ATLS POST TEST 4 LATEST
VERSIONS 2023-2024 REAL
EXAM 160 QUESTIONS AND
CORRECT ANSWERS AGRADE
VERSION 1
Question 1
A 22-year-old man is hypotensive and tachycardic after a shotgun wound to the left shoulder. His blood pressure is
initially 80/40 mm Hg. After initial fluid resuscitation his blood pressure increases to 122/84 mm Hg. His heart rate is
now 100 beats per minute and his respiratory rate is 28 breaths per minute. A tube thoracostomy is performed for
decreased left chest breath sounds with the return of a small amount of blood and no air leak. After chest tube
insertion, the most appropriate next step is:
Score: 1 of
1
Your answer Choice Score Correct answer
re-examine the chest 1
perform an aortogram 0
obtain a CT scan of the chest 0
obtain arterial blood gas analysis 0
perform transesophageal echocardiography 0
Question 2
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:
Score: 1 of
1
Your answer Choice Score Correct answer
angiography 0
compartment pressures 0
retrograde urethrogram 0
Doppler ultrasound studies 0
,Your answer Choice Score Correct answer
complete spine x-ray series 1
Question 3
Which of the following is true regarding the initial resuscitation of a trauma patient?
Score: 1 of
1
Your Correct
Choice Score
answer answer
A patient with a torso gunshot wound and hypotension should receive crystalloid fluid
0
resuscitation until the blood pressure is normal
Evidence of improved perfusion after fluid resuscitation could include improvement in
1
Glasgow Coma Scale score on reevaluation
Massive transfusion is defined as transfusion of more than 10 units of packed red blood
0
cells and plasma within 24 hours
When tranexamic acid is administered by pre-hospital providers, a second dose is
0
required within 24 hours
Fluid resuscitation is far more important than bleeding control in trauma patients 0
Question 4
In managing a patient with a severe traumatic brain injury, the most important initial step is to:
Score: 1 of
1
Your answer Choice Score Correct answer
secure the airway 1
obtain a c-spine film 0
support the circulation 0
control scalp hemorrhage 0
determine the GCS score 0
Question 5
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?
Score: 1 of
1
Your Correct
Choice Score
answer answer
His pulse pressure will be widened. 0
His urinary output will be at the lower limits of normal. 0
He will have tachycardia, but no change in his systolic blood pressure. 0
An ABG would demonstrate a base deficit between -6 and -10 mEq/L. 1
His systolic blood pressure will be maintained with an elevated diastolic
0
pressure.
Question 6
The physiological hypervolemia of pregnancy has clinical significance in the management of the severely injured,
gravid woman by:
Score: 1 of
1
Your answer Choice Score Correct answer
reducing the need for blood transfusion. 0
resulting in an elevated hematocrit. 0
complicating the management of closed head injury. 0
reducing the volume of crystalloid required for resuscitation. 0
increasing the volume of blood loss to produce maternal hypotension. 1
Question 7
The best assessment of fluid resuscitation of the adult burn patient is:
Score: 1 of
1
Your answer Choice Score Correct answer
urinary output of 0.5 mL/kg/hr 1
normalization of blood pressure 0
, Your answer Choice Score Correct answer
normalization of the heart rate 0
measuring a normal central venous pressure 0
providing 4 mL/kg/percent body burn/24 hours of crystalloid fluid 0
Question 8
The diagnosis of shock must include:
Score: 1 of
1
Your answer Choice Score Correct answer
hypoxemia 0
acidosis 0
hypotension 0
increased vascular resistance 0
evidence of inadequate organ perfusion 1
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:
Score: 1 of
1
Your answer Choice Score Correct answer
application of a tourniquet 0
direct pressure on the wound 1
packing the wound with gauze 0
direct pressure on the femoral artery at the groinc 0
debridement of devitalized tissue 0
Question 10
VERSIONS 2023-2024 REAL
EXAM 160 QUESTIONS AND
CORRECT ANSWERS AGRADE
VERSION 1
Question 1
A 22-year-old man is hypotensive and tachycardic after a shotgun wound to the left shoulder. His blood pressure is
initially 80/40 mm Hg. After initial fluid resuscitation his blood pressure increases to 122/84 mm Hg. His heart rate is
now 100 beats per minute and his respiratory rate is 28 breaths per minute. A tube thoracostomy is performed for
decreased left chest breath sounds with the return of a small amount of blood and no air leak. After chest tube
insertion, the most appropriate next step is:
Score: 1 of
1
Your answer Choice Score Correct answer
re-examine the chest 1
perform an aortogram 0
obtain a CT scan of the chest 0
obtain arterial blood gas analysis 0
perform transesophageal echocardiography 0
Question 2
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:
Score: 1 of
1
Your answer Choice Score Correct answer
angiography 0
compartment pressures 0
retrograde urethrogram 0
Doppler ultrasound studies 0
,Your answer Choice Score Correct answer
complete spine x-ray series 1
Question 3
Which of the following is true regarding the initial resuscitation of a trauma patient?
Score: 1 of
1
Your Correct
Choice Score
answer answer
A patient with a torso gunshot wound and hypotension should receive crystalloid fluid
0
resuscitation until the blood pressure is normal
Evidence of improved perfusion after fluid resuscitation could include improvement in
1
Glasgow Coma Scale score on reevaluation
Massive transfusion is defined as transfusion of more than 10 units of packed red blood
0
cells and plasma within 24 hours
When tranexamic acid is administered by pre-hospital providers, a second dose is
0
required within 24 hours
Fluid resuscitation is far more important than bleeding control in trauma patients 0
Question 4
In managing a patient with a severe traumatic brain injury, the most important initial step is to:
Score: 1 of
1
Your answer Choice Score Correct answer
secure the airway 1
obtain a c-spine film 0
support the circulation 0
control scalp hemorrhage 0
determine the GCS score 0
Question 5
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?
Score: 1 of
1
Your Correct
Choice Score
answer answer
His pulse pressure will be widened. 0
His urinary output will be at the lower limits of normal. 0
He will have tachycardia, but no change in his systolic blood pressure. 0
An ABG would demonstrate a base deficit between -6 and -10 mEq/L. 1
His systolic blood pressure will be maintained with an elevated diastolic
0
pressure.
Question 6
The physiological hypervolemia of pregnancy has clinical significance in the management of the severely injured,
gravid woman by:
Score: 1 of
1
Your answer Choice Score Correct answer
reducing the need for blood transfusion. 0
resulting in an elevated hematocrit. 0
complicating the management of closed head injury. 0
reducing the volume of crystalloid required for resuscitation. 0
increasing the volume of blood loss to produce maternal hypotension. 1
Question 7
The best assessment of fluid resuscitation of the adult burn patient is:
Score: 1 of
1
Your answer Choice Score Correct answer
urinary output of 0.5 mL/kg/hr 1
normalization of blood pressure 0
, Your answer Choice Score Correct answer
normalization of the heart rate 0
measuring a normal central venous pressure 0
providing 4 mL/kg/percent body burn/24 hours of crystalloid fluid 0
Question 8
The diagnosis of shock must include:
Score: 1 of
1
Your answer Choice Score Correct answer
hypoxemia 0
acidosis 0
hypotension 0
increased vascular resistance 0
evidence of inadequate organ perfusion 1
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:
Score: 1 of
1
Your answer Choice Score Correct answer
application of a tourniquet 0
direct pressure on the wound 1
packing the wound with gauze 0
direct pressure on the femoral artery at the groinc 0
debridement of devitalized tissue 0
Question 10
