ATLS exam questions and
answers graded a+
After abdominal injury, which of the following urinalysis findings
would be an indication for further testing?
A. 0-5 casts/HPF
B. 5-10 WBC/HPF
C. 10-20 RBC/HPF
D. Gross hematuria - ANSWERS>>>>>D. Gross hematuria
A laceration of the neck superficial to the deep cervical fascia
along the sternocleidomastoid muscle at its midpoint would
cause bleeding from which structure? - ANSWERS>>>>>External
jugular vein
Clinical features associated with tension pneumothorax -
ANSWERS>>>>>Unilateral decrease in breath sounds
Hyperresonance
Respiratory distress
Tachycardia
Tracheal shift
Desatruation
Decreased breath sounds
Decreased compliance
,Asymmetric chest movement
NOT hypertension, audible bronchial sounds
Not recommended as a mode of ventilation for a patient with a
diaphragmatic hernia
A. Bag and mask
B. LMA
C. Endotracheal intubation
D. Jet ventilation - ANSWERS>>>>>A. Bag and mask
What is the next step in the assessment of a traumatic patient
after airway is established? - ANSWERS>>>>>Breathing
Blood group that is considered a universal donor -
ANSWERS>>>>>O
A provider is examining a patient who sustained a severe
traumatic head injury. He documents no Doll's eyes. What does
this signify? - ANSWERS>>>>>Brainstem injury
Assessed first in trauma patient - ANSWERS>>>>>Airway
(*)Degree of burn that is characterized by bone involvement -
ANSWERS>>>>>Fourth
,Complications of head trauma - ANSWERS>>>>>Intracerebral
hematoma
Extradural hematoma
Brain abscess
Most common cause of laryngotracheal stenosis -
ANSWERS>>>>>Trauma
Intervention that can help prevent development of acute renal
failure - ANSWERS>>>>>Infusion of normal saline
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 - ANSWERS>>>>>D. Transfusion reaction
Skin antiseptic - ANSWERS>>>>>-Ethanol 70% is an effective skin
antiseptic
, -Acetic acid can be used to treat Gram- skin infections
-Salicylic acid is used to treat certain skin yeast infections
Class IV hemorrhage indicates what % blood loss -
ANSWERS>>>>>55%
How does shivering affect body temperature -
ANSWERS>>>>>Increases body temperature
Class III hemorrhage indicates what % of blood loss -
ANSWERS>>>>>35%
Management of a stable patient with kidney contusion -
ANSWERS>>>>>Observation
Associated with hypovolemic shock - ANSWERS>>>>>-Inadequate
tissue perfusion with resultant tissue hypoxia
-Blood shunting to vital organs
-Decreased circulating blood volume and decreased venous
return
-Low cardiac output
-Loss of less than 20% of the blood volume is usually without
symptom except for mild tachycardia
-Patients become orthostatic with losses between 20 and 40%
answers graded a+
After abdominal injury, which of the following urinalysis findings
would be an indication for further testing?
A. 0-5 casts/HPF
B. 5-10 WBC/HPF
C. 10-20 RBC/HPF
D. Gross hematuria - ANSWERS>>>>>D. Gross hematuria
A laceration of the neck superficial to the deep cervical fascia
along the sternocleidomastoid muscle at its midpoint would
cause bleeding from which structure? - ANSWERS>>>>>External
jugular vein
Clinical features associated with tension pneumothorax -
ANSWERS>>>>>Unilateral decrease in breath sounds
Hyperresonance
Respiratory distress
Tachycardia
Tracheal shift
Desatruation
Decreased breath sounds
Decreased compliance
,Asymmetric chest movement
NOT hypertension, audible bronchial sounds
Not recommended as a mode of ventilation for a patient with a
diaphragmatic hernia
A. Bag and mask
B. LMA
C. Endotracheal intubation
D. Jet ventilation - ANSWERS>>>>>A. Bag and mask
What is the next step in the assessment of a traumatic patient
after airway is established? - ANSWERS>>>>>Breathing
Blood group that is considered a universal donor -
ANSWERS>>>>>O
A provider is examining a patient who sustained a severe
traumatic head injury. He documents no Doll's eyes. What does
this signify? - ANSWERS>>>>>Brainstem injury
Assessed first in trauma patient - ANSWERS>>>>>Airway
(*)Degree of burn that is characterized by bone involvement -
ANSWERS>>>>>Fourth
,Complications of head trauma - ANSWERS>>>>>Intracerebral
hematoma
Extradural hematoma
Brain abscess
Most common cause of laryngotracheal stenosis -
ANSWERS>>>>>Trauma
Intervention that can help prevent development of acute renal
failure - ANSWERS>>>>>Infusion of normal saline
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 - ANSWERS>>>>>D. Transfusion reaction
Skin antiseptic - ANSWERS>>>>>-Ethanol 70% is an effective skin
antiseptic
, -Acetic acid can be used to treat Gram- skin infections
-Salicylic acid is used to treat certain skin yeast infections
Class IV hemorrhage indicates what % blood loss -
ANSWERS>>>>>55%
How does shivering affect body temperature -
ANSWERS>>>>>Increases body temperature
Class III hemorrhage indicates what % of blood loss -
ANSWERS>>>>>35%
Management of a stable patient with kidney contusion -
ANSWERS>>>>>Observation
Associated with hypovolemic shock - ANSWERS>>>>>-Inadequate
tissue perfusion with resultant tissue hypoxia
-Blood shunting to vital organs
-Decreased circulating blood volume and decreased venous
return
-Low cardiac output
-Loss of less than 20% of the blood volume is usually without
symptom except for mild tachycardia
-Patients become orthostatic with losses between 20 and 40%
