ATLS 10TH EDITION POST TEST 3 QUESTIONS WITH
COMPLETE SOLUTIONS GUARANTEED PASS BRAND NEW
2025/2026
Regarding shock in the child, which of the following is FALSE?
A. Vital signs are age-related
B. Children have greater physiologic reserves than do adults
C. Tachycardia is the primary physiologic response to hypovolemia
D. The absolute volume of blood loss required to produce shock is the
same as in adults
E. An initial fluid bolus for resuscitation should approximate 20ml/kg
Ringers Lactate - ANSWER - >D. The absolute volume of blood loss
required to produce shock is the same as in adults
A 33-year-old man is struck by a car travelling at 56km/h (35mph). He
has obvious fractures of the left tibia near the knee, pain in the pelvic
area, and severe dyspnea. His heart rate is 182 beats per minute, and
his respiratory rate is 48 breaths per minute with no breath sounds
,heard in the left chest. A tension pneumothorax is relieved by
immediate needle decompression and tube thoracostomy.
Subsequently, his heart rate decreases to 144 beats per minute, his
respirartory rate decreases to 36 breaths per minute and his blood
pressure is 81/53 mmHg. Warmed Ringers lactate is adminstered
intravenously. The next priority should be to:
A. Perform external fixation of the pelvis
B. Obtain abdominal and pelvic CT-scans
C. Perform arterial embolization of the pelvic vessel
D. Perform diagnostic peritoneal lavage or FAST
E. Perform a urethrogram and cystogram - ANSWER - >D. Perform
diagnostic peritoneal lavage or FAST
A 42-year-old man, injured in a motor vehicle crash, suffers a closed
head injury, multiple palpable left rib fractures, and bilateral femur
fractures. He is intubated orotracheally without difficulty. Initially, his
ventilations are easily assisted with a bag-mask device. It becomes
more difficult to ventilate the patient over the next 5 minutes, and his
hemoglobin oxygen saturation level decreases from 98% to 89%. The
most appropriate next step is to:
A. Obtain a chest x-ray
B. Decrease the tidal volume
C. Decrease PEEP
D. Increase the rate of assisted ventilations
E. Perform needle decompression of the left chest. - ANSWER - >A.
Obtain a chest x-ray (MÅ SJEKKES)
A 30-year-old man sustains a severely comminuted, open, distal right
femur fracture in a motorcycle crash. The wound is actively bleeding.
Normal sensation is present over the lateral aspect of the foot but
decreased over the medial foot and great toe. Normal motion of the
foot is observed. Dorsalis pedis and posterior tibial pulses are easily
,palpable on the left, but heard only by Doppler on the right. Immediate
efforts to improve circulation to the injured extremity should involve:
A. Immediate angiography
B. Tamponade of the wound with a pressure dressing
C. Wound exploration and removal of bony fragments
D. Realignment of the fracture segments with a traction splint
E. Fasciotomy of all four compartments in the lower extremity -
ANSWER - >B. Tamponade of the wound with a pressure dressing
An 18-yeard-old, unhelmeted motorcyclist is brought by ambulance to
the ED following a crash. He had decreased level of consciousness at
the scene, but then was alert and conversational during transportation.
Now his GCS is only 11. Which of the following statements is TRUE?
A. Cerebral perfusion is intact
B. Intravascular volume status is normal
C. The patient is in a postictal state
D. Intra-abdominal visceral injury is unlikely
E. The patient probably has an acute epidural hematoma - ANSWER -
>E. The patient probably has an acute epidural hematoma
A previously healthy, 70kg (175 pound) man suffers an estimated acute
blood loss of two liters. Which one of the following statements apply to
this patient?
A. His pulse pressure will be widened
B. His urinary output will be at the lower limits of normal
C. He will have tachycardia, but no change in systolic blood pressure
D. His systolic blood pressure will be decreased with a narrowed, pulse
pressure
E. His systolic blood pressure will be maintained with an elevated
diastolic pressure. - ANSWER - >E. His systolic blood pressure will be
maintained with an elevated diastolic pressure.
, The physioclogic hypervolemia of pregnancy has clinical significance in
the management of the severely injured gravid woman by
A. Reducing the need for blood transfusion
B. Increasing the risk of pulmonary edema
C. Complicating the management of closed head injury
D. Increasing the volume of blood loss to produce shock/maternal
hypotension
E. Reducing the volume of crystalloid required for resuscitation -
ANSWER - >D. Increasing the volume of blood loss to produce shock
A 17-year-old helmeted motorcyclist loses consciousness when he is
struck broad side by an automobile at an intersection. He arrives in the
ED with a blood pressure of 140/92, pulse rate 88 beats per minute, a
respiratory rate of 18 breaths per minue, and a GCS of 7. Appropriate
initial immobilization of this patient should include a semi-rigid cervical
collar and:
A. A scoop stretcher
B. A long spine board
C. A short spine board
D. Cervical traction tongs
E. Pneumatic antishock garment - ANSWER - >B. A long spine board
During an altercation, a 36-year-old man sustains a gunshot wound
above the nipple line on the right, with an exit wound posteriorly above
the scapula on the right. He is transported by ambulance to a
community hospital. He is endotracheally intubated, close tube
thoracostomy is performed, and 2 liters Ringers lactate solution are
infused via 2 large-caliber IV´s. His blood pressure now is 60/0mmHg,
heart rate is 160 beats per minute, and respiratory rate is 14 breaths
per minute (ventilated with 100% O2). The most appropriate next step
in managin this patient is:
A. Laparotomy
B. Diagnostic peritoneal lavage
COMPLETE SOLUTIONS GUARANTEED PASS BRAND NEW
2025/2026
Regarding shock in the child, which of the following is FALSE?
A. Vital signs are age-related
B. Children have greater physiologic reserves than do adults
C. Tachycardia is the primary physiologic response to hypovolemia
D. The absolute volume of blood loss required to produce shock is the
same as in adults
E. An initial fluid bolus for resuscitation should approximate 20ml/kg
Ringers Lactate - ANSWER - >D. The absolute volume of blood loss
required to produce shock is the same as in adults
A 33-year-old man is struck by a car travelling at 56km/h (35mph). He
has obvious fractures of the left tibia near the knee, pain in the pelvic
area, and severe dyspnea. His heart rate is 182 beats per minute, and
his respiratory rate is 48 breaths per minute with no breath sounds
,heard in the left chest. A tension pneumothorax is relieved by
immediate needle decompression and tube thoracostomy.
Subsequently, his heart rate decreases to 144 beats per minute, his
respirartory rate decreases to 36 breaths per minute and his blood
pressure is 81/53 mmHg. Warmed Ringers lactate is adminstered
intravenously. The next priority should be to:
A. Perform external fixation of the pelvis
B. Obtain abdominal and pelvic CT-scans
C. Perform arterial embolization of the pelvic vessel
D. Perform diagnostic peritoneal lavage or FAST
E. Perform a urethrogram and cystogram - ANSWER - >D. Perform
diagnostic peritoneal lavage or FAST
A 42-year-old man, injured in a motor vehicle crash, suffers a closed
head injury, multiple palpable left rib fractures, and bilateral femur
fractures. He is intubated orotracheally without difficulty. Initially, his
ventilations are easily assisted with a bag-mask device. It becomes
more difficult to ventilate the patient over the next 5 minutes, and his
hemoglobin oxygen saturation level decreases from 98% to 89%. The
most appropriate next step is to:
A. Obtain a chest x-ray
B. Decrease the tidal volume
C. Decrease PEEP
D. Increase the rate of assisted ventilations
E. Perform needle decompression of the left chest. - ANSWER - >A.
Obtain a chest x-ray (MÅ SJEKKES)
A 30-year-old man sustains a severely comminuted, open, distal right
femur fracture in a motorcycle crash. The wound is actively bleeding.
Normal sensation is present over the lateral aspect of the foot but
decreased over the medial foot and great toe. Normal motion of the
foot is observed. Dorsalis pedis and posterior tibial pulses are easily
,palpable on the left, but heard only by Doppler on the right. Immediate
efforts to improve circulation to the injured extremity should involve:
A. Immediate angiography
B. Tamponade of the wound with a pressure dressing
C. Wound exploration and removal of bony fragments
D. Realignment of the fracture segments with a traction splint
E. Fasciotomy of all four compartments in the lower extremity -
ANSWER - >B. Tamponade of the wound with a pressure dressing
An 18-yeard-old, unhelmeted motorcyclist is brought by ambulance to
the ED following a crash. He had decreased level of consciousness at
the scene, but then was alert and conversational during transportation.
Now his GCS is only 11. Which of the following statements is TRUE?
A. Cerebral perfusion is intact
B. Intravascular volume status is normal
C. The patient is in a postictal state
D. Intra-abdominal visceral injury is unlikely
E. The patient probably has an acute epidural hematoma - ANSWER -
>E. The patient probably has an acute epidural hematoma
A previously healthy, 70kg (175 pound) man suffers an estimated acute
blood loss of two liters. Which one of the following statements apply to
this patient?
A. His pulse pressure will be widened
B. His urinary output will be at the lower limits of normal
C. He will have tachycardia, but no change in systolic blood pressure
D. His systolic blood pressure will be decreased with a narrowed, pulse
pressure
E. His systolic blood pressure will be maintained with an elevated
diastolic pressure. - ANSWER - >E. His systolic blood pressure will be
maintained with an elevated diastolic pressure.
, The physioclogic hypervolemia of pregnancy has clinical significance in
the management of the severely injured gravid woman by
A. Reducing the need for blood transfusion
B. Increasing the risk of pulmonary edema
C. Complicating the management of closed head injury
D. Increasing the volume of blood loss to produce shock/maternal
hypotension
E. Reducing the volume of crystalloid required for resuscitation -
ANSWER - >D. Increasing the volume of blood loss to produce shock
A 17-year-old helmeted motorcyclist loses consciousness when he is
struck broad side by an automobile at an intersection. He arrives in the
ED with a blood pressure of 140/92, pulse rate 88 beats per minute, a
respiratory rate of 18 breaths per minue, and a GCS of 7. Appropriate
initial immobilization of this patient should include a semi-rigid cervical
collar and:
A. A scoop stretcher
B. A long spine board
C. A short spine board
D. Cervical traction tongs
E. Pneumatic antishock garment - ANSWER - >B. A long spine board
During an altercation, a 36-year-old man sustains a gunshot wound
above the nipple line on the right, with an exit wound posteriorly above
the scapula on the right. He is transported by ambulance to a
community hospital. He is endotracheally intubated, close tube
thoracostomy is performed, and 2 liters Ringers lactate solution are
infused via 2 large-caliber IV´s. His blood pressure now is 60/0mmHg,
heart rate is 160 beats per minute, and respiratory rate is 14 breaths
per minute (ventilated with 100% O2). The most appropriate next step
in managin this patient is:
A. Laparotomy
B. Diagnostic peritoneal lavage
