ATLS practice questions
Study online at
https://quizlet.com/_7k90rg
1. Assessed first in trauma patient: Airway
2. (*)Degree of burn that is characterized by bone involvement: Fourth
3. Complications of head trauma: Intracerebral
hematoma Extradural hematoma
Brain abscess
4. Most common cause of laryngotracheal stenosis: Trauma
5. Intervention that can help prevent development of acute renal failure:
In- fusion of normal saline
6. A 26-year-old male is resuscitated with blood transfusion after a motor
vehicle collision that was complicated by a fractured pelvis. A few hours
later, the patient becomes febrile, hypotensive with a normal CVP, and
oliguric. Upon examination, the patient is found to be bleeding from the NG
tube and IV sites. Which of the following is the most likely diagnosis?
A. Hemorrhagic shock
B. Acute adrenal insufficiency
C. Fat embolism syndrome
D. Transfusion reaction: D. Transfusion reaction
7. Skin antiseptic: -Ethanol 70% is an effective skin antiseptic
-Acetic acid can be used to treat Gram- skin infections
-Salicylic acid is used to treat certain skin yeast infections
8. Class IV hemorrhage indicates what % blood loss: 55%
9. How does shivering affect body temperature: Increases body
temperature
10.Class III hemorrhage indicates what % of blood loss: 35%
11.Management of a stable patient with kidney contusion: Observation
12.Associated with hypovolemic shock: -Inadequate tissue perfusion
with re- sultant tissue hypoxia
-Blood shunting to vital organs
-Decreased circulating blood volume and decreased venous return
-Low cardiac output
-Loss of less than 20% of the blood volume is usually without symptom
except for mild tachycardia
-Patients become orthostatic with losses between 20 and 40%
-Shock is evidenced by tachycardia, hypotension, oliguria, flat neck
1/
, ATLS practice questions
Study online at
veins https://quizlet.com/_7k90rg
13.The most effective method of monitoring the success of
resuscitation during CPR?: Reactivity of pupils to light
2/
, ATLS practice questions
Study online at
https://quizlet.com/_7k90rg
14.Used to ensure correct placement of endotracheal tube: -Ultrasound
-Bilateral breath sounds
-Sustained end-tidal CO2
15.Total body surface area involved in a burn in an adult to the anterior
chest and abdomen: 18%
16.What is often caused by carotid massage?: Bradycardia
17.Step in a patient diagnosed with tension pneumothorax: 1. Needle
decom- pression/ thoracotomy
2. Chest tube
18.True statements regarding diaphragmatic injuries: -Blunt
diaphragmatic injuries are usually associated with skeletal trauma
-Penetrating diaphragmatic injuries may be missed
-Repair of traumatic diaphragmatic injuries usually does not require
prosthetic material
19.First priority in the treatment of an unconscious patient: Checking
the pulse
20. A patient involved in a road accident is brought to the emergency de-
partment in an unconscious state. On arrival, her vitals show a
temperature of 96.4 degrees Fahrenheit, a respiration rate of 24 breaths per
minute, a heart rate of 140 beats per minute, and a blood pressure of 80/40
mm Hg. She is cold, shivering, and perspiring profusely. She has bilateral
reactive pupils but she does not respond to pain. On physical examination,
she has no obvious sign of external bleeding. Which of the following
cannot be the cause of hypotension in this patient?
A. Pelvic fracture
B. Fracture of femur
C. Intracranial hemorrhage
D. Hemothorax: C. Intracranial hemorrhage
21. A patient suffered a slash to his right neck. The wound is over the
mid-portion of the sternocleidomastoid. There is a large hematoma and
brisk bleeding when uncovered. He is stable. What is the next step in
manage- ment?
A. Get an angiogram
B. Close the wound in the ER
C. Take him to the operating room
D. CT scan to evaluate neck structure: C. Take him to the OR
3/
, ATLS practice questions
Study online at
https://quizlet.com/_7k90rg
22. After abdominal injury, which of the following urinalysis findings
would be an indication for further testing?
A. 0-5 casts/HPF
B. 5-10 WBC/HPF
C. 10-20 RBC/HPF
D. Gross hematuria: D. Gross hematuria
23.A laceration of the neck superficial to the deep cervical fascia along
the sternocleidomastoid muscle at its midpoint would cause bleeding
from which structure?: External jugular vein
24.Clinical features associated with tension pneumothorax: Unilateral
de- crease in breath sounds
Hyperresonance
Respiratory
distress
Tachycardia
Tracheal shift
Desatruation
Decreased breath
sounds Decreased
compliance Asymmetric
chest movement
NOT hypertension, audible bronchial sounds
25. Not recommended as a mode of ventilation for a patient with a
diaphrag- matic hernia
A. Bag and mask
B. LMA
C. Endotracheal intubation
D. Jet ventilation: A. Bag and mask
26.What is the next step in the assessment of a traumatic patient after
airway is established?: Breathing
27.Blood group that is considered a universal donor: O
28.A provider is examining a patient who sustained a severe traumatic
head injury. He documents no Doll's eyes. What does this signify?:
Brainstem injury
29. Which of the following is the least preferred method of administering
IV fluids?
4/
Study online at
https://quizlet.com/_7k90rg
1. Assessed first in trauma patient: Airway
2. (*)Degree of burn that is characterized by bone involvement: Fourth
3. Complications of head trauma: Intracerebral
hematoma Extradural hematoma
Brain abscess
4. Most common cause of laryngotracheal stenosis: Trauma
5. Intervention that can help prevent development of acute renal failure:
In- fusion of normal saline
6. A 26-year-old male is resuscitated with blood transfusion after a motor
vehicle collision that was complicated by a fractured pelvis. A few hours
later, the patient becomes febrile, hypotensive with a normal CVP, and
oliguric. Upon examination, the patient is found to be bleeding from the NG
tube and IV sites. Which of the following is the most likely diagnosis?
A. Hemorrhagic shock
B. Acute adrenal insufficiency
C. Fat embolism syndrome
D. Transfusion reaction: D. Transfusion reaction
7. Skin antiseptic: -Ethanol 70% is an effective skin antiseptic
-Acetic acid can be used to treat Gram- skin infections
-Salicylic acid is used to treat certain skin yeast infections
8. Class IV hemorrhage indicates what % blood loss: 55%
9. How does shivering affect body temperature: Increases body
temperature
10.Class III hemorrhage indicates what % of blood loss: 35%
11.Management of a stable patient with kidney contusion: Observation
12.Associated with hypovolemic shock: -Inadequate tissue perfusion
with re- sultant tissue hypoxia
-Blood shunting to vital organs
-Decreased circulating blood volume and decreased venous return
-Low cardiac output
-Loss of less than 20% of the blood volume is usually without symptom
except for mild tachycardia
-Patients become orthostatic with losses between 20 and 40%
-Shock is evidenced by tachycardia, hypotension, oliguria, flat neck
1/
, ATLS practice questions
Study online at
veins https://quizlet.com/_7k90rg
13.The most effective method of monitoring the success of
resuscitation during CPR?: Reactivity of pupils to light
2/
, ATLS practice questions
Study online at
https://quizlet.com/_7k90rg
14.Used to ensure correct placement of endotracheal tube: -Ultrasound
-Bilateral breath sounds
-Sustained end-tidal CO2
15.Total body surface area involved in a burn in an adult to the anterior
chest and abdomen: 18%
16.What is often caused by carotid massage?: Bradycardia
17.Step in a patient diagnosed with tension pneumothorax: 1. Needle
decom- pression/ thoracotomy
2. Chest tube
18.True statements regarding diaphragmatic injuries: -Blunt
diaphragmatic injuries are usually associated with skeletal trauma
-Penetrating diaphragmatic injuries may be missed
-Repair of traumatic diaphragmatic injuries usually does not require
prosthetic material
19.First priority in the treatment of an unconscious patient: Checking
the pulse
20. A patient involved in a road accident is brought to the emergency de-
partment in an unconscious state. On arrival, her vitals show a
temperature of 96.4 degrees Fahrenheit, a respiration rate of 24 breaths per
minute, a heart rate of 140 beats per minute, and a blood pressure of 80/40
mm Hg. She is cold, shivering, and perspiring profusely. She has bilateral
reactive pupils but she does not respond to pain. On physical examination,
she has no obvious sign of external bleeding. Which of the following
cannot be the cause of hypotension in this patient?
A. Pelvic fracture
B. Fracture of femur
C. Intracranial hemorrhage
D. Hemothorax: C. Intracranial hemorrhage
21. A patient suffered a slash to his right neck. The wound is over the
mid-portion of the sternocleidomastoid. There is a large hematoma and
brisk bleeding when uncovered. He is stable. What is the next step in
manage- ment?
A. Get an angiogram
B. Close the wound in the ER
C. Take him to the operating room
D. CT scan to evaluate neck structure: C. Take him to the OR
3/
, ATLS practice questions
Study online at
https://quizlet.com/_7k90rg
22. After abdominal injury, which of the following urinalysis findings
would be an indication for further testing?
A. 0-5 casts/HPF
B. 5-10 WBC/HPF
C. 10-20 RBC/HPF
D. Gross hematuria: D. Gross hematuria
23.A laceration of the neck superficial to the deep cervical fascia along
the sternocleidomastoid muscle at its midpoint would cause bleeding
from which structure?: External jugular vein
24.Clinical features associated with tension pneumothorax: Unilateral
de- crease in breath sounds
Hyperresonance
Respiratory
distress
Tachycardia
Tracheal shift
Desatruation
Decreased breath
sounds Decreased
compliance Asymmetric
chest movement
NOT hypertension, audible bronchial sounds
25. Not recommended as a mode of ventilation for a patient with a
diaphrag- matic hernia
A. Bag and mask
B. LMA
C. Endotracheal intubation
D. Jet ventilation: A. Bag and mask
26.What is the next step in the assessment of a traumatic patient after
airway is established?: Breathing
27.Blood group that is considered a universal donor: O
28.A provider is examining a patient who sustained a severe traumatic
head injury. He documents no Doll's eyes. What does this signify?:
Brainstem injury
29. Which of the following is the least preferred method of administering
IV fluids?
4/
