ATLS Pre-Test Examination
These test items are undergoing psychometric analysis.
Note: It is understood that medical practices vary with
... [Show More] institutional policies and individual preferences. This test is designed in conjunction with the material presented in the 9th edition of the ATLS® Course. Please answer the questions accordingly.
Important directions before you begin this test:
This test consists of 40 multiple-choice questions.
Read each question thoroughly and select the one best answer.
Please note: Questions and/or concerns about test items are referred to the ACS ATLS® Program Office. The course director or coordinator cannot give credit for a response that you mark incorrectly according to the answer key.
Prepared by the American College of Surgeons Committee on Trauma for sole use in an approved ACS ATLS® Course.
Please select the appropriate answer for each question. Once finished, please click the Submit Button.
Question:1 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 2 liters of crystalloid solution his blood pressure increases to
122/84His breath mm sounds Hg. His are heart decreased rate is now in the 100 left beats hemithorax, per minute and and after his initial respiratory IV fluid rate resuscitation, is 28 breaths a closed per minute. tube
thoracostomy is performed for decreased left 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
A) reexamine the chest.
B) perform an aortogram.
C) obtain a CT scan of the chest.
D) obtain arterial blood gas analyses
E) perform transesophageal echocardiography.
Question:2 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
heelsdiagnosis is most likely to be confirmed by and his lower back. Lower extremity pulses are strong and there is no other deformity. The suspected
A) angiography.
B) compartment pressures
C) retrograde urethrogram
D) Doppler-ultrasound studies.
E) complete spine x-ray series.
Question:3 The principle of balanced resuscitation is:
A) Permissive hypotension and early plasma infusion
B) Equal amounts of crystalloid and colloids
C) Simultaneous management of breathing and circulation
D) Maintenance of a normal acid base balance
E) Achieving a pulse rate <90
Question:4 In managing the head-injured patient, the most important initial step is to A) secure the airway.
B) obtain c-spine film.
C) support the circulation.
D) control scalp hemorrhage.
E) determine the GCS Score.
Question:5 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? A) His pulse pressure will be widened.
B) His urinary output will be at the lower limits of normal.
edC)by 10He000829682491 will have tachycardia, from CourseHero.com on but no change in his systolic07-28 -blood2021 05:07:59 pressure. GMT -05:00
His systolic bloodDownloaded by: CHRISJAY | pressure will be decreased with [email protected] narrowed pulse pressure.
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