ATLS Test MID-TERM EXAM 2024-2025 100+ QUESTIONS
AND VERIFIED ANSWERS ALREADY GRADED A
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 - CORRECT 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 - CORRECT ANSWER>>complete spine x-ray series.
The principle of balanced resuscitation is: - CORRECT ANSWER>>Permissive hypotension
and
early plasma infusion
Question:4 In managing the head-injured patient, the most important initial step is to -
CORRECT 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? - CORRECT
ANSWER>>His
systolic blood pressure will be decreased with a narrowed pulse pressure.
The diagnosis of shock must include - CORRECT 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
- CORRECT ANSWER>>direct pressure
For the patient with severe traumatic brain injury, profound hypocarbia should be
, avoided to prevent - CORRECT 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 - CORRECT 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 - CORRECT 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? - CORRECT ANSWER>>resp of 40/mi
Question:17 The most important, immediate step in the management of an open
pneumothorax is - CORRECT ANSWER>>placement of an occlusive dressing over the
wound.
Question:18 The following are contraindications for tetanus toxoid administration -
CORRECT 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? -
CORRECT ANSWER>>Breath sounds.
Question:20 Bronchial intubation of the right or left mainstem bronchus can easily occur
AND VERIFIED ANSWERS ALREADY GRADED A
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 - CORRECT 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 - CORRECT ANSWER>>complete spine x-ray series.
The principle of balanced resuscitation is: - CORRECT ANSWER>>Permissive hypotension
and
early plasma infusion
Question:4 In managing the head-injured patient, the most important initial step is to -
CORRECT 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? - CORRECT
ANSWER>>His
systolic blood pressure will be decreased with a narrowed pulse pressure.
The diagnosis of shock must include - CORRECT 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
- CORRECT ANSWER>>direct pressure
For the patient with severe traumatic brain injury, profound hypocarbia should be
, avoided to prevent - CORRECT 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 - CORRECT 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 - CORRECT 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? - CORRECT ANSWER>>resp of 40/mi
Question:17 The most important, immediate step in the management of an open
pneumothorax is - CORRECT ANSWER>>placement of an occlusive dressing over the
wound.
Question:18 The following are contraindications for tetanus toxoid administration -
CORRECT 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? -
CORRECT ANSWER>>Breath sounds.
Question:20 Bronchial intubation of the right or left mainstem bronchus can easily occur
