ATLS 10 POST TEST MCQ WITH VERIFIED ANSWERS BY EXPERT

ATLS 10 POST TEST MCQ WITH VERIFIED ANSWERS BY EXPERT

I. An18-ycar-old male is brought to the emergenc}department after havingbeenshot.
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 is110/60 mm Hg.
heart rate is 90 beats per minute, and respiratory rate is 34 breaths per minute. After ensuring apatent airwayand
inserting2 large caliber IVlines., the nextappropriate step is to:
a. obtain a portable chest x-ray
b. administer a bolus of additional IV fluid
c. perform a laparotomy
d. obtain anabdominal CTscan
e. perform diagnostic peritoneal lavage
II. A 47-year-old house painter is brought to the hospital after falling 6 meters (20 feet) from a ladder and landing
straddled on a fence. Examination of his perineum reveals extensive ecchymosis. There is a blood in the external urethral
meatus. The initial diagnostic study for the evaluation of the urinary tract in this patient should be:
a. cystoscopy
b. cystography
c. intravenous pyelography
d. CTscan
e. retrograde urethrography
III. Neurogenic shockhas all of thefollowingclassiccharacteristics except which one?
a. hypotension
b. vasodilation
c. bradycardia
d. neurologic deficit
e. narrowed pulse pressure
IV. Which one of the following statements is false concerning Rh isoimmunization in pregnanttrauma patients?
a. It occurs in blunt or penetrating abdominal trauma.
b. It is produced by minor degrees of fetomaternalhemorrhage.
c. Rh immunoglobulin therapyshould be administered to pregnant females who have sustained agunshot wound to
the leg.
d. This is not aproblem in traumatized, Rh-positive pregnant patients.
e. Initiation of Rh immunoglobulin therapydoes not require proof of fetomaternal hemorrhage.
V. An 18-year-old motorcyclist sustains massive facial injuries in a head-on crash with a pick-up truck. He is brought to the
emergency department completely immobilized on a long spine board and wearing a cervical collar. His blood pressure is
150/88 mmHg, heart rate is 88 beats per minute and regular, and respiratory rate is 26 breaths per minute. His
respirations are labored andsonorous. His Glasgow Coma Scale score is 7. Attempts at orotracheal intubation with manual
inline stabilization of the c-spine are unsuccessful due to bleeding and distorted anatomy. The patient becomes apneic. The
bestprocedure for airway management in this situation is:
a. nasotracheal intubation
b. emercency tracheostomy c.
surgicalcricothyroidotomy
d. placement of an oropharyngeal airway
e.placement of anasopharyngeal airway
VI. Which of the followingsigns is LEASTreliable for diagnosingesophageal intubation?
a. symmetrical chest wall movement
b. end-tidal CO2 presence bycolorimetry
c. bilateralbreathsounds
d. oxygensaturation >92%
e. ETTabove carina on chest x-ray
VII. Which of the followingsigns the necessitates a definitive airway in severe trauma patients?
a. fascial lacerations
b. repeated vomiting
c.severe maxillofacial fractures
d. sternal fracture
e. Glasgow Coma Scale score of 12
VIII. Twenty-seven patients are seriously injured in an aircraft crash at a local airport. Theprinciples of triage include:
a. establish atriagesite within the internal perimeterof the crashsite
b. treat only the most severely injured patients first
c. immediately transport all patients tothe nearest hospital
d. treat the greatest number of patients in the shortest period of time
e. produce the greatest number ofsurvivors based on available resources
IX. Which of the followingstatements is correct?
a. Cerebralcontusions maycoalesce to form an intracerebral hematoma.
b. Epidural hematomas are usually seen in the frontal region.
c. Subduralhematomas are caused by injury to the middle meningeal artery.
d. Subduralhematomas typicallyhave a lenticular shape on CT scan.
e. The associated brain damage is moresevere in epidural hematomas