ATLS POST TEST LATEST 2025 GRADED A+
- Definitive control of the airway is achieved by
Answer: Endotracheal intubation
- How do you treat hypothermia in the ED?
Answer: Crystalloid fluids at 102.2°F and warmed treatment area
- What does definitive hemorrhage control refer to?
Answer:
Possible surgery Stabilizing of pelvis Angioembolization
- What are rates of fluid administration measured by?
Answer: Size and length of catheter
- Minimum flow rate of oxygen reservoir mask
Answer: 11 L/min
- MCC of shock in trauma patient
Answer: Hypovolemia due to hemorrhage
- Describe the 3 for 1 rule
Answer: Replace each mL of blood loss with 3 mL of crystalloid
solution
- What metabolic state can result from continued hemorrhage or
decreased perfusion?
Answer: Metabolic acidosis
- In what survey, primary or secondary, are these identified?
- Traumatic aortic disruption
Simple PTX Pulmonary contusion
Answer: Secondary survey via thorough PE, CXR, pulse ox, ECG, and
ABG
- What imaging study is preferred for penetrating abdominal
trauma?
Answer: CT
- What can FAST rapidly diagnose?
Answer: Abdominal hemorrhage
- When is a laparotomy indicated?
Answer: Fascial penetration with intraperitoneal bleeding or
peritonitis
- What does the Monro-Kellie doctrine describe?
Answer: The relationship between intracranial (IC) volume and
pressure
- Normal resting ICP
Answer: 10 mmHg
- How do you reduce elevated ICP?
Answer: Mannitol in a 20% solution
- How do you temporarily control pelvic hemorrhage and
instability?
Answer: Internal traction and external counter-pressure
- How do you initially manage major arterial injury?
Answer: Direct pressure and fluid resuscitation
- Full thickness burn
Answer: Third-degree burn
- What is used to estimate the size and depth of burns?
Answer: Rule of 9’s
Head = 9?ch arm = 9% Front trunk = 18?ck trunk = 18% Upper leg = 9% Lower leg = 9%
- What type of burns appear wet and blistered?
Answer: Partial thickness burns (second degree)
- How do you treat CO exposed patients?
Answer: 100% oxygen flow through a non-rebreather mask
- What is a reliable measure of circulating blood volumes in
burn patients?Answer: Hourly urine output (Goal: 0.5–1.0 mL/kg body weight)
- Hospital admission criteria for burn patients
Answer:
Partial-thickness burns >10% TBSA Full-thickness burns >2% TBSA Burns involving the face, hands, genitalia, perineum, or major joints Circumferential extremity burns High-voltage electrical burns Chemical burns Inhalation injury Preexisting medical conditions complicating management
- Parkland Formula for Fluid Resuscitation in Burn Patients
Answer: 3-4 mL Ringer lactate × weight (kg) × %TBSA burned (2nd &
3rd degree); Half in first 8 hours Half in next 16 hours
- What injuries may necessitate inter-hospital transfer?
Answer:
Head or spinal cord trauma Pulmonary contusions Severe burns
- How should a 34-year-old man with abdominal tenderness
and vital signs of RR 20, HR 120, BP 100/60 be managed in the field?
Answer: A. Intravenous fluid at a "keep open" rate
- What is Sellick's maneuver?
Answer: D. Posteriorly directed pressure applied to the cricoid
cartilage