ATLS Post actual exam NEWEST VERSION 2025 (100% solved)
18 year old helmeted motorcyclist is brought by ambulance to the emergency department
following a high speed crash. Pre-hospital personnel report that he was thrown 50 feet off his
bike. He has a history of hypotension prior to arrival in the ED, but is now awake, alert, and
conversational. Which of the following statements is true? - ✔✔✔-The patient probably has an
acute epidural hematoma (lucid interval)
22 year old man is brought to the hospital after crashing his motorcycle into a telephone pole.
He is unconscious and in profound shock. He has no open wounds or obvious fractures. The
cause of his shocks is most likely caused by: - ✔✔✔-Hemorrhage into the chest or abdomen
nothing visible -> think chest or abdomen
23 year old man is brought immediately to the emergency department from the hospital
parking lot where he was shot in the lower abdomen. Examination reveals a single bullet
wound. He is breathing and has a thrash pulse. However, he is unconscious and has no
detectable blood pressure. Optimal immediate management is to: - ✔✔✔-Transfer the patient
to the operating room while initiating fluid therapy
24 year old male sustains multiple fractured ribs bilaterally as a result of being crushed in a
press at plywood factory. Examination in the ED revealed a foil segment on the patient's thorax.
Primary resuscitation includes high flow, oxygen administration via a non-breathing mask, and
initiation of ringers lactate solution. The patient exhibits progressive confusion, cyanosis, and
kidney. Management at this time she consist of: - ✔✔✔-Endotracheal intubation and
mechanical ventilation
24 year old woman passenger in an automobile, strikes the windscreen with her face during a
head-on collision. In the emergency apartment, she's talking and has marked artificial demon
crepitus. The highest priority should be given to: - ✔✔✔-Upper airway protection
25 year old woman is brought to the emergency department after a motor vehicle crash. She
was initially lucid at the scene and then developed the dilated people in contralateral externally
,ATLS Post actual exam NEWEST VERSION 2025 (100% solved)
weakness. In the emergency department, she's unconscious and has a GCS score of 6. The initial
management step for this patient should be to: - ✔✔✔-Perform endotracheal intubation
28 year old male is brought to ER. He was involved in a fight in which she was beaten with a
wooden stick. His chest has multiple severe bruises. Airways clear, respiratory rate 22, heart rate
is 126, and systemic blood pressure is 90. Which of the following should be performed during
the primary survey?
A. GCS
B. Cervical spine XR
C. TT administration
D. Blood alcohol level
E. Rectal exam - ✔✔✔-A. GCS
30 year old man is struck by a car traveling 35mph. He has obvious fractures of the left tibia
near the knee, pain in the pelvis area, and severe dyspnea. His HR is 180, RR 48 bpm with no
breath sounds heard in the left chest. A tension PTX is relieved by immediate needle
decompression and tube thoracostomy. Subsequently his HR decreased to 140, his RR
decreased to 36 bpm, and BP 80/50 mmHg. Warmed LR is administered intravenously. The next
priority should be to: - ✔✔✔-Perform external fixation of the pelvis
30 year old man sustains a severely, communities, open distal right femur fracture in a
motorcycle crash. The wound is actively bleeding. DP and PT are easily palpable on the left, but
heard only by Doppler on the right. Immediate effort to improve circulation the injured
extremity should involve: - ✔✔✔-Tamponade of the wound with a pressure dressing
32 year old male is brought to the hospital unconscious with severe facial injuries and noisy
respirations after an automobile collision. In the emergency department, he has no apparent
injury to the anterior aspect of his neck. He suddenly becomes apneic, and alternative
ventilation with a face mask is unsuccessful. Examination of his mouth reveals a large
hematoma of the fairing with loss of normal atomic landmarks. Initial management of his airway
should consist of:
A. Nasotracheal intubation
,ATLS Post actual exam NEWEST VERSION 2025 (100% solved)
B. Emergency tracheostomy
C. Surgical cricothyroidotomy
D. Placement of an oropharyngeal airway
E. Placement of an nasopharyngeal airway - ✔✔✔-C. Surgical cricothyroidotomy
42 year old man injured in a motor vehicle crash, suffers a closed, head injury, multiple palpable
left roof fracture, bilateral femur fracture. He is intubated orotracheally without difficulty.
Initially, has ventilations are easily assisted with a bag device. It becomes more difficult to
ventilate the patient over the next five minutes, and his hemoglobin oxygen saturation level
decreases from 90% to 89%. The most appropriate next step is to: - ✔✔✔-Auscultate the
patient's chest
42 year olds man is trapped from the waist down beneath his overturned tractor for several
hours before Medical systemized. He is awake and alert until just before arriving in emergency
department. He is now unconscious in response only to painful stimulate by moaning. His pupils
are 3 mm in diameter and symmetrically reactive delight. Prehospital personnel indicate that
they have not seen the patient move either of his lower extremities.: - ✔✔✔-A pelvic fracture
5 year old boy is struck by an automobile and brought to the emergency department. He is
lethargic, but withdraws purposefully from painfully stimuli. His blood pressure is 90 mmHg, HR
140 BPM, and RR is 36 bpm. The preferred route of venous access in this patient is: - ✔✔✔-
Pertained veins in the upper extremities
8 year old girl is an unrestrained passenger in a vehicle struck from behind. In the ED, her blood
pressure is 80/60, heart rate is 80 bpm, and respiratory rate is 16 breaths per minute. Her GCS
score is 14. She complains that her legs "feel funny and won't move right", however, her spine x-
rays do not show a fracture dislocation. A spinal injury in this child: - ✔✔✔-Can be excluded by
obtaining a CT of the entire spine
A 14 year old female is brought to the ED after falling from a horse. She is immoblized on a long
spine board with a hard collar and blocks. Cervical spine x-ray: - ✔✔✔-??
, ATLS Post actual exam NEWEST VERSION 2025 (100% solved)
A 15 year old male presents following a motorcycle crash. Initial exam 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 demonstrates a ruptured spleen surrounded by a
large hematoma and fluid in the pelvis. The next best step in the patient's management is:
A. Splenic artery embolization
B. Pneumococcal vaccine
C. Urgent laporotomy
D. Surgical consultation
E. Transfer to a pediatrician - ✔✔✔-D. Surgical consultation
vs. peritonitis or abnormal vital signs --> urgent laporotomy
A 15-year-old male is brought to ER after being involved in a motor vehicle crash. He is
unconscious and was intubated at the scene by EMS. In ER, O2 is 92%. Heart rate is 96 and BP is
150/85. Breath sounds are decreased on the left side of the thorax. The next step is:
A. Immediate needle cricothyroidectomy
B. Reassess the position of the ETT
C. Chest tube insertion
D. Immediate needle thoracentesis
E. Obtain a chest x-ray - ✔✔✔-Reassess the position of the ETT
A 17 year old female is brought to the ED following a 6 feet fall onto concrete. She is
unresponsive and found to have a RR of 32, BP of 90/60, and HR of 68. The FIRST step in
treatment is:
A. Administering 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
18 year old helmeted motorcyclist is brought by ambulance to the emergency department
following a high speed crash. Pre-hospital personnel report that he was thrown 50 feet off his
bike. He has a history of hypotension prior to arrival in the ED, but is now awake, alert, and
conversational. Which of the following statements is true? - ✔✔✔-The patient probably has an
acute epidural hematoma (lucid interval)
22 year old man is brought to the hospital after crashing his motorcycle into a telephone pole.
He is unconscious and in profound shock. He has no open wounds or obvious fractures. The
cause of his shocks is most likely caused by: - ✔✔✔-Hemorrhage into the chest or abdomen
nothing visible -> think chest or abdomen
23 year old man is brought immediately to the emergency department from the hospital
parking lot where he was shot in the lower abdomen. Examination reveals a single bullet
wound. He is breathing and has a thrash pulse. However, he is unconscious and has no
detectable blood pressure. Optimal immediate management is to: - ✔✔✔-Transfer the patient
to the operating room while initiating fluid therapy
24 year old male sustains multiple fractured ribs bilaterally as a result of being crushed in a
press at plywood factory. Examination in the ED revealed a foil segment on the patient's thorax.
Primary resuscitation includes high flow, oxygen administration via a non-breathing mask, and
initiation of ringers lactate solution. The patient exhibits progressive confusion, cyanosis, and
kidney. Management at this time she consist of: - ✔✔✔-Endotracheal intubation and
mechanical ventilation
24 year old woman passenger in an automobile, strikes the windscreen with her face during a
head-on collision. In the emergency apartment, she's talking and has marked artificial demon
crepitus. The highest priority should be given to: - ✔✔✔-Upper airway protection
25 year old woman is brought to the emergency department after a motor vehicle crash. She
was initially lucid at the scene and then developed the dilated people in contralateral externally
,ATLS Post actual exam NEWEST VERSION 2025 (100% solved)
weakness. In the emergency department, she's unconscious and has a GCS score of 6. The initial
management step for this patient should be to: - ✔✔✔-Perform endotracheal intubation
28 year old male is brought to ER. He was involved in a fight in which she was beaten with a
wooden stick. His chest has multiple severe bruises. Airways clear, respiratory rate 22, heart rate
is 126, and systemic blood pressure is 90. Which of the following should be performed during
the primary survey?
A. GCS
B. Cervical spine XR
C. TT administration
D. Blood alcohol level
E. Rectal exam - ✔✔✔-A. GCS
30 year old man is struck by a car traveling 35mph. He has obvious fractures of the left tibia
near the knee, pain in the pelvis area, and severe dyspnea. His HR is 180, RR 48 bpm with no
breath sounds heard in the left chest. A tension PTX is relieved by immediate needle
decompression and tube thoracostomy. Subsequently his HR decreased to 140, his RR
decreased to 36 bpm, and BP 80/50 mmHg. Warmed LR is administered intravenously. The next
priority should be to: - ✔✔✔-Perform external fixation of the pelvis
30 year old man sustains a severely, communities, open distal right femur fracture in a
motorcycle crash. The wound is actively bleeding. DP and PT are easily palpable on the left, but
heard only by Doppler on the right. Immediate effort to improve circulation the injured
extremity should involve: - ✔✔✔-Tamponade of the wound with a pressure dressing
32 year old male is brought to the hospital unconscious with severe facial injuries and noisy
respirations after an automobile collision. In the emergency department, he has no apparent
injury to the anterior aspect of his neck. He suddenly becomes apneic, and alternative
ventilation with a face mask is unsuccessful. Examination of his mouth reveals a large
hematoma of the fairing with loss of normal atomic landmarks. Initial management of his airway
should consist of:
A. Nasotracheal intubation
,ATLS Post actual exam NEWEST VERSION 2025 (100% solved)
B. Emergency tracheostomy
C. Surgical cricothyroidotomy
D. Placement of an oropharyngeal airway
E. Placement of an nasopharyngeal airway - ✔✔✔-C. Surgical cricothyroidotomy
42 year old man injured in a motor vehicle crash, suffers a closed, head injury, multiple palpable
left roof fracture, bilateral femur fracture. He is intubated orotracheally without difficulty.
Initially, has ventilations are easily assisted with a bag device. It becomes more difficult to
ventilate the patient over the next five minutes, and his hemoglobin oxygen saturation level
decreases from 90% to 89%. The most appropriate next step is to: - ✔✔✔-Auscultate the
patient's chest
42 year olds man is trapped from the waist down beneath his overturned tractor for several
hours before Medical systemized. He is awake and alert until just before arriving in emergency
department. He is now unconscious in response only to painful stimulate by moaning. His pupils
are 3 mm in diameter and symmetrically reactive delight. Prehospital personnel indicate that
they have not seen the patient move either of his lower extremities.: - ✔✔✔-A pelvic fracture
5 year old boy is struck by an automobile and brought to the emergency department. He is
lethargic, but withdraws purposefully from painfully stimuli. His blood pressure is 90 mmHg, HR
140 BPM, and RR is 36 bpm. The preferred route of venous access in this patient is: - ✔✔✔-
Pertained veins in the upper extremities
8 year old girl is an unrestrained passenger in a vehicle struck from behind. In the ED, her blood
pressure is 80/60, heart rate is 80 bpm, and respiratory rate is 16 breaths per minute. Her GCS
score is 14. She complains that her legs "feel funny and won't move right", however, her spine x-
rays do not show a fracture dislocation. A spinal injury in this child: - ✔✔✔-Can be excluded by
obtaining a CT of the entire spine
A 14 year old female is brought to the ED after falling from a horse. She is immoblized on a long
spine board with a hard collar and blocks. Cervical spine x-ray: - ✔✔✔-??
, ATLS Post actual exam NEWEST VERSION 2025 (100% solved)
A 15 year old male presents following a motorcycle crash. Initial exam 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 demonstrates a ruptured spleen surrounded by a
large hematoma and fluid in the pelvis. The next best step in the patient's management is:
A. Splenic artery embolization
B. Pneumococcal vaccine
C. Urgent laporotomy
D. Surgical consultation
E. Transfer to a pediatrician - ✔✔✔-D. Surgical consultation
vs. peritonitis or abnormal vital signs --> urgent laporotomy
A 15-year-old male is brought to ER after being involved in a motor vehicle crash. He is
unconscious and was intubated at the scene by EMS. In ER, O2 is 92%. Heart rate is 96 and BP is
150/85. Breath sounds are decreased on the left side of the thorax. The next step is:
A. Immediate needle cricothyroidectomy
B. Reassess the position of the ETT
C. Chest tube insertion
D. Immediate needle thoracentesis
E. Obtain a chest x-ray - ✔✔✔-Reassess the position of the ETT
A 17 year old female is brought to the ED following a 6 feet fall onto concrete. She is
unresponsive and found to have a RR of 32, BP of 90/60, and HR of 68. The FIRST step in
treatment is:
A. Administering 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
