ATLS Post Test- Advanced Trauma Life Support
EXAM LATEST 2026-2027 100 QUESTIONS AND
100% Verified ANSWERS
Regarding shock in the child, which of the following is FALSE?
A. Vital signs are age-related
B. Children have greater physiologic reserves than do adults
C. Tachycardia is the primary physiologic response to hypovolemia
D. The absolute volume of blood loss required to produce shock is the same as in adults
E. An initial fluid bolus for resuscitation should approximate 20ml/kg Ringers Lactate - answer>>D. The absolute
volume of blood loss required to produce shock is the same as in adults
All the following signs on chest x-ray of a blunt injury victim may suggest aortic rupture except:
A. Mediastinal emphysema
B. Presence of a pleural cap
C. Obliteration of the aortic knob
D. Devitation of the trachea to the right
E. Depression of the left mainstem bronchus - answer>>A. Mediastinal emphysema
An 8 year old boy falls 15 feet from a tree in a sprout to the emergency department by his family. His vital signs are
normal, but he complains of leftover quad pain. And abdominal CT 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 ICU
E. Prepare the patient for surgery the next day - answer>>C. Transfer the patient to a trauma center
,A 20 year old athlete is involved in a motorcycle crash. When he arrives in the ED, he shouts that he cannot move
his legs. On physical examination, there are no abnormalities of the chest, abdomen or pelvis. The patient has no
sensation in his legs and cannot move them, but his arms are moving. The patients RR is 28 bpm, HR is 88bpm and
BP is 80/60mmHg. He is pale and sweaty. What is the most likely cause of this condition?
A. Neurogenic shock
B. Cardiogenic shock
C. Abdominal hemorrhage
D. Myocardial contusion
E. Hyperthermia. - answer>>A. Neurogenic shock
A 22 year old male presents following a motorcycle crash. He complains that the inability to move or feel his legs.
His blood pressure is 80/50, heart rate is 70, respiratory rate 18. GCS is 15. Oxygen is 99% on 2 L nasal prongs.
Chest x-ray, pelvic x-ray, fast or normal. Extremities are normal. His management should be:
A. 2L of IV crystalloid and 2 units of PRBCs
B. 2L of IV crystalloid and vasopressors if BP does not respond
C. 2L of IV crystalloid, mannitol, and IV steroids
D. Vasopressors and laparotomy
E. 1 unit of albumin and compression stockings - answer>>B. 2L of IV crystalloid and vasopressors if BP does not
respond
not hemorrhagic ---> if anything neurogenic
A 30 year old male presents with a stab wound to the abdomen. BP is 85/60, RR 25, GCS 14. Neck veins are flat,
and chest exam is clear with bilateral breath sounds. Optimal resuscitation should include:
A. Treatment of FFP and platelets
B. 500 mL of hypertonic saline and transfusion of PRBCs
C. Resuscitation with crystalloid and PRBCs until base excess is normal
D. Fluid resuscitation and angioembolization
E. Preparation for laparotomy while initiating fluid resuscitation - answer>>E. Preparation for laparotomy while
initiating fluid resuscitation
Initial resuscitation in an adult patient should:
A. Be with 1-2 L of crystalloid, monitoring the patient's response
, B. Use crystalloid to normalize BP
C. Use permissive hypotension in patients with head injury
D. Be with a non-blood colloid solution
E. Be a minimum of 2 L of crystalloid in all trauma patients prior to administering blood - answer>>A. Be with 1-2 L
of crystalloid, monitoring the patient's response
A 15 year old male presents following a motorcycle crash. Initial exam reveals normal vital signs. There is a large
bruise over his epigastrium that extends to the left flank. He has no other apparent injuries. A CT scan of the
abdomen demonstrates a ruptured spleen surrounded by a large hematoma and fluid in the pelvis. The next best
step in the patient's management is:
A. Splenic artery embolization
B. Pneumococcal vaccine
C. Urgent laporotomy
D. Surgical consultation
E. Transfer to a pediatrician - answer>>D. Surgical consultation
vs. peritonitis or abnormal vital signs --> urgent laporotomy
A 6 months old infant being held in her mother's arms, is ejected on impact from a vehicle that struck head on by
an oncoming car traveling at 64 km/h. The infinite arrives in the ER with multiple facial injuries, lethargic, and in
severe respiratory distress. Respiratory support is not effective using a bag mast device. Oxygen saturation is
swelling. Repeated attempts at or a tracheal intubation or unsuccessful. The most appropriate procedure to
perform next is: - answer>>Perform needle cricothyrotomy with jet in insufflations
28 year old male is brought to ER. He was involved in a fight in which she was beaten with a wooden stick. His
chest has multiple severe bruises. Airways clear, respiratory rate 22, heart rate is 126, and systemic blood pressure
is 90. Which of the following should be performed during the primary survey?
A. GCS
B. Cervical spine XR
C. TT administration
D. Blood alcohol level
E. Rectal exam - answer>>A. GCS
EXAM LATEST 2026-2027 100 QUESTIONS AND
100% Verified ANSWERS
Regarding shock in the child, which of the following is FALSE?
A. Vital signs are age-related
B. Children have greater physiologic reserves than do adults
C. Tachycardia is the primary physiologic response to hypovolemia
D. The absolute volume of blood loss required to produce shock is the same as in adults
E. An initial fluid bolus for resuscitation should approximate 20ml/kg Ringers Lactate - answer>>D. The absolute
volume of blood loss required to produce shock is the same as in adults
All the following signs on chest x-ray of a blunt injury victim may suggest aortic rupture except:
A. Mediastinal emphysema
B. Presence of a pleural cap
C. Obliteration of the aortic knob
D. Devitation of the trachea to the right
E. Depression of the left mainstem bronchus - answer>>A. Mediastinal emphysema
An 8 year old boy falls 15 feet from a tree in a sprout to the emergency department by his family. His vital signs are
normal, but he complains of leftover quad pain. And abdominal CT 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 ICU
E. Prepare the patient for surgery the next day - answer>>C. Transfer the patient to a trauma center
,A 20 year old athlete is involved in a motorcycle crash. When he arrives in the ED, he shouts that he cannot move
his legs. On physical examination, there are no abnormalities of the chest, abdomen or pelvis. The patient has no
sensation in his legs and cannot move them, but his arms are moving. The patients RR is 28 bpm, HR is 88bpm and
BP is 80/60mmHg. He is pale and sweaty. What is the most likely cause of this condition?
A. Neurogenic shock
B. Cardiogenic shock
C. Abdominal hemorrhage
D. Myocardial contusion
E. Hyperthermia. - answer>>A. Neurogenic shock
A 22 year old male presents following a motorcycle crash. He complains that the inability to move or feel his legs.
His blood pressure is 80/50, heart rate is 70, respiratory rate 18. GCS is 15. Oxygen is 99% on 2 L nasal prongs.
Chest x-ray, pelvic x-ray, fast or normal. Extremities are normal. His management should be:
A. 2L of IV crystalloid and 2 units of PRBCs
B. 2L of IV crystalloid and vasopressors if BP does not respond
C. 2L of IV crystalloid, mannitol, and IV steroids
D. Vasopressors and laparotomy
E. 1 unit of albumin and compression stockings - answer>>B. 2L of IV crystalloid and vasopressors if BP does not
respond
not hemorrhagic ---> if anything neurogenic
A 30 year old male presents with a stab wound to the abdomen. BP is 85/60, RR 25, GCS 14. Neck veins are flat,
and chest exam is clear with bilateral breath sounds. Optimal resuscitation should include:
A. Treatment of FFP and platelets
B. 500 mL of hypertonic saline and transfusion of PRBCs
C. Resuscitation with crystalloid and PRBCs until base excess is normal
D. Fluid resuscitation and angioembolization
E. Preparation for laparotomy while initiating fluid resuscitation - answer>>E. Preparation for laparotomy while
initiating fluid resuscitation
Initial resuscitation in an adult patient should:
A. Be with 1-2 L of crystalloid, monitoring the patient's response
, B. Use crystalloid to normalize BP
C. Use permissive hypotension in patients with head injury
D. Be with a non-blood colloid solution
E. Be a minimum of 2 L of crystalloid in all trauma patients prior to administering blood - answer>>A. Be with 1-2 L
of crystalloid, monitoring the patient's response
A 15 year old male presents following a motorcycle crash. Initial exam reveals normal vital signs. There is a large
bruise over his epigastrium that extends to the left flank. He has no other apparent injuries. A CT scan of the
abdomen demonstrates a ruptured spleen surrounded by a large hematoma and fluid in the pelvis. The next best
step in the patient's management is:
A. Splenic artery embolization
B. Pneumococcal vaccine
C. Urgent laporotomy
D. Surgical consultation
E. Transfer to a pediatrician - answer>>D. Surgical consultation
vs. peritonitis or abnormal vital signs --> urgent laporotomy
A 6 months old infant being held in her mother's arms, is ejected on impact from a vehicle that struck head on by
an oncoming car traveling at 64 km/h. The infinite arrives in the ER with multiple facial injuries, lethargic, and in
severe respiratory distress. Respiratory support is not effective using a bag mast device. Oxygen saturation is
swelling. Repeated attempts at or a tracheal intubation or unsuccessful. The most appropriate procedure to
perform next is: - answer>>Perform needle cricothyrotomy with jet in insufflations
28 year old male is brought to ER. He was involved in a fight in which she was beaten with a wooden stick. His
chest has multiple severe bruises. Airways clear, respiratory rate 22, heart rate is 126, and systemic blood pressure
is 90. Which of the following should be performed during the primary survey?
A. GCS
B. Cervical spine XR
C. TT administration
D. Blood alcohol level
E. Rectal exam - answer>>A. GCS
