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ATLS pretest QUESTIONS AND ANSWERS A+ GRADED 100% VERIFIED 2025/2026
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ATLS pretest QUESTIONS AND ANSWERS A+ GRADED 100% VERIFIED 2025/2026
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ATLS pretest1. 20-year-old woman, at 32 weeks gestation, is stabbed in the upper right chest. In the
emergency department, her blood pressure is 80/60 mm Hg. She is gasping for
breath, extremely anxious, and yelling for help. Breath sounds are diminished in the
right chest. The most appropriate first step is to - ANS-perform needle
decompression of the right chest.
2. A 22 year old man is hypotensive and tachycardic after a shotgun wound to the left
shoulder. His blood after initial IV fluid resuscitation, a closed tube thoracostomy is
performed for decreased left breath sounds - ANS-reexamine the chest
3. A construction worker falls two stories from a building and sustains bilateral calcaneal
fractures. In the emergency department, he is alert, vital signs are normal, and he is
complaining of severe pain in both heels and his lower back. Lower extremity pulses
are strong and there is no other deformity. The suspected diagnosis is most likely to
be confirmed by - ANS-complete spine x-ray series.
4. A previously healthy, 70-kg (154-pound) man suffers an estimated acute blood loss of
2 liters. Which one of the following statements applies to this patient? - ANS-His
systolic blood pressure will be decreased with a narrowed pulse pressure.
5. A trauma patient presents to your emergency department with inspiratory stridor and
a suspected c-spine injury. Oxygen saturation is 88% on high-flow oxygen via a
nonrebreathing mask. The most appropriate next step is to - ANS-maintain inline
immobilization and establish a definitive airway.
6. For the patient with severe traumatic brain injury, profound hypocarbia should be
avoided to prevent - ANS-cerebral vasoconstriction with diminished perfusion.
7. Question:11 A 25-year-old man is brought to a hospital with a general surgeon after
being involved in a motor vehicle crash. Computed tomography shows an aortic
injury and splenic laceration with free abdominal fluid. His blood pressure falls to 70
mm Hg after CT. The next step is - ANS-exploratory laparotomy.
8. Question:17 The most important, immediate step in the management of an open
pneumothorax is - ANS-placement of an occlusive dressing over the wound.
9. Question:18 The following are contraindications for tetanus toxoid administration -
ANS-History of neurological reaction or severe hypersensitivity to the product.
10. Question:19 A 56-year-old man is thrown violently against the steering wheel of his
truck during a motor vehicle crash. On arrival in the emergency department he is
diaphoretic and complaining of chest pain. His blood pressure is 60/40 mm Hg and
his respiratory rate is 40 breaths per minute. Which of the following best differentiates
cardiac tamponade from tension pneumothorax as the cause of his hypotension? -
ANS-Breath sounds.
11. Question:20 Bronchial intubation of the right or left mainstem bronchus can easily
occur during infant endotracheal intubation because - ANS-the trachea is relatively
short.
12. Question:21 A 23-year-old man sustains 4 stab wounds to the upper right chest
during an altercation and is brought by ambulance to a hospital that has full surgical
capabilities. His wounds are all above the nipple. He is endotracheally intubated,
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