2024 ATLS Practice Questions

2024 ATLS Practice Questions Latest Questions with 100% Verified Answers

• Assessed first in trauma patient

Answer: Airway

• (*)Degree of burn that is characterized by bone involvement

Answer: Fourth

• Complications of head trauma

Answer:

Intracerebral hematoma Extradural hematoma Brain abscess

• Most common cause of laryngotracheal stenosis

Answer: Trauma

• Intervention that can help prevent development of acute renal failure

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?

• Hemorrhagic shock
• Acute adrenal insufficiency
• Fat embolism syndrome
• Transfusion reaction

Answer: D. Transfusion reaction

• Skin antiseptic

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

Answer: 55% 1 / 4

• How does shivering affect body temperature

Answer: Increases body temperature

• Class III hemorrhage indicates what % of blood loss

Answer: 35%

• Management of a stable patient with kidney contusion

Answer: Observation

• Associated with hypovolemic shock

Answer:

-Inadequate tissue perfusion with resultant tissue hypoxia -Blood shunting to vital organs -Decreased circulating blood volume and decreased venous return -Low cardiac output -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 evidenced by tachycardia, hypotension, oliguria, flat neck veins

• The most effective method of monitoring the success of resuscitation during

CPR?

Answer: Reactivity of pupils to light

• Used to ensure correct placement of endotracheal tube

Answer:

-Ultrasound -Bilateral breath sounds -Sustained end-tidal CO2

• Total body surface area involved in a burn in an adult to the anterior chest and

abdomen

Answer: 18%

• What is often caused by carotid massage?

Answer: Bradycardia

• Step in a patient diagnosed with tension pneumothorax

Answer:

• Needle decom- pression/ thoracotomy 2 / 4

• Chest tube

• True statements regarding diaphragmatic injuries

Answer:

-Blunt diaphragmatic in- juries are usually associated with skeletal trauma -Penetrating diaphragmatic injuries may be missed -Repair of traumatic diaphragmatic injuries usually does not require prosthetic material

• First priority in the treatment of an unconscious patient

Answer: Checking the pulse

• A patient involved in a road accident is brought to the emergency department in

an unconscious state. 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?

• Pelvic fracture
• Fracture of femur
• Intracranial hemorrhage
• Hemothorax

Answer: C. Intracranial hemorrhage

• A patient suffered a slash to his right neck. The wound 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 management?

• Get an angiogram
• Close the wound in the ER
• Take him to the operating room
• CT scan to evaluate neck structure

Answer: C. Take him to the OR

• After abdominal injury, which of the following urinalysis findings would be an

indication for further testing?

• 0-5 casts/HPF

B. 5-10 WBC/HPF

C. 10-20 RBC/HPF

• Gross hematuria 3 / 4

Answer: D. Gross hematuria

• A laceration of the neck superficial to the deep cervical fascia along the

sternocleidomastoid muscle at its midpoint would cause bleeding from which structure?

Answer: External jugular vein

• Clinical features associated with tension pneumothorax

Answer:

Unilateral de- crease in breath sounds Hyperresonance Respiratory distress Tachycardia Tracheal shift Desatruation Decreased breath sounds Decreased compliance Asymmetric chest movement NOT hypertension, audible bronchial sounds

• Not recommended as a mode of ventilation for a patient with a diaphrag- matic

hernia

• Bag and mask

B. LMA

• Endotracheal intubation
• Jet ventilation

Answer: A. Bag and mask

• What is the next step in the assessment of a traumatic patient after airway is

established?

Answer: Breathing

• Blood group that is considered a universal donor

Answer: O

• A provider is examining a patient who sustained a severe traumatic head injury.

He documents no Doll's eyes. What does this signify?

Answer: Brainstem injury

• Which of the following is the least preferred method of administering IV fluids?
• Cubital veins
• Cephalic veins
• Subclavian veins
• Saphenous vein
• / 4