POST TEST ATLS Exam (updated 2026) Questions &
Answers | Latest Already Graded A+ UPDATE |2026
ATLS POST TEST 2025-2026
A 6 month old infant, being held in her mothers arms, is ejected on impact from a vehicle that
is struck head on by an oncoming car traveling at 65kph. The infant arrives in the ED with
multiple facial injuries, is lethargic, and is in severe respiratoy distress. Respiratory support is
not effective using a bag mask device, and her oxygen saturation is falling. Repeated attempts
at orotracheal intubation are unsuccessful. the most appropriate procedure to perform next is:
A. perform needle cricothyroidotomy with jet insufflation
B. Administer heliox and racemic epinephrine
C. Perform nasotracheal intubation
D. Perform surgical cricothyroidotomy
E. Repeat orotracheal intubation
A. perform needle cricothyroidotomy with jet insufflation
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
D. Percutaneous peripheral veins in the upper extremities
E. Central venous access via the subclavian or internal jugular vein
D. Percutaneous peripheral veins in the upper extremities
A 6-year-old boy walking across the street is struck by the front bumper of a sports utility
vehicle traveling at 32kph (20mph). Which one of the following statements is TRUE?
A. A flail chest is probable
B. A symptomatic cardiac contusion is expected
C. A pulmonary contusion may be present in the absence of rib fractures
,D. Transection of the thoracic aorta is more likely than in an adult patient
E. Rib fractures are commonly found in children with this mechanism of injury
C. A pulmonary contusion may be present in the absence of rib fractures
A 7-year-old boy is brought to the ED by his parents several minutes after he fell through a
window. He is bleeding profusely from a 6-cm wound of his medial right thigh. Immediate
management of the wound should consist of:
A. Application of a torniquet
B. Direct pressure on the wound
C. Packing the wound with gauze
D. Direct pressure on the femoral artery at the groin
E. Debridement of devitalized tissue
B. Direct pressure on the wound
An 8-year-old boy falls 4,5 meters (15 feet) from a tree and is brought to the ED by his family.
His vital signs are normal, but he complains of left upper quadrant pain. An abdominal CT-scan
reveals a moderately severe laceration of the spleen. The receiving institution does not have
24-hour-a-day operating room capabilities. The most appropriate management of this patient
would be to
A. Type and crossmatch for blood
B. Request consultation of a pediatrician
C. Transfer the patient to a trauma center
D. Admit the patient to the intensive care unit
E. Prepare the patient for surgery the next day
D. Admit the patient to the intensive care unit
An 8 year old boy falls 4,5meters from a tree and is brought to the ED by his familiy. His vital
signs are normal, but he complains of left upper quadrant pain. An abdominal CT scan reveals a
moderately severe laceration of the spleen. The receiving institution does not have 24 hour a
day operating room capabilities. The most appropriate management of this patient would be:
A. Type and crossmatch for blood
B. Request consultation of a pediatrician
C. Transfer the patient to a trauma center
D. Admit the patient to the ICU
,E. Prepare the patient for surgery the next day
D. Admit the patient to the ICU
An 8-year-old girl is an unrestrained passenger in a vehicle struck from behind. In the ED, her
blood pressure is 80/60mmHg, heart rate is 80 beats per minute, and respiratory rate is 16
breaths per minute. Her GCS score is 14. She complains that her legs feel "funny and wont
move right". However, her spine x-rays do not show a fracture or dislocation. A spinal cord
injury in this child:
A. Is most likely a central cord syndrome
B. Must be diagnosed by magnetic resonance imaging
C. Can be excluded by obtaining a CT-scan of the entire spine
D. May exist in the abscence of objective findings on x-ray studies
E. Is unlikely because of the incomplete calcification of the vertebral bodies.
D. May exist in the abscence of objective findings on x-ray studies
A 14 year old female is brought to the ED after falling from a horse. She is immobilized on a
long spine board with a hard collar and blocks. Cervical spine x-ray:
A. Will show cervical spine injury in more than 20% of these patients
B. Will exclude cervical spine injury if no abnormalities are found on the x-rays
C. Are not needed if she is awake, alert, neurologically normal, and has no neck pain or midline
tenderness
D. Should be performed before adressing potential breating or circulatory problems
E. May show atlanto-occipital dislocation if the Powers ratio is <1 --> 1:noraml, >1 anterior, <1
posterior
C. Are not needed if she is awake, alert, neurologically normal, and has no neck pain or
midline tenderness
A 15 year old male is brought to the ED after being involved in a motor vehicle crash. He is
unconscious and was intubated at the scene by emergency personnel. Upon arrival at the ED,
the patients oxygen saturation is 92%, HR is 96 bpm and BP is 150/85 Breath sounds are
decreased on the left side of the thorax. The next step is:
A. Immediate needle crycothyroidotomy
B. Reassess the position of the endotracheal tube
C. Chest tube insertion
D. Immediate needle thoracentesis
, E. Obtain a chest x-ray
B. Reassess the position of the endotracheal tube
A 15 year old male present following a motorcycle crash. INitial examinations reveals normal
vital signs. There is a large bruise over his epigastrium that extends to the left flank. He has no
other apparent injuries. A CT-scan of the abdomen demonstrate a ruptured spleen surrounded
by a large hematoma and fluid in the pelvis. The next step in the patients management is:
A. Splenic artery embolization
B. Pneumococcal vaccine
C. Urgent laparotomy
D. Surgical consult
E. Transfer to a pediatrician
D. Surgical consult
Hemodynamisk stabil, ingen fri luft.
A 17 year old female is brought to the ED following a 2 meter fall onto concrete. She is
unresponsive and found to have a RR of 32, BP 90/60 and HR 68. The first step in treatment is:
A. Adminstering vasopressors
B. Establishing IV access for drug-assisted intubation
C. Seeking the cause of her decreased level of consciousness
D. Applying oxygen and maintaining airway
E. Excluding hemorrhage as a cause of shock
D. Applying oxygen and maintaining airway
A 17-year-old helmeted motorcyclist is struck broadside by an automobile at an intersection.
He is unconscious at the scene with a blood pressure of 140/90mmHg, heart rate of 90 beats
per minute, and respiratory rate of 22 breaths per minute. His respirations are sonorous and
deep. His GCS score is 6. Immobilization of the entire patient may include the use of all the
following EXCEPT:
A. Air splints
B. Bolstering devices
C. A long spine board
D. A scoop-style stretcher
E. A semi-rigid cervical collar
Answers | Latest Already Graded A+ UPDATE |2026
ATLS POST TEST 2025-2026
A 6 month old infant, being held in her mothers arms, is ejected on impact from a vehicle that
is struck head on by an oncoming car traveling at 65kph. The infant arrives in the ED with
multiple facial injuries, is lethargic, and is in severe respiratoy distress. Respiratory support is
not effective using a bag mask device, and her oxygen saturation is falling. Repeated attempts
at orotracheal intubation are unsuccessful. the most appropriate procedure to perform next is:
A. perform needle cricothyroidotomy with jet insufflation
B. Administer heliox and racemic epinephrine
C. Perform nasotracheal intubation
D. Perform surgical cricothyroidotomy
E. Repeat orotracheal intubation
A. perform needle cricothyroidotomy with jet insufflation
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
D. Percutaneous peripheral veins in the upper extremities
E. Central venous access via the subclavian or internal jugular vein
D. Percutaneous peripheral veins in the upper extremities
A 6-year-old boy walking across the street is struck by the front bumper of a sports utility
vehicle traveling at 32kph (20mph). Which one of the following statements is TRUE?
A. A flail chest is probable
B. A symptomatic cardiac contusion is expected
C. A pulmonary contusion may be present in the absence of rib fractures
,D. Transection of the thoracic aorta is more likely than in an adult patient
E. Rib fractures are commonly found in children with this mechanism of injury
C. A pulmonary contusion may be present in the absence of rib fractures
A 7-year-old boy is brought to the ED by his parents several minutes after he fell through a
window. He is bleeding profusely from a 6-cm wound of his medial right thigh. Immediate
management of the wound should consist of:
A. Application of a torniquet
B. Direct pressure on the wound
C. Packing the wound with gauze
D. Direct pressure on the femoral artery at the groin
E. Debridement of devitalized tissue
B. Direct pressure on the wound
An 8-year-old boy falls 4,5 meters (15 feet) from a tree and is brought to the ED by his family.
His vital signs are normal, but he complains of left upper quadrant pain. An abdominal CT-scan
reveals a moderately severe laceration of the spleen. The receiving institution does not have
24-hour-a-day operating room capabilities. The most appropriate management of this patient
would be to
A. Type and crossmatch for blood
B. Request consultation of a pediatrician
C. Transfer the patient to a trauma center
D. Admit the patient to the intensive care unit
E. Prepare the patient for surgery the next day
D. Admit the patient to the intensive care unit
An 8 year old boy falls 4,5meters from a tree and is brought to the ED by his familiy. His vital
signs are normal, but he complains of left upper quadrant pain. An abdominal CT scan reveals a
moderately severe laceration of the spleen. The receiving institution does not have 24 hour a
day operating room capabilities. The most appropriate management of this patient would be:
A. Type and crossmatch for blood
B. Request consultation of a pediatrician
C. Transfer the patient to a trauma center
D. Admit the patient to the ICU
,E. Prepare the patient for surgery the next day
D. Admit the patient to the ICU
An 8-year-old girl is an unrestrained passenger in a vehicle struck from behind. In the ED, her
blood pressure is 80/60mmHg, heart rate is 80 beats per minute, and respiratory rate is 16
breaths per minute. Her GCS score is 14. She complains that her legs feel "funny and wont
move right". However, her spine x-rays do not show a fracture or dislocation. A spinal cord
injury in this child:
A. Is most likely a central cord syndrome
B. Must be diagnosed by magnetic resonance imaging
C. Can be excluded by obtaining a CT-scan of the entire spine
D. May exist in the abscence of objective findings on x-ray studies
E. Is unlikely because of the incomplete calcification of the vertebral bodies.
D. May exist in the abscence of objective findings on x-ray studies
A 14 year old female is brought to the ED after falling from a horse. She is immobilized on a
long spine board with a hard collar and blocks. Cervical spine x-ray:
A. Will show cervical spine injury in more than 20% of these patients
B. Will exclude cervical spine injury if no abnormalities are found on the x-rays
C. Are not needed if she is awake, alert, neurologically normal, and has no neck pain or midline
tenderness
D. Should be performed before adressing potential breating or circulatory problems
E. May show atlanto-occipital dislocation if the Powers ratio is <1 --> 1:noraml, >1 anterior, <1
posterior
C. Are not needed if she is awake, alert, neurologically normal, and has no neck pain or
midline tenderness
A 15 year old male is brought to the ED after being involved in a motor vehicle crash. He is
unconscious and was intubated at the scene by emergency personnel. Upon arrival at the ED,
the patients oxygen saturation is 92%, HR is 96 bpm and BP is 150/85 Breath sounds are
decreased on the left side of the thorax. The next step is:
A. Immediate needle crycothyroidotomy
B. Reassess the position of the endotracheal tube
C. Chest tube insertion
D. Immediate needle thoracentesis
, E. Obtain a chest x-ray
B. Reassess the position of the endotracheal tube
A 15 year old male present following a motorcycle crash. INitial examinations reveals normal
vital signs. There is a large bruise over his epigastrium that extends to the left flank. He has no
other apparent injuries. A CT-scan of the abdomen demonstrate a ruptured spleen surrounded
by a large hematoma and fluid in the pelvis. The next step in the patients management is:
A. Splenic artery embolization
B. Pneumococcal vaccine
C. Urgent laparotomy
D. Surgical consult
E. Transfer to a pediatrician
D. Surgical consult
Hemodynamisk stabil, ingen fri luft.
A 17 year old female is brought to the ED following a 2 meter fall onto concrete. She is
unresponsive and found to have a RR of 32, BP 90/60 and HR 68. The first step in treatment is:
A. Adminstering vasopressors
B. Establishing IV access for drug-assisted intubation
C. Seeking the cause of her decreased level of consciousness
D. Applying oxygen and maintaining airway
E. Excluding hemorrhage as a cause of shock
D. Applying oxygen and maintaining airway
A 17-year-old helmeted motorcyclist is struck broadside by an automobile at an intersection.
He is unconscious at the scene with a blood pressure of 140/90mmHg, heart rate of 90 beats
per minute, and respiratory rate of 22 breaths per minute. His respirations are sonorous and
deep. His GCS score is 6. Immobilization of the entire patient may include the use of all the
following EXCEPT:
A. Air splints
B. Bolstering devices
C. A long spine board
D. A scoop-style stretcher
E. A semi-rigid cervical collar
