ATLS Pre-test EXAM | ACCURATE
QUESTIONS AND DETAILED ANSWERS |
GUARANTEED PASS | GRADED A |
LATEST UPDATE 2024-2025 WITH 100+
QUESTIONS
A 25-year-old man, injured in a motor vehicular crash, is admitted to the emergency
department. His pupils react sluggishly and his eyes open to pressure. He does not follow
commands, but he does moan periodically. His right arm is deformed and does not respond to
pressure; however, his left hand reaches purposefully toward the stimulus. Both legs are stiffly
extended. His GCS score is:
- ANSWERS-9
A 20-year-old woman who is at 32 weeks gestation, is stabbed in the upper right chest. In the
emergency department, her blood pressure is 80/60 mm Hg. She is gasping for breath,
extremely anxious, and yelling for help. Breath sounds are diminished in the right chest. The
most appropriate first step is to:
- ANSWERS-- perform needle or finger decompression of the right chest
Which one of the following findings in an adult is most likely to require immediate management
during the primary survey? - ANSWERS-- distended abdomen
- Glasgow Coma Scale score of 11
- temperature of 36.5°C (97.8°F)
- deforming of the right thigh
- *respiratory rate of 40 breaths per minute*
,The most important, immediate step in the management of an open pneumothorax is: -
ANSWERS-- placement of an occlusive dressing over the wound
The following are contraindications for tetanus toxoid administration: - ANSWERS-- *history of
neurological reaction or severe hypersensitivity to the product*
- local side effects
- muscular spasms
- pregnancy
- all of the above xxx
A 56-year-old man is thrown violently against the steering wheel of his truck during a motor
vehicle crash. On arrival in the emergency department he is diaphoretic and complaining of
chest pain. His blood pressure is 60/40 mm Hg and his respiratory rate is 40 breaths per minute.
Which of the following best differentiates cardiac tamponade from tension pneumothorax as
the cause of his hypotension?
- ANSWERS-- breath sounds
Bronchial intubation of the right or left mainstem bronchus can easily occur during infant
endotracheal intubation because:
- ANSWERS-- The trachea is relatively short.
A 23-year-old man sustains 4 stab wounds to the upper right chest during an altercation and is
brought by ambulance to a hospital that has full surgical capabilities. His wounds are all above
the nipple. He is endotracheally intubated, closed tube thoracostomy is performed, fluid
resuscitation is initiated through 2 large-caliber IVs. FAST exam does not reveal intraabdominal
injuries. His blood pressure now is 60/0 mm Hg, heart rate is 160 beats per minute, and
respiratory rate is 14 breaths per minute (ventilated with 100% O2). 1500 mL of blood has
drained from the right chest. The most appropriate next step in managing this patient is to: -
ANSWERS-- urgently transfer the patient to the operating room
A 39-year-old man is admitted to the emergency department after an automobile collision. He
is cyanotic, has insufficient respiratory effort, and has a GCS score of 6. His full beard makes it
, difficult to fit the oxygen facemask to his face. The most appropriate next step is to: -
ANSWERS-- restrict cervical motion and attempt orotracheal intubation using 2 people
A patient is brought to the emergency department after a motor vehicle crash. He is conscious
and there is no obvious external trauma. He arrives at the hospital completely immobilized on a
long spine board. His blood pressure is 60/40 mm Hg and his heart rate is 70 beats per minute.
His skin is warm. Which one of the following statements is TRUE?
- ANSWERS-- Vasoactive medications have no role in this patient's management.
- The hypotension should be managed with volume resuscitation alone.
- Flexion and extension views of the c-spine should be performed early. xxx
- Abdominal visceral injuries can be excluded as a cause of hypotension.
- *Flaccidity of the lower extremities and loss of deep tendon reflexes are expected.*
Which one of the following is the most effective method for initially treating frostbite? -
ANSWERS-- *moist heat*
- early amputation
- padding and elevation xxx
- vasodilators and heparin
- topical application of silver sulfadiazine
A 32-year-old man's right leg is trapped beneath his overturned car for nearly 2 hours before he
is extricated. On arrival in the emergency department, his right lower extremity is cool,
mottled, insensate, and motionless. Despite normal vital signs, pulses cannot be palpated
below the right femoral artery and the muscles of the lower extremity are firm and hard. During
the management of this patient, which of the following is most likely to improve the chances
for limb salvage?
- ANSWERS-- surgical consultation for right lower extremity fasciotomy
A patient arrives in the emergency department after being beaten about the head and face
with a wooden club. He is comatose and has a palpable depressed skull fracture. His face is
swollen and ecchymotic. He has gurgling respirations and vomitus on his face and clothing. The
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