ATLS PRACTICE TEST 2024-2025 ACTUAL EXAM
250 REAL QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (100% VERIFIED
ANSWERS) |
Terms in this set (274)
A 6-year-old boy walking A pulmonary contusion may be present in the absence
across the street is struck of rib fractures.
by the front bumper of a
sports utility vehicle
traveling at 32 kph (20
mph). Which one of the
following statements is
TRUE about this patient?
A 7-year-old boy is brought direct pressure on the wound
to the emergency
department by his parents
several minutes after he fell
through a window. He is
bleeding profusely from a
6-cm wound of his medial
right thigh. Immediate
management of the wound
should consist of:
,7-year-old girl is found at A. Cervical spine films and CT of the head
the bottom of a swimming
pool. Initially she was in full
arrest but after 5 minutes
she showed sinus
tachycardia but no
respiratory effort. Intubation
was done in the field and
cervical collar placed. After
transport to the emergency
department she was
unresponsive with a blood
pressure of 100/60 mmHg,
pulse 105, temperature
34.3C, and oxygen
saturation 100%. The pupils
were 3 mm and sluggishly
responsive to light. There is
no response to pain. The
lungs show wheezing on
the left and coarse breath
sounds bilaterally. The
monitor shows sinus
tachycardia. There is no
rectal tone. Which of the
following should be the
next step in management?
A. Cervical spine films and
CT of the head B. Portable
chest radiograph
C. Arterial blood gas
D. Right and left decubitus
chest radiographs
,An 8-year old child is B. CT abdomen
brought to the ER after
being struck by a car while
crossing the street. He is
not alert and required
immediate intubation at the
scene by EMS. His GCS is 8
T. He appears to have a
significant laceration of his
scalp on the left side but
there are no skeletal
fractures. The initial chest x-
ray revealed a right sided
pneumothorax and a chest
tube was inserted. His
hematocrit is 23.5 and
hemoglobin is 7.6. The next
thing you would do is:
A. CT head
B. CT abdomen
C. Repeat blood work
D. Observe patient
, A 13 year old boy fell while B. CT of the head
riding his bicycle and hit his
head. He was unconscious
for 4 or 5 minutes. He
vomited twice. He has no
memory of the event or a
headache. His exam is
entirely normal. Glasgow
coma score is 15. Select the
next step in management.
A. Discharge home with
concussion instructions
B. CT of the head
C. Skull films
D. Admit for observation
A 17-year-old male is hit on 8
the head with a baseball
bat. He withdraws and
opens his eyes in response
to deep painful stimuli. He
also mumbles
incomprehensibly. What is
his Glasgow coma scale
score?
An 18-year-old is thrown off C. Assess airway
his motorbike on a slippery
road. At the scene, what is
the first priority in the
management of this
patient?
A. Assess vital signs
B. Stabilize cervical spine
C. Assess airway
D. Start IV fluids
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