ATLS 10 Post-Test Exam With Bests Explained
Questions and Answers.
Which of the following signs is LEAST reliable for diagnosing
esophageal intubation? - ANSWER ETT above carina on chest x-
ray
Which of the following signs the necessitates a definitive airway in severe trauma
patients? - ANSWER severe maxillofacial fractures
Twenty-seven patients are seriously injured in an aircraft crash at a local airport. The
principles of triage include - ANSWER produce the greatest number of survivors based
on available resources
Which of the following statements is correct? - ANSWER . Cerebral contusions may
coalesce to form an intracerebral hematoma
An 18-ycar-old male is brought to the emergenc} department 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 blood pressure is110/60 mm Hg. heart rate
is 90 beats per minute, and respiratory rate is 34 breaths per minute. After ensuring a
patent airway and inserting 2 large caliber IVlines., the next appropriate step is to: -
ANSWER obtain a portable chest x-ray
A 47-year-old house painter is brought to the hospital after falling 6 meters (20 feet)
from a ladder and landing straddled on a fence. Examination of his perineum reveals
extensive ecchymosis. There is a blood in the external urethral meatus. The initial
diagnostic study for the evaluation of the urinary tract in this patient should be: -
ANSWER . retrograde urethrography
Neurogenic shock has all of the following classic characteristics except which one? -
ANSWER narrowed pulse pressure
Which one of the following statements is false concerning Rh isoimmunization in
pregnant trauma patients? - ANSWER Rh immunoglobulin therapy should be
administered to pregnant females who have sustained a gunshot wound to the leg.
An 18-year-old motorcyclist sustains massive facial injuries in a head-on crash with a
pick-up truck. He is brought to the emergency department completely immobilized on a
, long spine board and wearing a cervical collar. His blood pressure is 150/88 mmHg,
heart rate is 88 beats per minute and regular, and respiratory rate is 26 breaths per
minute. His respirations are labored and sonorous. His Glasgow Coma Scale score is 7.
Attempts at orotracheal intubation with manual inline stabi - ANSWER surgical
cricothyroidotomy
a 25-year-old male is brought to the hospital after sustaining partial and full-thickness
burns involving 60% of his body surface area. His right arm and hand are severely
burned. There are obvious full-thickness burns of the entire right hand and a
circumferential burn of the right arm. Pulses are absent at the right wrist and are not
detected by Doppler examination. The first step management of the right upper
extremity should be: - ANSWER escharotomy
All of the following signs on the chest x-ray of a patient who sustained a blunt injury may
suggest aortic rupture except which one? - ANSWER a. mediastinal emphysema
A 30-year-old woman fell down four stairs landing on concrete. Witnesses report she
was unconscious for five minutes beginning immediately after the fall. Swith a Glasgow
Coma Scale score of 15. Her only complaint is a slight headache. Thirty minutes later,
she becomes unresponsive with a Glasgow Coma Scale score of 6. On the exam, her
left pupil is large and non-reactive. The right pupil is normal. The one type of
neurological injury most consistent with this patient's e - ANSWER b. an epidural
hematoma
A 24-year-old male pedestrian, struck by an automobile, is admitted to the emergency
department 1 hour after injury. His blood pressure is 80/60 mmHg, heart rate is 140
beats per minute, and respiratory rate is 36 breaths per minute. He is lethargic. Oxygen
is delivered via face mask, and two large-caliber IVs are initiated. Arterial blood gases
are obtained. His PaO2 is - ANSWER restoration of normal perfusion
Which of the following should be performed first in any patient whose injuries may
include multiple closed extremity fractures? - ANSWER . Ensuring adequate
oxygenation and ventilation
A 30-year-old male sustains a gunshot wound to the right lower chest, . He is brought
by ambulance to a hospital that has full surgical capabilities. In the emergency
department he is endotracheally intubated, 2 liters of crystalloid solution are infused
rapidly through two large IV,a closed tube thoracost the return of 200 mL of blood. A
chest x-ray reveals correct placement of the chest tube and a small residual
Questions and Answers.
Which of the following signs is LEAST reliable for diagnosing
esophageal intubation? - ANSWER ETT above carina on chest x-
ray
Which of the following signs the necessitates a definitive airway in severe trauma
patients? - ANSWER severe maxillofacial fractures
Twenty-seven patients are seriously injured in an aircraft crash at a local airport. The
principles of triage include - ANSWER produce the greatest number of survivors based
on available resources
Which of the following statements is correct? - ANSWER . Cerebral contusions may
coalesce to form an intracerebral hematoma
An 18-ycar-old male is brought to the emergenc} department 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 blood pressure is110/60 mm Hg. heart rate
is 90 beats per minute, and respiratory rate is 34 breaths per minute. After ensuring a
patent airway and inserting 2 large caliber IVlines., the next appropriate step is to: -
ANSWER obtain a portable chest x-ray
A 47-year-old house painter is brought to the hospital after falling 6 meters (20 feet)
from a ladder and landing straddled on a fence. Examination of his perineum reveals
extensive ecchymosis. There is a blood in the external urethral meatus. The initial
diagnostic study for the evaluation of the urinary tract in this patient should be: -
ANSWER . retrograde urethrography
Neurogenic shock has all of the following classic characteristics except which one? -
ANSWER narrowed pulse pressure
Which one of the following statements is false concerning Rh isoimmunization in
pregnant trauma patients? - ANSWER Rh immunoglobulin therapy should be
administered to pregnant females who have sustained a gunshot wound to the leg.
An 18-year-old motorcyclist sustains massive facial injuries in a head-on crash with a
pick-up truck. He is brought to the emergency department completely immobilized on a
, long spine board and wearing a cervical collar. His blood pressure is 150/88 mmHg,
heart rate is 88 beats per minute and regular, and respiratory rate is 26 breaths per
minute. His respirations are labored and sonorous. His Glasgow Coma Scale score is 7.
Attempts at orotracheal intubation with manual inline stabi - ANSWER surgical
cricothyroidotomy
a 25-year-old male is brought to the hospital after sustaining partial and full-thickness
burns involving 60% of his body surface area. His right arm and hand are severely
burned. There are obvious full-thickness burns of the entire right hand and a
circumferential burn of the right arm. Pulses are absent at the right wrist and are not
detected by Doppler examination. The first step management of the right upper
extremity should be: - ANSWER escharotomy
All of the following signs on the chest x-ray of a patient who sustained a blunt injury may
suggest aortic rupture except which one? - ANSWER a. mediastinal emphysema
A 30-year-old woman fell down four stairs landing on concrete. Witnesses report she
was unconscious for five minutes beginning immediately after the fall. Swith a Glasgow
Coma Scale score of 15. Her only complaint is a slight headache. Thirty minutes later,
she becomes unresponsive with a Glasgow Coma Scale score of 6. On the exam, her
left pupil is large and non-reactive. The right pupil is normal. The one type of
neurological injury most consistent with this patient's e - ANSWER b. an epidural
hematoma
A 24-year-old male pedestrian, struck by an automobile, is admitted to the emergency
department 1 hour after injury. His blood pressure is 80/60 mmHg, heart rate is 140
beats per minute, and respiratory rate is 36 breaths per minute. He is lethargic. Oxygen
is delivered via face mask, and two large-caliber IVs are initiated. Arterial blood gases
are obtained. His PaO2 is - ANSWER restoration of normal perfusion
Which of the following should be performed first in any patient whose injuries may
include multiple closed extremity fractures? - ANSWER . Ensuring adequate
oxygenation and ventilation
A 30-year-old male sustains a gunshot wound to the right lower chest, . He is brought
by ambulance to a hospital that has full surgical capabilities. In the emergency
department he is endotracheally intubated, 2 liters of crystalloid solution are infused
rapidly through two large IV,a closed tube thoracost the return of 200 mL of blood. A
chest x-ray reveals correct placement of the chest tube and a small residual
