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ATLS 10th Edition Post Test Actual Questions
& Answers (Verified Answers)
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Q1. During the primary survey of a multi-trauma patient, you
note absent breath sounds on the left and tracheal deviation
to the right. What is the next step?
• A) Needle decompression of the left chest
• B) Immediate chest tube insertion
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• C) Endotracheal intubation
• D) Chest x-ray
Rationale: Tension pneumothorax is a clinical diagnosis.
Needle decompression (A) is temporizing; chest tube is
definitive. Intubation without decompression worsens
hypotension.
Q2. A 28-year-old male arrives after a motorcycle crash. He
is unconscious, GCS 6, large scalp laceration. BP 70/40, pulse
130. After securing the airway, your next priority is:
• A) CT head
• B) Identify and control source of bleeding
• C) IV fluids
• D) Apply cervical collar
Rationale: Hypotension + altered mental status =
hemorrhagic shock until proven otherwise. Bleeding
control precedes imaging.
Q3. Which is the earliest sign of adequate resuscitation in
hemorrhagic shock?
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• A) Normal blood pressure
K K K
• B) Improved mental status
K K K
• C) Urine output >0.5 mL/kg/hr
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• D)Warm,dryskin
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Rationale: Cerebral perfusionimproves before BP K K K K K
K normalizes.
Q4.A40-year-oldwithgunshotwoundtotherightthighhasan
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K actively bleeding wound. BP 90/60, pulse 120. Next step:
K K K K K K K K
• A)Applytourniquet
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• B) Direct pressure and wound packing
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• C)Start2large-boreIVs
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• D) Ultrasound for FAST exam
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Rationale: Direct pressure is first-line for extremity K K K K K K
K hemorrhage. Tourniquet if direct pressure fails. K K K K K
Q5. Which of the following is an indication for pelvic binder
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K placement?
• A) Pelvic pain with normal x-ray
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• B) Unstable pelvic fracture with hypotension
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