ATLS PRACTICE TEST 3 (ACTUAL 2025)
QUESTIONS AND 100% VERIFIED ANSWERS
Assessed first in trauma patient
Airway
(*)Degree of burn that is characterized by bone involvement
Fourth
The laryngeal mask airway is contraindicated in patients with
what condition?
A. Spine injury
B. Head trauma
C. Giving birth
D. Propensity to aspirate
D. Propensity to aspirate
,A patient sustains blunt trauma to the back and left leg. Vital
signs in the emergency department show temperature 36
degrees C, BP 120/80 mm Hg, heart rate 92, respirations 19,
GCS 15. There is bilateral lower extremity paraplegia, T12
sensory level, and decreased rectal tone. Hemoglobin is 14.2
and the same in one hour. Which of the following tests is best
for diagnosing an intraperitoneal bleed?
A. Abdominal ultrasound
B. Laparotomy
C. KUB
D. Diagnostic peritoneal lavage
A. Abdominal ultrasound
Why is tracheostomy generally not performed at the first
cartilage ring
A. The trachea is too narrow
B. A high chance of subglottic stenosis
C. A high chance of tracheo-innominate artery fistula
D. Inability to access the area
B. A high chance of subglottic stenosis
What does a carotid pulse indicate?
A. A functioning pump for blood flow
,B. The circulating blood volume is reaching end organs
C. Diastolic blood pressure
D. None of the above
B. The circulating blood volume is reaching end organs
Which of the following generally causes hemorrhage
associated with pelvic fractures?
A. Obturator artery injury
B. Superior gluteal artery
C. Lateral sacral artery injury
D. Venous bleeding
D. Venous bleeding
Hemothorax facts
-Must have at least 500 cc of blood to make a diagnosis on
chest x-rayin an adult
-Incomplete evacuation of hemothorax can lead to empyema
-Initial treatment of hemothorax is always a chest tube
In a 66 year old intubated, comatose patient, what is one of
the most important information that one needs to obtain?
, A. Organ donation status
B. Power of attorney
C. Lawyer
D. Driver's license
B. Power of attorney
A patient is hit by a car and has severe injuries to his
extremities. He is immediately brought to the emergency
room by EMS. Evaluation reveals that he has multiple organ
injuries. He has an open, gaping wound which measures 2 x 2
centimeters, just below the right knee. The leg appears
dislocated and ecchymotic. However, pulses are present in the
distal extremity. He does not complain of any paresthesias. X-
ray reveals that there is a fracture of the tibia. The trauma
team is called. As their arrival is awaited, which of the
following should NOT be done to help manage this patient?
A. Obtain culture and close wound using a sterile technique
B. Don't reduce the dislocation
C. Give tetanus toxoid/booster shot
D. Give antibiotics
A. Obtain culture and close wound using a sterile technique
QUESTIONS AND 100% VERIFIED ANSWERS
Assessed first in trauma patient
Airway
(*)Degree of burn that is characterized by bone involvement
Fourth
The laryngeal mask airway is contraindicated in patients with
what condition?
A. Spine injury
B. Head trauma
C. Giving birth
D. Propensity to aspirate
D. Propensity to aspirate
,A patient sustains blunt trauma to the back and left leg. Vital
signs in the emergency department show temperature 36
degrees C, BP 120/80 mm Hg, heart rate 92, respirations 19,
GCS 15. There is bilateral lower extremity paraplegia, T12
sensory level, and decreased rectal tone. Hemoglobin is 14.2
and the same in one hour. Which of the following tests is best
for diagnosing an intraperitoneal bleed?
A. Abdominal ultrasound
B. Laparotomy
C. KUB
D. Diagnostic peritoneal lavage
A. Abdominal ultrasound
Why is tracheostomy generally not performed at the first
cartilage ring
A. The trachea is too narrow
B. A high chance of subglottic stenosis
C. A high chance of tracheo-innominate artery fistula
D. Inability to access the area
B. A high chance of subglottic stenosis
What does a carotid pulse indicate?
A. A functioning pump for blood flow
,B. The circulating blood volume is reaching end organs
C. Diastolic blood pressure
D. None of the above
B. The circulating blood volume is reaching end organs
Which of the following generally causes hemorrhage
associated with pelvic fractures?
A. Obturator artery injury
B. Superior gluteal artery
C. Lateral sacral artery injury
D. Venous bleeding
D. Venous bleeding
Hemothorax facts
-Must have at least 500 cc of blood to make a diagnosis on
chest x-rayin an adult
-Incomplete evacuation of hemothorax can lead to empyema
-Initial treatment of hemothorax is always a chest tube
In a 66 year old intubated, comatose patient, what is one of
the most important information that one needs to obtain?
, A. Organ donation status
B. Power of attorney
C. Lawyer
D. Driver's license
B. Power of attorney
A patient is hit by a car and has severe injuries to his
extremities. He is immediately brought to the emergency
room by EMS. Evaluation reveals that he has multiple organ
injuries. He has an open, gaping wound which measures 2 x 2
centimeters, just below the right knee. The leg appears
dislocated and ecchymotic. However, pulses are present in the
distal extremity. He does not complain of any paresthesias. X-
ray reveals that there is a fracture of the tibia. The trauma
team is called. As their arrival is awaited, which of the
following should NOT be done to help manage this patient?
A. Obtain culture and close wound using a sterile technique
B. Don't reduce the dislocation
C. Give tetanus toxoid/booster shot
D. Give antibiotics
A. Obtain culture and close wound using a sterile technique
