ATLS POST TEST 2ND EDITION Questions With
Correct Answers Graded A+ 2026 ,100%
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A 24 year old male pedestrian, struck by an automobile, is admitted to the emergency
department 1 hour after injury. His blood pressure is 80/60 mmHg, heart rate 140 beats
per minute and respiratory rate is 36 per minute. He is lethargic. Oxygen is delivered via
face mask, and two large-caliber IVs are initiated. Arterial blood gases are obtained. His
PaO2 is 118 mmHg, PaCO2 is 30 mmHg, and pH is 7.21. The treatment of his acid-
base disorder is best accomplished by:
A. Hyperventilation
B. Restoration of normal perfusion
C. Initiation of low-dose dopamine
D. Administration of sodium bicarbonate
E. Initiation of phenylepinephrine infusion ANSWER >> B
,The highest priority in managing a patient whose injuries include closed extremity
fractures is:
A. Assessing limb perfusion
B. Preventing necrosis of the skin
C. Decompressing compartment syndrome
D. Addressing respiratory insufficiency
E. Identifying crush syndrome ANSWER >> D
A 34-year-old female is involved in a motor vehicle crash is brought to the emergency
department. She is talking, but her voice is hoarse and on exposure she has diagonal
bruising of the chest and anterior neck. What is the next step?
A. Direct laryngoscopy to exclude laryngeal trauma
B. Oxygen by non-rebreathing mask
C. Protecting the spine by making her lie down
D. Palpation of the anterior neck
E. Attaching a pulse oximeter to her finger ANSWER >> B
A 30-year-old male sustains a gunshot wound to the right lower chest, midway between
the nipple and the costal margin. He is brought by ambulance to a hospital that has full
surgical capabilities. In the emergency department he is endotracheally intubated, fluid
resuscitation is initiated through two large-caliber IV lines, and a closed tube
, thoracostomy is performed, with the return of 200 ml of blood. A chest x- ray reveals
correct placement of the chest tube and a small residual hemothorax. His blood
pressure is now 70/0 mmHg, and his heart rate is 140 beats per minute. His
hypotension is most likely due to:
A. Tension pneumothorax
B. Massive hemothorax
C. Pericardial tamponade
D. Intraabdominal bleeding
E. Insufficient isotonic crystalloid infusion ANSWER >> D
A 20-year-old athlete is involved in a motorcycle crash after having ridden for hours on a
very hot day. When he arrives in the emergency department, he shouts that he cannot
move his legs. On physical examination, there are no abnormalities of the chest,
abdomen, or pelvis. The patient has no sensation in his legs and cannot move them, but
his arms are moving. The patient's respiratory rate is 22, heart rate is 88, and blood
pressure is 80/60 mmHg. He is pale and sweaty. What is the most likely cause of his
hypotension?
A. Neurogenic shock
B. Cardiac tamponade
C. Myocardial contusion
D. Hyperthermia
E. Hemorrhagic shock ANSWER >> E
Correct Answers Graded A+ 2026 ,100%
Guarantee Success
A 24 year old male pedestrian, struck by an automobile, is admitted to the emergency
department 1 hour after injury. His blood pressure is 80/60 mmHg, heart rate 140 beats
per minute and respiratory rate is 36 per minute. He is lethargic. Oxygen is delivered via
face mask, and two large-caliber IVs are initiated. Arterial blood gases are obtained. His
PaO2 is 118 mmHg, PaCO2 is 30 mmHg, and pH is 7.21. The treatment of his acid-
base disorder is best accomplished by:
A. Hyperventilation
B. Restoration of normal perfusion
C. Initiation of low-dose dopamine
D. Administration of sodium bicarbonate
E. Initiation of phenylepinephrine infusion ANSWER >> B
,The highest priority in managing a patient whose injuries include closed extremity
fractures is:
A. Assessing limb perfusion
B. Preventing necrosis of the skin
C. Decompressing compartment syndrome
D. Addressing respiratory insufficiency
E. Identifying crush syndrome ANSWER >> D
A 34-year-old female is involved in a motor vehicle crash is brought to the emergency
department. She is talking, but her voice is hoarse and on exposure she has diagonal
bruising of the chest and anterior neck. What is the next step?
A. Direct laryngoscopy to exclude laryngeal trauma
B. Oxygen by non-rebreathing mask
C. Protecting the spine by making her lie down
D. Palpation of the anterior neck
E. Attaching a pulse oximeter to her finger ANSWER >> B
A 30-year-old male sustains a gunshot wound to the right lower chest, midway between
the nipple and the costal margin. He is brought by ambulance to a hospital that has full
surgical capabilities. In the emergency department he is endotracheally intubated, fluid
resuscitation is initiated through two large-caliber IV lines, and a closed tube
, thoracostomy is performed, with the return of 200 ml of blood. A chest x- ray reveals
correct placement of the chest tube and a small residual hemothorax. His blood
pressure is now 70/0 mmHg, and his heart rate is 140 beats per minute. His
hypotension is most likely due to:
A. Tension pneumothorax
B. Massive hemothorax
C. Pericardial tamponade
D. Intraabdominal bleeding
E. Insufficient isotonic crystalloid infusion ANSWER >> D
A 20-year-old athlete is involved in a motorcycle crash after having ridden for hours on a
very hot day. When he arrives in the emergency department, he shouts that he cannot
move his legs. On physical examination, there are no abnormalities of the chest,
abdomen, or pelvis. The patient has no sensation in his legs and cannot move them, but
his arms are moving. The patient's respiratory rate is 22, heart rate is 88, and blood
pressure is 80/60 mmHg. He is pale and sweaty. What is the most likely cause of his
hypotension?
A. Neurogenic shock
B. Cardiac tamponade
C. Myocardial contusion
D. Hyperthermia
E. Hemorrhagic shock ANSWER >> E
