Practice Questions ATLS
A 22-year-old man is hypotensive and tachycardic after a shotgun wound to the left shoulder.
His blood pressure is initially 80/40 mm Hg. After initial fluid resuscitation, his blood pressure
increases to 122/84 mm Hg. His heart rate is now 100 beats per minute and his respiratory rate
is 28 breaths per minute. A tube thoracostomy is performed for decreased left chest breath
sounds with the return of a small amount of blood and no air leak. After chest tube insertion, the
most appropriate next step is to:
reexamine the chest.
3 multiple choice options
A construction worker falls two stories from a building and sustains bilateral calcaneal fractures.
In the emergency department (ED), he is alert, his 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:
complete spine x-ray series.
3 multiple choice options
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Which of the following is true regarding the initial resuscitation of a trauma patient?
Evidence of improved perfusion after fluid resuscitation could include improvement in Glasgow
Coma Scale (GCS)
score on reevaluation.
3 multiple choice options
In managing a patient with a severe traumatic brain injury, the most important initial step is to:
secure the airway.
, 3 multiple choice options
A previously healthy, 70-kg (154-pound) man suffers an estimated acute blood loss of 2 liters.
Which statement applies to this patient?
An arterial blood gas would demonstrate a base deficit between -6 and -10 mEq/L.
3 multiple choice options
1-6. The physiological hypervolemia of pregnancy has clinical significance in the management
of the severely injured, gravid woman by:
increasing the volume of blood loss to produce maternal hypotension.
3 multiple choice options
1-7. The best assessment of fluid resuscitation of the adult burn patient is:
urinary output of 0.5 mL/kg/hr.
3 multiple choice options
1-8. The diagnosis of shock must include:
. evidence of inadequate organ perfusion.
3 multiple choice options
1-9. A 7-year-old boy is brought to the ED by his parents several minutes after he fell through a
window. He is bleeding profusely from a 6-cm wound in his medial right thigh. Immediate
management of the wound should consist of:
applying direct pressure on the wound.
3 multiple choice options
1-10. For the patient with severe traumatic brain injury, profound hypocarbia should be avoided
to prevent:
cerebral vasoconstriction with diminished perfusion.
3 multiple choice options
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