ATLS Final Exam Questions And Answers
Verified 100% Correct
A 56-year-old man is thrown violently against the steering wheel of his truck during a
motor vehicle crash. On arrival to the emergency department he is diaphoretic and
complaining of chest pain. His blood pressure is 60/40 mm Hg and his respiratory rate
is 40 breaths per minute. Which of the following best differentiates cardiac tamponade
from tension pneumothorax as the cause of his hypotension?
Select one: a.
tachycardia
b.
pulse volume
c.
breath sounds
d. pulse
pressure e.
jugular venous pressure
correct
ANSWER- c.
breath sounds
Bronchial intubation of the right or left mainstem bronchus can easily occur during infant
endotracheal intubation because:
Select one: a.
The trachea is relatively short. b.
The distance from the lips to the larynx is relatively short. c.
The use of cuffed endotracheal tubes eliminates this issue. d.
The mainstem bronchi are less angulated in their relation to the trachea. e.
So little friction exists between the endotracheal tube and the wall of the trachea.
correct ANSWER- a.
The trachea is relatively short.
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 Select one: a. perform diagnostic peritoneal
lavage b. obtain a CT of the chest c.
perform an angiography
d.
urgently transfer the patient to the operating room e.
immediately transfer the patient to a trauma center
correct ANSWER- d. urgently transfer the patient
to the operating room
A 39-year-old man is admitted to the emergency department after an automobile
collision. He is cyanotic, has insufficient respiratory effort, and has a GCS score of 6.
His full beard makes it difficult to fit the oxygen facemask to his face. The most
appropriate next step is to
Select one: a. perform a surgical
cricothyroidotomy b. attempt
nasotracheal intubation
c. ventilate him with a bag-mask device until c-spine injury can be
excluded d. restrict cervical motion and attempt orotracheal intubation
using 2 people e.
ventilate the patient with a bag-mask device until his beard can be shaved for better
mask fit a. perform a surgical cricothyroidotomy b. attempt nasotracheal intubation
c. ventilate him with a bag-mask device until c-spine injury can be
excluded d. restrict cervical motion and attempt orotracheal intubation
using 2 people e.
ventilate the patient with a bag-mask device until his beard can be shaved for better
mask fit correct ANSWER- d. restrict cervical motion and attempt orotracheal
intubation using 2 people
A patient is brought to the emergency department after a motor vehicle crash. He is
conscious and there is no obvious external trauma. His blood pressure is 60/40 mm Hg
and his heart rate is 70 beats per minute. His skin is warm. Which one of the following
statements is TRUE?
Select one: a.
Vasoactive medications have no role in this patient's management. b.
The hypotension should be managed with volume resuscitation alone. c.
Flexion and extension views of the c-spine should be performed early. d.
Abdominal visceral injuries can be excluded as a cause of hypotension. e.
Flaccidity of the lower extremities and loss of deep tendon reflexes are expected.
correct ANSWER- e.
Flaccidity of the lower extremities and loss of deep tendon reflexes are expected
Which one of the following is the most effective method for initially treating frostbite?
Verified 100% Correct
A 56-year-old man is thrown violently against the steering wheel of his truck during a
motor vehicle crash. On arrival to the emergency department he is diaphoretic and
complaining of chest pain. His blood pressure is 60/40 mm Hg and his respiratory rate
is 40 breaths per minute. Which of the following best differentiates cardiac tamponade
from tension pneumothorax as the cause of his hypotension?
Select one: a.
tachycardia
b.
pulse volume
c.
breath sounds
d. pulse
pressure e.
jugular venous pressure
correct
ANSWER- c.
breath sounds
Bronchial intubation of the right or left mainstem bronchus can easily occur during infant
endotracheal intubation because:
Select one: a.
The trachea is relatively short. b.
The distance from the lips to the larynx is relatively short. c.
The use of cuffed endotracheal tubes eliminates this issue. d.
The mainstem bronchi are less angulated in their relation to the trachea. e.
So little friction exists between the endotracheal tube and the wall of the trachea.
correct ANSWER- a.
The trachea is relatively short.
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 Select one: a. perform diagnostic peritoneal
lavage b. obtain a CT of the chest c.
perform an angiography
d.
urgently transfer the patient to the operating room e.
immediately transfer the patient to a trauma center
correct ANSWER- d. urgently transfer the patient
to the operating room
A 39-year-old man is admitted to the emergency department after an automobile
collision. He is cyanotic, has insufficient respiratory effort, and has a GCS score of 6.
His full beard makes it difficult to fit the oxygen facemask to his face. The most
appropriate next step is to
Select one: a. perform a surgical
cricothyroidotomy b. attempt
nasotracheal intubation
c. ventilate him with a bag-mask device until c-spine injury can be
excluded d. restrict cervical motion and attempt orotracheal intubation
using 2 people e.
ventilate the patient with a bag-mask device until his beard can be shaved for better
mask fit a. perform a surgical cricothyroidotomy b. attempt nasotracheal intubation
c. ventilate him with a bag-mask device until c-spine injury can be
excluded d. restrict cervical motion and attempt orotracheal intubation
using 2 people e.
ventilate the patient with a bag-mask device until his beard can be shaved for better
mask fit correct ANSWER- d. restrict cervical motion and attempt orotracheal
intubation using 2 people
A patient is brought to the emergency department after a motor vehicle crash. He is
conscious and there is no obvious external trauma. His blood pressure is 60/40 mm Hg
and his heart rate is 70 beats per minute. His skin is warm. Which one of the following
statements is TRUE?
Select one: a.
Vasoactive medications have no role in this patient's management. b.
The hypotension should be managed with volume resuscitation alone. c.
Flexion and extension views of the c-spine should be performed early. d.
Abdominal visceral injuries can be excluded as a cause of hypotension. e.
Flaccidity of the lower extremities and loss of deep tendon reflexes are expected.
correct ANSWER- e.
Flaccidity of the lower extremities and loss of deep tendon reflexes are expected
Which one of the following is the most effective method for initially treating frostbite?
