ATLS EXAM QUESTIONS WITH ALL

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ATLS EXAM QUESTIONS WITH ALL

CORRECT ANSWERS 100% SOLVED

…GRADE A+

Question : 1. A 19 year old man hiking in the national

forest fell 10 feet through a rotten plank in an old wooden bridge to the rocky stream below. He was transported to the ED within 30 minutes complaining chest pain. He is hypotensive on arrival to the ED.What do you do?

• 2L bolus crystalloid
• Send to OR
• Crack the chest
• 1L bolus crystalloid
• CT chest/abd/pelvis

Correct answer: D

In ATLS 10 initial fluid bolus has been decreased to 1L instead of 2L crystalloid because

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bleeding patients need the bleeding to be stopped and they need blood, so this is now the focus. Start giving blood if no improvement after initial 1L fluid bolus. There is much greater focus on massive transfusion protocols. The other things mentioned may be indicated at some point in this patient’s care, but he initially needs fluid resuscitation.

Question : 2. In a severely injured patient the risk for

coagulopathy is high. Which of the

following is correct:

• Tranexamic acid should not be redosed after the initial

bolus

• Resuscitative measures can increase the risk of

coagulopathy

• To decrease the risk of coagulopathy you must keep the

patient cool

• Tranexamic acid can be given within the firs 4hrs of

injury

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• Patient’s taking anticoagulation are not at any higher

risk in a trauma

Correct answer: B

In ATLS 10 Tranexamic acid is being recommended for severely injured patients who will require massive transfusion and are at risk for coagulopathy. The initial bolus needs to be given within the first 3hrs of injury. This may be in the pre-hospital setting. It is then given as an infusion over 8hrs in the hospital setting.As in previous versions, we know that fluid/blood resuscitation can increase the risk of coagulopathy highlighting the need for massive transfusion protocols, and hypothermia increases risk of coagulopathy so warm room, warm blankets and warm blood/fluids are still recommended.

Question : 3. Which of the following patient’s would not

require radiographic evaluation per the

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Canadian C-spine Rule?

• 12 y/o boy fell from 3 ½ feet
• 68 y/o man who was ambulatory at the scene
• 42 y/o woman rear ended by a city bus
• 35 y/o woman with delayed onset of neck pain who can

actively rotate her neck 45 degrees left and right

• 23 y/o man with midline cervical spine tenderness

Correct answer: D

In ATLS 10 The Nexus criteria and the Canadian C-spine Rues are emphasized, so review them both. The 12 y/o boy has the high risk factor of a fall from >3ft; the 68y/o man although he has the low risk factor of being ambulatory at any time, he has the high risk factor of age >65; the 42y/o woman has the low risk factor of a rear end collision but being hit by a bus excludes it from truly being low risk; the 35y/o woman