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ATLS-POST AND PRE TEST COMPLETED exam questions with answers (answers outlined!!) 2023
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ATLS-POST AND PRE TEST COMPLETED exam questions withanswers (answers outlined!!) 2023
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ATLS-POST AND PRE TEST COMPLETED exam questions with
answers (answers outlined!!) 2023
Shinta R. Widya, MD – Post Test ATLS
1. Which of the following signs is LEAST reliable for diagnosing esophageal immobilizing the c-spine and initiating fluid resuscitation, the next step is to
intubation? perform:
a Symmetrical chest wall movement a FAST exam
b End tidal CO2 presence by colorimetry b Detailed neurological exam
c Bilateral breath sounds c Rectal exam
d Oxygen saturation >92% d Cervical spine x-ray
e ETT above carina on chest x-ray e Urethral catheterization
2. Which one of the following signs necessitates a definitive airway in severe 9. A 22 year old male sustains a shotgun wound to the left shoulder and chest
trauma patients? at close range. His BP is 80/40 mmHg and his HR is 130 bpm. After 2 liters of
a Facial lacerations crystalloid solution are rapidly infused, his BP increases to 122/84 mmHg,
b Repeated vomiting and HR decreases to 100 bpm. He is tachypneic with RR of 28 bpm. On
c Severe maxillofacial fractures physical examination, his breath sounds are decreased at the left upper
d Sternal fracture chest with dullness on percussion. A large caliber (36 french) tube
e GCS score of 12 thoracostomy is inserted in the fifth intercostal space with the return of
200 ml of blood and no air leak. The most appropriate next step is to:
3. Twenty seven patients are seriously injured in an aircraft crash at a local a Insert a folley catheter
airport. The principles of triage include: b Begin to transfuse o-negative blood
a Establish a triage site within the internal perimeter of the crash site c Perform thoracotomy
b Treat only the most severely injured patients first d Obtain a CT scan of the chest and abdomen
c Immediately transport all patients to the nearest hospital e Repeat the physical examination of the chest
d Treat the greatest number of patients in the shortest period of time
e Produce the greatest number of survivors based on available 10. Which one of the following statements concerning spine and spinal cord
resources trauma is true?
a A normal lateral c-spine film excludes injury
4. Which one of the following statements is correct? b A vertebral injury is unlikely in the absence of physical findings of a
a Cerebral contusions may coalesce to form an intracerebral cord injury
hematoma c A patient with a suspected spine injury requires immobilization on a
b Epidural hematomas are usually seen in frontal region short spine
c Subdural hematomas are caused by injury to the middle meningeal d Diaphragmatic breathing in an unconscious patient who has fallen is
artery a sign of spine injury
d Subdural hematomas typically have a lenticular shape on CT scan e Determination of whether a spinal cord lesion is complete or
e The associated brain damage is more severe in epidural hematomas incomplete must be made in the primary survey
5. An 18 year old male is brought to the emergency department after having 11. A 20 year old athlete is involve in a motorcycle crash. When he arrives in
been shot. He has one bullet wound just below the right clavicle and the emergency department, he shouts that he cannot move his legs. On
another just below the costal margin in the right posterior axillary line. His physical examination, there are no abnormalities of the chest, abdomen or
BP is 110/60 mmHg, HR is 90 bpm, and RR is 34 bpm. After ensuring a pelvis. The patient has no sensation in his legs and cannot move them, but
patent airway and inserting 2 large caliber iv line, the next appropriate step his arms are moving. The patient’s RR is 22 bpm, HR is 88 bpm, and BP is
is to: 80/60 mmHg. He is pale and sweaty. What is the most likely cause of this
a Obtain a portable chest x-ray condition?
b Administer a bolus of additional iv fluid a Neurogenic shock
c Perform a laparotomy b Cardiogenic shock
d Obtain an abdominal CT scan c Abdominal hemorrhage
e Perform diagnostic peritoneal lavage d Myocardial contusion
e Hyperthermia
6. An 8 year old boy falls 4,5 meters (15 feet) from a tree and is brought to the
emergency department by his family. His vital signs are normal, but he 12. A 28 year old male is brought to the emergency department. He was
complains of left upper quadrant pain. An abdominal CT scan reveals a involved in a flight in which he was beaten with a wooden stick. His chest
moderately severe laceration of the spleen. The receiving institution does shows multiple severe bruises. His airway is clear, RR is 22 bpm, HR is 126
not have 24 hour a day operating room capabilities. The most appropriate bpm, and SBP is 90 mmHg. Which of the following should be performed
management of this patient would be: during the primary survey?
a Type and crossmatch for blood a GCS
b Request consultation of a pediatrician b Cervical spine x-ray
c Transfer the patient to a trauma center c TT administration
d Admit the patient to the ICU d Blood alcohol level
e Prepare the patient for surgery the next day e Rectal exam
7. A 17 year old helmeted motorcyclist is struck broadside by an automobile 13. Which one of the following statements is true regarding access in pediatric
at an intersection. He is unconscious at the scene with a BP of 140/90 resuscitation?
mmHg, HR of 90 bpm, and RR of 22 bpm. His respirations are sonorous and a Intraosseous access should only be considered after five
deep. His GCS score is 6. Immobilization of the entire patient may include percutaneous attempts
the use of all the following, except: b Cut down at the ankle is a preferred initial access technique
a Air splints c Blood transfusion can be delivered through intraosseous access
b Bolstering devices d Internal jugular cannulation is the next preferred opinion when
c ... percutaneous venous access fails
d ... e Intraosseous cannulation should be first choice for access
e ...
14. A 23 year old male is stabbed below the right nipple. He is alert, and his
8. A construction worker falls from a scaffold and is transferred to the oxygen saturation is 98%. Chest tube was placed for treatment of
emergency department. His HR is 124 bpm and BP is 85/60 mmHg. He hemopneumothorax. BP is 90/60 mmHg after administration of 1 L of
complains of lower abdominal pain. After assessing the airway and chest, crystalloid solution. What is the next step in treatment?
a Re-examine the chest
1
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