ADVANCED TRAUMA LIFE SUPPORT POST
TEST COMPREHENSIVE ASSESSMENT 2026
COMPLETE QUESTIONS AND CORRECT
ANSWERS GRADED A+
◉ Which of the following signs necessitates the need for a definitive
airway in severe trauma patient?
Answer: Severe maxillofacial trauma
◉ Twenty seven people are severely injured in an aircraft crash at a
local airport. The principles of triage include:
Answer: Produce the greatest number of survivors based on
available resources
◉ Which of the following statements are correct?
Answer: Cerebral contusions may coalesce to form an intracerebral
hematoma
◉ The primary indication for transferring a patient to a higher level
trauma center is:
,Answer: Resource limitations as determined by the transferring
doctor
◉ A teenaged bicycle rider is hit by a truck traveling at high speed.
In the emergency department, 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 mm Hg, 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 xray.
b) administer 2 liters of crystalloid solution.
c) insert a central venous pressure line.
d) perform endotracheal intubation and ventilation.
Answer: D. Perform endotracheal intubation and ventilation
◉ Contraindication to nasogastric intubation is the presence of a:
Answer: Fracture of the cribiform plate
◉ Which of the following statements regarding patients with
thoracic spine injuries is true?
Answer: Log rolling may be destabilizing to fractures from T12-L1
, ◉ A young man sustains a rifle wound to the mid-abdomen. He is
brought promptly to the ED by prehospital personnel. His skin is
cool and diaphoretic, and his systolic blood pressure is 58mmHg.
Warmed crystalloid fluids are initiated without improvement in his
vital signs. The next, most appropriate, step is to perform:
A. a laparotomy
B. An abdominal CT-scan
C. Diagnostic laparoscopy
D. Abdominal ultrasonography
E. A diagnostic peritoneal lavage
Answer: A celiotomy
◉ Young women sustains a severe head injury as the result of a
motor vehicle crash. In the emergency department her GCS is 6. Her
BP is 140/90 mmHg and her HR is 80. She is intubated and is being
mechanically ventilated. Her pupils are 3 mm in size and equally
reactive to light. There is no other apparent injury. The more
important principle to follow in the early management of her head
injury is to:
Answer: Prevent secondary brain injury
◉ 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:
TEST COMPREHENSIVE ASSESSMENT 2026
COMPLETE QUESTIONS AND CORRECT
ANSWERS GRADED A+
◉ Which of the following signs necessitates the need for a definitive
airway in severe trauma patient?
Answer: Severe maxillofacial trauma
◉ Twenty seven people are severely injured in an aircraft crash at a
local airport. The principles of triage include:
Answer: Produce the greatest number of survivors based on
available resources
◉ Which of the following statements are correct?
Answer: Cerebral contusions may coalesce to form an intracerebral
hematoma
◉ The primary indication for transferring a patient to a higher level
trauma center is:
,Answer: Resource limitations as determined by the transferring
doctor
◉ A teenaged bicycle rider is hit by a truck traveling at high speed.
In the emergency department, 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 mm Hg, 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 xray.
b) administer 2 liters of crystalloid solution.
c) insert a central venous pressure line.
d) perform endotracheal intubation and ventilation.
Answer: D. Perform endotracheal intubation and ventilation
◉ Contraindication to nasogastric intubation is the presence of a:
Answer: Fracture of the cribiform plate
◉ Which of the following statements regarding patients with
thoracic spine injuries is true?
Answer: Log rolling may be destabilizing to fractures from T12-L1
, ◉ A young man sustains a rifle wound to the mid-abdomen. He is
brought promptly to the ED by prehospital personnel. His skin is
cool and diaphoretic, and his systolic blood pressure is 58mmHg.
Warmed crystalloid fluids are initiated without improvement in his
vital signs. The next, most appropriate, step is to perform:
A. a laparotomy
B. An abdominal CT-scan
C. Diagnostic laparoscopy
D. Abdominal ultrasonography
E. A diagnostic peritoneal lavage
Answer: A celiotomy
◉ Young women sustains a severe head injury as the result of a
motor vehicle crash. In the emergency department her GCS is 6. Her
BP is 140/90 mmHg and her HR is 80. She is intubated and is being
mechanically ventilated. Her pupils are 3 mm in size and equally
reactive to light. There is no other apparent injury. The more
important principle to follow in the early management of her head
injury is to:
Answer: Prevent secondary brain injury
◉ 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:
