ATLS 10th Edition Post Test Actual Questions with Verified Answers (2024 / 2025), 100% verified by experts A+
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ATLS 10th Edition Post Test Actual Questions with Verified Answers (2024 / 2025), 100% verified by experts A+ATLS 10th Edition Post Test Actual Questions with Verified Answers (2024 / 2025), 100% verified by experts A+ATLS 10th Edition Post Test Actual Questions with Verified Answers (2024 / 2025),...
ATLS Post Test Complete Exam 2024|25 QUESTIONS WITH
VERIFIED ANSWERS
1. Which of the following is the recommended Method for trestemt frostbite?
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A. Vasodilators
B. Anticigulants
C. Warm (40 degrees) water ju ju ju
D. Padding and elevation ju ju
E. Application of heat from a hairdryer ju ju ju ju ju
- C. Warm (40 degrees) water ju ju ju ju
2. Which of the following physical findings suggest a cause of hypotension other
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than spinal cord injury?
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A. Prispism
B. Bradycardia
C. Diaphragmatic breathing ju
D. Presence of deep tendon reflexes ju ju ju ju
E. Ability to flex forearms but not extend them ju ju ju ju ju ju ju
- D. Presence of deep tendon reflexes. Spinal shock refers to loss of ju ju ju ju ju ju ju ju ju ju ju
muscle toe (flaccidty) and loss of reflexes.ju ju ju ju ju ju ju
3. The primary indication for transferring A patient to a higher level trauma center is:
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A. Unavailibility of surgeon or operating staff ju ju ju ju ju
B. Multiple system injuries, including severe head injury ju ju ju ju ju ju
C. Resource limitations as determined by the transferring doctor ju ju ju ju ju ju ju
D. Resource limitations as determined by the hospital administration ju ju ju ju ju ju ju
E. Widened mediastinum on chest x-ray following blunt trauma ju ju ju ju ju ju ju
- C. Resource limitations as determined by the transferring doctor (MÅ ju ju ju ju ju ju ju ju ju
SJEKKES) ju
4. A young man sustains a rifle wound to the mid-abdomen. He is brought promptly
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to the ED by prehospital personnel. His skin is cool and diaphoretic, and his
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systolic blood pressure is 58mmHg. Warmed crystalloid fluids are initiated
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without improvement in his vital signs. The next, most appropriate, step is to
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perform:
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A. a laparotomy ju
B. An abdominal CT-scan ju ju
C. Diagnostic laparoscopy ju
D. Abdominal ultrasonography ju
E. A diagnostic peritoneal lavage ju ju ju
- A. Laparotomy because of hemodynamic abnormality ju ju ju ju ju
5. A 42-year-old man is trapped from the waist down beneath his overturned tractor
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for several hours before medical assistance arrives. He is awake and alert until
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just before arriving in the ED. He is now unconscious and responds only to
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painful stimuli by moaning. His pupils are 3mm in diameter and symmetrically
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, reactive to light. Prehospital personnel indicate that they have not seen the
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patient move either of his lower extremities. On examination in the ED, no
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movement of his lower extremities are detected, even in response to painful
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stimuli. The most likely cause for this finding is:
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A. An epidural hematoma ju ju
B. A pelvic fracture ju ju
C. Central cord syndrome ju ju
D. Intracerebral hemorrhage ju
E. Bilateral compartment syndrome ju ju
- MÅ SJEKKES ju
6. A 6-year-o boy is struck by an automobile and brought to the ED. He is lethargic,
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but withdraws purposefully from painful stimuli. His blood pressure is 90mmHg
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systolic, heart rate 140 beats per minute and his respiratory rate is 36 breaths
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per minute. The preferred route of venous access in this patient is:
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A. Percutaneous femoral vein cannulation ju ju ju
B. Cutdown on the saphenous vein at the ankle ju ju ju ju ju ju ju
C. Intraosseous catheter placement in the proximal tibia ju ju ju ju ju ju
D. Percutaneous peripheral veins in the upper extremities ju ju ju ju ju ju
E. Central venous access via the subclavian or internal jugular vein ju ju ju ju ju ju ju ju ju
- D. Percutaneous peripheral veins in the upper extremities ju ju ju ju ju ju ju
7. A young man sustains a gunshot wound to the abdomen and is brought promptly
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to the ED by prehospital personnel. His skin is cool and diaphoretic, and he is
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confused. His pulse is thready and his femoral pulse is only weakly palpable. The
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definitive treatment in managing this patient is to:
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A. Administer O-negative blood ju ju
B. Apply external warming devices ju ju ju
C. Control internal hemorrhage operatively ju ju ju
D. Apply a pneumatic antishock garment (PASG) ju ju ju ju ju
E. Infuse large volumes of intravenous crystalloid solutions. ju ju ju ju ju ju
- C. Control internal hemorrhage operatively ju ju ju ju
8. Regarding shock in the child, which of the following is FALSE?
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A. Vital signs are age-related ju ju ju
B. Children have greater physiologic reserves than do adults ju ju ju ju ju ju ju
C. Tachycardia is the primary physiologic response to hypovolemia ju ju ju ju ju ju ju
D. The absolute volume of blood loss required to produce shock is ju ju ju ju ju ju ju ju ju ju
the same as in adults ju ju ju ju ju
E. An initial fluid bolus for resuscitation should approximate 20ml/kg
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Ringers Lactate ju ju
- D. The absolute volume of blood loss required to produce shock isju ju ju ju ju ju ju ju ju ju ju
the same as in adults ju ju ju ju ju
9. A 33-year-old man is struck by a car travelling at 56km/h (35mph). He has
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obvious fractures of the left tibia near the knee, pain in the pelvic area, and
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, severe dyspnea. His heart rate is 182 beats per minute, and his respiratory rate
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is 48 breaths per minute with no breath sounds heard in the left chest. A tension
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pneumothorax is relieved by immediate needle decompression and tube
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thoracostomy. Subsequently, his heart rate decreases to 144 beats per minute,
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his respirartory rate decreases to 36 breaths per minute and his blood pressure
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is 81/53 mmHg. Warmed Ringers lactate is adminstered intravenously. The next
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priority should be to:
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A. Perform external fixation of the pelvis ju ju ju ju ju
B. Obtain abdominal and pelvic CT-scans ju ju ju ju
C. Perform arterial embolization of the pelvic vessel ju ju ju ju ju ju
D. Perform diagnostic peritoneal lavage or FAST ju ju ju ju ju
E. Perform a urethrogram and cystogram ju ju ju ju
- D. Perform diagnostic peritoneal lavage or FAST ju ju ju ju ju ju
10. A 42-year-old man, injured in a motor vehicle crash, suffers a closed head injury,
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multiple palpable left rib fractures, and bilateral femur fractures. He is intubated
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orotracheally without difficulty. Initially, his ventilations are easily assisted with a
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bag-mask device. It becomes more difficult to ventilate the patient over the next 5
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minutes, and his hemoglobin oxygen saturation level decreases from 98% to
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89%. The most appropriate next step is to:
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A. Obtain a chest x-ray ju ju ju
B. Decrease the tidal volume ju ju ju
C. Decrease PEEP ju
D. Increase the rate of assisted ventilations ju ju ju ju ju
E. Perform needle decompression of the left chest. ju ju ju ju ju ju
- A. Obtain a chest x-ray (MÅ SJEKKES) ju ju ju ju ju ju
11. A 30-year-old man sustains a severely comminuted, open, distal right femur
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fracture in a motorcycle crash. The wound is actively bleeding. Normal sensation
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is present over the lateral aspect of the foot but decreased over the medial foot
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and great toe. Normal motion of the foot is observed. Dorsalis pedis and
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posterior tibial pulses are easily palpable on the left, but heard only by Doppler
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on the right. Immediate efforts to improve circulation to the injured extremity
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should involve:
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A. Immediate angiography ju
B. Tamponade of the wound with a pressure dressing ju ju ju ju ju ju ju
C. Wound exploration and removal of bony fragments ju ju ju ju ju ju
D. Realignment of the fracture segments with a traction splint ju ju ju ju ju ju ju ju
E. Fasciotomy of all four compartments in the lower extremity ju ju ju ju ju ju ju ju
- B. Tamponade of the wound with a pressure dressing ju ju ju ju ju ju ju ju
12. An 18-yeard-old, unhelmeted motorcyclist is brought by ambulance to the ED
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following a crash. He had decreased level of consciousness at the scene, but
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then was alert and conversational during transportation. Now his GCS is only 11.
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Which of the following statements is TRUE?
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A. Cerebral perfusion is intact ju ju ju
, B. Intravascular volume status is normal ju ju ju ju
C. The patient is in a postictal stateju ju ju ju ju ju
D. Intra-abdominal visceral injury is unlikely ju ju ju ju
E. The patient probably has an acute epidural hematoma
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- E. The patient probably has an acute epidural hematoma
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13. A previously healthy, 70kg (175 pound) man suffers an estimated acute blood
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loss of two liters. Which one of the following statements apply to this patient?
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A. His pulse pressure will be widened ju ju ju ju ju
B. His urinary output will be at the lower limits of normal ju ju ju ju ju ju ju ju ju ju
C. He will have tachycardia, but no change in systolic blood pressure ju ju ju ju ju ju ju ju ju ju
D. His systolic blood pressure will be decreased with a narrowed, pulseju ju ju ju ju ju ju ju ju ju
pressure ju
E. His systolic blood pressure will be maintained with an elevated ju ju ju ju ju ju ju ju ju
diastolic pressure. ju ju
- E. His systolic blood pressure will be maintained with an elevated ju ju ju ju ju ju ju ju ju ju
diastolic pressure. ju ju
14. The physioclogic hypervolemia of pregnancy has clinical significance in the
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management of the severely injured gravid woman by
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A. Reducing the need for blood transfusion ju ju ju ju ju
B. Increasing the risk of pulmonary edema ju ju ju ju ju
C. Complicating the management of closed head injury ju ju ju ju ju ju
D. Increasing the volume of blood loss to produce shock/maternal ju ju ju ju ju ju ju ju
hypotension ju
E. Reducing the volume of crystalloid required for resuscitation ju ju ju ju ju ju ju
- D. Increasing the volume of blood loss to produce shock ju ju ju ju ju ju ju ju ju
15. A 17-year-old helmeted motorcyclist loses consciousness when he is struck
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broad side by an automobile at an intersection. He arrives in the ED with a blood
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pressure of 140/92, pulse rate 88 beats per minute, a respiratory rate of 18
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breaths per minue, and a GCS of 7. Appropriate initial immobilization of this
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patient should include a semi-rigid cervical collar and:
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A. A scoop stretcher ju ju
B. A long spine board ju ju ju
C. A short spine board ju ju ju
D. Cervical traction tongs ju ju
E. Pneumatic antishock garment ju ju
- B. A long spine board ju ju ju ju
16. During an altercation, a 36-year-old man sustains a gunshot wound above the
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nipple line on the right, with an exit wound posteriorly above the scapula on the
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right. He is transported by ambulance to a community hospital. He is
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endotracheally intubated, close tube thoracostomy is performed, and 2 liters
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Ringers lactate solution are infused via 2 large-caliber IV´s. His blood pressure
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now is 60/0mmHg, heart rate is 160 beats per minute, and respiratory rate is 14
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