ATSL POST TEST -2025- SET OF QUESTIONS
ANDCORRECT DETAILED ANSWERS ALREADY
GRADED A+ GUARRANTEED PASS
The response to catecholamines in an injured, hypovolemic pregnant woman can be expected to result in:
A. Placental abruption
B. Fetal hypoxia and distress
C. Fetal/maternal dysrhytmia
D. Improved uterine blood flow
E. Increased maternal renal blood flow - correct answer > B. Fetal hypoxia and distress
A construction worker falls from a scaffold and is transferred to the ED. His HR is 124 bpm and his BP is
85/60. He complains of lower abdominal pain. After assessing the airway and chest, immobilizing the C
spine and initiating fluid resuscitation, the next step is to perform:
A. FAST exam
B. Detailed neurological exam
C. Rectal exam
D. Cervical spine x-ray
E. Urethral catheterization - correct answer > A. FAST exam
Cardiac tamponade after trauma: - correct answer > Can be confused with a tension pneumothorax
Regarding shock in the child, which of the following is FALSE?
A. Vital signs are age-related
B. Children have greater physiologic reserves than do adults
C. Tachycardia is the primary physiologic response to hypovolemia
D. The absolute volume of blood loss required to produce shock is the same as in adults
E. An initial fluid bolus for resuscitation should approximate 20ml/kg Ringers Lactate - correct answer >
D. The absolute volume of blood loss required to produce shock is the same as in adults
All the following signs on chest x-ray of a blunt injury victim may suggest aortic rupture except:
, 2
A. Mediastinal emphysema
B. Presence of a pleural cap
C. Obliteration of the aortic knob
D. Devitation of the trachea to the right
E. Depression of the left mainstem bronchus - correct answer > A. Mediastinal emphysema
An 8 year old boy falls 15 feet from a tree in a sprout to the emergency department by his family. His
vital signs are normal, but he complains of leftover quad pain. And abdominal CT reveals a moderately
severe laceration of the spleen. The receiving institution does not have 24 hour a day operating room
capabilities. The most appropriate management of this patient would be to:
A. Type and crossmatch for blood
B. Request consultation of a pediatrician
C. Transfer the patient to a trauma center
D. Admit the patient to the ICU
E. Prepare the patient for surgery the next day - correct answer > C. Transfer the patient to a trauma
center
Signs and symptoms of airway compromise include all of the following except:
A. Change in voice
B. Stridor
C. Tachypea
D. Dyspnea and agitation
E. Decreased pulse pressure - correct answer > E. Decreased pulse pressure
Which of the following signs necessitates the need for a definitive airway in severe trauma patient?
A. facial lacerations
B. repeated vomiting
C. severe maxillofacial trauma
D. sternal fracture
E. GCS 12 - correct answer > C. Severe maxillofacial trauma
, 3
A 20 year old athlete is involved in a motorcycle crash. When he arrives in the ED, he shouts that he
cannot move his legs. On physical examination, there are no abnormalities of the chest, abdomen or
pelvis. The patient has no sensation in his legs and cannot move them, but his arms are moving. The
patients RR is 28 bpm, HR is 88bpm and BP is 80/60mmHg. He is pale and sweaty. What is the most
likely cause of this condition?
A. Neurogenic shock
B. Cardiogenic shock
C. Abdominal hemorrhage
D. Myocardial contusion
E. Hyperthermia. - correct answer > A. Neurogenic shock
Which one of the following statements is FALSE concerning Rh isoimmunization in pregnant trauma
patients?
A. It occurs in blunt or penetrating abdominal trauma
B. It is produced by minor degrees of fetomaternal hemorrhage
C. Rh immunoglobulin therapy should be administered to pregnant females who have sustained a gunshot
wound to the leg
D. This is not a problem in traumatized, Rh-positive pregnant patients
E. Initiation of Rh immunoglobulin therapy does not require proof of fetomaternal hemorrhage - correct
answer > C. Rh immunoglobulin therapy should be administered to pregnant females who have sustained
a gunshot wound to the leg
Twenty seven people are severely injured in an aircraft crash at a local airport. The principles of triage
include:
A. establish a triage site within the internal perimeter of the crash site
B. treat only the most severely injured patients first
C. immediately transport all patients to the nearest hospital
D. treat the greatest number of patients in the shortest period of time
E. produce the greatest number of survivors based on available resources - correct answer > E. Produce
the greatest number of survivors based on available resources
ANDCORRECT DETAILED ANSWERS ALREADY
GRADED A+ GUARRANTEED PASS
The response to catecholamines in an injured, hypovolemic pregnant woman can be expected to result in:
A. Placental abruption
B. Fetal hypoxia and distress
C. Fetal/maternal dysrhytmia
D. Improved uterine blood flow
E. Increased maternal renal blood flow - correct answer > B. Fetal hypoxia and distress
A construction worker falls from a scaffold and is transferred to the ED. His HR is 124 bpm and his BP is
85/60. He complains of lower abdominal pain. After assessing the airway and chest, immobilizing the C
spine and initiating fluid resuscitation, the next step is to perform:
A. FAST exam
B. Detailed neurological exam
C. Rectal exam
D. Cervical spine x-ray
E. Urethral catheterization - correct answer > A. FAST exam
Cardiac tamponade after trauma: - correct answer > Can be confused with a tension pneumothorax
Regarding shock in the child, which of the following is FALSE?
A. Vital signs are age-related
B. Children have greater physiologic reserves than do adults
C. Tachycardia is the primary physiologic response to hypovolemia
D. The absolute volume of blood loss required to produce shock is the same as in adults
E. An initial fluid bolus for resuscitation should approximate 20ml/kg Ringers Lactate - correct answer >
D. The absolute volume of blood loss required to produce shock is the same as in adults
All the following signs on chest x-ray of a blunt injury victim may suggest aortic rupture except:
, 2
A. Mediastinal emphysema
B. Presence of a pleural cap
C. Obliteration of the aortic knob
D. Devitation of the trachea to the right
E. Depression of the left mainstem bronchus - correct answer > A. Mediastinal emphysema
An 8 year old boy falls 15 feet from a tree in a sprout to the emergency department by his family. His
vital signs are normal, but he complains of leftover quad pain. And abdominal CT reveals a moderately
severe laceration of the spleen. The receiving institution does not have 24 hour a day operating room
capabilities. The most appropriate management of this patient would be to:
A. Type and crossmatch for blood
B. Request consultation of a pediatrician
C. Transfer the patient to a trauma center
D. Admit the patient to the ICU
E. Prepare the patient for surgery the next day - correct answer > C. Transfer the patient to a trauma
center
Signs and symptoms of airway compromise include all of the following except:
A. Change in voice
B. Stridor
C. Tachypea
D. Dyspnea and agitation
E. Decreased pulse pressure - correct answer > E. Decreased pulse pressure
Which of the following signs necessitates the need for a definitive airway in severe trauma patient?
A. facial lacerations
B. repeated vomiting
C. severe maxillofacial trauma
D. sternal fracture
E. GCS 12 - correct answer > C. Severe maxillofacial trauma
, 3
A 20 year old athlete is involved in a motorcycle crash. When he arrives in the ED, he shouts that he
cannot move his legs. On physical examination, there are no abnormalities of the chest, abdomen or
pelvis. The patient has no sensation in his legs and cannot move them, but his arms are moving. The
patients RR is 28 bpm, HR is 88bpm and BP is 80/60mmHg. He is pale and sweaty. What is the most
likely cause of this condition?
A. Neurogenic shock
B. Cardiogenic shock
C. Abdominal hemorrhage
D. Myocardial contusion
E. Hyperthermia. - correct answer > A. Neurogenic shock
Which one of the following statements is FALSE concerning Rh isoimmunization in pregnant trauma
patients?
A. It occurs in blunt or penetrating abdominal trauma
B. It is produced by minor degrees of fetomaternal hemorrhage
C. Rh immunoglobulin therapy should be administered to pregnant females who have sustained a gunshot
wound to the leg
D. This is not a problem in traumatized, Rh-positive pregnant patients
E. Initiation of Rh immunoglobulin therapy does not require proof of fetomaternal hemorrhage - correct
answer > C. Rh immunoglobulin therapy should be administered to pregnant females who have sustained
a gunshot wound to the leg
Twenty seven people are severely injured in an aircraft crash at a local airport. The principles of triage
include:
A. establish a triage site within the internal perimeter of the crash site
B. treat only the most severely injured patients first
C. immediately transport all patients to the nearest hospital
D. treat the greatest number of patients in the shortest period of time
E. produce the greatest number of survivors based on available resources - correct answer > E. Produce
the greatest number of survivors based on available resources
