ATLS practice 2023 Questions
With All the Correct Answers
ATLS TESTS
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: – CORRECT ANSWER re-examine the chest
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: – CORRECT ANSWER complete
spine x-ray series
Which of the following is true regarding the initial resuscitation of a trauma
patient? – CORRECT ANSWER Evidence of improved perfusion after fluid
resuscitation could include improvement in Glasgow Coma Scale score on
reevaluation.
In managing a patient with a severe traumatic brain injury, the most important
initial step is to: – CORRECT ANSWER secure the airway
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? –
CORRECT ANSWER An ABG would demonstrate a base deficit between -6
and -10 mEq/L.
The physiological hypervolemia of pregnancy has clinical significance in the
management of the severely injured, gravid woman by: – CORRECT ANSWER
increasing the volume of blood loss to produce maternal hypotension
ATLS practice 2023
LATEST Questions With
All the CORRECT
ANSWERs
Assessed first in trauma patient – CORRECT ANSWER Airway
(*)Degree of burn that is characterized by bone involvement – CORRECT
ANSWER Fourth
Complications of head trauma – CORRECT ANSWER Intracerebral
hematoma
Extradural hematoma
Brain abscess
Most common cause of laryngotracheal stenosis – CORRECT ANSWER
Trauma
Intervention that can help prevent development of acute renal failure –
CORRECT ANSWER Infusion of normal saline
A 26-year-old male is resuscitated with blood transfusion after a motor vehicle
collision that was complicated 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 – CORRECT ANSWER D. Transfusion reaction
Skin antiseptic – CORRECT ANSWER -Ethanol 70% is an effective skin
antiseptic
-Acetic acid can be used to treat Gram- skin infections
-Salicylic acid is used to treat certain skin yeast infections
Class IV hemorrhage indicates what % blood loss – CORRECT ANSWER 55%
How does shivering affect body temperature – CORRECT ANSWER Increases
body temperature
Class III hemorrhage indicates what % of blood loss – CORRECT ANSWER
35%
Management of a stable patient with kidney contusion – CORRECT ANSWER
Observation
ATLS Practice 2023 UPDATED.
Definitive control of the airway is achieved by __ – CORRECT
ANSWER Endotracheal intubation
How do you treat hypothermia in the ED? – CORRECT ANSWER crystalloid
fluids at 102.2 degrees F and warmed treatment area
What does definitive hemorrhage control refer to?
(3) – CORRECT ANSWER 1) Possible surgery
2) Stabilizing of pelvis
3) Angioembolization
What are rates of fluid administration measured by? – CORRECT ANSWER
Size and length of catheter
Minimum flow rate of oxygen reservoir mask – CORRECT ANSWER 11 L/min
MCC of shock in trauma pt – CORRECT ANSWER Hypovolemia due to
hemorrhage
Describe the 3 for 1 rule – CORRECT ANSWER Replace each mL of blood loss
with 3 ml of crystalloid solution
What metabolic state can result from continued hemorrhage or decreased
perfusion? – CORRECT ANSWER Metabolic acidosis
In what survey, primary or secondary, are these identified?
1) Simple PTX
2) Pulmonary contusion
3) Traumatic aortic disruption – CORRECT ANSWER Secondary
Via thorough PE, CXR, pulse ox, ECG and ABG
What imaging study is preferred for penetrating abdominal trauma? – CORRECT
ANSWER CT
What can FAST rapidly diagnose? – CORRECT ANSWER Abdominal
hemorrhage
When is a laparotomy indicated? – CORRECT ANSWER Fascial penetration
with intraperitoneal bleeding or peritonitis