ATLS (Advanced Trauma Life Support) 10th Edition
Post-Test (4 Latest versions) || NEWEST ACTUAL
EXAM COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
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An 18 y/o man is brought to the ED after smashing his
motorcycle into a tree. He is conscious and alert, but
paralyzed in both legs and arms. His skin is pale and cold.
He complains of thirst and difficulty in breathing. His
airway is clear. His BP is 60/40 and his pulse is 140 bpm.
Breath sounds are full and equal bilaterally. He should
A. Undergo exploratory celiotomy
B. Be treated for neurogenic shock
C. Be treated for hypovolemic shock
D. Undergo immediate nasotracheal intubation
E. be placed in cervical traction tongs before any other
treatment is instituted - ANSWER-C. Be treated for
hypovolemic shock
The principle of balanced resuscitation is:
A) Permissive hypotension and early plasma infusion
B) Equal amounts of crystalloid and colloids
C) Simultaneous management of breathing and circulation
D) Maintenance of a normal acid base balance
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E) Achieving a pulse rate <90 - ANSWER-A) Permissive
hypotension and early plasma infusion
Healthy young male in a motor vehicle crash is brought to
the emergency department with a blood pressure of 84/60,
pulse 123, GCS 10. The patient moans when his pelvis is
palpated. After initiating fluid resuscitation, the next step in
management is:
A) Placement of a pelvic binder
B) Transfer to a trauma center
C) Pelvic x-ray
D) Insert urinary catheter
E) Repeat examination of pelvis - ANSWER-A) Placement
of a pelvic binder
22 year old male fall from 2m, large right pneumothorax.
Chest tube placed, connected to drainage. Control x-ray
shows pneumothorax, third x-ray reveals pneumothorax -
ANSWER-Tracheobronchal injury
Which one of the following is not a feature of neurogenic
shock?
A. Increased venous capaitance
B. Decreased systemic vascular resistance
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C. Increased cardiac output
D. Warm skin - ANSWER-C. Increased cardiac output
You are treating a truama patient and attempt a definitive
airway by intubation. However, the vocal cords are not
visible. What tool would be the most valuable for achieving
successful intubation?
A. Gum elastic bougie
B. Lateral cervical spine x-ray
C. Nasopharyngeal airway
D. Oxygen
E. Laryngeal mask airway - ANSWER-A. Gum elastic
bougie
A 79 year old female is involved in a motor vehicle crash
and presents to the ED. She is on Coumadin and a beta
blocker. Which of the following statements is true
concerning her management?
A. The risk of subdural hemorrhage is decreased
B. Absence of tachycardia indicates that the patient is
hemodynamically normal
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C. Non-operative management of abdominal injuries is
more likely to be successful in older adults than in younger
patients
D. Vigorous fluid resuscitation may be associated with
cardiorespiratory failure
D. epinephrine should be infused immediately for
hypotension - ANSWER-D. Vigorous fluid resuscitation
may be associated with cardiorespiratory failure
The most common acid base disturbance encountered in
injured pediatric patients is caused by:
A. Hemorrhage
B. Changes in ventilation
C. Renal failure
D. Injudicious bicarbonate administration
E. Insufficient sodium chloride administration - ANSWER-
B. Changes in ventilation?
A 17 year old female is brought to the ED following a 2
meter fall onto concrete. She is unresponsive and found to
have a RR of 32, BP 90/60 and HR 68. The first step in
treatment is:
A. Adminstering vasopressors
B. Establishing IV access for drug-assisted intubation