ATLS Practice Questions / ATLS Post Test
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(*)Degree of burn that is characterized by bone involvement - answer-Fourth
37-year-old man is struck on the side of the head but is conscious and talkative
after the injury. No evidence of skull fracture. Several days later, he becomes
increasingly lethargic, somewhat confused, and unable to move his right side.
Which type of event has most likely occurred?
A. Subdural hematoma
B. Epidural hematoma
C. Carotid dissection
D. Brain contusion - answer-A. Subdural hematoma
7-year-old girl is found at the bottom of a swimming pool. Initially she was in
full arrest but after 5 minutes she showed sinus tachycardia but no respiratory
effort. Intubation was done in the field and cervical collar placed. After
transport to the emergency department she was unresponsive with a blood
pressure of 100/60 mmHg, pulse 105, temperature 34.3C, and oxygen
saturation 100%. The pupils were 3 mm and sluggishly responsive to light.
There is no response to pain. The lungs show wheezing on the left and coarse
breath sounds bilaterally. The monitor shows sinus tachycardia. There is no
rectal tone. Which of the following should be the next step in management?
A. Cervical spine films and CT of the head B. Portable chest radiograph
,C. Arterial blood gas
D. Right and left decubitus chest radiographs - answer-A. Cervical spine films
and CT of the head
A 13 year old boy fell while riding his bicycle and hit his head. He was
unconscious for 4 or 5 minutes. He vomited twice. He has no memory of the
event or a headache. His exam is entirely normal. Glasgow coma score is 15.
Select the next step in management.
A. Discharge home with concussion instructions
B. CT of the head
C. Skull films
D. Admit for observation - answer-B. CT of the head
A 17-year-old male is hit on the head with a baseball bat. He withdraws and
opens his eyes in response to deep painful stimuli. He also mumbles
incomprehensibly. What is his Glasgow coma scale score? - answer-8
A 18-year-old male sustains a right femur fracture and a cerebral concussion in
a motor vehicle accident. His initial blood pressure is 75/50 mmHg with a pulse
of 90 beats per minute. After giving him 2 liters of Ringer lactate he stabilizes,
but the blood pressure falls when he is seen in the ER. Which of the following
would be the cause of suspected hypotension in this patient?
A. Subdural hematoma
B. Undiagnosed facial fracture
C. Ruptured spleen
D. 10% pneumothorax - answer-C. Ruptured spleen
,A 22-year-old man sustains a gunshot wound to the abdomen and presents
with shock. He requires multiple units of packed red blood cells during
resuscitation. Later he complains of numbness around his mouth. Physical
exam reveals carpopedal spasm and a positive Chvostek sign. An
electrocardiogram demonstrates a prolonged QT interval. Which of the
following is the most appropriate treatment?
A. IV bicarbonate
B. IV furosemide
C. IV calcium
D. IV insulin - answer-C. IV calcium
A 26-year-old male is resuscitated with blood transfusion after a motor vehicle
collision that was complicated by a fractured pelvis. A few hours later, the
patient becomes febrile, hypotensive with a normal CVP, and oliguric. Upon
examination, the patient is found to be bleeding from the NG tube and IV sites.
Which of the following is the most likely diagnosis?
A. Hemorrhagic shock
B. Acute adrenal insufficiency
C. Fat embolism syndrome
D. Transfusion reaction - answer-D. Transfusion reaction
A 28-year-old male was involved in a motor vehicle accident. He is stable.
When he is asked to sit up, the umbilicus moves up toward the neck area.
What type of injury can this indicate?
A. Rectus hematoma
B. Diastasis recti
C. T6-T10 spinal cord injury
, D. Muscle spasms - answer-C. T6-T10 spinal cord injury
A 34-year-old with severe head trauma and elevated intracranial pressures is
intubated. Which of the following should be the target for mechanical
ventilation? - answer-Set PaCO2 between 30-35
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?
A. Tachycardia
B. pulse volume
C. breath sounds
D. pulse pressure
E. jugular venous pressure - answer-C. breath sounds
A female is transported to the emergency department after a motor vehicle
accident with trauma to the left leg and back. Vital signs show
temperature=37.1ºC, BP= 125/75 mm Hg, HR= 94, R=20. GCS is 15. There is
paraplegia, T12 sensory level, and decreased rectal tone. Hemoglobin is normal
and stable at 1 hour. Which of the following should be done to assess for
intraperitoneal bleeding?
A. Diagnostic peritoneal lavage
B. CT of the abdomen
C. Abdominal ultrasound
D. Flat plate of the abdomen - answer-C. Abdominal ultrasound
Actual Questions With Verified Answers 100%
Guarantee Score Pass
(*)Degree of burn that is characterized by bone involvement - answer-Fourth
37-year-old man is struck on the side of the head but is conscious and talkative
after the injury. No evidence of skull fracture. Several days later, he becomes
increasingly lethargic, somewhat confused, and unable to move his right side.
Which type of event has most likely occurred?
A. Subdural hematoma
B. Epidural hematoma
C. Carotid dissection
D. Brain contusion - answer-A. Subdural hematoma
7-year-old girl is found at the bottom of a swimming pool. Initially she was in
full arrest but after 5 minutes she showed sinus tachycardia but no respiratory
effort. Intubation was done in the field and cervical collar placed. After
transport to the emergency department she was unresponsive with a blood
pressure of 100/60 mmHg, pulse 105, temperature 34.3C, and oxygen
saturation 100%. The pupils were 3 mm and sluggishly responsive to light.
There is no response to pain. The lungs show wheezing on the left and coarse
breath sounds bilaterally. The monitor shows sinus tachycardia. There is no
rectal tone. Which of the following should be the next step in management?
A. Cervical spine films and CT of the head B. Portable chest radiograph
,C. Arterial blood gas
D. Right and left decubitus chest radiographs - answer-A. Cervical spine films
and CT of the head
A 13 year old boy fell while riding his bicycle and hit his head. He was
unconscious for 4 or 5 minutes. He vomited twice. He has no memory of the
event or a headache. His exam is entirely normal. Glasgow coma score is 15.
Select the next step in management.
A. Discharge home with concussion instructions
B. CT of the head
C. Skull films
D. Admit for observation - answer-B. CT of the head
A 17-year-old male is hit on the head with a baseball bat. He withdraws and
opens his eyes in response to deep painful stimuli. He also mumbles
incomprehensibly. What is his Glasgow coma scale score? - answer-8
A 18-year-old male sustains a right femur fracture and a cerebral concussion in
a motor vehicle accident. His initial blood pressure is 75/50 mmHg with a pulse
of 90 beats per minute. After giving him 2 liters of Ringer lactate he stabilizes,
but the blood pressure falls when he is seen in the ER. Which of the following
would be the cause of suspected hypotension in this patient?
A. Subdural hematoma
B. Undiagnosed facial fracture
C. Ruptured spleen
D. 10% pneumothorax - answer-C. Ruptured spleen
,A 22-year-old man sustains a gunshot wound to the abdomen and presents
with shock. He requires multiple units of packed red blood cells during
resuscitation. Later he complains of numbness around his mouth. Physical
exam reveals carpopedal spasm and a positive Chvostek sign. An
electrocardiogram demonstrates a prolonged QT interval. Which of the
following is the most appropriate treatment?
A. IV bicarbonate
B. IV furosemide
C. IV calcium
D. IV insulin - answer-C. IV calcium
A 26-year-old male is resuscitated with blood transfusion after a motor vehicle
collision that was complicated by a fractured pelvis. A few hours later, the
patient becomes febrile, hypotensive with a normal CVP, and oliguric. Upon
examination, the patient is found to be bleeding from the NG tube and IV sites.
Which of the following is the most likely diagnosis?
A. Hemorrhagic shock
B. Acute adrenal insufficiency
C. Fat embolism syndrome
D. Transfusion reaction - answer-D. Transfusion reaction
A 28-year-old male was involved in a motor vehicle accident. He is stable.
When he is asked to sit up, the umbilicus moves up toward the neck area.
What type of injury can this indicate?
A. Rectus hematoma
B. Diastasis recti
C. T6-T10 spinal cord injury
, D. Muscle spasms - answer-C. T6-T10 spinal cord injury
A 34-year-old with severe head trauma and elevated intracranial pressures is
intubated. Which of the following should be the target for mechanical
ventilation? - answer-Set PaCO2 between 30-35
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?
A. Tachycardia
B. pulse volume
C. breath sounds
D. pulse pressure
E. jugular venous pressure - answer-C. breath sounds
A female is transported to the emergency department after a motor vehicle
accident with trauma to the left leg and back. Vital signs show
temperature=37.1ºC, BP= 125/75 mm Hg, HR= 94, R=20. GCS is 15. There is
paraplegia, T12 sensory level, and decreased rectal tone. Hemoglobin is normal
and stable at 1 hour. Which of the following should be done to assess for
intraperitoneal bleeding?
A. Diagnostic peritoneal lavage
B. CT of the abdomen
C. Abdominal ultrasound
D. Flat plate of the abdomen - answer-C. Abdominal ultrasound
