ATLS PRE TEST 10th Edition Question and
Answers Latest 2024
1-1. 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 initial fluid
resuscitation, his blood pressure increases to 122/84 mm Hg. His heart rate is
now 100 beats per minute and his respiratory rate is 28 breaths per minute. A
tube thoracostomy is performed for decreased left chest 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 computed tomography (CT) scan of the chest.
d. obtain arterial blood gas analyses.
e. perform transesophageal echocardiography.
1-2. A construction worker falls two stories from a building and sustains bilateral
calcaneal fractures. In the emergency department (ED), he is alert, his vital signs
are normal, and he is complaining of severe pain in both heels and his lower back.
Lower extremity pulses are strong and there is no other deformity. The suspected
diagnosis is most likely to be confirmed by:
a. angiography.
b. compartment pressures.
c. retrograde urethrogram.
d. Doppler ultrasound studies.
e. complete spine x-ray series.
1-3. Which of the following is true regarding the initial resuscitation of a trauma
patient?
a. A patient with a torso gunshot wound and hypotension should
receive crystalloid fluid resuscitation until the blood pressure is normal.
b. Evidence of improved perfusion after fluid resuscitation could include
improvement in Glasgow Coma Scale (GCS) score on reevaluation.
c. Massive transfusion is defined as transfusion of more than 10 units of
packed red blood cells and plasma within 24 hours.
d. When tranexamic acid is administered by prehospital providers, a
second dose is required within 24 hours.
e. Fluid resuscitation is far more important than bleeding control in trauma
patients.
1-4. In managing a patient with a severe traumatic brain injury, the most important
initial step is to:
a. secure the airway.
b. obtain a c-spine film.
c. support the circulation.
d. control scalp hemorrhage.
e. determine the GCS score.
