ATLS TEST BUNDLE 2026 FINAL PAPER
QUESTIONS AND ANSWERS VERIFIED
CONTENT GRADED A+
⩥ A construction worker falls 2 stories and suffers bilateral calcanea
fractures. He now is having back pain. What would confirm diagnosis?
Answer: Complete spine x-ray series
⩥ What is the principle of balanced resuscitation?
Answer: permissive hypotension and early plasma infusion
⩥ In managing a head-injured patient, what is the most important initial
step?
Answer: Secure the airway
⩥ A previously healthy 70kg man suffered ~2L of acute blood loss.
Which appropriately applies to this patient?
Answer: His systolic BP will be decreased with a narrowed pulse
pressure
NOT his pulse pressure will be widened, urinary output at lower level of
normal, tachy but no BP change, or maintained systolic BP with elevated
diastolic BP
,⩥ The physiologic hypovolemia of pregnancy has clinical significance
in the management of severely injured, gravid woman by:
Answer: increasing the volume of blood to produce maternal
hypotension
⩥ The best assessment of fluid resuscitation of the burn patient is
Answer: adequate urinary output
⩥ The diagnosis of shock MUST include:
Answer: evidence of inadequate organ perfusion
⩥ A 7yo M is brought to the ED by his parents several minutes after
falling through a window. He is bleeding from a 6cm wound on the
medial right thigh. Immediate management of the wound should
include?
Answer: Direct pressure on the wound
⩥ **For the patient with severe traumatic brain injury, around
HYPOCARBIA (dec CO2) should be avoided in order to prevent what?
Answer: cerebral vasoconstriction with diminished perfusion.
, ⩥ **A 25yo M is brought in to a facility with a general surgeon after
being in an MVA, CT shows aortic injury and spe=lenic lac with
abdominal fluid, BP is 70mm Hg after CT. What is the next step?
Answer: exploratory laparotomy
⩥ Which one of the following statements regarding abdominal trauma in
the pregnant patient is true?
Answer: leakage of amniotic fluid is indication for hospital admission
⩥ What is the first maneuver to improve oxygenation after chest injury?
Answer: administer supplemental O2
⩥ 25yo M in an MVC is admitted to the ED. Pupils react sluggishly and
he opens his eyes to painful stimuli. He does not follow commands, but
he does moan periodically. His R arm is performed and does not respond
to pain, however his L hand reaches purposefully toward the pain. Both
legs are stiffened. What is his GCS?
Answer: 9
⩥ 20yo F is 32w gestation and stabbed in the R upper chest. In the ED
her BP is 80/60. She is gasping for breath, anxious, and yelling for help.
BS are diminished in the right chest. Next step?
Answer: perform needle compression in the right chest
QUESTIONS AND ANSWERS VERIFIED
CONTENT GRADED A+
⩥ A construction worker falls 2 stories and suffers bilateral calcanea
fractures. He now is having back pain. What would confirm diagnosis?
Answer: Complete spine x-ray series
⩥ What is the principle of balanced resuscitation?
Answer: permissive hypotension and early plasma infusion
⩥ In managing a head-injured patient, what is the most important initial
step?
Answer: Secure the airway
⩥ A previously healthy 70kg man suffered ~2L of acute blood loss.
Which appropriately applies to this patient?
Answer: His systolic BP will be decreased with a narrowed pulse
pressure
NOT his pulse pressure will be widened, urinary output at lower level of
normal, tachy but no BP change, or maintained systolic BP with elevated
diastolic BP
,⩥ The physiologic hypovolemia of pregnancy has clinical significance
in the management of severely injured, gravid woman by:
Answer: increasing the volume of blood to produce maternal
hypotension
⩥ The best assessment of fluid resuscitation of the burn patient is
Answer: adequate urinary output
⩥ The diagnosis of shock MUST include:
Answer: evidence of inadequate organ perfusion
⩥ A 7yo M is brought to the ED by his parents several minutes after
falling through a window. He is bleeding from a 6cm wound on the
medial right thigh. Immediate management of the wound should
include?
Answer: Direct pressure on the wound
⩥ **For the patient with severe traumatic brain injury, around
HYPOCARBIA (dec CO2) should be avoided in order to prevent what?
Answer: cerebral vasoconstriction with diminished perfusion.
, ⩥ **A 25yo M is brought in to a facility with a general surgeon after
being in an MVA, CT shows aortic injury and spe=lenic lac with
abdominal fluid, BP is 70mm Hg after CT. What is the next step?
Answer: exploratory laparotomy
⩥ Which one of the following statements regarding abdominal trauma in
the pregnant patient is true?
Answer: leakage of amniotic fluid is indication for hospital admission
⩥ What is the first maneuver to improve oxygenation after chest injury?
Answer: administer supplemental O2
⩥ 25yo M in an MVC is admitted to the ED. Pupils react sluggishly and
he opens his eyes to painful stimuli. He does not follow commands, but
he does moan periodically. His R arm is performed and does not respond
to pain, however his L hand reaches purposefully toward the pain. Both
legs are stiffened. What is his GCS?
Answer: 9
⩥ 20yo F is 32w gestation and stabbed in the R upper chest. In the ED
her BP is 80/60. She is gasping for breath, anxious, and yelling for help.
BS are diminished in the right chest. Next step?
Answer: perform needle compression in the right chest
