ATLS POST TEST ADVANCED TRAUMA LIFE
SUPPORT MCQS WITH CORRECT ANSWERS
2026/2027 LATEST UPDATE
1. A 29-year-old lady in the third trimester of pregnancy is
brought to the Emergency Department following a highspeed
motor vehicle crash. She is conscious and immobilized on a
long spine board. Her respiratory rate is 25, heart rate is 110,
and blood pressure is 75/55. The laboratory results show
PaC02of 40 mm Hg (5.3 kPa). Which one of the following
statements regarding this patient is true?:
Fetal assessment should take priority.
Logrolling the patient to the right will decompress the vena
cava.
Rh immunoglobulin therapy should be immediately
administered.
1 | Pa g e
,The patient likely has impending respiratory failure.
Vasopressors should be given to the patient. - ✔✔✔ANSWER-
The patient likely has impending respiratory failure.
2. Which is the most important consequence of inadequate
organ perfusion?:
Multiple organ failure.
Decreased base deficit.
Acute glomerulonephritis.
Increased cellular adenosine triphosphate (ATP) production.
Vasodilation. - ✔✔✔ANSWER-Multiple organ failure.
2 | Pa g e
,3. A 22 year - old man is brought by ambulance to the
Emergency Department with a severe traumatic brain injury.
On examination he is hypertensive. Which of the following
statements is CORRECT?:
Should be treated to reduce intracranial pressure.
May indicate imminent herniation from critically high
intracranial pressure.
Indicates preexisting hypertension.
Mandates prompt administration of mannitol.
Should prompt burr hole drainage of potential subdural
hematomas.
- ✔✔✔ANSWER-Should be treated to reduce intracranial
pressure.
3 | Pa g e
, Regarding frostbite injuries, which of the following measures is
part of the initial treatment?:
Application of dry heat.
Rapid rewarming of the body part in circulating warm water.
Debridement of hemorrhagic blisters.
Early amputation to prevent septic complications.
Massage of the affected area. - ✔✔✔ANSWER-Rapid
rewarming of the body part in circulating warm water.
A 28 y/o woman sustains multiple injuries in a car crash and is
brought by ambulance to a small hospital in full spinal
protection. GCS of 4 and is being mechanically ventilated.
Intravenous access is established and warmed crystalloid is
infused. She remains hemodynamically normal and full spinal
protection is maintained. Preparations are made to transfer her
to another facility for definitive neurosurgical care. Prior to
4 | Pa g e
SUPPORT MCQS WITH CORRECT ANSWERS
2026/2027 LATEST UPDATE
1. A 29-year-old lady in the third trimester of pregnancy is
brought to the Emergency Department following a highspeed
motor vehicle crash. She is conscious and immobilized on a
long spine board. Her respiratory rate is 25, heart rate is 110,
and blood pressure is 75/55. The laboratory results show
PaC02of 40 mm Hg (5.3 kPa). Which one of the following
statements regarding this patient is true?:
Fetal assessment should take priority.
Logrolling the patient to the right will decompress the vena
cava.
Rh immunoglobulin therapy should be immediately
administered.
1 | Pa g e
,The patient likely has impending respiratory failure.
Vasopressors should be given to the patient. - ✔✔✔ANSWER-
The patient likely has impending respiratory failure.
2. Which is the most important consequence of inadequate
organ perfusion?:
Multiple organ failure.
Decreased base deficit.
Acute glomerulonephritis.
Increased cellular adenosine triphosphate (ATP) production.
Vasodilation. - ✔✔✔ANSWER-Multiple organ failure.
2 | Pa g e
,3. A 22 year - old man is brought by ambulance to the
Emergency Department with a severe traumatic brain injury.
On examination he is hypertensive. Which of the following
statements is CORRECT?:
Should be treated to reduce intracranial pressure.
May indicate imminent herniation from critically high
intracranial pressure.
Indicates preexisting hypertension.
Mandates prompt administration of mannitol.
Should prompt burr hole drainage of potential subdural
hematomas.
- ✔✔✔ANSWER-Should be treated to reduce intracranial
pressure.
3 | Pa g e
, Regarding frostbite injuries, which of the following measures is
part of the initial treatment?:
Application of dry heat.
Rapid rewarming of the body part in circulating warm water.
Debridement of hemorrhagic blisters.
Early amputation to prevent septic complications.
Massage of the affected area. - ✔✔✔ANSWER-Rapid
rewarming of the body part in circulating warm water.
A 28 y/o woman sustains multiple injuries in a car crash and is
brought by ambulance to a small hospital in full spinal
protection. GCS of 4 and is being mechanically ventilated.
Intravenous access is established and warmed crystalloid is
infused. She remains hemodynamically normal and full spinal
protection is maintained. Preparations are made to transfer her
to another facility for definitive neurosurgical care. Prior to
4 | Pa g e
