ATLS PRE-TEST EXAM STUDY GUIDE
ATLS PRE-TEST EXAM STUDY
GUIDE. GRADED A+.
QUESTIONS AND 100%
VERIFIED ANSWERS. LATEST
UPDATE
A 22-year-old man is hypotensive and tachycardic after a shotgun wound to
the left shoulder. His blood pressure is initially 80/40 mm Hg. After initial
fluid resuscitation his blood pressure increases to 122/84 mm Hg. His heart
rate is now 100 beats per minute and his respiratory rate is 28 breaths per
minute. A tube thoracostomy is performed for decreased left chest breath
sounds with the return of a small amount of blood and no air leak. After
chest tube insertion, the most appropriate next step is:
--- re-examine the chest
A construction worker falls two stories from a building and sustains bilateral
calcaneal fractures. In the emergency department, he is alert, vital signs are
normal, and he is complaining of severe pain in both heels and his lower
back. Lower extremity pulses are strong and there is no other deformity. The
suspected diagnosis is most likely to be confirmed by:
--- complete spine x-ray series
What is true regarding the initial resuscitation of a trauma patient? ---
Evidence of improved perfusion after fluid resuscitation could include
improvement in Glasgow Coma Scale score on reevaluation
In managing a patient with a severe traumatic brain injury, the most
important initial step is to:
,ATLS PRE-TEST EXAM STUDY GUIDE
--- secure the airway
A previously healthy, 70-kg (154-pound) man suffers an estimated acute
blood loss of 2 liters. What applies to this patient?
--- An ABG would demonstrate a base deficit between -6 and -10 mEq/L.
The physiological hypervolemia of pregnancy has clinical significance in the
management of the severely injured, gravid woman by: --- increasing the
volume of blood loss to produce maternal hypotension.
The best assessment of fluid resuscitation of the adult burn patient is:
--- urinary output of 0.5
mL/kg/hr The diagnosis of
shock must include:
--- evidence of inadequate organ perfusion
A 7-year-old boy is brought to the emergency department by his parents
several minutes after he fell through a window. He is bleeding profusely from
a 6-cm wound of his medial right thigh. Immediate management of the
wound should consist of:
`
,ATLS PRE-TEST EXAM STUDY GUIDE
For the patient with severe traumatic brain injury, profound hypocarbia
should be avoided to prevent:
--- cerebral vasoconstriction with diminished perfusion
After being involved in a motor vehicle crash, a 25-year-old man is brought
to a hospital that has surgery capabilities available.. Computed tomography
of the chest and abdomen shows an aortic injury and splenic laceration with
free abdominal fluid. His blood pressure falls to 70 mm Hg after CT. The next
step is:
--- perform an exploratory laparotomy
What statements regarding abdominal trauma in the pregnant patient is TRUE?
--- Leakage of amniotic fluid is an indication for hospital
admission. The first maneuver to improve oxygenation
after chest injury is:
--- administer supplemental oxygen
A 25-year-old man, injured in a motor vehicular crash, is admitted to the
emergency department. His pupils react sluggishly and his eyes open to
pressure. He does not follow commands, but he does moan periodically. His
right arm is deformed and does not respond to pressure; however, his left
hand reaches purposefully toward the stimulus. Both legs are stiffly
extended. His GCS score is:
--- 9
, ATLS PRE-TEST EXAM STUDY GUIDE
A 20-year-old woman who is at 32 weeks gestation, is stabbed in the upper
right chest. In the emergency department, her blood pressure is 80/60 mm
Hg. She is gasping for breath, extremely anxious, and yelling for help. Breath
sounds are diminished in the right chest. The most appropriate first step is
to:
--- perform needle or finger decompression of the right chest
What findings in an adult is most likely to require immediate management
during the primary survey?
--- respiratory rate of 40 breaths per minute
The most important, immediate step in the management of an open
pneumothorax is:
--- placement of an occlusive dressing over the wound
The following are contraindications for tetanus toxoid administration:
--- history of neurological reaction or severe hypersensitivity to the product
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. What best differentiates
cardiac tamponade from tension pneumothorax as the cause of his
hypotension?
--- breath sounds
Bronchial intubation of the right or left mainstem bronchus can easily occur
during infant endotracheal intubation because:
--- 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
ATLS PRE-TEST EXAM STUDY
GUIDE. GRADED A+.
QUESTIONS AND 100%
VERIFIED ANSWERS. LATEST
UPDATE
A 22-year-old man is hypotensive and tachycardic after a shotgun wound to
the left shoulder. His blood pressure is initially 80/40 mm Hg. After initial
fluid resuscitation his blood pressure increases to 122/84 mm Hg. His heart
rate is now 100 beats per minute and his respiratory rate is 28 breaths per
minute. A tube thoracostomy is performed for decreased left chest breath
sounds with the return of a small amount of blood and no air leak. After
chest tube insertion, the most appropriate next step is:
--- re-examine the chest
A construction worker falls two stories from a building and sustains bilateral
calcaneal fractures. In the emergency department, he is alert, vital signs are
normal, and he is complaining of severe pain in both heels and his lower
back. Lower extremity pulses are strong and there is no other deformity. The
suspected diagnosis is most likely to be confirmed by:
--- complete spine x-ray series
What is true regarding the initial resuscitation of a trauma patient? ---
Evidence of improved perfusion after fluid resuscitation could include
improvement in Glasgow Coma Scale score on reevaluation
In managing a patient with a severe traumatic brain injury, the most
important initial step is to:
,ATLS PRE-TEST EXAM STUDY GUIDE
--- secure the airway
A previously healthy, 70-kg (154-pound) man suffers an estimated acute
blood loss of 2 liters. What applies to this patient?
--- An ABG would demonstrate a base deficit between -6 and -10 mEq/L.
The physiological hypervolemia of pregnancy has clinical significance in the
management of the severely injured, gravid woman by: --- increasing the
volume of blood loss to produce maternal hypotension.
The best assessment of fluid resuscitation of the adult burn patient is:
--- urinary output of 0.5
mL/kg/hr The diagnosis of
shock must include:
--- evidence of inadequate organ perfusion
A 7-year-old boy is brought to the emergency department by his parents
several minutes after he fell through a window. He is bleeding profusely from
a 6-cm wound of his medial right thigh. Immediate management of the
wound should consist of:
`
,ATLS PRE-TEST EXAM STUDY GUIDE
For the patient with severe traumatic brain injury, profound hypocarbia
should be avoided to prevent:
--- cerebral vasoconstriction with diminished perfusion
After being involved in a motor vehicle crash, a 25-year-old man is brought
to a hospital that has surgery capabilities available.. Computed tomography
of the chest and abdomen shows an aortic injury and splenic laceration with
free abdominal fluid. His blood pressure falls to 70 mm Hg after CT. The next
step is:
--- perform an exploratory laparotomy
What statements regarding abdominal trauma in the pregnant patient is TRUE?
--- Leakage of amniotic fluid is an indication for hospital
admission. The first maneuver to improve oxygenation
after chest injury is:
--- administer supplemental oxygen
A 25-year-old man, injured in a motor vehicular crash, is admitted to the
emergency department. His pupils react sluggishly and his eyes open to
pressure. He does not follow commands, but he does moan periodically. His
right arm is deformed and does not respond to pressure; however, his left
hand reaches purposefully toward the stimulus. Both legs are stiffly
extended. His GCS score is:
--- 9
, ATLS PRE-TEST EXAM STUDY GUIDE
A 20-year-old woman who is at 32 weeks gestation, is stabbed in the upper
right chest. In the emergency department, her blood pressure is 80/60 mm
Hg. She is gasping for breath, extremely anxious, and yelling for help. Breath
sounds are diminished in the right chest. The most appropriate first step is
to:
--- perform needle or finger decompression of the right chest
What findings in an adult is most likely to require immediate management
during the primary survey?
--- respiratory rate of 40 breaths per minute
The most important, immediate step in the management of an open
pneumothorax is:
--- placement of an occlusive dressing over the wound
The following are contraindications for tetanus toxoid administration:
--- history of neurological reaction or severe hypersensitivity to the product
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. What best differentiates
cardiac tamponade from tension pneumothorax as the cause of his
hypotension?
--- breath sounds
Bronchial intubation of the right or left mainstem bronchus can easily occur
during infant endotracheal intubation because:
--- 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
