ATLS PRE TEST 1 – 4 QUESTIONS AND CORRECT ANSWERS 320+ QUESTIONS AND ANSWERS| GRADED A+
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ATLS PRE
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ATLS PRE
ATLS PRE TEST 1 – 4 QUESTIONS
AND CORRECT ANSWERS 320+
QUESTIONS AND ANSWERS|
GRADED A+Which of the following physical findings suggest a cause of hypotension other thanspinal cord
injury?
A. Prispism B.
Bradycardia
C. Diaphragmatic breathing
D. Presence of deep tendon reflexes
E. Abi...
ATLS PRE TEST 1 – 4 QUESTIONS
AND CORRECT ANSWERS 320+
QUESTIONS AND ANSWERS|
GRADED A+
,Which of the following physical findings suggest a cause of hypotension other thanspinal cord
injury?
A. Prispism B.
Bradycardia
C. Diaphragmatic breathing
D. Presence of deep tendon reflexes
E. Ability to flex forearms but not extend them -ANSWER- D. Presence of deeptendon
reflexes. Spinal shock refers to loss of muscle toe (flaccidty) and loss of reflexes.
The primary indication for transferring A patient to a higher level trauma center is:A.
Unavailibility of surgeon or operating staff
B. Multiple system injuries, including severe head injury
C. Resource limitations as determined by the transferring doctor
D. Resource limitations as determined by the hospital administration
E. Widened mediastinum on chest x-ray following blunt trauma -ANSWER- C.Resource
limitations as determined by the transferring doctor (MÅ SJEKKES)
A young man sustains a rifle wound to the mid-abdomen. He is brought promptly tothe ED by
prehospital personnel. His skin is cool and diaphoretic, and his systolic blood pressure is
58mmHg. Warmed crystalloid fluids are initiated without improvement in his vital signs. The
next, most appropriate, step is to perform:
A. a laparotomy
B. An abdominal CT-scanC.
Diagnostic laparoscopy
D. Abdominal ultrasonography
E. A diagnostic peritoneal lavage -ANSWER- A. Laparotomy because ofhemodynamic
abnormality
A 42-year-old man is trapped from the waist down beneath his overturned tractor for several
hours before medical assistance arrives. He is awake and alert until justbefore arriving in the ED.
He is now unconscious and responds only to painful stimuli by moaning. His pupils are 3mm in
diameter and symmetrically reactive tolight. Prehospital personnel indicate that they have not
seen the patient move eitherof his lower extremities. On examination in the ED, no movement of
his lower
,extremities are detected, even in response to painful stimuli. The most likely causefor this finding
is:
A. An epidural hematomaB. A
pelvic fracture
C. Central cord syndrome D.
Intracerebral hemorrhage
E. Bilateral compartment syndrome -ANSWER- MÅ SJEKKES
A 6-year-o boy is struck by an automobile and brought to the ED. He is lethargic,but withdraws
purposefully from painful stimuli. His blood pressure is 90mmHg systolic, heart rate 140 beats per
minute and his respiratory rate is 36 breaths per minute. The preferred route of venous access in
this patient is:
A. Percutaneous femoral vein cannulation
B. Cutdown on the saphenous vein at the ankle
C. Intraosseous catheter placement in the proximal tibia D.
Percutaneous peripheral veins in the upper extremities
E. Central venous access via the subclavian or internal jugular vein -ANSWER- D.Percutaneous
peripheral veins in the upper extremities
A young man sustains a gunshot wound to the abdomen and is brought promptly tothe ED by
prehospital personnel. His skin is cool and diaphoretic, and he is confused. His pulse is thready
and his femoral pulse is only weakly palpable. The definitive treatment in managing this patient is
to:
A. Administer O-negative blood B.
Apply external warming devices
C. Control internal hemorrhage operatively
D. Apply a pneumatic antishock garment (PASG)
E. Infuse large volumes of intravenous crystalloid solutions. -ANSWER- C.Control
internal hemorrhage operatively
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 inadults
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 obviousfractures 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 ratedecreases to 36
breaths per minute and his blood pressure is 81/53 mmHg.
Warmed Ringers lactate is adminstered intravenously. The next priority should beto:
A. Perform external fixation of the pelvisB.
Obtain abdominal and pelvic CT-scans
C. Perform arterial embolization of the pelvic vesselD.
Perform diagnostic peritoneal lavage or FAST
E. Perform a urethrogram and cystogram -ANSWER- D. Perform diagnosticperitoneal 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 Reasily assisted witha bag-mask device. It becomes more
difficult to ventilate the patient over the next5 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 chestx-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 ispresent 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
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