ATLS Initial Assessment and Management 2

Question 1

During the primary survey, a trauma patient has absent breath sounds on the left, distended neck veins, and tracheal deviation to the right. What action should be taken BEFORE chest X-ray?

Accepted Answer

Perform needle decompression of the left chest

Answer

Start a second large-bore IV

Answer

Intubate the patient

Answer

Administer a fluid bolus

Question 2

In the ATLS primary survey, what is the correct sequence of assessment?

Accepted Answer

Airway, Breathing, Circulation, Disability, Exposure

Answer

Circulation, Airway, Breathing, Disability, Exposure

Answer

Breathing, Airway, Circulation, Exposure, Disability

Answer

Airway, Circulation, Breathing, Disability, Exposure

Question 3

Which injury must be identified and treated during the primary survey?

Accepted Answer

Massive hemothorax

Answer

Simple rib fracture

Answer

Stable pelvic fracture

Answer

Small pneumothorax

Question 4

A trauma patient has HR 130, BP 70/50, RR 30, and altered mental status. What class of hemorrhagic shock?

Accepted Answer

Class IV

Answer

Class I

Answer

Class II

Answer

Class III

Question 5

When should the secondary survey be initiated?

Accepted Answer

After primary survey is complete and resuscitation initiated

Answer

Immediately upon arrival

Answer

After all imaging is completed

Answer

Only after hemodynamic stability

Question 6

What is the recommended initial fluid resuscitation for an adult trauma patient with hemorrhagic shock?

Accepted Answer

1 liter of warmed isotonic crystalloid

Answer

500 mL normal saline

Answer

2 liters of warmed lactated Ringer's

Answer

Immediate packed red blood cells only