computed tomography of the chest and abdomen 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: - correct answer - perform an exploratory laparotomy
Which one of the following statements regarding abdominal trauma in the pregnant patient is
TRUE? - correct answer - The fetus is in jeopardy only with major abdominal trauma.
- *Leakage of amniotic fluid is an indication for hospital admission.*
- Indications for peritoneal lavage are different from those in the nonpregnant patient.
DETAILED ANSWERS|ALREADY GRADED A+ATLS 10 POST-TEST AND PRE-TEST 2024/2025
ACTUAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS|ALREADY GRADED A+(LATEST
UPDATE) MOST TESTED QUESTIONS
A 22-year-old man is hypotensive and tachycardic after a shotgun wound to the left shoulder.
His blood pressure is initially 80/40 mm Hg. After initial fluid resuscitation his blood pressure
increases to 122/84 mm Hg. His heart rate is now 100 beats per minute and his respiratory rate
is 28 breaths per minute. A tube thoracostomy is performed for decreased left chest breath
sounds with the return of a small amount of blood and no air leak. After chest tube insertion,
the most appropriate next step is: - correct answer - *Re-examine the chest*
- Perform an aortogram
- Obtain a CT scan of the chest
- Obtain ABG analysis
- Transesophageal echocardiography
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: - correct answer -
complete spine x-ray series
Which of the following is true regarding the initial resuscitation of a trauma patient? - correct
answer - A patient with a torso gunshot wound and hypotension should receive crystalloid fluid
resuscitation until the blood pressure is normal
-* Evidence of improved perfusion after fluid resuscitation could include improvement in
Glasgow Coma Scale score on reevaluation*
- Massive transfusion is defined as transfusion of more than 10 units of packed red blood cells
and plasma within 24 hours
- When tranexamic acid is administered by pre-hospital providers, a second dose is required
within 24 hours
- Fluid resuscitation is far more important than bleeding control in trauma patient
In managing a patient with a severe traumatic brain injury, the most important initial step is to:
- correct answer - Secure the 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? - correct answer - His pulse
pressure will be widened.
- His urinary output will be at the lower limits of normal. xxx
- He will have tachycardia, but no change in his systolic blood pressure.
- *An ABG would demonstrate a base deficit between -6 and -10 mEq/L.*
- His systolic blood pressure will be maintained with an elevated diastolic pressure.
The physiological hypervolemia of pregnancy has clinical significance in the management of the
severely injured, gravid woman by: - correct answer - increasing the volume of blood loss to
produce maternal hypotension.
The best assessment of fluid resuscitation of the adult burn patient is: - correct answer -
urinary output of 0.5 mL/kg/hr
The diagnosis of shock must include: - correct answer - evidence of inadequate organ perfusion
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: - correct answer - direct pressure on
the wound
For the patient with severe traumatic brain injury, profound hypocarbia should be avoided to
prevent: - correct answer - respiratory acidosis xxx
- metabolic acidosis
- *Cerebral vasoconstriction with diminished perfusion*
- neurogenic pulmonary edema
- shift of the oxyhemoglobin dissociation curve
After being involved in a motor vehicle crash, a 25-year-old man is brought to a hospital that
has surgery capabilities available. Computed tomography of the chest and abdomen 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: - correct answer - perform an exploratory laparotomy
Which one of the following statements regarding abdominal trauma in the pregnant patient is
TRUE? - correct answer - The fetus is in jeopardy only with major abdominal trauma.
- *Leakage of amniotic fluid is an indication for hospital admission.*
- Indications for peritoneal lavage are different from those in the nonpregnant patient.
