ATLS 10 Post-Test Exam With Bests Explained Questions and Answers.
Real Exam
1. A 24-year-old male pedestrian, struck by an automobile, is admitted to the emergency department 1
hour after injury. His blood pressure is 80/60 mmHg, heart rate 140 beats per minute and respiratory
rate is 36 per minute. He is lethargic. Oxygen is delivered via face mask, and two large-caliber IVs are
initiated. Arterial blood gases are obtained. His PaO2 is 118 mmHg (15.7 kPa), PaCO2 is 30 mmHg (4.0
kPa), and pH is7.21. The treatment of his acid-base disorder is best accomplished by:
a. Hyperventilation
b. Restoration of normal perfusion c.
Initiation of low-dose dopamine
d. Administration of sodium bicarbonate
e. Initiation of phenylepinephrine infusion
2. The highest priority in managing a patient whose injuries include closed extremity fractures is:
a. Assesing limb perfusion
b. Preventing necrosis of the skin
c. Decompressing compartment syndrome d.
Addressing respiratory
insufficiency
d.Identifying
crush syndrome
3. A 34-year-old female is involved in a motor vehicle crash is brought to the emergency department. She is
talking, but her voice is hoarse and on exposure she has diagonal bruising of the chest and anterior neck.
What is the next step?
a. Direct laryngoscopy to exclude laryngeal trauma b. Oxygen by
non-rebreathing mask
c. Protecting the spine by making her lie down d. Palpation
of the anterior neck
e. Attaching a pulse oximeter to her finger
4. A 30-year-old male sustains a gunshot wound to the right lower chest, midway between the nipple and the
costal margin. He is brought by ambulance to a hospital that has full surgical capabilities. In the
emergency department he is endotracheally intubated, fluid resuscitation is initiated through two large-
caliber IV lines, and a
, closed tube thoracostomy is performed, with the return of 200 ml of blood. A chest x- ray reveals correct
placement of the chest tube and a small residual hemothorax. His blodd pressure is now 70/0 mmHg, and his
heart rate is 140 beats per minute. His hypotension is mostlikely due to:
a. Tension pneumothorax b.
Massive hemothorax
c. Pericardial tamponade
d. Intraabdominal bleeding
e. Insufficient isotonic crystalloid infusion
5. A 20-year-old athlete is involved in a motorcycle crash after having ridden for hours on a very hot day.When
he arrives in the emergency department, he shouts that he cannot move his legs. On physical examination,
there are no abnormalities of the chest, abdomen, or pelvis. The patient has no
sensation in his legs and cannot move them, but his arms are moving. The patient’s respiratory rate is 22,
heart rate is 88, and blood pressure is 80/60 mmHg. He is pale and sweaty. What is the most likelycause
of his hypotension?
a. Neurogenic shock b.
Cardiac tamponade
c. Myocardial contusion d.
Hyperthermia
e. Hemorrhagic shock
6. Comapred with adults, children have:
a. A longer, wider, funnel-shaped airway b. A less
pliable, calcified skeleton
c. Greater mobility of mediastinal structures d. A
relatively smaller head and larger jaw
e. Anterior displacement of C5 on C6
7. Which one of the findings below requires a definitive airway in trauma patients?
a. Facial lacerations b.
Repeated vomiting
c. Partial thickness facial burns, cough, and hoarseness d. Sternal
fracture
e. Glascow Coma Scale score of 12
Real Exam
1. A 24-year-old male pedestrian, struck by an automobile, is admitted to the emergency department 1
hour after injury. His blood pressure is 80/60 mmHg, heart rate 140 beats per minute and respiratory
rate is 36 per minute. He is lethargic. Oxygen is delivered via face mask, and two large-caliber IVs are
initiated. Arterial blood gases are obtained. His PaO2 is 118 mmHg (15.7 kPa), PaCO2 is 30 mmHg (4.0
kPa), and pH is7.21. The treatment of his acid-base disorder is best accomplished by:
a. Hyperventilation
b. Restoration of normal perfusion c.
Initiation of low-dose dopamine
d. Administration of sodium bicarbonate
e. Initiation of phenylepinephrine infusion
2. The highest priority in managing a patient whose injuries include closed extremity fractures is:
a. Assesing limb perfusion
b. Preventing necrosis of the skin
c. Decompressing compartment syndrome d.
Addressing respiratory
insufficiency
d.Identifying
crush syndrome
3. A 34-year-old female is involved in a motor vehicle crash is brought to the emergency department. She is
talking, but her voice is hoarse and on exposure she has diagonal bruising of the chest and anterior neck.
What is the next step?
a. Direct laryngoscopy to exclude laryngeal trauma b. Oxygen by
non-rebreathing mask
c. Protecting the spine by making her lie down d. Palpation
of the anterior neck
e. Attaching a pulse oximeter to her finger
4. A 30-year-old male sustains a gunshot wound to the right lower chest, midway between the nipple and the
costal margin. He is brought by ambulance to a hospital that has full surgical capabilities. In the
emergency department he is endotracheally intubated, fluid resuscitation is initiated through two large-
caliber IV lines, and a
, closed tube thoracostomy is performed, with the return of 200 ml of blood. A chest x- ray reveals correct
placement of the chest tube and a small residual hemothorax. His blodd pressure is now 70/0 mmHg, and his
heart rate is 140 beats per minute. His hypotension is mostlikely due to:
a. Tension pneumothorax b.
Massive hemothorax
c. Pericardial tamponade
d. Intraabdominal bleeding
e. Insufficient isotonic crystalloid infusion
5. A 20-year-old athlete is involved in a motorcycle crash after having ridden for hours on a very hot day.When
he arrives in the emergency department, he shouts that he cannot move his legs. On physical examination,
there are no abnormalities of the chest, abdomen, or pelvis. The patient has no
sensation in his legs and cannot move them, but his arms are moving. The patient’s respiratory rate is 22,
heart rate is 88, and blood pressure is 80/60 mmHg. He is pale and sweaty. What is the most likelycause
of his hypotension?
a. Neurogenic shock b.
Cardiac tamponade
c. Myocardial contusion d.
Hyperthermia
e. Hemorrhagic shock
6. Comapred with adults, children have:
a. A longer, wider, funnel-shaped airway b. A less
pliable, calcified skeleton
c. Greater mobility of mediastinal structures d. A
relatively smaller head and larger jaw
e. Anterior displacement of C5 on C6
7. Which one of the findings below requires a definitive airway in trauma patients?
a. Facial lacerations b.
Repeated vomiting
c. Partial thickness facial burns, cough, and hoarseness d. Sternal
fracture
e. Glascow Coma Scale score of 12
