1 | Page
ATLS POST TEST MCQ EXAM QUESTION BANK ACTUAL EXAM
QUESTIONS AND CORERECT ANSWERS (VERIFIED ANSWERS)
ALL ANSWERED ALREADY GRADED A+
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
C. Be treated for hypovolemic shock
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Which one of the following statements concerning massive hemothorax
is true?
A. It is usually caused by blunt thoracic trauma
B. It is commonly confused with pneumothorax
C. The diagnosis should be confirmed by upright, plain chest xray prior
to treatment
D. The initial draining of 1000ml of blood after chest tube insertion
requires immediate thoracotomy
E. The condition should be suspected in situations with shock and
unilateral absent breath sounds
E. The condition should be suspected in situations with shock and
unilateral absent breath sounds
A 14-year-old female is brought to the ED after falling from a horse. She
is immobilized on a long spine board with a hard collar and blocks.
Cervical spine x-ray:
A. Will show cervical spine injury in more than 20% of these patients
B. Will exclude cervical spine injury if no abnormalities are found on the
x-rays
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C. Are not needed if she is awake, alert, neurologically normal, and has
no neck pain or midline tenderness
D. Should be performed before a dressing potential breathing or
circulatory problems
E. May show atlanto-occipital dislocation if the Powers ratio is <1
--> 1:normal, >1 anterior, <1 posterior
C. Are not needed if she is awake, alert, neurologically normal, and
has no neck pain or midline tenderness
During primary and secondary survey, the patient injured by blunt
trauma should be completely immobilized until A. The neurologic exam
has been completed
B. The patient is transferred to definitive care
C. The patient is able to indicate that he has no neck pain
D. A spinal fracture has been excluded by x-ray
E. The patient complains of potential pressure sores due to the spine
board.
D. A spinal fracture has been excluded by x-ray
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Cervical spine injury
A. Is excluded by a normal neurologic exam
B. Is not present if the patient has normal range of motion
C. Can be detected safely by careful flexion and extension of the neck
D. Can be excluded by a crosstable lateral x-ray of the c-spine
E. May be first manifested by neurologic deficit after movement of the
neck
E. May be first manifested by neurologic deficit after movement of the
neck
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
E) Achieving a pulse rate <90
ATLS POST TEST MCQ EXAM QUESTION BANK ACTUAL EXAM
QUESTIONS AND CORERECT ANSWERS (VERIFIED ANSWERS)
ALL ANSWERED ALREADY GRADED A+
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
C. Be treated for hypovolemic shock
,2 | Page
Which one of the following statements concerning massive hemothorax
is true?
A. It is usually caused by blunt thoracic trauma
B. It is commonly confused with pneumothorax
C. The diagnosis should be confirmed by upright, plain chest xray prior
to treatment
D. The initial draining of 1000ml of blood after chest tube insertion
requires immediate thoracotomy
E. The condition should be suspected in situations with shock and
unilateral absent breath sounds
E. The condition should be suspected in situations with shock and
unilateral absent breath sounds
A 14-year-old female is brought to the ED after falling from a horse. She
is immobilized on a long spine board with a hard collar and blocks.
Cervical spine x-ray:
A. Will show cervical spine injury in more than 20% of these patients
B. Will exclude cervical spine injury if no abnormalities are found on the
x-rays
,3 | Page
C. Are not needed if she is awake, alert, neurologically normal, and has
no neck pain or midline tenderness
D. Should be performed before a dressing potential breathing or
circulatory problems
E. May show atlanto-occipital dislocation if the Powers ratio is <1
--> 1:normal, >1 anterior, <1 posterior
C. Are not needed if she is awake, alert, neurologically normal, and
has no neck pain or midline tenderness
During primary and secondary survey, the patient injured by blunt
trauma should be completely immobilized until A. The neurologic exam
has been completed
B. The patient is transferred to definitive care
C. The patient is able to indicate that he has no neck pain
D. A spinal fracture has been excluded by x-ray
E. The patient complains of potential pressure sores due to the spine
board.
D. A spinal fracture has been excluded by x-ray
, 4 | Page
Cervical spine injury
A. Is excluded by a normal neurologic exam
B. Is not present if the patient has normal range of motion
C. Can be detected safely by careful flexion and extension of the neck
D. Can be excluded by a crosstable lateral x-ray of the c-spine
E. May be first manifested by neurologic deficit after movement of the
neck
E. May be first manifested by neurologic deficit after movement of the
neck
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
E) Achieving a pulse rate <90
