ATLS POST TEST 4 LATEST VERSIONS REAL EXAM 160 QUESTIONS AND CORRECT ANSWERS |AGRADE

ATLS POST TEST 4 LATEST VERSIONS
2025-2026 REAL EXAM 160 QUESTIONS
AND CORRECT ANSWERS |AGRADE




WhichvofvthevfollowingvisvthevrecommendedvMethodvforvtrestemtvfrostbite?

A.vVasodilators

B.vAnticigulants

C.vWarmv(40vdegrees)vwater

D.vPaddingvandvelevation

E.vApplicationvofvheatvfromvavhairdryervgC.vWarmv(40vdegrees)vwater



Whichvofvthevfollowingvphysicalvfindingsvsuggestvavcausevofvhypotensionvothervthanvspinalvcordvin
j ury?

A.vPrispism

B.vBradycardia

C.vDiaphragmaticvbreathing

D.vPresencevofvdeepvtendonvreflexes

,E.vAbilityvtovflexvforearmsvbutvnotvextendvthemvg
D.vPresencevofvdeepvtendonvreflexes.vSpinalvshockvrefersvtovlossvofvmusclevtoev(flaccidty)vandvlos
sv ofvreflexes.


ThevprimaryvindicationvforvtransferringvAvpatientvtovavhighervlevelvtraumavcentervis:

A.vUnavailibilityvofvsurgeonvorvoperatingvstaff

B.vMultiplevsystemvinjuries,vincludingvseverevheadvinjury

C.vResourcevlimitationsvasvdeterminedvbyvthevtransferringvdoctor

D.vResourcevlimitationsvasvdeterminedvbyvthevhospitalvadministration

E.vWidenedvmediastinumvonvchestvx-rayvfollowingvbluntvtraumavg
C.vResourcevlimitationsvasvdeterminedvbyvthevtransferringvdoctorv(MÅvSJEKKES)



Avyoungvmanvsustainsvavriflevwoundvtovthevmidabdomen.vHevisvbroughtvpromptlyvtovthevEDvbyv
prehospitalvpersonnel.vHisvskinvisvcoolvandvdiaphor
etic,vandvhisvsystolicvbloodvpressurevisv58mmHg.vWarmedvcrystalloidvfluidsvarevinitiatedvwithoutvi
mprovementvinvhisvvitalvsigns.vThevnext,vmostvappropriate,vstepvisvtovperform:

A.vavlaparotomy

B.vAnvabdominalvCT-scan

C.vDiagnosticvlaparoscopy

D.vAbdominalvultrasonography

E.vAvdiagnosticvperitonealvlavagev-
vcorrectvanswersA.vLaparotomyvbecausevofvhemodynamicvabnormality



Av42-
yearoldvmanvisvtrappedvfromvthevwaistvdownvbeneathvhisvoverturnedvtractorvforvseveralvhoursvb
eforev
medicalvassistancevarrives.vHevisvawakevandvalertvuntilvjustvbeforevarrivingvinvthevED.vHevisvnowv
unc
onsciousvandvrespondsvonlyvtovpainfulvstimulivbyvmoaning.vHisvpupilsvarev3mmvinvdiametervandvs
y
mmetricallyvreactivevtovlight.vPrehospitalvpersonnelvindicatevthatvtheyvhavevnotvseenvthevpatientv
moveveithervofvhisvlowervextremities.vOnvexaminationvinvthevED,vnovmovementvofvhisvlowervextr
e

,mitiesvarevdetected,vevenvinvresponsevtovpainfulvstimuli.vThevmostvlikelyvcausevforvthisvfindingvis:
A.vAnvepiduralvhematoma

B.vAvpelvicvfracture

C.vCentralvcordvsyndrome

D.vIntracerebralvhemorrhage

E.vBilateralvcompartmentvsyndromevgMÅvSJEKKES



Av6-
yearovboyvisvstruckvbyvanvautomobilevandvbroughtvtovthevED.vHevisvlethargic,vbutvwithdrawsvpur
poseful
lyvfromvpainfulvstimuli.vHisvbloodvpressurevisv90mmHgvsystolic,vheartvratev140vbeatsvpervminutev
an
dvhisvrespiratoryvratevisv36vbreathsvpervminute.vThevpreferredvroutevofvvenousvaccessvinvthisvpat
ien tvis:

A.vPercutaneousvfemoralvveinvcannulation

B.vCutdownvonvthevsaphenousvveinvatvthevankle

C.vIntraosseousvcathetervplacementvinvthevproximalvtibia

D.vPercutaneousvperipheralvveinsvinvthevuppervextremities

E.vCentralvvenousvaccessvviavthevsubclavianvorvinternalvjugularvveinv-
vcorrectvanswersD.vPercutaneousvperipheralvveinsvinvthevuppervextremities



AvyoungvmanvsustainsvavgunshotvwoundvtovthevabdomenvandvisvbroughtvpromptlyvtovthevEDvbyv
pre
hospitalvpersonnel.vHisvskinvisvcoolvandvdiaphoretic,vandvhevisvconfused.vHisvpulsevisvthreadyvand
vhi
svfemoralvpulsevisvonlyvweaklyvpalpable.vThevdefinitivevtreatmentvinvmanagingvthisvpatientvisvto:

A.vAdministervO-negativevblood

B.vApplyvexternalvwarmingvdevices

C.vControlvinternalvhemorrhagevoperatively

D.vApplyvavpneumaticvantishockvgarmentv(PASG)

E.vInfusevlargevvolumesvofvintravenousvcrystalloidvsolutions.v-
vcorrectvanswersC.vControlvinternalvhemorrhagevoperatively

, Regardingvshockvinvthevchild,vwhichvofvthevfollowingvisvFALSE?

A.vVitalvsignsvarevage-related

B.vChildrenvhavevgreatervphysiologicvreservesvthanvdovadults

C.vTachycardiavisvthevprimaryvphysiologicvresponsevtovhypovolemia

D.vThevabsolutevvolumevofvbloodvlossvrequiredvtovproducevshockvisvthevsamevasvinvadults

E.vAnvinitialvfluidvbolusvforvresuscitationvshouldvapproximatev20ml/kgvRingersvLactatevvcorrectvans
wers-
D.vThevabsolutevvolumevofvbloodvlossvrequiredvtovproducevshockvisvthevsamevasvinvadults



Av33-
yearoldvmanvisvstruckvbyvavcarvtravellingvatv56km/hv(35mph).vHevhasvobviousvfracturesvofvthevlef
tvtibiav
nearvthevknee,vpainvinvthevpelvicvarea,vandvseverevdyspnea.vHisvheartvratevisv182vbeatsvpervmin
ute,
vandvhisvrespiratoryvratevisv48vbreathsvpervminutevwithvnovbreathvsoundsvheardvinvthevleftvchest
.vAv
tensionvpneumothoraxvisvrelievedvbyvimmediatevneedlevdecompressionvandvtubevthoracostomy.vS
ubsequently,vhisvheartvratevdecreasesvtov144vbeatsvpervminute,vhisvrespirartoryvratevdecreasesvto
v
36vbreathsvpervminutevandvhisvbloodvpressurevisv81/53vmmHg.vWarmedvRingersvlactatevisvadmin
st eredvintravenously.vThevnextvpriorityvshouldvbevto:

A.vPerformvexternalvfixationvofvthevpelvis

B.vObtainvabdominalvandvpelvicvCT-scans

C.vPerformvarterialvembolizationvofvthevpelvicvvessel

D.vPerformvdiagnosticvperitonealvlavagevorvFAST

E.vPerformvavurethrogramvandvcystogramvg
D.vPerformvdiagnosticvperitonealvlavagevorvFAST



Av42-
yearoldvman,vinjuredvinvavmotorvvehiclevcrash,vsuffersvavclosedvheadvinjury,vmultiplevpalpablevleft
vribvfr
actures,vandvbilateralvfemurvfractures.vHevisvintubatedvorotracheallyvwithoutvdifficulty.vInitially,vhis