ATLS PRACTICE QUESTIONS WITH COMPLETE SOLUTIONS 2024
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ATLS PRACTICE QUESTIONS WITH COMPLETE SOLUTIONS 2024
1. Assessed first in trauma patient Airway
2. (*)Degree of burn that is characterized by bone in-
volvement
Fourth
3. Complications of head trauma Intracerebral
hematoma
Extradural
hematoma
Brain abscess
4. Most common cause of ...
ATLS PRACTICE QUESTIONS WITH COMPLETE SOLUTIONS 2024 1. Assessed first in trauma patient Airway 2. (*)Degree of burn that is characterized by bone in- volvement 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 6. A 26-year-old male is resuscitated with blood trans - fusion after a motor vehicle collision that was com - plicated 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 Infusion of normal saline D. Transfusion re- action 7. Skin antiseptic -Ethanol 70% is an effective skin antiseptic -Acetic acid can be used to treat Gram - skin infec - tions -Salicylic acid is used to treat cer - tain skin yeast in- fections ATLS PRACTICE QUESTIONS WITH COMPLETE SOLUTIONS 2024 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 contu - sion Observation 12. Associated with hypovolemic shock -Inadequate tis - sue perfusion with resultant tissue hypoxia -Blood shunting to vital organs -Decreased circu - lating blood vol - ume and de - creased venous return -Low cardiac out- put -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 evi - denced by tachy - cardia, hypoten - sion, oliguria, flat neck veins 13. ATLS PRACTICE QUESTIONS WITH COMPLETE SOLUTIONS 2024 The most effective method of monitoring the success of resuscitation during CPR? 14. Used to ensure correct placement of endotracheal tube 15. Total body surface area involved in a burn in an adult to the anterior chest and abdomen Reactivity of pupils to light -Ultrasound -Bilateral breath sounds -Sustained end-tidal CO2 18% 16. What is often caused by carotid massage? Bradycardia 17. Step in a patient diagnosed with tension pneumotho - rax 1. Needle decom - pression/ thoraco - tomy 2. Chest tube 18. True statements regarding diaphragmatic injuries -Blunt diaphrag - matic injuries are usually associated with skeletal trau - ma -Penetrating di- aphragmatic in- juries may be missed -Repair of trau - matic diaphrag - matic injuries usu- ally does not require prosthetic material 19. First priority in the treatment of an unconscious pa- tient 20. A patient involved in a road accident is brought to the emergency department in an unconscious state. Checking the pulse C. Intracranial he- morrhage ATLS PRACTICE QUESTIONS WITH COMPLETE SOLUTIONS 2024 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 21. A patient suffered a slash to his right neck. The wound C. Take him to the 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 man- agement? 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 22. After abdominal injury, which of the following uri - nalysis 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 23. A laceration of the neck superficial to the deep cer - vical fascia along the sternocleidomastoid muscle at its midpoint would cause bleeding from which struc - ture? 24. Clinical features associated with tension pneumoth - orax OR D. Gross hema - turia External jugular vein Unilateral de - crease in breath sounds
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