ATLS Test 1 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 in 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? - answer-breath sounds
Bronchial intubation of the right or left mainstem bronchus can easily occur during infant
endotracheal intubation because: - answer-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: - answer-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: - answer-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. He arrives at the hospital completely
immobilized on a long spine board. 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? - answer-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? -
answer-moist
heat
A 32-year-old man's right leg is trapped beneath his overturned car for nearly 2 hours
before he is extricated. On arrival in the emergency department, his right lower
extremity is cool, mottled, insensate, and motionless. Despite normal vital signs, pulses
, cannot be palpated below the right femoral artery and the muscles of the lower
extremity are firm and hard. During the management of this patient, which of the
following is most likely to improve the chances for limb salvage? - answer-surgical
consultation for right lower extremity fasciotomy
A patient arrives in the emergency department after being beaten about the head and
face with a wooden club. He is comatose and has a palpable depressed skull fracture.
His face is swollen and ecchymotic. He has gurgling respirations and vomitus on his
face and clothing. The most appropriate step after providing supplemental oxygen and
elevating his jaw is to: - answer-suction the oropharynx
A 22-year-old man sustains a gunshot wound to the left chest and is transported to a
small community hospital no surgical capabilities are available. In the emergency
department, a chest tube is inserted and 700 mL of blood is evacuated. The trauma
center accepts the patient in transfer. Just before the patient is placed in the ambulance
for transfer, his blood pressure decreases to 80/68 mm Hg and his heart rate increases
to 136 beats per minute. The next step should be to: - answer-repeat the primary
survey and proceed with transfer
A 64-year-old man involved in a high-speed car crash, is resuscitated initially in a small
hospital without surgical capabilities. He has a closed head injury with a GCS score of
13. He has a widened mediastinum on chest x-ray with fractures of left ribs 2 through 4,
but no pneumothorax. After initiating fluid resuscitation, his blood pressure is 110/74
mm Hg, heart rate is 100 beats per minute, and respiratory rate is 18 breaths per
minute. He has gross hematuria and a pelvic fracture. You decide to transfer this patient
to a facility capable of providing a higher level of care. The facility is 128 km (80 miles)
away. Before transfer, you should first: - answer-call the receiving hospital and speak to
the surgeon on call
Hemorrhage of 20% of the patient's blood volume is associated usually with: - answer-
tachycardia
Which one of the following statements concerning intraosseous infusion is TRUE? -
answer-Aspiration of bone marrow confirms appropriate positioning of the needle.
A young woman sustains a severe head injury as the result of a motor vehicle crash. In
the emergency department, her GCS is 6. Her blood pressure is 140/90 mm Hg and her
heart rate is 80 beats per minute. She is intubated and mechanically ventilated. Her
pupils are 3 mm in size and equally reactive to light. There is no other apparent injury.
The most important principle to follow in the early management of her head injury is to: -
answer-avoid hypotension
A 33-year-old woman is involved in a head-on motor vehicle crash. It took 30 minutes to
extricate her from the car. Upon arrival in the emergency department, her heart rate is
120 beats per minute, BP is 90/70 mm Hg, respiratory rate is 16 breaths per minute,
and her GCS score is 15. Examination reveals bilaterally equal breath sounds, anterior
100% Correct
A 56-year-old man is thrown violently against the steering wheel of his truck during a
motor vehicle crash. On arrival in 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? - answer-breath sounds
Bronchial intubation of the right or left mainstem bronchus can easily occur during infant
endotracheal intubation because: - answer-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: - answer-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: - answer-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. He arrives at the hospital completely
immobilized on a long spine board. 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? - answer-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? -
answer-moist
heat
A 32-year-old man's right leg is trapped beneath his overturned car for nearly 2 hours
before he is extricated. On arrival in the emergency department, his right lower
extremity is cool, mottled, insensate, and motionless. Despite normal vital signs, pulses
, cannot be palpated below the right femoral artery and the muscles of the lower
extremity are firm and hard. During the management of this patient, which of the
following is most likely to improve the chances for limb salvage? - answer-surgical
consultation for right lower extremity fasciotomy
A patient arrives in the emergency department after being beaten about the head and
face with a wooden club. He is comatose and has a palpable depressed skull fracture.
His face is swollen and ecchymotic. He has gurgling respirations and vomitus on his
face and clothing. The most appropriate step after providing supplemental oxygen and
elevating his jaw is to: - answer-suction the oropharynx
A 22-year-old man sustains a gunshot wound to the left chest and is transported to a
small community hospital no surgical capabilities are available. In the emergency
department, a chest tube is inserted and 700 mL of blood is evacuated. The trauma
center accepts the patient in transfer. Just before the patient is placed in the ambulance
for transfer, his blood pressure decreases to 80/68 mm Hg and his heart rate increases
to 136 beats per minute. The next step should be to: - answer-repeat the primary
survey and proceed with transfer
A 64-year-old man involved in a high-speed car crash, is resuscitated initially in a small
hospital without surgical capabilities. He has a closed head injury with a GCS score of
13. He has a widened mediastinum on chest x-ray with fractures of left ribs 2 through 4,
but no pneumothorax. After initiating fluid resuscitation, his blood pressure is 110/74
mm Hg, heart rate is 100 beats per minute, and respiratory rate is 18 breaths per
minute. He has gross hematuria and a pelvic fracture. You decide to transfer this patient
to a facility capable of providing a higher level of care. The facility is 128 km (80 miles)
away. Before transfer, you should first: - answer-call the receiving hospital and speak to
the surgeon on call
Hemorrhage of 20% of the patient's blood volume is associated usually with: - answer-
tachycardia
Which one of the following statements concerning intraosseous infusion is TRUE? -
answer-Aspiration of bone marrow confirms appropriate positioning of the needle.
A young woman sustains a severe head injury as the result of a motor vehicle crash. In
the emergency department, her GCS is 6. Her blood pressure is 140/90 mm Hg and her
heart rate is 80 beats per minute. She is intubated and mechanically ventilated. Her
pupils are 3 mm in size and equally reactive to light. There is no other apparent injury.
The most important principle to follow in the early management of her head injury is to: -
answer-avoid hypotension
A 33-year-old woman is involved in a head-on motor vehicle crash. It took 30 minutes to
extricate her from the car. Upon arrival in the emergency department, her heart rate is
120 beats per minute, BP is 90/70 mm Hg, respiratory rate is 16 breaths per minute,
and her GCS score is 15. Examination reveals bilaterally equal breath sounds, anterior
