ATLS 10TH EDITION POST TEST 3 QUESTIONS WITH
COMPLETE SOLUTIONS GUARANTEED PASS BRAND NEW
2025/2026
During an altercation, a 36-year-old man sustains a gunshot wound
above the nipple line on the right, with an exit wound posteriorly above
the scapula on the right. He is transported by ambulance to a
community hospital. He is endotracheally intubated, close tube
thoracostomy is performed, and 2 liters Ringers lactate solution are
infused via 2 large-caliber IV´s. His blood pressure now is 60/0mmHg,
heart rate is 160 beats per minute, and respiratory rate is 14 breaths
per minute (ventilated with 100% O2). The most appropriate next step
in managing this patient is:
A. Laparotomy
B. Diagnostic peritoneal lavage
C. Arterial blood gas determination
D. Administer packed red blood cells
E. Chest X-ray to confirm tube placement - ANSWER - >E. Chest X-ray to
confirm tube placement
Absence of breath sounds and dullness to percussion over the left
hemithorax are findings best explained by:
A. Left hemothorax
B. Cardiac contusion
C. Left simple pneumothorax
D. Left diaphragmatic rupture
E. Right tension pneumothorax - ANSWER - >A. Left hemothorax
,A 23-year-old man is brought immediately to the ED from the hospitals
parking lot where he was shot in the lower abdomen. Examination
reveals a single bullet wound. He is breathing and has a thready pulse.
However, he is unconscious and has no detectable blood pressure.
Optimale immediate management is to:
A. Perform a diagnostic peritoneal lavage
B. Initiate infusion of packed red blood cells
C. Insert a nasogastric tube and urinary catheter
D. Transfer the patient to the operating room, while initiating fluid
therapy
E. Initiate fluid therapy to return his blood pressure to normotensive -
ANSWER - >D. Transfer the patient to the operating room, while
initiating fluid therapy
A teen-aged bicycle rider is hit by a truck traveling at high speed. In the
ED, she is actively bleeding from open fractures of her legs, and has
abrasions on her chest and abdominal wall. Her blood pressure is 80/50
mmHg, heart rate is 140 beats per minute, respiratory rate is 8 breaths
per minute, and GCS score is 6. The first step in managing this patient is
to:
A. Obtain a lateral cervical spine x-ray
B. Insert av central venous pressure line
C. Administer 2 liters of crystalloid solution
D. Perform endotracheal intubation and ventilation
E. Apply a pneumatic antishock garment (PASG) and inflate the leg
compartments. - ANSWER - >D. Perform endotracheal intubation and
ventilation
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 - ANSWER - >D. Admit
the patient to the intensive care unit
Which of the following statements regarding injury to the central
nervous system in children is TRUE?
A. Children suffer spinal cord injury without x-ray abnormality more
commonly than adults.
B. An infant with a traumatic brain injury may become hypotensive
from cerebral edema
C. Initial therapy for the child with traumatic brain injury includes
the administration of methylprednisolone intravenously
D. Children have more focal mass lesions as a result for traumatic
brain injury when compared to adults.
E. Young children are less tolerant of expanding intracranial mass
lesions than adults - ANSWER - >A. Children suffer spinal cord injury
without x-ray abnormality more commonly than adults.
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 - ANSWER - >A. Air splints
Twenty-seven patients are seriously injured in an aircraft accident at a
local airport. The basic principle of triage should be to: A. Treat the
most severely injured patients first
B. Establish a field triage area directed by a doctor
C. Rapidly transport all patients to the nearest appropriate hospital
D. Treat the greatest number of patients in the shortest period of time
E. Produce the greatest number of survivors based on available
resources - ANSWER - >E. Produce the greatest number of survivors
based on available resources
An electrician is electrocuted by a downed power line after a
thunderstorm. He apparently made contact with the wire at the level of
the right mid thigh. In the ED, his vital signs are normal and no
dysrythmia is noted on ECG. On examination, there is an exit wound on
the bottom of the right foot. His urine is positive for blood by dipstick
but not RBCs are seen microscopically. Initial management should
include:
A. Immediate angiography
B. Aggressive fluid infusion
C. Intravenous pyelography
D. Debridement of necrotic muscle
E. Admission to the ICU for observation - ANSWER - >B. Aggressive fluid
infusion - suspected rhabdomyolyse
A young woman sustains a severe head injury as the result of a motor
vehicular crash. In the ED, her GCS is 6. Her blood pressure is 140/90
COMPLETE SOLUTIONS GUARANTEED PASS BRAND NEW
2025/2026
During an altercation, a 36-year-old man sustains a gunshot wound
above the nipple line on the right, with an exit wound posteriorly above
the scapula on the right. He is transported by ambulance to a
community hospital. He is endotracheally intubated, close tube
thoracostomy is performed, and 2 liters Ringers lactate solution are
infused via 2 large-caliber IV´s. His blood pressure now is 60/0mmHg,
heart rate is 160 beats per minute, and respiratory rate is 14 breaths
per minute (ventilated with 100% O2). The most appropriate next step
in managing this patient is:
A. Laparotomy
B. Diagnostic peritoneal lavage
C. Arterial blood gas determination
D. Administer packed red blood cells
E. Chest X-ray to confirm tube placement - ANSWER - >E. Chest X-ray to
confirm tube placement
Absence of breath sounds and dullness to percussion over the left
hemithorax are findings best explained by:
A. Left hemothorax
B. Cardiac contusion
C. Left simple pneumothorax
D. Left diaphragmatic rupture
E. Right tension pneumothorax - ANSWER - >A. Left hemothorax
,A 23-year-old man is brought immediately to the ED from the hospitals
parking lot where he was shot in the lower abdomen. Examination
reveals a single bullet wound. He is breathing and has a thready pulse.
However, he is unconscious and has no detectable blood pressure.
Optimale immediate management is to:
A. Perform a diagnostic peritoneal lavage
B. Initiate infusion of packed red blood cells
C. Insert a nasogastric tube and urinary catheter
D. Transfer the patient to the operating room, while initiating fluid
therapy
E. Initiate fluid therapy to return his blood pressure to normotensive -
ANSWER - >D. Transfer the patient to the operating room, while
initiating fluid therapy
A teen-aged bicycle rider is hit by a truck traveling at high speed. In the
ED, she is actively bleeding from open fractures of her legs, and has
abrasions on her chest and abdominal wall. Her blood pressure is 80/50
mmHg, heart rate is 140 beats per minute, respiratory rate is 8 breaths
per minute, and GCS score is 6. The first step in managing this patient is
to:
A. Obtain a lateral cervical spine x-ray
B. Insert av central venous pressure line
C. Administer 2 liters of crystalloid solution
D. Perform endotracheal intubation and ventilation
E. Apply a pneumatic antishock garment (PASG) and inflate the leg
compartments. - ANSWER - >D. Perform endotracheal intubation and
ventilation
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 - ANSWER - >D. Admit
the patient to the intensive care unit
Which of the following statements regarding injury to the central
nervous system in children is TRUE?
A. Children suffer spinal cord injury without x-ray abnormality more
commonly than adults.
B. An infant with a traumatic brain injury may become hypotensive
from cerebral edema
C. Initial therapy for the child with traumatic brain injury includes
the administration of methylprednisolone intravenously
D. Children have more focal mass lesions as a result for traumatic
brain injury when compared to adults.
E. Young children are less tolerant of expanding intracranial mass
lesions than adults - ANSWER - >A. Children suffer spinal cord injury
without x-ray abnormality more commonly than adults.
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 - ANSWER - >A. Air splints
Twenty-seven patients are seriously injured in an aircraft accident at a
local airport. The basic principle of triage should be to: A. Treat the
most severely injured patients first
B. Establish a field triage area directed by a doctor
C. Rapidly transport all patients to the nearest appropriate hospital
D. Treat the greatest number of patients in the shortest period of time
E. Produce the greatest number of survivors based on available
resources - ANSWER - >E. Produce the greatest number of survivors
based on available resources
An electrician is electrocuted by a downed power line after a
thunderstorm. He apparently made contact with the wire at the level of
the right mid thigh. In the ED, his vital signs are normal and no
dysrythmia is noted on ECG. On examination, there is an exit wound on
the bottom of the right foot. His urine is positive for blood by dipstick
but not RBCs are seen microscopically. Initial management should
include:
A. Immediate angiography
B. Aggressive fluid infusion
C. Intravenous pyelography
D. Debridement of necrotic muscle
E. Admission to the ICU for observation - ANSWER - >B. Aggressive fluid
infusion - suspected rhabdomyolyse
A young woman sustains a severe head injury as the result of a motor
vehicular crash. In the ED, her GCS is 6. Her blood pressure is 140/90
