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ATLS10 Post-Test Exam Questions and Answers: A Comprehensive Review, Exams of Health sciences

Medical University of South Carolina (MUSC)Health sciences

A valuable resource for students preparing for the atls10 exam. it features a series of multiple-choice questions covering various aspects of trauma management, including airway management, shock, and spinal cord injury. the inclusion of answers allows for self-assessment and identification of areas needing further study. the questions are clinically relevant and test understanding of key concepts.

Typology: Exams

2024/2025

Available from 05/01/2025

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2025-2026 ATLS10 POST TEST EXAM|ACTUAL
EXAM QUESTIONS AND ANSWERS|ALREADY
GRADED A+
ATLS10 exam questions with answers (answers outlined!!)
1. A 24-year-old male pedestrian, struck by an automobile, is admitted to the
emergency department 1 hour after injury. His blood pressure is 80/60 mmHg,
heart rate 140 beats per minute and respiratory rate is 36 per minute. He is
lethargic. Oxygen is delivered via face mask, and two large-caliber IVs are initiated.
Arterial blood gases are obtained. His PaO2 is 118 mmHg (15.7 kPa), PaCO2 is
30 mmHg (4.0 kPa), and pH is7.21. The treatment of his acid-base disorder is best
accomplished by:
a. Hyperventilation
b. Restoration of normal perfusion
c. Initiation of low-dose dopamine
d. Administration of sodium bicarbonate
e. Initiation of phenylepinephrine infusion
2. The highest priority in managing a patient whose injuries include
closed extremity fractures is:
a. Assesing limb perfusion
b. Preventing necrosis of the skin
c. Decompressing compartment syndrome
d. Addressing respiratory
insufficiency Identifying
crush syndrome
3. A 34-year-old female is involved in a motor vehicle crash is brought to the
emergency department. She is talking, but her voice is hoarse and on exposure she
has diagonal bruising of the chest and anterior neck. What is the next step?
a. Direct laryngoscopy to exclude laryngeal trauma
b. Oxygen by non-rebreathing mask
c. Protecting the spine by making her lie down
d. Palpation of the anterior neck
e. Attaching a pulse oximeter to her finger
4. A 30-year-old male sustains a gunshot wound to the right lower chest, midway
between the nipple and the costal margin. He is brought by ambulance to a
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Download ATLS10 Post-Test Exam Questions and Answers: A Comprehensive Review and more Exams Health sciences in PDF only on Docsity!

2025 - 2026 ATLS10 POST TEST EXAM|ACTUAL

EXAM QUESTIONS AND ANSWERS|ALREADY

GRADED A+

ATLS10 exam questions with answers (answers outlined!!)

  1. A 24 - year-old male pedestrian, struck by an automobile, is admitted to the emergency department 1 hour after injury. His blood pressure is 80/60 mmHg, heart rate 140 beats per minute and respiratory rate is 36 per minute. He is lethargic. Oxygen is delivered via face mask, and two large-caliber IVs are initiated. Arterial blood gases are obtained. His PaO2 is 118 mmHg (15.7 kPa), PaCO2 is 30 mmHg (4.0 kPa), and pH is7.21. The treatment of his acid-base disorder is best accomplished by: a. Hyperventilation b. Restoration of normal perfusion c. Initiation of low-dose dopamine d. Administration of sodium bicarbonate e. Initiation of phenylepinephrine infusion
  2. The highest priority in managing a patient whose injuries include closed extremity fractures is: a. Assesing limb perfusion b. Preventing necrosis of the skin c. Decompressing compartment syndrome d. Addressing respiratory insufficiency Identifying crush syndrome
  3. A 34-year-old female is involved in a motor vehicle crash is brought to the emergencydepartment. She is talking, but her voice is hoarse and on exposure she has diagonal bruising of the chest and anterior neck. What is the next step? a. Direct laryngoscopy to exclude laryngeal trauma b. Oxygen by non-rebreathing mask c. Protecting the spine by making her lie down d. Palpation of the anterior neck e. Attaching a pulse oximeter to her finger
  4. A 30-year-old male sustains a gunshot wound to the right lower chest, midway between the nipple and the costal margin. He is brought by ambulance to a

hospitalthat has full surgical capabilities. In the emergency department he is endotracheallyintubated, fluid resuscitation is initiated through two large-caliber IV lines, and a closed tube thoracostomy is performed, with the return of 200 ml of blood. A chest x-ray reveals correct placement of the chest tube and a small residual hemothorax. His blodd pressure is now 70/0 mmHg, and his heart rate is 140 beats per minute. His hypotension is most likely due to: a. Tension pneumothorax b. Massive hemothorax c. Pericardial tamponade d. Intraabdominal bleeding e. Insufficient isotonic crystalloid infusion

  1. A 20-year-old athlete is involved in a motorcycle crash after having ridden for hourson a very hot day. When he arrives in the emergency department, he shouts that he cannot move his legs. On physical examination, there are no abnormalities of the chest, abdomen, or pelvis. The patient has no sensation in his legs and cannot move them, but his arms are moving. The patient’s respiratory rate is 22, heart rate is 88, and blood pressure is 80/60 mmHg. He is paleand sweaty. What is the most likely cause of his hypotension? a. Neurogenic shock b. Cardiac tamponade c. Myocardial contusion d. Hyperthermia e. Hemorrhagic shock
  2. Comapred with adults, children have: a. A longer, wider, funnel-shaped airway b. A less pliable, calcified skeleton c. Greater mobility of mediastinal structures d. A relatively smaller head and larger jaw e. Anterior displacement of C5 on C
  3. Which one of the findings below requires a definitive airway in trauma patients? a. Facial lacerations b. Repeated vomiting c. Partial thickness facial burns, cough, and hoarseness d. Sternal fracture e. Glascow Coma Scale score of 12 f.
  4. In a patient with spinal cord injury, sacral sparing:

a. Associated head injury b. Hypovolemia from hemorrhagic shock c. Alcohol intoxication d. Spinal shock from cervical spine injury e. Neurogenic shock from cervical spine injury

  1. Which one of the following statements is correct: a. Cerebral contusions may coalesce to form an intracerebral hematoma b. Epidural hematomas are usually seen in the frontal region c. Subdural hematomas are caused by injury to the middle meningeal artery d. Subdural hematomas typically have a lenticular shape on CT scan e. The associated brain damage is more severe in epidural hematomas
  2. An 18-year-old is brought to the emergency department after having been shot. He has one bullet wound just below the right clavicle and another just below the costal margin in the right posterior axillary line. His blood pressure is 110/ mmHg, heartrate is 90 beats per minute, and respiratory rate is 34 breaths per minute. After ensuring a patent airway and inserting two large-caliber IV lines, the next appropriate step is to: a. Obtain a portable chest x-ray b. Administer a bolus of additional IV fluid c. Perform a laparotomy d. Obtain an abdominal CT scan e. Perform diagnostic peritoneal lavage
  3. Which one of the following statements is true concerning cranial anatomy related to traumatic injury? a. A scalp laceration is an unlikely source of bleeding in a patient with along transport time. b. The meninges are comprised of the dure, pia, and arachnoid. c. The middle meningeal artery lies between the dura and pia mater. d. Effacement or shift of the ventricles occurs commonly with concussions.

e. A dilated pupil is produced when the sympathetic nerve fibers located on the third cranial nerve are compressed by the temporal lobe.

  1. A 47-year-old house painter is brought to the hospital after falling 6 meters ( feet)from a ladder and landing straddling a fence. Examination of his perineum reveals extensive ecchymosis. There is blood in the external urethral meatus. The initial diagnostic study for evaluation of the urinary tract in this patent should be: a. Cystoscopy b. Cystography c. Intravenous pyelography d. CT scan e. Retrograde urethrography
  2. Which of the following statements is true? a. The laryngeal mask airway is an infraglottic device. b. The multilumen esophageal airway occludes the supraglottic lumen and ventilates through the port placed distal to the vocal cords. c. The nasopharyngeal airway is an ideal supraglottic device for patients withcribiform plate fractures. d. Nasotracheal tubes position a cuffed airway in the infraglottic space. e. Tracheostomy tubes are placed in apneic, hypoxic patients in thesupraglottic space.
  3. Neurogenic shock has all of the following characteristics except which? a. Hypotension b. Vasodilation c. Bradycardia d. Neurologic deficit e. Narrowed pulse pressure
  4. Which one of the following statements concerning spinal cord trauma is true? a. A normal lateral c-spine film excludes injury. b. A vertebral fracture or dislocation is unlikely in the absence of physicalfindings of spinal cord injury. c. A patient should remain on a long board until injury is excludedradiographycally.

b. Angiography c. Escharotomy d. Heparinization

Tangentia lexcision

  1. A 30-year-old male presents following a motor vehicle crash. Vital signs are respiratory rate 18, heart rate 88, blood pressure 130/72 mmHg, and GlascowComa Scale score 13. Laparotomy is indicated when: a. There is a distinct seat-belt sign over the abdomen b. The CT scan demonstrates a grade 4 hepatic injury c. There is evidence of residual hemothorax after chest tube placement d. CT demonstrates retroperitoneal air e. CT demonstrates a retroperitoneal hematoma
  2. All of the following are signs of aortic rupture on chest x-ray of a patient whosustained a blunt decelerating traume except which one? a. Mediastinal emphysema b. Presence of a pleural cap c. Obliteration of the aortic knob d. Deviation of the trachea to the right e. Depression of the left mainstem bronchus
  3. A 30-year-old female is brought to the hospital after a fall from her bicycle. She was initially unconscious and then regained consciousness en route to the hospital. Thirtyminutes after admission to the emergency department, her Glasoc Coma Scale score decreases to 6. her right pupil is larger than the left. She most likely has sustained: a. A subdural hemorrhage b. An epidural hemorrhage c. An occipital hemorrhage d. A subarachnoid hemorrhage e. An intracerebellar hemorrhage
  4. You are treating a trauma patient and attempt a definitive airway by intubation. However, the vocal cords are not visibile. What tool would be the most valuable for achieving uccessful intubation? a. Gum elastic bougie b. Lateral cervical spine x-ray c. Nasopharyngeal airway d. Oxygen
  1. A 40 - year-old male is brought to the emergency department after a fall from a heightof just over 3 meters (10 feet). His airway is clear, respiratory rate is 28, and systolicblood pressure is 140 mmHg. There is equal air entry on both sides of the chest, withcomparable percussion sounds bilaterally. He complains of pain on palpation of the chest. Which intervention is most likely needed? a. Needle decompression of the chest b. Pericardiocentesis c. Pain management d. Thoracotomy e. Tube thoracostomy 31. A construction worker falls from a scaffold and is transferred to the emergency department. His heart rate is 124, and blood pressure is 85/60 mmHg. He complains oflower abdominal pain. After assessing the airway and chest, restricting cervical spinal motion, and initiating fluid resuscitation, the next step is to perform : a. FAST exam b. Detailed neurological exam c. Rectal exam d. Cervical spine x-ray e. Urethral catheterization
  2. A 22-year-old male sustains a shotgun wound to the left shoulder and chest at close range. His blood pressure is 80/40 mmHG, and his heart rate is 130 beats per minute. Fluid resuscitation is initiated, his blood pressure increases to 122/ mmHg, and heart rate decreases to 100 beats per minute. He is tachypneic, with a respiratory rate of 28 breaths per minute. On physical examination, his breath sounds are decreased atthe left upper chest with dullness on percussion. A thoracostomy tube is inserted in the fifth intercostal space, with the return of 250 mL of blood and no air leak. The most appropriate next step is to: a. Insert a Foley catheter b. Begin to transfuse O-negative blood c. Perform thoracotomy

d. Obtain a CT scan of the chest and abdomen e. Repeat the physical examination of the chest

  1. Which one of the following signs is associated with class II shock? a. Narrowed pulse pressure b. Urine output less than 15 mL per hour c. Respiratory rate above 35 breathes per minute d. Hypotension e. Obtundation
  2. The most common acid-base disturbance encountered in injured pediatric patients iscaused by: a. Hemorrhage b. Changes in ventilation c. Renal failure d. Injudicious bicarbonate administration e. Insufficient sodium chloride administration
  3. Neurogenic shock is: a. Diagnosed by the presence of flaccid paralysis b. Caused by brain injury c. Due to acute hemorrhage d. Due to decreased vascular resistance e. Initially managed with vasopressor therapy
  4. A 23-year-old male is admitted to the emergency department 3 hours after sustainingfull-thickness burns to his head, arms, and upper torso for a total of 50% of his total- body-surface area. He weighs 80 kg (185 pounds). His blood pressure is 105/75 mmHg, and his heart rate is 135 beats per minute. A urinary catheter is inserted, withthe return of 20 mL of dark amber urine. He has received 1000 mL of Ringer´s lactate solution since the time of his injury. The estimated crystalloid fluid resuscitation volume per hour for the next 5 hours should be: a. 600 mL b. 875 mL c. 1000 mL d. 1200 mL e. 2000 mL
  5. A 20-year-old male is brought to the hospital approximately 30 minutes after being stabbed in the chest. There is a 3-centimeter wound just medial to the left nipple. Hisblood pressure is 70/33 mmHg, and his heart rate is 140. Neck and arm veins are distended. Breath sounds are normal. Heart sounds are diminished. Which of the