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ATLS 2026 Exam – 220 Trauma Questions on Airway, Shock, Burns & Emergency Management

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This document contains 220 comprehensive exam-style questions with correct answers for ATLS 2026 preparation. It thoroughly covers Advanced Trauma Life Support principles including primary and secondary survey (ABCDE), airway management, cervical spine stabilization, shock classification (Class I–IV hemorrhage), fluid resuscitation strategies, traumatic brain injury management, thoracic trauma, abdominal trauma, spinal cord injuries, pediatric trauma, burns, and trauma-related pharmacology. The material integrates clinical decision-making scenarios such as tension pneumothorax management (needle decompression followed by chest tube), recognition of cardiac tamponade versus pneumothorax, hemorrhagic versus neurogenic shock differentiation, CT indications in head injury, Glasgow Coma Scale interpretation, spinal injury patterns, splenic injury management, renal trauma evaluation, transfusion reactions, massive transfusion complications, burn surface area calculations, ICP management strategies, and emergency airway techniques including LMA contraindications and intubation confirmation methods. Content aligns with the Advanced Trauma Life Support (ATLS®) Student Course Manual by the American College of Surgeons and reflects algorithm-based trauma resuscitation protocols required for certification. The structured Q&A format promotes high-yield revision, rapid recall, and mastery of trauma algorithms essential for emergency and surgical practice. This resource is particularly relevant for: ATLS course participants preparing for certification Emergency medicine residents General surgery residents Trauma surgery fellows Emergency department physicians Critical care trainees Surgical interns Paramedics and advanced prehospital providers Medical students on trauma rotations Keywords: ATLS 2026 exam questions, advanced trauma life support, primary survey ABCDE, airway management trauma, tension pneumothorax treatment, shock classification ATLS, hemorrhagic shock management, neurogenic shock, traumatic brain injury management, Glasgow coma scale scoring, burn surface area calculation, ICP management, chest tube insertion level, cardiac tamponade Beck triad, splenic injury trauma, renal trauma CT indications, pediatric trauma resuscitation, transfusion reaction management, massive transfusion complications, fluid resuscitation guidelines, cervical spine stabilization, epidural hematoma, subdural hematoma, Cushing triad, pericardiocentesis approach, emergency thoracotomy indications

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Institution
Advanced Life Support ATLS
Course
Advanced Life Support ATLS

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ATLS 2026 Exam Questions and
Correct Answers | New Update



Assessed first in trauma patient - 🧠 ANSWER ✔✔Airway


(*)Degree of burn that is characterized by bone involvement - 🧠 ANSWER

✔✔Fourth


Complications of head trauma - 🧠 ANSWER ✔✔Intracerebral hematoma


Extradural hematoma

Brain abscess


Most common cause of laryngotracheal stenosis - 🧠 ANSWER ✔✔Trauma

,Intervention that can help prevent development of acute renal failure - 🧠

ANSWER ✔✔Infusion of normal saline


A 26-year-old male is resuscitated with blood transfusion after a motor

vehicle collision that was complicated by a fractured pelvis. A few hours

later, the patient becomes febrile, hypotensive with a normal CVP, and

oliguric. Upon examination, the patient is found to be bleeding from the NG

tube and IV sites. Which of the following is the most likely diagnosis?

A. Hemorrhagic shock

B. Acute adrenal insufficiency

C. Fat embolism syndrome


D. Transfusion reaction - 🧠 ANSWER ✔✔D. Transfusion reaction


Skin antiseptic - 🧠 ANSWER ✔✔-Ethanol 70% is an effective skin antiseptic


-Acetic acid can be used to treat Gram- skin infections

-Salicylic acid is used to treat certain skin yeast infections


Class IV hemorrhage indicates what % blood loss - 🧠 ANSWER ✔✔55%


How does shivering affect body temperature - 🧠 ANSWER ✔✔Increases

body temperature

,Class III hemorrhage indicates what % of blood loss - 🧠 ANSWER ✔✔35%


Management of a stable patient with kidney contusion - 🧠 ANSWER

✔✔Observation


Associated with hypovolemic shock - 🧠 ANSWER ✔✔-Inadequate tissue

perfusion with resultant tissue hypoxia

-Blood shunting to vital organs

-Decreased circulating blood volume and decreased venous return

-Low cardiac output

-Loss of less than 20% of the blood volume is usually without symptom

except for mild tachycardia

-Patients become orthostatic with losses between 20 and 40%

-Shock is evidenced by tachycardia, hypotension, oliguria, flat neck veins

The most effective method of monitoring the success of resuscitation

during CPR? - 🧠 ANSWER ✔✔Reactivity of pupils to light


Used to ensure correct placement of endotracheal tube - 🧠 ANSWER ✔✔-

Ultrasound



COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
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, -Bilateral breath sounds

-Sustained end-tidal CO2

Total body surface area involved in a burn in an adult to the anterior chest

and abdomen - 🧠 ANSWER ✔✔18%


What is often caused by carotid massage? - 🧠 ANSWER ✔✔Bradycardia


Step in a patient diagnosed with tension pneumothorax - 🧠 ANSWER ✔✔1.

Needle decompression/ thoracotomy

2. Chest tube


True statements regarding diaphragmatic injuries - 🧠 ANSWER ✔✔-Blunt

diaphragmatic injuries are usually associated with skeletal trauma

-Penetrating diaphragmatic injuries may be missed

-Repair of traumatic diaphragmatic injuries usually does not require

prosthetic material

First priority in the treatment of an unconscious patient - 🧠 ANSWER

✔✔Checking the pulse


A patient involved in a road accident is brought to the emergency

department in an unconscious state. On arrival, her vitals show a

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Institution
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Advanced Life Support ATLS

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