1|Page
ATLS Post Test Study Guide Exam, American College
of Surgeons Committee on Trauma||Verified Exam!!||,
2026/2027 -Question Practice Exam with Verified
Questions and Solutions||Newest Exam!!!
A 30-year-old man sustains a severely comminuted, open,
distal right femur fracture in a motorcycle crash. The
wound is actively bleeding. Normal sensation is present
over the lateral aspect of the foot but decreased over the
medial foot and great toe. Normal motion of the foot is
observed. Dorsalis pedis and posterior tibial pulses are
easily palpable on the left, but heard only by Doppler on
the right. Immediate efforts to improve circulation to the
injured extremity should involve:
A. Immediate angiography
B. Tamponade of the wound with a pressure dressing
C. Wound exploration and removal of bony fragments
D. Realignment of the fracture segments with a traction
splint
E. Fasciotomy of all four compartments in the lower
extremity - Answer-B. Tamponade of the wound with a
pressure dressing
,2|Page
An 18-yeard-old, unhelmeted motorcyclist is brought by
ambulance to the ED following a crash. He had decreased
level of consciousness at the scene, but then was alert
and conversational during transportation. Now his GCS is
only 11. Which of the following statements is TRUE?
A. Cerebral perfusion is intact
B. Intravascular volume status is normal
C. The patient is in a postictal state
D. Intra-abdominal visceral injury is unlikely
E. The patient probably has an acute epidural hematoma -
Answer-E. The patient probably has an acute epidural
hematoma
A previously healthy, 70kg (175 pound) man suffers an
estimated acute blood loss of two liters. Which one of the
following statements apply to this patient?
A. His pulse pressure will be widened
B. His urinary output will be at the lower limits of normal
C. He will have tachycardia, but no change in systolic
blood pressure
D. His systolic blood pressure will be decreased with a
narrowed, pulse pressure
,3|Page
E. His systolic blood pressure will be maintained with an
elevated diastolic pressure. - Answer-E. His systolic blood
pressure will be maintained with an elevated diastolic
pressure.
The physioclogic hypervolemia of pregnancy has clinical
significance in the management of the severely injured
gravid woman by
A. Reducing the need for blood transfusion
B. Increasing the risk of pulmonary edema
C. Complicating the management of closed head injury
D. Increasing the volume of blood loss to produce
shock/maternal hypotension
E. Reducing the volume of crystalloid required for
resuscitation - Answer-D. Increasing the volume of blood
loss to produce shock
Which of the following is the recommended Method for
treatment frostbite?
A. Vasodilators
B. Anticigulants
C. Warm (40 degrees) water
D. Padding and elevation
, 4|Page
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?
A. Priapism
B. Bradycardia
C. Diaphragmatic breathing
D. Presence of deep tendon reflexes
E. Ability to flex forearms but not extend them - Answer-D.
Presence of deep tendon reflexes. Spinal shock refers to
loss of muscle toe (flaccidty) and loss of reflexes.
The primary indication for transferring A patient to a higher
level trauma center is:
A. Unavailibility of surgeon or operating staff
B. Multiple system injuries, including severe head injury
C. Resource limitations as determined by the transferring
doctor
D. Resource limitations as determined by the hospital
administration
ATLS Post Test Study Guide Exam, American College
of Surgeons Committee on Trauma||Verified Exam!!||,
2026/2027 -Question Practice Exam with Verified
Questions and Solutions||Newest Exam!!!
A 30-year-old man sustains a severely comminuted, open,
distal right femur fracture in a motorcycle crash. The
wound is actively bleeding. Normal sensation is present
over the lateral aspect of the foot but decreased over the
medial foot and great toe. Normal motion of the foot is
observed. Dorsalis pedis and posterior tibial pulses are
easily palpable on the left, but heard only by Doppler on
the right. Immediate efforts to improve circulation to the
injured extremity should involve:
A. Immediate angiography
B. Tamponade of the wound with a pressure dressing
C. Wound exploration and removal of bony fragments
D. Realignment of the fracture segments with a traction
splint
E. Fasciotomy of all four compartments in the lower
extremity - Answer-B. Tamponade of the wound with a
pressure dressing
,2|Page
An 18-yeard-old, unhelmeted motorcyclist is brought by
ambulance to the ED following a crash. He had decreased
level of consciousness at the scene, but then was alert
and conversational during transportation. Now his GCS is
only 11. Which of the following statements is TRUE?
A. Cerebral perfusion is intact
B. Intravascular volume status is normal
C. The patient is in a postictal state
D. Intra-abdominal visceral injury is unlikely
E. The patient probably has an acute epidural hematoma -
Answer-E. The patient probably has an acute epidural
hematoma
A previously healthy, 70kg (175 pound) man suffers an
estimated acute blood loss of two liters. Which one of the
following statements apply to this patient?
A. His pulse pressure will be widened
B. His urinary output will be at the lower limits of normal
C. He will have tachycardia, but no change in systolic
blood pressure
D. His systolic blood pressure will be decreased with a
narrowed, pulse pressure
,3|Page
E. His systolic blood pressure will be maintained with an
elevated diastolic pressure. - Answer-E. His systolic blood
pressure will be maintained with an elevated diastolic
pressure.
The physioclogic hypervolemia of pregnancy has clinical
significance in the management of the severely injured
gravid woman by
A. Reducing the need for blood transfusion
B. Increasing the risk of pulmonary edema
C. Complicating the management of closed head injury
D. Increasing the volume of blood loss to produce
shock/maternal hypotension
E. Reducing the volume of crystalloid required for
resuscitation - Answer-D. Increasing the volume of blood
loss to produce shock
Which of the following is the recommended Method for
treatment frostbite?
A. Vasodilators
B. Anticigulants
C. Warm (40 degrees) water
D. Padding and elevation
, 4|Page
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?
A. Priapism
B. Bradycardia
C. Diaphragmatic breathing
D. Presence of deep tendon reflexes
E. Ability to flex forearms but not extend them - Answer-D.
Presence of deep tendon reflexes. Spinal shock refers to
loss of muscle toe (flaccidty) and loss of reflexes.
The primary indication for transferring A patient to a higher
level trauma center is:
A. Unavailibility of surgeon or operating staff
B. Multiple system injuries, including severe head injury
C. Resource limitations as determined by the transferring
doctor
D. Resource limitations as determined by the hospital
administration
