ATLS, Practice Test, Pretest, MCQ, Written
Review, ATLS Post Test, Complete Set
Solutions Bundled Together| More than 300
Questions and Verified Answer... [Show More] s (2023/ 2024
Update)
The most significant difference between burn and other traumatic in- juries is? he most significant difference between burn and other traumatic in- juries is?
✓ Answer: In a burn injury, the full extent of the injury may not be evidence immediately
2. In an adult patient with suspected inhalation injury, it is important to?
✓ Answer: Use an ETT larger than 7.5 in an adult to enable clearance of secretions
3. Burn shock is a result of?
✓ Answer: Interstitial loss due to inflammation
4. The immediate treatment of electrical injury consists of?
✓ Answer: Maintaining UOP of 100 ml/hr
5. What're the leading causes of unsuccessful resuscitation in pediatric patients with severe trauma?
✓ Answer: Failure to secure a compromised airway
✓ Failure to support breathing
✓ Failure to recognize and respond to intra-abdominal and intracranial hemorrhage
6. A 3-year-old falls 10 meters out of an apartment window onto pavement. He does not open his
eyes, moans incomprehensibly, and extending abnor- mally when stimulated. The patient is
unresponsive on arrival to the ED, and pupils are unequal. He has blood coming from his right
ear, is breathing rapidly, and is pale, with mottled extremities. VS are BP 74/57,HR 156, RR 49.
What steps and maneuvers would you use to manage this patient's air- way?
✓ Answer: Maintain airway with chin-lift and jaw-thrust with assisted ventilation using
bag mask with placement of laryngeal mask or ETT
7. A 3-year-old falls 10 meters out of an apartment window onto pavement. He does not open his
eyes, moans incomprehensibly, and extending abnormally when stimulated. The patient is
unresponsive on arrival to the ED, and pupils are unequal. He has blood coming from his right
ear, is breathing rapidly, and is pale, with mottled extremities. VS are BP 74/57,HR 156, RR 49.
Is this child in shock?
✓ Answer: Yes (tachycardia, mottled extremities, and hypotension) indicates significant
compromise, likely due to bleeding but other etiology must be ruled out.
8. Trauma triad of death
✓ Answer: Hypothermia
✓ Acidosis
✓ Coagulopathies
9. A 5-year-old boy is struck by a car and brought to the ED. He is lethargic but withdraws from
painful stimuli. VS are BP 90, HR 160, RR 40, and oxygen sat 85%. The best option for
establishing vascular access after experienced nurses have failed to obtain PIV on two attempts
is?
✓ Answer: Placement of intraosseous device into proximal tibia
10. When treating a severely injured child, it is very important to rapidly es- tablish the patient's
weight in order to determine equipment size, drug doses, and resuscitation volumes. What are
options for estimating weight quickly or determining appropriate equipment size?
✓ Answer: Asking parent or caregiver
✓ Using a length-based pediatric resuscitation tape
✓ Using the formula (2 x age in years + 10)
11. Common causes of deterioration in intubated patients
✓ Answer: Dislodgement
✓ Obstruction Pneumothorax Equipment failures
12. Classifications of responses of children to fluid resuscitation
✓ Answer: Responders: stabilized by crystalloid fluid OR crystalloid and blood
resuscitation
✓ Transient responders: install response to crystalloid and blood, but then deteriorates
✓ Non-responders: doesn't respond to crystalloid or blood infusion
13. A 3-year-old falls 10 meters out of an apartment window onto pavement. He does not open his
eyes, moans incomprehensibly, and extending abnormally when stimulated. The patient is
unresponsive on arrival to the ED, and pupils are unequal. He has blood coming from his right
ear, is breathing rapidly, and is pale, with mottled extremities. The patient is intubated and IV
access is obtained. He's given crystalloid and blood with good response. HR 110 and BP 90/60.
CXR shows pulmonary contusions. What are the priorities in evaluating a small child with multi
system trauma?
✓ Answer: ABCDE
14. Why do children commonly develop pulmonary contusions following trauma, even in absence of
rib fractures?
✓ Answer: Ribs of children are primarily cartilaginous therefore bend and allows
transmission of kinetic energy to underlying lung rather than absorbing and dissipating
energy by fracturing ribs
15. What's the most common immediately lift-threatening injury in children?
✓ Answer: Tension pneumothorax
16. What visceral injuries are more common in children?
✓ Answer: Blunt pancreatic injuries
✓ Small bowel perforations near ligament of Treitz
✓ Mesenteric and small bowel avulsions
✓ Bladder rupture
✓ Enteric disruption
✓ Penetrating injuries to perineum [Show Less]
