Atls Post Test 4 Latest 2025
Versions Real Exam 160
Questions And Correct
Answers Agrade A+ 2025
Newest Update
A 22 year old man is hypotensive and tachycardic after a shotgun wound
to the left shoulder. His blood after initial IV fluid resuscitation, a closed
tube thoracostomy is performed for decreased left breath sounds -
✔✔✔ANSWER-reexamine the chest
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 - ✔✔✔ANSWER-complete spine x-ray series.
The principle of balanced resuscitation is: - ✔✔✔ANSWER-Permissive
hypotension and early plasma infusion
Question:4 In managing the head-injured patient, the most important
initial step is to - ✔✔✔ANSWER-secure 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? - ✔✔✔ANSWER-His systolic blood pressure will be
decreased with a narrowed pulse pressure.
The diagnosis of shock must include - ✔✔✔ANSWER-poor organ
perfusion
Question:9 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 -
✔✔✔ANSWER-direct pressure
,For the patient with severe traumatic brain injury, profound hypocarbia
should be avoided to prevent - ✔✔✔ANSWER-cerebral
vasoconstriction with diminished perfusion.
Question:11 A 25-year-old man is brought to a hospital with a general
surgeon after being involved in a motor vehicle crash. Computed
tomography 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 - ✔✔✔ANSWER-exploratory laparotomy.
20-year-old woman, at 32 weeks gestation, is stabbed in the upper right
chest. In the emergency department, her blood pressure is 80/60 mm Hg.
She is gasping for breath, extremely anxious, and yelling for help.
Breath sounds are diminished in the right chest. The most appropriate
first step is to - ✔✔✔ANSWER-perform needle decompression of the
right chest.
Which one of the following findings in an adult is most likely to require
immediate management during the primary survey? - ✔✔✔ANSWER-
resp of 40/mi
Question:17 The most important, immediate step in the management of
an open pneumothorax is - ✔✔✔ANSWER-placement of an occlusive
dressing over the wound.
, Question:18 The following are contraindications for tetanus toxoid
administration - ✔✔✔ANSWER-History of neurological reaction or
severe hypersensitivity to the product.
Question:19 A 56-year-old man is thrown violently against the steering
wheel of his truck during a motor vehicle crash. On arrival in the
emergency department he is diaphoretic and complaining of chest pain.
His blood pressure is 60/40 mm Hg and his respiratory rate is 40 breaths
per minute. Which of the following best differentiates cardiac
tamponade from tension pneumothorax as the cause of his hypotension?
- ✔✔✔ANSWER-Breath sounds.
Question:20 Bronchial intubation of the right or left mainstem bronchus
can easily occur during infant endotracheal intubation because -
✔✔✔ANSWER-the trachea is relatively short.
Question:21 A 23-year-old man sustains 4 stab wounds to the upper right
chest during an altercation and is brought by ambulance to a hospital
that has full surgical capabilities. His wounds are all above the nipple.
He is endotracheally intubated, closed tube thoracostomy is performed,
and 2 liters of crystalloid solution are infused through 2 large-caliber
IVs. His blood pressure now is 60/0 mm Hg, heart rate is 160 beats per
minute, and respiratory rate is 14 breaths per minute (ventilated with
100% O2). 1500cc of blood has drained from the right chest. The most
appropriate next step in managing this patient is to - ✔✔✔ANSWER-
urgently transfer the patient to the operating room.
Versions Real Exam 160
Questions And Correct
Answers Agrade A+ 2025
Newest Update
A 22 year old man is hypotensive and tachycardic after a shotgun wound
to the left shoulder. His blood after initial IV fluid resuscitation, a closed
tube thoracostomy is performed for decreased left breath sounds -
✔✔✔ANSWER-reexamine the chest
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 - ✔✔✔ANSWER-complete spine x-ray series.
The principle of balanced resuscitation is: - ✔✔✔ANSWER-Permissive
hypotension and early plasma infusion
Question:4 In managing the head-injured patient, the most important
initial step is to - ✔✔✔ANSWER-secure 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? - ✔✔✔ANSWER-His systolic blood pressure will be
decreased with a narrowed pulse pressure.
The diagnosis of shock must include - ✔✔✔ANSWER-poor organ
perfusion
Question:9 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 -
✔✔✔ANSWER-direct pressure
,For the patient with severe traumatic brain injury, profound hypocarbia
should be avoided to prevent - ✔✔✔ANSWER-cerebral
vasoconstriction with diminished perfusion.
Question:11 A 25-year-old man is brought to a hospital with a general
surgeon after being involved in a motor vehicle crash. Computed
tomography 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 - ✔✔✔ANSWER-exploratory laparotomy.
20-year-old woman, at 32 weeks gestation, is stabbed in the upper right
chest. In the emergency department, her blood pressure is 80/60 mm Hg.
She is gasping for breath, extremely anxious, and yelling for help.
Breath sounds are diminished in the right chest. The most appropriate
first step is to - ✔✔✔ANSWER-perform needle decompression of the
right chest.
Which one of the following findings in an adult is most likely to require
immediate management during the primary survey? - ✔✔✔ANSWER-
resp of 40/mi
Question:17 The most important, immediate step in the management of
an open pneumothorax is - ✔✔✔ANSWER-placement of an occlusive
dressing over the wound.
, Question:18 The following are contraindications for tetanus toxoid
administration - ✔✔✔ANSWER-History of neurological reaction or
severe hypersensitivity to the product.
Question:19 A 56-year-old man is thrown violently against the steering
wheel of his truck during a motor vehicle crash. On arrival in the
emergency department he is diaphoretic and complaining of chest pain.
His blood pressure is 60/40 mm Hg and his respiratory rate is 40 breaths
per minute. Which of the following best differentiates cardiac
tamponade from tension pneumothorax as the cause of his hypotension?
- ✔✔✔ANSWER-Breath sounds.
Question:20 Bronchial intubation of the right or left mainstem bronchus
can easily occur during infant endotracheal intubation because -
✔✔✔ANSWER-the trachea is relatively short.
Question:21 A 23-year-old man sustains 4 stab wounds to the upper right
chest during an altercation and is brought by ambulance to a hospital
that has full surgical capabilities. His wounds are all above the nipple.
He is endotracheally intubated, closed tube thoracostomy is performed,
and 2 liters of crystalloid solution are infused through 2 large-caliber
IVs. His blood pressure now is 60/0 mm Hg, heart rate is 160 beats per
minute, and respiratory rate is 14 breaths per minute (ventilated with
100% O2). 1500cc of blood has drained from the right chest. The most
appropriate next step in managing this patient is to - ✔✔✔ANSWER-
urgently transfer the patient to the operating room.
