ATLS POST TEST 4 LATEST
VERSIONS 2024-2025 REAL
EXAM 160 QUESTIONS AND
CORRECT ANSWERS
|AGRADE
Sophia Bennett
ATSU
,A young man sustains a gunshot wound to the abdomen and is brought promptly to the ED by
prehospital personnel. His skin is cool and diaphoretic, and he is confused. His pulse is thready
and his femoral pulse is only weakly palpable. The definitive treatment in managing this patient
is to:
A. Administer O-negative blood
B. Apply external warming devices
C. Control internal hemorrhage operatively
D. Apply a pneumatic antishock garment (PASG)
E. Infuse large volumes of intravenous crystalloid solutions. - ANSWER-C. Control internal
hemorrhage operatively
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 - ANSWER-
D. The absolute volume of blood loss required to produce shock is the same as in adults
A 33-year-old man is struck by a car travelling at 56km/h (35mph). He has obvious fractures of
the left tibia near the knee, pain in the pelvic area, and severe dyspnea. His heart rate is 182
beats per minute, and his respiratory rate is 48 breaths per minute with no breath sounds heard
in the left chest. A tension pneumothorax is relieved by immediate needle decompression and
tube thoracostomy. Subsequently, his heart rate decreases to 144 beats per minute, his
respirartory rate decreases to 36 breaths per minute and his blood pressure is 81/53 mmHg.
Warmed Ringers lactate is adminstered intravenously. The next priority should be to:
A. Perform external fixation of the pelvis
B. Obtain abdominal and pelvic CT-scans
C. Perform arterial embolization of the pelvic vessel
D. Perform diagnostic peritoneal lavage or FAST
E. Perform a urethrogram and cystogram - ANSWER-D. Perform diagnostic peritoneal lavage or
FAST
,A 42-year-old man, injured in a motor vehicle crash, suffers a closed head injury, multiple
palpable left rib fractures, and bilateral femur fractures. He is intubated orotracheally without
difficulty. Initially, his ventilations are easily assisted with a bag-mask device. It becomes more
difficult to ventilate the patient over the next 5 minutes, and his hemoglobin oxygen saturation
level decreases from 98% to 89%. The most appropriate next step is to:
A. Obtain a chest x-ray
B. Decrease the tidal volume
C. Decrease PEEP
D. Increase the rate of assisted ventilations
E. Perform needle decompression of the left chest. - ANSWER-A. Obtain a chest x-ray (MÅ
SJEKKES)
A 30-year-old man sustains a severely comminuted, open, distal right femur fracture in a
motorcycle crash. The wound is actively bleeding. Normal sensation is present over the lateral
aspect of the foot but decreased over the medial foot and great toe. Normal motion of the foot
is observed. Dorsalis pedis and posterior tibial pulses are easily palpable on the left, but heard
only by Doppler on the right. Immediate efforts to improve circulation to the injured extremity
should involve:
A. Immediate angiography
B. Tamponade of the wound with a pressure dressing
C. Wound exploration and removal of bony fragments
D. Realignment of the fracture segments with a traction splint
E. Fasciotomy of all four compartments in the lower extremity - ANSWER-B. Tamponade of the
wound with a pressure dressing
An 18-yeard-old, unhelmeted motorcyclist is brought by ambulance to the ED following a crash.
He had decreased level of consciousness at the scene, but then was alert and conversational
during transportation. Now his GCS is only 11. Which of the following statements is TRUE?
A. Cerebral perfusion is intact
B. Intravascular volume status is normal
C. The patient is in a postictal state
D. Intra-abdominal visceral injury is unlikely
, E. The patient probably has an acute epidural hematoma - ANSWER-E. The patient probably has
an acute epidural hematoma
A previously healthy, 70kg (175 pound) man suffers an estimated acute blood loss of two liters.
Which one of the following statements apply to this patient?
A. His pulse pressure will be widened
B. His urinary output will be at the lower limits of normal
C. He will have tachycardia, but no change in systolic blood pressure
D. His systolic blood pressure will be decreased with a narrowed, pulse pressure
E. His systolic blood pressure will be maintained with an elevated diastolic pressure. - ANSWER-
E. His systolic blood pressure will be maintained with an elevated diastolic pressure.
The physioclogic hypervolemia of pregnancy has clinical significance in the management of the
severely injured gravid woman by
A. Reducing the need for blood transfusion
B. Increasing the risk of pulmonary edema
C. Complicating the management of closed head injury
D. Increasing the volume of blood loss to produce shock/maternal hypotension
E. Reducing the volume of crystalloid required for resuscitation - ANSWER-D. Increasing the
volume of blood loss to produce shock
A 17-year-old helmeted motorcyclist loses consciousness when he is struck broad side by an
automobile at an intersection. He arrives in the ED with a blood pressure of 140/92, pulse rate
88 beats per minute, a respiratory rate of 18 breaths per minue, and a GCS of 7. Appropriate
initial immobilization of this patient should include a semi-rigid cervical collar and:
A. A scoop stretcher
B. A long spine board
C. A short spine board
D. Cervical traction tongs
E. Pneumatic antishock garment - ANSWER-B. A long spine board
During an altercation, a 36-year-old man sustains a gunshot wound above the nipple line on the
right, with an exit wound posteriorly above the scapula on the right. He is transported by
VERSIONS 2024-2025 REAL
EXAM 160 QUESTIONS AND
CORRECT ANSWERS
|AGRADE
Sophia Bennett
ATSU
,A young man sustains a gunshot wound to the abdomen and is brought promptly to the ED by
prehospital personnel. His skin is cool and diaphoretic, and he is confused. His pulse is thready
and his femoral pulse is only weakly palpable. The definitive treatment in managing this patient
is to:
A. Administer O-negative blood
B. Apply external warming devices
C. Control internal hemorrhage operatively
D. Apply a pneumatic antishock garment (PASG)
E. Infuse large volumes of intravenous crystalloid solutions. - ANSWER-C. Control internal
hemorrhage operatively
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 - ANSWER-
D. The absolute volume of blood loss required to produce shock is the same as in adults
A 33-year-old man is struck by a car travelling at 56km/h (35mph). He has obvious fractures of
the left tibia near the knee, pain in the pelvic area, and severe dyspnea. His heart rate is 182
beats per minute, and his respiratory rate is 48 breaths per minute with no breath sounds heard
in the left chest. A tension pneumothorax is relieved by immediate needle decompression and
tube thoracostomy. Subsequently, his heart rate decreases to 144 beats per minute, his
respirartory rate decreases to 36 breaths per minute and his blood pressure is 81/53 mmHg.
Warmed Ringers lactate is adminstered intravenously. The next priority should be to:
A. Perform external fixation of the pelvis
B. Obtain abdominal and pelvic CT-scans
C. Perform arterial embolization of the pelvic vessel
D. Perform diagnostic peritoneal lavage or FAST
E. Perform a urethrogram and cystogram - ANSWER-D. Perform diagnostic peritoneal lavage or
FAST
,A 42-year-old man, injured in a motor vehicle crash, suffers a closed head injury, multiple
palpable left rib fractures, and bilateral femur fractures. He is intubated orotracheally without
difficulty. Initially, his ventilations are easily assisted with a bag-mask device. It becomes more
difficult to ventilate the patient over the next 5 minutes, and his hemoglobin oxygen saturation
level decreases from 98% to 89%. The most appropriate next step is to:
A. Obtain a chest x-ray
B. Decrease the tidal volume
C. Decrease PEEP
D. Increase the rate of assisted ventilations
E. Perform needle decompression of the left chest. - ANSWER-A. Obtain a chest x-ray (MÅ
SJEKKES)
A 30-year-old man sustains a severely comminuted, open, distal right femur fracture in a
motorcycle crash. The wound is actively bleeding. Normal sensation is present over the lateral
aspect of the foot but decreased over the medial foot and great toe. Normal motion of the foot
is observed. Dorsalis pedis and posterior tibial pulses are easily palpable on the left, but heard
only by Doppler on the right. Immediate efforts to improve circulation to the injured extremity
should involve:
A. Immediate angiography
B. Tamponade of the wound with a pressure dressing
C. Wound exploration and removal of bony fragments
D. Realignment of the fracture segments with a traction splint
E. Fasciotomy of all four compartments in the lower extremity - ANSWER-B. Tamponade of the
wound with a pressure dressing
An 18-yeard-old, unhelmeted motorcyclist is brought by ambulance to the ED following a crash.
He had decreased level of consciousness at the scene, but then was alert and conversational
during transportation. Now his GCS is only 11. Which of the following statements is TRUE?
A. Cerebral perfusion is intact
B. Intravascular volume status is normal
C. The patient is in a postictal state
D. Intra-abdominal visceral injury is unlikely
, E. The patient probably has an acute epidural hematoma - ANSWER-E. The patient probably has
an acute epidural hematoma
A previously healthy, 70kg (175 pound) man suffers an estimated acute blood loss of two liters.
Which one of the following statements apply to this patient?
A. His pulse pressure will be widened
B. His urinary output will be at the lower limits of normal
C. He will have tachycardia, but no change in systolic blood pressure
D. His systolic blood pressure will be decreased with a narrowed, pulse pressure
E. His systolic blood pressure will be maintained with an elevated diastolic pressure. - ANSWER-
E. His systolic blood pressure will be maintained with an elevated diastolic pressure.
The physioclogic hypervolemia of pregnancy has clinical significance in the management of the
severely injured gravid woman by
A. Reducing the need for blood transfusion
B. Increasing the risk of pulmonary edema
C. Complicating the management of closed head injury
D. Increasing the volume of blood loss to produce shock/maternal hypotension
E. Reducing the volume of crystalloid required for resuscitation - ANSWER-D. Increasing the
volume of blood loss to produce shock
A 17-year-old helmeted motorcyclist loses consciousness when he is struck broad side by an
automobile at an intersection. He arrives in the ED with a blood pressure of 140/92, pulse rate
88 beats per minute, a respiratory rate of 18 breaths per minue, and a GCS of 7. Appropriate
initial immobilization of this patient should include a semi-rigid cervical collar and:
A. A scoop stretcher
B. A long spine board
C. A short spine board
D. Cervical traction tongs
E. Pneumatic antishock garment - ANSWER-B. A long spine board
During an altercation, a 36-year-old man sustains a gunshot wound above the nipple line on the
right, with an exit wound posteriorly above the scapula on the right. He is transported by
