ATLS POST TEST ADVANCED TRAUMA LIFE
SUPPORT
QUESTIONS AND CORRECT ANSWERS |
2026/2027 LATEST EXAM
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 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
Page 1 of 105
,A 6-year-o boy is struck by anautomobile and brought to theED. 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
D. Percutaneous peripheral veins in the upper extremities
E. Central venous access via the subclavian or internal jugular vein -
✔✔✔ANSWER-D. Percutaneous peripheral veins in the upper extremities
A young man sustains a gunshot wound to the abdomen and is brought
promptly to the ED by prehospital personnel. His skin is cool and
diaphoretic, and he is confused. His pulse is thready and his femoral
pulse is only weakly palpable. The definitive treatment in managing this
patient is to:
A. Administer O-negative blood
B. Apply external warming devices
C. Control internal hemorrhage operatively
,D. Apply a pneumatic antishock garment (PASG)
E. Infuse large volumes of intravenous crystalloid solutions. -
✔✔✔ANSWER-C. Control internal hemorrhage operatively Regarding
shock in the child,which of the following is FALSE?
A. Vital signs are age-related
B. Children have greater physiologic reserves than do adults
C. Tachycardia is the primary physiologic response to hypovolemia
D. The absolute volume of blood loss required to produce shock is the same
as in adults
E. An initial fluid bolus for resuscitation should approximate 20ml/kg
Ringers Lactate - ✔✔✔ANSWER-D. The absolute volume of blood loss
required to produce shock is the same as in adults
A 33-year-old man is struck by a car travelling at 56km/h (35mph). He
has obvious fractures of the left tibia near the knee, pain in the pelvic
area, and severe dyspnea. His heart rate is 182 beats per minute, and his
respiratory rate is 48 breaths per minute with no breath sounds heard in
the left chest. A tension pneumothorax is relieved by immediate needle
decompression and tube thoracostomy. Subsequently, his heart rate
decreases to 144 beats per minute, his respirartory rate decreases to 36
breaths per minute and his blood pressure is 81/53 mmHg. Warmed
, Ringers lactate is adminstered intravenously. The next priority should
be to:
A. Perform external fixation of the pelvis
B. Obtain abdominal and pelvic CT-scans
C. Perform arterial embolization of the pelvic vessel
D. Perform diagnostic peritoneal lavage or FAST
E. Perform a urethrogram and cystogram -✔✔✔ANSWER-D. Perform
diagnostic peritoneal lavage or FAST
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?
SUPPORT
QUESTIONS AND CORRECT ANSWERS |
2026/2027 LATEST EXAM
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 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
Page 1 of 105
,A 6-year-o boy is struck by anautomobile and brought to theED. 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
D. Percutaneous peripheral veins in the upper extremities
E. Central venous access via the subclavian or internal jugular vein -
✔✔✔ANSWER-D. Percutaneous peripheral veins in the upper extremities
A young man sustains a gunshot wound to the abdomen and is brought
promptly to the ED by prehospital personnel. His skin is cool and
diaphoretic, and he is confused. His pulse is thready and his femoral
pulse is only weakly palpable. The definitive treatment in managing this
patient is to:
A. Administer O-negative blood
B. Apply external warming devices
C. Control internal hemorrhage operatively
,D. Apply a pneumatic antishock garment (PASG)
E. Infuse large volumes of intravenous crystalloid solutions. -
✔✔✔ANSWER-C. Control internal hemorrhage operatively Regarding
shock in the child,which of the following is FALSE?
A. Vital signs are age-related
B. Children have greater physiologic reserves than do adults
C. Tachycardia is the primary physiologic response to hypovolemia
D. The absolute volume of blood loss required to produce shock is the same
as in adults
E. An initial fluid bolus for resuscitation should approximate 20ml/kg
Ringers Lactate - ✔✔✔ANSWER-D. The absolute volume of blood loss
required to produce shock is the same as in adults
A 33-year-old man is struck by a car travelling at 56km/h (35mph). He
has obvious fractures of the left tibia near the knee, pain in the pelvic
area, and severe dyspnea. His heart rate is 182 beats per minute, and his
respiratory rate is 48 breaths per minute with no breath sounds heard in
the left chest. A tension pneumothorax is relieved by immediate needle
decompression and tube thoracostomy. Subsequently, his heart rate
decreases to 144 beats per minute, his respirartory rate decreases to 36
breaths per minute and his blood pressure is 81/53 mmHg. Warmed
, Ringers lactate is adminstered intravenously. The next priority should
be to:
A. Perform external fixation of the pelvis
B. Obtain abdominal and pelvic CT-scans
C. Perform arterial embolization of the pelvic vessel
D. Perform diagnostic peritoneal lavage or FAST
E. Perform a urethrogram and cystogram -✔✔✔ANSWER-D. Perform
diagnostic peritoneal lavage or FAST
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?
