ATLS PRACTICE TEST ACTUAL EXAM 250 REAL QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (100% VERIFIED ANSWERS) |ALREADY GRADED A+7

ATLS PRACTICE TEST 2023-2024 ACTUAL EXAM 250 REAL

QUESTIONS AND CORRECT DETAILED ANSWERS WITH

RATIONALES (100% VERIFIED ANSWERS) |ALREADY

GRADED A+

A patient on a mechanical ventilator is fighting the machine, and has elevated peak

airway pressures. What medication should be used?

A. Benzodiazepines

B. Vecuronium

C. Barbiturates

D. Baclofen - ANSWER- B. Vecuronium

What is the primary goal in the initial resuscitation of a cardiac arrest?

A. Renal perfusion

B. Limb perfusion

C. Myocardial perfusion

D. Brain perfusion - ANSWER- D. Brain perfusion

During an MVA, what is most likely injury to occur after knees strike the

dashboard

A. Fractured femur

B. Fractured humerus

C. Lacerated spleen

D. None of the above - ANSWER- A. Fractured femur

Reason epinephrine is added to local anesthetics - ANSWER- Prolongs its action

Used to treat high ICP - ANSWER- Control BG

Hyperventilation (pCO2 30-35)

Elevate head of bed

Mannitol (osmotic diuretic)

Furosemide (loop diur.)

Earliest symptom of local anesthetic toxicity - ANSWER- Tongue and circumoral

numbness

A 18-year-old male sustains a right femur fracture and a cerebral concussion in a

motor vehicle accident. His initial blood pressure is 75/50 mmHg with a pulse of

90 beats per minute. After giving him 2 liters of Ringer lactate he stabilizes, but the

blood pressure falls when he is seen in the ER. Which of the following would be

the cause of suspected hypotension in this patient?

A. Subdural hematoma

B. Undiagnosed facial fracture

C. Ruptured spleen

D. 10% pneumothorax - ANSWER- C. Ruptured spleen

An unrestrained driver involved in a high speed MVA is transported by paramedics

with c-spine precautions. GCS score is 7, but there is no obvious trauma.

Respirations are shallow, and BVM is not providing adequate ventilation.

Extremities are cool, and the pulses are thready. Prior to rapid sequence intubation,

what should be done?

A. Brief neurologic examination

B. Immediate chin lift and jaw thrust maneuver

C. Assess all vital signs

D. Administer 4-5 quick tidal volume breaths with an FIO2 of 100% using a bag

mask ventilatory device - ANSWER- D. Administer 4-5 quick tidal volume breaths

with an FIO2 of 100% using a bag mask ventilatory device

Which of the following is indicative of a kidney injury?

A. Ascites

B. Flank tenderness

C. Hematuria

D. Hematemesis - ANSWER- C. Hematuria

Can occur during massive blood transfusions - ANSWER- -Dilutional

thrombocytopenia

-Hypocalcemia

-Coagulation abnormalities

NOT hypokalemia

Which of the following most likely will result in a favorable outcome in pediatric

drowning?

A. Spontaneous circulation established in the ER

B. Core temperature in the ER <33>

C. Return of spontaneous circulation at the scene of the drowning

D. Reactive pupils at the scene of the drowning - ANSWER- C. Return of

spontaneous circulation at the scene of the drowning

Underlying pathophysiology of a decrease in urine output - ANSWERCompromised organ perfusion

Which of the following clinical signs is the most worrisome in a patient whom

elevation of ICP is a concern?

A. Tachycardia

B. Asymmetric pupils

C. Hypothermia

D. Decreased blood pressure - ANSWER- B. Asymmetric pupils

Battle sign - ANSWER- (Mastoid ecchymosis)

Etiology: fracture of middle cranial fossa of skull

Posterior auricular = artery that causes the bruising

A patient is on mechanical ventilator and his arterial blood gas reveals a PCO2 of

38 and a pH of 7.41. What is the appropriate next step?

A. Increase oxygen

B. Observe

C. Increase rate

D. Increase tidal volume - ANSWER- B. Observe

A trauma patient is receiving fluids at 150 cc/hr. He received two units of blood

because his initial hemoglobin was 7.3 g. After 4 hours, his urine output is 7 cc/hr

and his central venous pressure is 3 cm of water. What is the next step in his

management?

A. Start furosemide drip

B. Start dopamine at renal dose