ASCORERS STUVIA
ATLS PRACTICE QUESTIONS NEWEST VERSION WITH 230
QUESTIONS WHICH ARE CORRECTLY ANSWERED AND VERIFIED
FOR LEARNERS |AGRADE
(*)Degree of burn that is characterized by bone involvement ...ANSWER...
Fourth
37-year-old man is struck on the side of the head but is conscious and talkative
after the injury. No evidence of skull fracture. Several days later, he becomes
increasingly lethargic, somewhat confused, and unable to move his right side.
Which type of event has most likely occurred?
A. Subdural hematoma
B. Epidural hematoma
C. Carotid dissection
D. Brain contusion
,ASCORERS STUVIA
7-year-old girl is found at the bottom of a swimming pool. Initially she was in
full arrest but after 5 minutes she showed sinus tachycardia but no respiratory
effort. Intubation was done in the field and cervical collar placed. After
transport to the emergency department she was unresponsive with a blood
pressure of 100/60 mmHg, pulse 105, temperature 34.3C, and oxygen saturation
100%. The pupils were 3 mm and sluggishly responsive to light. There is no
response to pain. The lungs show wheezing on the left and coarse breath sounds
bilaterally. The monitor shows sinus tachycardia. There is no rectal tone. Which
of the following should be the next step in management?
A. Cervical spine films and CT of the head
B. Portable chest radiograph
C. Arterial blood gas
D. Right and left decubitus chest radiographs
A 13 year old boy fell while riding his bicycle and hit his head. He was
unconscious for 4 or 5 minutes. He vomited twice. He has no memory of the
event or a headache. His exam is entirely normal. Glasgow coma score is 15.
Select the next step in management.
,ASCORERS STUVIA
A. Discharge home with concussion instructions
B. CT of the head
C. Skull films
D. Admit for observation
A 17-year-old male is hit on the head with a baseball bat. He withdraws and
opens his eyes in response to deep painful stimuli. He also mumbles
incomprehensibly. What is his Glasgow coma scale score? ...ANSWER... 8
A 18-year-old male sustains a right femur fracture and a cerebral concussion in
a motor vehicle accident. His initial blood pressure is 75/50 mmHg with a pulse
of 90 beats per minute. After giving him 2 liters of Ringer lactate he stabilizes,
but the blood pressure falls when he is seen in the ER. Which of the following
would be the cause of suspected hypotension in this patient?
A. Subdural hematoma
B. Undiagnosed facial fracture
C. Ruptured spleen
D. 10% pneumothorax
, ASCORERS STUVIA
A 22-year-old man sustains a gunshot wound to the abdomen and presents with
shock. He requires multiple units of packed red blood cells during resuscitation.
Later he complains of numbness around his mouth. Physical exam reveals
carpopedal spasm and a positive Chvostek sign. An electrocardiogram
demonstrates a prolonged QT interval. Which of the following is the most
appropriate treatment?
A. IV bicarbonate
B. IV furosemide
C. IV calcium
D. IV insulin
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
ATLS PRACTICE QUESTIONS NEWEST VERSION WITH 230
QUESTIONS WHICH ARE CORRECTLY ANSWERED AND VERIFIED
FOR LEARNERS |AGRADE
(*)Degree of burn that is characterized by bone involvement ...ANSWER...
Fourth
37-year-old man is struck on the side of the head but is conscious and talkative
after the injury. No evidence of skull fracture. Several days later, he becomes
increasingly lethargic, somewhat confused, and unable to move his right side.
Which type of event has most likely occurred?
A. Subdural hematoma
B. Epidural hematoma
C. Carotid dissection
D. Brain contusion
,ASCORERS STUVIA
7-year-old girl is found at the bottom of a swimming pool. Initially she was in
full arrest but after 5 minutes she showed sinus tachycardia but no respiratory
effort. Intubation was done in the field and cervical collar placed. After
transport to the emergency department she was unresponsive with a blood
pressure of 100/60 mmHg, pulse 105, temperature 34.3C, and oxygen saturation
100%. The pupils were 3 mm and sluggishly responsive to light. There is no
response to pain. The lungs show wheezing on the left and coarse breath sounds
bilaterally. The monitor shows sinus tachycardia. There is no rectal tone. Which
of the following should be the next step in management?
A. Cervical spine films and CT of the head
B. Portable chest radiograph
C. Arterial blood gas
D. Right and left decubitus chest radiographs
A 13 year old boy fell while riding his bicycle and hit his head. He was
unconscious for 4 or 5 minutes. He vomited twice. He has no memory of the
event or a headache. His exam is entirely normal. Glasgow coma score is 15.
Select the next step in management.
,ASCORERS STUVIA
A. Discharge home with concussion instructions
B. CT of the head
C. Skull films
D. Admit for observation
A 17-year-old male is hit on the head with a baseball bat. He withdraws and
opens his eyes in response to deep painful stimuli. He also mumbles
incomprehensibly. What is his Glasgow coma scale score? ...ANSWER... 8
A 18-year-old male sustains a right femur fracture and a cerebral concussion in
a motor vehicle accident. His initial blood pressure is 75/50 mmHg with a pulse
of 90 beats per minute. After giving him 2 liters of Ringer lactate he stabilizes,
but the blood pressure falls when he is seen in the ER. Which of the following
would be the cause of suspected hypotension in this patient?
A. Subdural hematoma
B. Undiagnosed facial fracture
C. Ruptured spleen
D. 10% pneumothorax
, ASCORERS STUVIA
A 22-year-old man sustains a gunshot wound to the abdomen and presents with
shock. He requires multiple units of packed red blood cells during resuscitation.
Later he complains of numbness around his mouth. Physical exam reveals
carpopedal spasm and a positive Chvostek sign. An electrocardiogram
demonstrates a prolonged QT interval. Which of the following is the most
appropriate treatment?
A. IV bicarbonate
B. IV furosemide
C. IV calcium
D. IV insulin
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
