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ATLS 2023ATLS Post Test 2023 QUESTIONS AND ANSW
ATLS Posttest 2022 QUESTIONS AND ANSWERS
the presence of a:
1. The primary indication for transferring a
gastric
patient to a higher level trauma center is: diaphragma
open depressed sk
unavailability of a surgeon or operating room fracture of the ce
staff. fracture of the cribr
multiple system injuries, including severe
head injury.
resource limitations as determined by the
transferring doctor.
resource limitations as determined by the
hospital administration.
widened mediastinum on chest x-ray
following blunt thoracic trauma.
2. teen-aged bicycle rider is hit by a truck
traveling at a high rate of speed. In the
emergency department, she is actively bleeding
from open fractures of her legs, and has
abrasions on her chest and abdominal wall. Her
blood pressure is 80/50 mm Hg, heart rate is
140 beats per minute, respiratory rate is 8
breaths per minute, and GCS score is 6.
The first step in managing this patient is to:
obtain a lateral cervical spine x-ray.
insert a central venous pressure line.
,3. Contraindication to nasogastric intubation is
,4. Which one of the following statements administer an osmotic
regarding patients with thoracic spine injuries prevent secondary br
isTRUE?
Log-rolling may be destabilizing
tofractures from T-12 to L-1.
Adequate immobilization can
be accomplished with the scoop
stretcher.
Spinal cord injury below T-10 usually spares
bowel and bladder
function.Hyperflexion fractures in the
upper thoracic spine are inherently
unstable. These patients rarely present
with spinal shock in association with
cord injury.
5. young man sustains a ritle wound to the
mid-abdomen. He is brought promptly to the
emergency department by prehospital
personnel. His skin is cool and diaphoretic,
andhis systolic blood pressure is 58 rnm Hg.
Warmed crystalloid fluids are initiated
withoutimprovement in his vital signs. The
next, mostappropriate step is to perform:
a
celiotomy. an
abdominal CT scan.
diagnostic
laparoscopy.
abdominal
ultrasonography. a diagnostic
peritoneal lavage.
6. young woman sustains a severe head injury
as the result of a motor vehicular crash. In the
emergency department, her GCS score is 6.
Herblood pressure is 140/90 mm Hg and her
heart rate is 80 beats per minute. She is
intubated andis being mechanically ventilated.
, aggressively treat systemic hypertension. 9. 8-year-old girl is an unrestrai
reduce metabolic requirements of the in a vehicle struck from behind.
brain. emergency department, her blo
distinguish between intracranial hematoma 80/60 mm Hg, heart rate is 80 b
and cerebral edema. and respiratory rate is 16 breath
Her GCS score is 14. She compla
legs feel "funny and won't move
7.22-year-old man is brought to the hospital
however, her spine x-rays do no
after crashing his motorcycle into a telephone
fracture or dislocation. A spinal
pole. He is unconscious and in profound shock.
this child:
He has no open wounds or obvious fractures.
is most likely a central cord s
The cause of his shock is MOST LIKELY
must be diagnosed by magnetic
caused by:
a subdural hematoma. can be excluded by obtaining a
an epidural hematoma.
en
a transected lumbar spinal cord.
may exist in the absence o
a transected cervical spinal cord. findings on x-r
hemorrhage into the chest or abdomen. is unlikely because of the in
calcification of the vertebral
8. 30-year-old man is struck by a car traveling
at 56 kph (35 mph). He has obvious fractures of 10. Immediate chest tube inserti
the left tibia near the knee, pain in the pelvic for which of the following condi
area, and severe dyspnea. His heart rate is 180 Pneu
beats per minute, and his respiratory rate is 48 Pneumomed
breaths per minute with no breath sounds heard Massive h
in the left chest. A tension pneumothorax is Diaphragmat
relieved by immediate needle decompression
Subcutaneous em
and tube thoracostomy. Subsequently, his heart
rate decreases to 140 beats per minute, his
respiratory rate decreases to 36 breaths per 11. 18-year-old, helmeted moto
minute, and his blood pressure is 80/50 inm Hg. brought by ambulance to the em
Warmed Ringer's lactate is administered department following a high-spe
intravenously. The next priority should be to: Prehospital persormel report tha
perform a urethrogram and cystogram. 15 meters (50 feet) off his bfice
perform external fixation of the pelvis. history of hypotension prior to
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