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ATLS 2026 Exam – 150 Trauma Questions on Airway, Shock & Emergency Management

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This document contains 150 comprehensive multiple-choice exam questions with verified answers for ATLS 2026 preparation. The material systematically covers the full spectrum of Advanced Trauma Life Support principles, including primary and secondary survey protocols, airway management, cervical spine immobilization, shock classification, hemorrhage control, traumatic brain injury, thoracic trauma, abdominal trauma, spinal cord injuries, pediatric trauma, burn management, pregnancy in trauma, and trauma transfer criteria. The questions reflect real exam-style clinical scenarios requiring rapid decision-making in emergency settings, emphasizing ABCDE assessment, definitive airway indications, tension pneumothorax management, cardiac tamponade recognition, FAST and DPL indications, head injury priorities, neurogenic shock differentiation, massive hemothorax management, spinal immobilization techniques, burn center referral criteria, fluid resuscitation strategies, and pediatric resuscitation guidelines. High-yield topics such as GCS scoring, Cushing’s triad, Rh immunoglobulin administration, intraosseous access, flail chest management, compartment syndrome, and trauma triage principles are thoroughly represented. The content aligns closely with the Advanced Trauma Life Support (ATLS®) Student Course Manual published by the American College of Surgeons and reflects the structured trauma assessment approach required for certification. The Q&A format allows for targeted exam revision, reinforcement of algorithm-based trauma management, and mastery of high-priority emergency interventions. This resource is especially relevant for: Emergency medicine residents General surgery residents Trauma surgery fellows Emergency department physicians Surgical interns Critical care trainees Prehospital providers preparing for trauma certification Medical students preparing for trauma rotations ATLS course participants preparing for certification Keywords: ATLS 2026 exam, advanced trauma life support questions, primary survey ABCDE, airway management trauma, definitive airway indications, cervical spine immobilization, shock classification ATLS, hemorrhagic shock management, traumatic brain injury management, GCS scoring trauma, tension pneumothorax treatment, cardiac tamponade trauma, FAST examination indications, diagnostic peritoneal lavage DPL, spinal cord injury trauma, neurogenic shock, burn management ATLS, pediatric trauma resuscitation, pregnancy trauma management, Rh immunoglobulin trauma, intraosseous access pediatric, massive hemothorax management, trauma triage principles, trauma transfer criteria, compartment syndrome trauma, flail chest ventilation, fluid resuscitation guidelines

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Institution
Advanced Life Support ATLS
Course
Advanced Life Support ATLS

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ATLS 2026 Exam Questions and
Answers 100% Guaranteed
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Which of the following is the recommended Method for trestemt frostbite?

A. Vasodilators

B. Anticigulants

C. Warm (40 degrees) water

D. Padding and elevation

,E. Application of heat from a hairdryer - 🧠 ANSWER ✔✔C. Warm (40

degrees) water

Which of the following physical findings suggest a cause of hypotension

other than spinal cord injury?

A. Prispism

B. Bradycardia

C. Diaphragmatic breathing

D. Presence of deep tendon reflexes


E. Ability to flex forearms but not extend them - 🧠 ANSWER ✔✔D.

Presence of deep tendon reflexes. Spinal shock refers to loss of muscle toe

(flaccidty) and loss of reflexes.

The primary indication for transferring A patient to a higher level trauma

center is:

A. Unavailibility of surgeon or operating staff

B. Multiple system injuries, including severe head injury

C. Resource limitations as determined by the transferring doctor

D. Resource limitations as determined by the hospital administration

,E. Widened mediastinum on chest x-ray following blunt trauma - 🧠

ANSWER ✔✔C. Resource limitations as determined by the transferring

doctor (MÅ SJEKKES)

A young man sustains a rifle wound to the mid-abdomen. He is brought

promptly to the ED by prehospital personnel. His skin is cool and

diaphoretic, and his systolic blood pressure is 58mmHg. Warmed

crystalloid fluids are initiated without improvement in his vital signs. The

next, most appropriate, step is to perform:

A. a laparotomy

B. An abdominal CT-scan

C. Diagnostic laparoscopy

D. Abdominal ultrasonography


E. A diagnostic peritoneal lavage - 🧠 ANSWER ✔✔A. Laparotomy because

of hemodynamic abnormality

A 42-year-old man is trapped from the waist down beneath his overturned

tractor for several hours before medical assistance arrives. He is awake

and alert until just before arriving in the ED. He is now unconscious and

responds only to painful stimuli by moaning. His pupils are 3mm in


COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
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, diameter and symmetrically reactive to light. Prehospital personnel indicate

that they have not seen the patient move either of his lower extremities. On

examination in the ED, no movement of his lower extremities are detected,

even in response to painful stimuli. The most likely cause for this finding is:

A. An epidural hematoma

B. A pelvic fracture

C. Central cord syndrome

D. Intracerebral hemorrhage


E. Bilateral compartment syndrome - 🧠 ANSWER ✔✔MÅ SJEKKES


A 6-year-o boy is struck by an automobile and brought to the ED. He is

lethargic, but withdraws purposefully from painful stimuli. His blood

pressure is 90mmHg systolic, heart rate 140 beats per minute and his

respiratory rate is 36 breaths per minute. The preferred route of venous

access in this patient is:

A. Percutaneous femoral vein cannulation

B. Cutdown on the saphenous vein at the ankle

C. Intraosseous catheter placement in the proximal tibia

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Advanced Life Support ATLS

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