ATLS TRAUMA MANAGEMENT EXAM 2025 |133
QUESTIONS WITH VERIFIED CORRECT ANSWERS
1. Which of the following is the least preferred method of
administering IV fluids?
Cubital
veins
Cephalic veins
Subclavian veins
Saphenous vein
2. A patient involved in an MVA is brought to the trauma center
unconscious. Her vitals are Temp 35.7; HR 140; RR 24; BP 80/40
mmHg. She is cold, shivering, and perspiring profusely. She has
bilateral reactive pupils but
she does not respond to pain. On physical examination she has no
obvious sign of external bleeding. Which of the following CANNOT
be the cause of hypotension in this patient?
Pelvic fracture
C6 spinal cord
injury Fracture of
the femur
, Hemothorax
3. Study of choice for imaging patients with suspected radiculopathy
MRI
CT
myelography
EEG
EMG
4. Which of the following is the lowest score that can be given
using the Glasgow Coma Scale in a client with traumatic brain
injury?
3
, 4
10
0
5. The patient is receiving aggressive fluid resuscitation. Which is the
best indicator that the patient's cardiac output is adequate?
Systolic blood pressure
Blood urea nitrogen (BUN)
level Sodium (Na+) serum
level
Urine output
6. Where would one attempt a second IV start if the first is
unsuccessful? In the same location as the first attempt
In a more proximal location
In a more distal location
None of the above
7. In a clinical scenario where a patient is suspected of being brain dead,
what steps should be taken following a 4-vessel cerebral angiography
that shows no cerebral blood flow? Consider the implications for
treatment and family communication.
A. Initiate resuscitation efforts immediately.
B.Discuss the findings with the family and consider organ
, donation protocols.
C. Schedule a follow-up imaging study.
D.Refer the patient to a neurologist for further evaluation.
8. What is one indicator of improved perfusion in a trauma patient after
fluid resuscitation?
QUESTIONS WITH VERIFIED CORRECT ANSWERS
1. Which of the following is the least preferred method of
administering IV fluids?
Cubital
veins
Cephalic veins
Subclavian veins
Saphenous vein
2. A patient involved in an MVA is brought to the trauma center
unconscious. Her vitals are Temp 35.7; HR 140; RR 24; BP 80/40
mmHg. She is cold, shivering, and perspiring profusely. She has
bilateral reactive pupils but
she does not respond to pain. On physical examination she has no
obvious sign of external bleeding. Which of the following CANNOT
be the cause of hypotension in this patient?
Pelvic fracture
C6 spinal cord
injury Fracture of
the femur
, Hemothorax
3. Study of choice for imaging patients with suspected radiculopathy
MRI
CT
myelography
EEG
EMG
4. Which of the following is the lowest score that can be given
using the Glasgow Coma Scale in a client with traumatic brain
injury?
3
, 4
10
0
5. The patient is receiving aggressive fluid resuscitation. Which is the
best indicator that the patient's cardiac output is adequate?
Systolic blood pressure
Blood urea nitrogen (BUN)
level Sodium (Na+) serum
level
Urine output
6. Where would one attempt a second IV start if the first is
unsuccessful? In the same location as the first attempt
In a more proximal location
In a more distal location
None of the above
7. In a clinical scenario where a patient is suspected of being brain dead,
what steps should be taken following a 4-vessel cerebral angiography
that shows no cerebral blood flow? Consider the implications for
treatment and family communication.
A. Initiate resuscitation efforts immediately.
B.Discuss the findings with the family and consider organ
, donation protocols.
C. Schedule a follow-up imaging study.
D.Refer the patient to a neurologist for further evaluation.
8. What is one indicator of improved perfusion in a trauma patient after
fluid resuscitation?
