ATLS Post test 2024-2025 with questions and answers (100% solved)
22 year old male fall from 2m, large right pneumothorax. Chest tube placed, connected to
drainage. Control x-ray shows pneumothorax, third x-ray reveals pneumothorax - ✔✔✔-
Tracheobronchal injury
30-year-old woman fell down four stair landing on concrete. Unconscious for 5 minutes after
the fall, full consciousness during 10 minute transport to hospital, GCS 15, complaint is a slight
headache, 30 minute later she is unresponsive with GCS 6 and left pupil is large. - ✔✔✔-
Epidural hematoma
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
,ATLS Post test 2024-2025 with questions and answers (100% solved)
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 - ✔✔✔-A. Air splints
,ATLS Post test 2024-2025 with questions and answers (100% solved)
A 17-year-old helmeted motorcyclist loses consciousness when he is struck broad side by an
automobile at an intersection. He arrives in the ED with a blood pressure of 140/92, pulse rate
88 beats per minute, a respiratory rate of 18 breaths per minue, and a GCS of 7. Appropriate
initial immobilization of this patient should include a semi-rigid cervical collar and:
A. A scoop stretcher
B. A long spine board
C. A short spine board
D. Cervical traction tongs
E. Pneumatic antishock garment - ✔✔✔-B. A long spine board
A 20 year old athlete is involved in a motorcycle crash. When he arrives in the ED, he shouts
that he cannot move his legs. On physical examination, there are noe abnormalities of the
chest, abdomen or pelvis. The patient has no sensation in his legs and cannot move them, but
his arms are moving. The patients RR is 28 bpm, HR is 88bpm and BP is 80/60mmHg. He is pale
and sweaty. What is the most likely cause of this condition?
A. Neurogenic shock
B. Cardiogenic shock
C. Abdominal hemorrhage
D. Myocardial contusion
E. Hyperthermia. - ✔✔✔-A. Neurogenic shock
A 20 year old male is brought to the hospital approximately 30 minutes after being stabbed in
the chest. There is 3cm wound just medial to the left nipple. His BP is 70/33 and HR is 140. Neck
and arm veins are distended. Breath sounds are normal. Heart sounds are diminshed, iv access
has been established and warm crystalloid is infusing. The next most important aspect of
immediate management is:
A. CT scan of the chest
B. 12 lead ECG
C. Left tube thoracostomy
, ATLS Post test 2024-2025 with questions and answers (100% solved)
D. Begin infusion of RBCs
E. FAST exam - ✔✔✔-E. FAST exam For å se etter tamponade? Normale resp.lyder bilateralt
taler mot trykkpneumothorax. EKG vil ikke gi noe informasjon. Thoracostomy ikke indisert da
det ikke er mistenkt pneumo/hemothorax. CT uaktuelt pga hemodynamisk ustabil
A 20-year-old woman, at 32 weeks gestation, is stabbed in the upper right chest. In the ED, her
blood pressure is 80/60mmHg. She is gasping for breath, extremely anxious, and yelling for
help. Breath sounds are diminished in the right chest. The most appropriate first step is to:
A. perform tracheal intubation
B. Insert an oropharyngeal airway
C. Perform needle decompression of the right chest
D. Manually displace the gravid uterus to the left side of the abdomen
E. Initiate 2 large-caliber peripheral IV lines and crystalloid infusion - ✔✔✔-C. Perform needle
decompression of the right chest
A 22 year old male is assaulted in a bar. A semi-rigid cervical collar is applied and he is
immobilized on a spine board. On initial examination, his vital signs are normal, and his GCS is
15. Which of the following is an indication for CT in this patient with possible minor traumatic
brain injury?
A. Blood alcohol concentration of 0,16%
B. Presence of an isolated 10cm scalp laceration
C. Presence of a mandibular fracture
D. Presence of hemotympanum
E. History of assault - ✔✔✔-D. Presence of hemotympanum
A 22 year old male present following a motorcycle crash. He complains of the inability to move
his legs. His BP is 80/50, HR 70, RR 18 and GCS 15. Oxygen saturation is 99% on 21 nasal prongs.
Chest x-ray, pelvic x-ray and FAST are normal. Extremities are normal. His management should
be:
A: 2L of iv . crystalloid and two units of pRBCs
22 year old male fall from 2m, large right pneumothorax. Chest tube placed, connected to
drainage. Control x-ray shows pneumothorax, third x-ray reveals pneumothorax - ✔✔✔-
Tracheobronchal injury
30-year-old woman fell down four stair landing on concrete. Unconscious for 5 minutes after
the fall, full consciousness during 10 minute transport to hospital, GCS 15, complaint is a slight
headache, 30 minute later she is unresponsive with GCS 6 and left pupil is large. - ✔✔✔-
Epidural hematoma
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
,ATLS Post test 2024-2025 with questions and answers (100% solved)
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 - ✔✔✔-A. Air splints
,ATLS Post test 2024-2025 with questions and answers (100% solved)
A 17-year-old helmeted motorcyclist loses consciousness when he is struck broad side by an
automobile at an intersection. He arrives in the ED with a blood pressure of 140/92, pulse rate
88 beats per minute, a respiratory rate of 18 breaths per minue, and a GCS of 7. Appropriate
initial immobilization of this patient should include a semi-rigid cervical collar and:
A. A scoop stretcher
B. A long spine board
C. A short spine board
D. Cervical traction tongs
E. Pneumatic antishock garment - ✔✔✔-B. A long spine board
A 20 year old athlete is involved in a motorcycle crash. When he arrives in the ED, he shouts
that he cannot move his legs. On physical examination, there are noe abnormalities of the
chest, abdomen or pelvis. The patient has no sensation in his legs and cannot move them, but
his arms are moving. The patients RR is 28 bpm, HR is 88bpm and BP is 80/60mmHg. He is pale
and sweaty. What is the most likely cause of this condition?
A. Neurogenic shock
B. Cardiogenic shock
C. Abdominal hemorrhage
D. Myocardial contusion
E. Hyperthermia. - ✔✔✔-A. Neurogenic shock
A 20 year old male is brought to the hospital approximately 30 minutes after being stabbed in
the chest. There is 3cm wound just medial to the left nipple. His BP is 70/33 and HR is 140. Neck
and arm veins are distended. Breath sounds are normal. Heart sounds are diminshed, iv access
has been established and warm crystalloid is infusing. The next most important aspect of
immediate management is:
A. CT scan of the chest
B. 12 lead ECG
C. Left tube thoracostomy
, ATLS Post test 2024-2025 with questions and answers (100% solved)
D. Begin infusion of RBCs
E. FAST exam - ✔✔✔-E. FAST exam For å se etter tamponade? Normale resp.lyder bilateralt
taler mot trykkpneumothorax. EKG vil ikke gi noe informasjon. Thoracostomy ikke indisert da
det ikke er mistenkt pneumo/hemothorax. CT uaktuelt pga hemodynamisk ustabil
A 20-year-old woman, at 32 weeks gestation, is stabbed in the upper right chest. In the ED, her
blood pressure is 80/60mmHg. She is gasping for breath, extremely anxious, and yelling for
help. Breath sounds are diminished in the right chest. The most appropriate first step is to:
A. perform tracheal intubation
B. Insert an oropharyngeal airway
C. Perform needle decompression of the right chest
D. Manually displace the gravid uterus to the left side of the abdomen
E. Initiate 2 large-caliber peripheral IV lines and crystalloid infusion - ✔✔✔-C. Perform needle
decompression of the right chest
A 22 year old male is assaulted in a bar. A semi-rigid cervical collar is applied and he is
immobilized on a spine board. On initial examination, his vital signs are normal, and his GCS is
15. Which of the following is an indication for CT in this patient with possible minor traumatic
brain injury?
A. Blood alcohol concentration of 0,16%
B. Presence of an isolated 10cm scalp laceration
C. Presence of a mandibular fracture
D. Presence of hemotympanum
E. History of assault - ✔✔✔-D. Presence of hemotympanum
A 22 year old male present following a motorcycle crash. He complains of the inability to move
his legs. His BP is 80/50, HR 70, RR 18 and GCS 15. Oxygen saturation is 99% on 21 nasal prongs.
Chest x-ray, pelvic x-ray and FAST are normal. Extremities are normal. His management should
be:
A: 2L of iv . crystalloid and two units of pRBCs
