ATLS TEST 1 ACTUAL EXAM 100% WITH
CORRECT ANSWERS
1.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 no...
ATLS TEST 1 ACTUAL EXAM 100% WITH
CORRECT ANSWERS 2023\2024
1.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:
Select one:
a.reexamine the
chest b.perform an
aortogram c.obtain a
CT scan of the chest
d.obtain arterial blood gas analyses
e.perform transesophageal echocardiography {{Correct Ans- A)
Reexamine the chest
2.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:
Select one:
a.angiography
b.compartment
pressures
,c.retrograde
urethrogram
d.Doppler
ultrasound studies
e.complete spine x-ray series {{Correct Ans- e) Complete spine x-ray
series
3.Which of the following is true regarding the initial
resuscitation of a trauma patient? Select one:
a. A patient that presents with a torso gunshot wound and is
hypotensive should receive crystalloid fluid resuscitation until the
blood pressure is normal
b. Evidence of improved perfusion after fluid resuscitation could
include improvement in Glasgow coma scale score on reevaluation
c. Massive transfusion is defined as transfusion of more than >10 of
packed red blood cells and plasma in 24 hours
, d. When tranexamic acid is administered by pre-hospital providers a
second dose is required within 24 hours
e. Fluid resuscitation is far more important than bleeding control in
trauma patients {{Correct Ans- b. Evidence of improved perfusion
after fluid resuscitation could include improvement in Glasgow coma
scale score on reevaluation
4.In managing a patient with a severe traumatic brain injury, the
most important initial step is to: Select one:
a.Secure the
airway b.obtain a
c-spine film
c.support the
circulation
d.control scalp
hemorrhage
e.determine the
GCS score
Feedback
Your answer is corr
{{Correct Ans- a. Secure the
airway
5.A previously healthy, 70-kg (154-pound) man suffers an estimated
acute blood loss of 2 liters. Which one of the following statements
applies to this patient?
Select one:
a. His pulse pressure will be widened.
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