ATLS 2025 Questions and Answers ()
(Verified Answers)
A 20-year-old woman who is 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 or finger decompression of the right chest
.A 22-year-old female athlete is stabbed in her left chest at the third interspace
in the anterior axillary line. On admission to the emergency department and 15
minutes after the incident, she is awake and alert. Her heart rate is 100 beats
per minute, blood pressure 80/60 mm Hg, and respiratory rate 20 breaths per
minute. A chest x-ray reveals a large left hemothorax. A left chest tube is placed
with an immediate return of 1600 mL of blood. The next management step for
this patient is: - ANSWER-prepare for an exploratory thoracotomy
.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: - ANSWER-re-examine the chest
.A 22-year-old man sustains a gunshot wound to the left chest and is
transported to a small community hospital no surgical capabilities are available.
In the emergency department, a chest tube is inserted and 700 mL of blood is
evacuated. The trauma center accepts the patient in transfer. Just before the
patient is placed in the ambulance for transfer, his blood pressure decreases to
, 80/68 mm Hg and his heart rate increases to 136 beats per minute. The next
step should be to: - ANSWER-repeat the primary survey and proceed with
transfer
.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, fluid resuscitation is
initiated through 2 large-caliber IVs. FAST exam does not reveal intraabdominal
injuries. 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). 1500 mL 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
.A 25-year-old man, injured in a motor vehicular crash, is admitted to the
emergency department. His pupils react sluggishly and his eyes open to
pressure. He does not follow commands, but he does moan periodically. His
right arm is deformed and does not respond to pressure; however, his left hand
reaches purposefully toward the stimulus. Both legs are stiffly extended. His
GCS score is: - ANSWER-9
.A 32-year-old man's right leg is trapped beneath his overturned car for nearly 2
hours before he is extricated. On arrival in the emergency department, his right
lower extremity is cool, mottled, insensate, and motionless. Despite normal
vital signs, pulses cannot be palpated below the right femoral artery and the
muscles of the lower extremity are firm and hard. During the management of
this patient, which of the following is most likely to improve the chances for
limb salvage? - ANSWER-surgical consultation for right lower extremity
fasciotomy
(Verified Answers)
A 20-year-old woman who is 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 or finger decompression of the right chest
.A 22-year-old female athlete is stabbed in her left chest at the third interspace
in the anterior axillary line. On admission to the emergency department and 15
minutes after the incident, she is awake and alert. Her heart rate is 100 beats
per minute, blood pressure 80/60 mm Hg, and respiratory rate 20 breaths per
minute. A chest x-ray reveals a large left hemothorax. A left chest tube is placed
with an immediate return of 1600 mL of blood. The next management step for
this patient is: - ANSWER-prepare for an exploratory thoracotomy
.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: - ANSWER-re-examine the chest
.A 22-year-old man sustains a gunshot wound to the left chest and is
transported to a small community hospital no surgical capabilities are available.
In the emergency department, a chest tube is inserted and 700 mL of blood is
evacuated. The trauma center accepts the patient in transfer. Just before the
patient is placed in the ambulance for transfer, his blood pressure decreases to
, 80/68 mm Hg and his heart rate increases to 136 beats per minute. The next
step should be to: - ANSWER-repeat the primary survey and proceed with
transfer
.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, fluid resuscitation is
initiated through 2 large-caliber IVs. FAST exam does not reveal intraabdominal
injuries. 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). 1500 mL 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
.A 25-year-old man, injured in a motor vehicular crash, is admitted to the
emergency department. His pupils react sluggishly and his eyes open to
pressure. He does not follow commands, but he does moan periodically. His
right arm is deformed and does not respond to pressure; however, his left hand
reaches purposefully toward the stimulus. Both legs are stiffly extended. His
GCS score is: - ANSWER-9
.A 32-year-old man's right leg is trapped beneath his overturned car for nearly 2
hours before he is extricated. On arrival in the emergency department, his right
lower extremity is cool, mottled, insensate, and motionless. Despite normal
vital signs, pulses cannot be palpated below the right femoral artery and the
muscles of the lower extremity are firm and hard. During the management of
this patient, which of the following is most likely to improve the chances for
limb salvage? - ANSWER-surgical consultation for right lower extremity
fasciotomy
