ATLS-2024 EXAM QUESTIONS AND
ANSWERS CORRECTLY ANSWERED
Which of the following is the recommended Method for trestemt
frostbite?
A. Vasodilators
B. Anticigulants
C. Warm (40 degrees) water
D. Padding and elevation
E. Application of heat from a hairdryer - CORRECT ANSWER
C. Warm (40 degrees) water
Which of the following physical findings suggest a cause of
hypotension other than spinal cord injury?
A. Prispism
B. Bradycardia
C. Diaphragmatic breathing
D. Presence of deep tendon reflexes
E. Ability to flex forearms but not extend them - CORRECT
ANSWER D. Presence of deep tendon reflexes. Spinal shock
refers to loss of muscle toe (flaccidty) and loss of reflexes.
The primary indication for transferring A patient to a higher
level trauma center is:
A. Unavailibility of surgeon or operating staff
B. Multiple system injuries, including severe head injury
C. Resource limitations as determined by the transferring doctor
D. Resource limitations as determined by the hospital
administration
,ATLS-2024 EXAM QUESTIONS AND
ANSWERS CORRECTLY ANSWERED
E. Widened mediastinum on chest x-ray following blunt trauma
- CORRECT ANSWER C. Resource limitations as determined
by the transferring doctor (MÅ SJEKKES)
A young man sustains a rifle wound to the mid-abdomen. He is
brought promptly to the ED by prehospital personnel. His skin
is cool and diaphoretic, and his systolic blood pressure is
58mmHg. Warmed crystalloid fluids are initiated without
improvement in his vital signs. The next, most appropriate, step
is to perform:
A. a laparotomy
B. An abdominal CT-scan
C. Diagnostic laparoscopy
D. Abdominal ultrasonography
E. A diagnostic peritoneal lavage - CORRECT ANSWER A.
Laparotomy because of hemodynamic abnormality
A 42-year-old man is trapped from the waist down beneath his
overturned tractor for several hours before medical assistance
arrives. He is awake and alert until just before arriving in the
ED. He is now unconscious and responds only to painful stimuli
by moaning. His pupils are 3mm in diameter and symmetrically
reactive to light. Prehospital personnel indicate that they have
not seen the patient move either of his lower extremities. On
examination in the ED, no movement of his lower extremities
,ATLS-2024 EXAM QUESTIONS AND
ANSWERS CORRECTLY ANSWERED
are detected, even in response to painful stimuli. The most likely
cause for this finding is:
A. An epidural hematoma
B. A pelvic fracture
C. Central cord syndrome
D. Intracerebral hemorrhage
E. Bilateral compartment syndrome - CORRECT ANSWER MÅ
SJEKKES
A 6-year-o boy is struck by an automobile and brought to the
ED. He is lethargic, but withdraws purposefully from painful
stimuli. His blood pressure is 90mmHg systolic, heart rate 140
beats per minute and his respiratory rate is 36 breaths per
minute. The preferred route of venous access in this patient is:
A. Percutaneous femoral vein cannulation
B. Cutdown on the saphenous vein at the ankle
C. Intraosseous catheter placement in the proximal tibia
D. Percutaneous peripheral veins in the upper extremities
E. Central venous access via the subclavian or internal jugular
vein - CORRECT ANSWER D. Percutaneous peripheral veins
in the upper extremities
A young man sustains a gunshot wound to the abdomen and is
brought promptly to the ED by prehospital personnel. His skin
is cool and diaphoretic, and he is confused. His pulse is thready
, ATLS-2024 EXAM QUESTIONS AND
ANSWERS CORRECTLY ANSWERED
and his femoral pulse is only weakly palpable. The definitive
treatment in managing this patient is to:
A. Administer O-negative blood
B. Apply external warming devices
C. Control internal hemorrhage operatively
D. Apply a pneumatic antishock garment (PASG)
E. Infuse large volumes of intravenous crystalloid solutions. -
CORRECT ANSWER C. Control internal hemorrhage
operatively
Regarding shock in the child, which of the following is FALSE?
A. Vital signs are age-related
B. Children have greater physiologic reserves than do adults
C. Tachycardia is the primary physiologic response to
hypovolemia
D. The absolute volume of blood loss required to produce shock
is the same as in adults
E. An initial fluid bolus for resuscitation should approximate
20ml/kg Ringers Lactate - CORRECT ANSWER D. The
absolute volume of blood loss required to produce shock is the
same as in adults
A 33-year-old man is struck by a car travelling at 56km/h
(35mph). He has obvious fractures of the left tibia near the knee,
pain in the pelvic area, and severe dyspnea. His heart rate is
182 beats per minute, and his respiratory rate is 48 breaths per
ANSWERS CORRECTLY ANSWERED
Which of the following is the recommended Method for trestemt
frostbite?
A. Vasodilators
B. Anticigulants
C. Warm (40 degrees) water
D. Padding and elevation
E. Application of heat from a hairdryer - CORRECT ANSWER
C. Warm (40 degrees) water
Which of the following physical findings suggest a cause of
hypotension other than spinal cord injury?
A. Prispism
B. Bradycardia
C. Diaphragmatic breathing
D. Presence of deep tendon reflexes
E. Ability to flex forearms but not extend them - CORRECT
ANSWER D. Presence of deep tendon reflexes. Spinal shock
refers to loss of muscle toe (flaccidty) and loss of reflexes.
The primary indication for transferring A patient to a higher
level trauma center is:
A. Unavailibility of surgeon or operating staff
B. Multiple system injuries, including severe head injury
C. Resource limitations as determined by the transferring doctor
D. Resource limitations as determined by the hospital
administration
,ATLS-2024 EXAM QUESTIONS AND
ANSWERS CORRECTLY ANSWERED
E. Widened mediastinum on chest x-ray following blunt trauma
- CORRECT ANSWER C. Resource limitations as determined
by the transferring doctor (MÅ SJEKKES)
A young man sustains a rifle wound to the mid-abdomen. He is
brought promptly to the ED by prehospital personnel. His skin
is cool and diaphoretic, and his systolic blood pressure is
58mmHg. Warmed crystalloid fluids are initiated without
improvement in his vital signs. The next, most appropriate, step
is to perform:
A. a laparotomy
B. An abdominal CT-scan
C. Diagnostic laparoscopy
D. Abdominal ultrasonography
E. A diagnostic peritoneal lavage - CORRECT ANSWER A.
Laparotomy because of hemodynamic abnormality
A 42-year-old man is trapped from the waist down beneath his
overturned tractor for several hours before medical assistance
arrives. He is awake and alert until just before arriving in the
ED. He is now unconscious and responds only to painful stimuli
by moaning. His pupils are 3mm in diameter and symmetrically
reactive to light. Prehospital personnel indicate that they have
not seen the patient move either of his lower extremities. On
examination in the ED, no movement of his lower extremities
,ATLS-2024 EXAM QUESTIONS AND
ANSWERS CORRECTLY ANSWERED
are detected, even in response to painful stimuli. The most likely
cause for this finding is:
A. An epidural hematoma
B. A pelvic fracture
C. Central cord syndrome
D. Intracerebral hemorrhage
E. Bilateral compartment syndrome - CORRECT ANSWER MÅ
SJEKKES
A 6-year-o boy is struck by an automobile and brought to the
ED. He is lethargic, but withdraws purposefully from painful
stimuli. His blood pressure is 90mmHg systolic, heart rate 140
beats per minute and his respiratory rate is 36 breaths per
minute. The preferred route of venous access in this patient is:
A. Percutaneous femoral vein cannulation
B. Cutdown on the saphenous vein at the ankle
C. Intraosseous catheter placement in the proximal tibia
D. Percutaneous peripheral veins in the upper extremities
E. Central venous access via the subclavian or internal jugular
vein - CORRECT ANSWER D. Percutaneous peripheral veins
in the upper extremities
A young man sustains a gunshot wound to the abdomen and is
brought promptly to the ED by prehospital personnel. His skin
is cool and diaphoretic, and he is confused. His pulse is thready
, ATLS-2024 EXAM QUESTIONS AND
ANSWERS CORRECTLY ANSWERED
and his femoral pulse is only weakly palpable. The definitive
treatment in managing this patient is to:
A. Administer O-negative blood
B. Apply external warming devices
C. Control internal hemorrhage operatively
D. Apply a pneumatic antishock garment (PASG)
E. Infuse large volumes of intravenous crystalloid solutions. -
CORRECT ANSWER C. Control internal hemorrhage
operatively
Regarding shock in the child, which of the following is FALSE?
A. Vital signs are age-related
B. Children have greater physiologic reserves than do adults
C. Tachycardia is the primary physiologic response to
hypovolemia
D. The absolute volume of blood loss required to produce shock
is the same as in adults
E. An initial fluid bolus for resuscitation should approximate
20ml/kg Ringers Lactate - CORRECT ANSWER D. The
absolute volume of blood loss required to produce shock is the
same as in adults
A 33-year-old man is struck by a car travelling at 56km/h
(35mph). He has obvious fractures of the left tibia near the knee,
pain in the pelvic area, and severe dyspnea. His heart rate is
182 beats per minute, and his respiratory rate is 48 breaths per
