POST TEST ATLS Exam (updated 2026)
Questions and Answers Latest Already
Graded A+ UPDATE 2026 ATLS POST
TEST 2026
Which of the following is the recommended Method for
treatment frostbite?
A. Vasodilators
B. Anticigulants
C. Warm (40 degrees) water
D. Padding and elevation
E. Application of heat from a hairdryer
C. Warm (40 degrees) water
Which of the following physical findings suggest a cause of
hypotension other than spinal cord injury?
A. Priapism
B. Bradycardia
C. Diaphragmatic breathing
D. Presence of deep tendon reflexes
E. Ability to flex forearms but not extend them
D. Presence of deep tendon reflexes. Spinal shock refers to loss
of muscle toe (flaccidty) and loss of reflexes.
The primary indication for transferring A patient to a higher
level trauma center is:
A. Unavailibility of surgeon or operating staff
B. Multiple system injuries, including severe head injury
C. Resource limitations as determined by the transferring
doctor
D. Resource limitations as determined by the hospital
administration
,E. Widened mediastinum on chest x-ray following blunt
trauma
C. Resource limitations as determined by the transferring doctor
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
A. Laparotomy because of hemodynamic abnormality
A 42-year-old man is trapped from the waist down beneath
his overturned tractor for several hours before medical
assistance arrives. He is awake and alert until just before
arriving in the ED. He is now unconscious and responds only
to painful stimuli by moaning. His pupils are 3mm in diameter
and symmetrically reactive to light. Prehospital personnel
indicate that they have not seen the patient move either of
his lower extremities. On examination in the ED, no
movement of his lower extremities are detected, even in
response to painful stimuli. The most likely cause for this
finding is:
A. An epidural hematoma
B. A pelvic fracture
C. Central cord syndrome
D. Intracerebral hemorrhage
E. Bilateral compartment syndrome
E. Bilateral compartment syndrome
A 6-year-o boy is struck by an automobile and brought to the
ED. He is lethargic, but withdraws purposefully from painful
,stimuli. His blood pressure is 90mmHg systolic, heart rate
140 beats per minute and his respiratory rate is 36 breaths
per minute. The preferred route of venous access in this
patient is:
A. Percutaneous femoral vein cannulation
B. Cutdown on the saphenous vein at the ankle
C. Intraosseous catheter placement in the proximal tibia
D. Percutaneous peripheral veins in the upper extremities
E. Central venous access via the subclavian or internal
jugular vein
D. Percutaneous peripheral veins in the upper extremities
A young man sustains a gunshot wound to the abdomen and
is brought promptly to the ED by prehospital personnel. His
skin is cool and diaphoretic, and he is confused. His pulse is
thready and his femoral pulse is only weakly palpable. The
definitive treatment in managing this patient is to:
A. Administer O-negative blood
B. Apply external warming devices
C. Control internal hemorrhage operatively
D. Apply a pneumatic antishock garment (PASG)
E. Infuse large volumes of intravenous crystalloid solutions.
C. Control internal hemorrhage operatively
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
D. The absolute volume of blood loss required to produce shock
is the same as in adults
, A 33-year-old man is struck by a car travelling at 56km/h
(35mph). He has obvious fractures of the left tibia near the
knee, pain in the pelvic area, and severe dyspnea. His heart
rate is 182 beats per minute, and his respiratory rate is 48
breaths per minute with no breath sounds heard in the left
chest. A tension pneumothorax is relieved by immediate
needle decompression and tube thoracostomy.
Subsequently, his heart rate decreases to 144 beats per
minute, his respirartory rate decreases to 36 breaths per
minute and his blood pressure is 81/53 mmHg. Warmed
Ringers lactate is adminstered intravenously. The next
priority should be to:
A. Perform external fixation of the pelvis
B. Obtain abdominal and pelvic CT-scans
C. Perform arterial embolization of the pelvic vessel
D. Perform diagnostic peritoneal lavage or FAST
E. Perform a urethrogram and cystogram
D. Perform diagnostic peritoneal lavage or FAST
A 42-year-old man, injured in a motor vehicle crash, suffers a
closed head injury, multiple palpable left rib fractures, and
bilateral femur fractures. He is intubated orotracheally
without difficulty. Initially, his ventilations are easily assisted
with a bag-mask device. It becomes more difficult to ventilate
the patient over the next 5 minutes, and his hemoglobin
oxygen saturation level decreases from 98% to 89%. The
most appropriate next step is to:
A. Obtain a chest x-ray
B. Decrease the tidal volume
C. Decrease PEEP
D. Increase the rate of assisted ventilations
E. Perform needle decompression of the left chest.
A. Obtain a chest x-ray
A 30-year-old man sustains a severely comminuted, open,
distal right femur fracture in a motorcycle crash. The wound
Questions and Answers Latest Already
Graded A+ UPDATE 2026 ATLS POST
TEST 2026
Which of the following is the recommended Method for
treatment frostbite?
A. Vasodilators
B. Anticigulants
C. Warm (40 degrees) water
D. Padding and elevation
E. Application of heat from a hairdryer
C. Warm (40 degrees) water
Which of the following physical findings suggest a cause of
hypotension other than spinal cord injury?
A. Priapism
B. Bradycardia
C. Diaphragmatic breathing
D. Presence of deep tendon reflexes
E. Ability to flex forearms but not extend them
D. Presence of deep tendon reflexes. Spinal shock refers to loss
of muscle toe (flaccidty) and loss of reflexes.
The primary indication for transferring A patient to a higher
level trauma center is:
A. Unavailibility of surgeon or operating staff
B. Multiple system injuries, including severe head injury
C. Resource limitations as determined by the transferring
doctor
D. Resource limitations as determined by the hospital
administration
,E. Widened mediastinum on chest x-ray following blunt
trauma
C. Resource limitations as determined by the transferring doctor
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
A. Laparotomy because of hemodynamic abnormality
A 42-year-old man is trapped from the waist down beneath
his overturned tractor for several hours before medical
assistance arrives. He is awake and alert until just before
arriving in the ED. He is now unconscious and responds only
to painful stimuli by moaning. His pupils are 3mm in diameter
and symmetrically reactive to light. Prehospital personnel
indicate that they have not seen the patient move either of
his lower extremities. On examination in the ED, no
movement of his lower extremities are detected, even in
response to painful stimuli. The most likely cause for this
finding is:
A. An epidural hematoma
B. A pelvic fracture
C. Central cord syndrome
D. Intracerebral hemorrhage
E. Bilateral compartment syndrome
E. Bilateral compartment syndrome
A 6-year-o boy is struck by an automobile and brought to the
ED. He is lethargic, but withdraws purposefully from painful
,stimuli. His blood pressure is 90mmHg systolic, heart rate
140 beats per minute and his respiratory rate is 36 breaths
per minute. The preferred route of venous access in this
patient is:
A. Percutaneous femoral vein cannulation
B. Cutdown on the saphenous vein at the ankle
C. Intraosseous catheter placement in the proximal tibia
D. Percutaneous peripheral veins in the upper extremities
E. Central venous access via the subclavian or internal
jugular vein
D. Percutaneous peripheral veins in the upper extremities
A young man sustains a gunshot wound to the abdomen and
is brought promptly to the ED by prehospital personnel. His
skin is cool and diaphoretic, and he is confused. His pulse is
thready and his femoral pulse is only weakly palpable. The
definitive treatment in managing this patient is to:
A. Administer O-negative blood
B. Apply external warming devices
C. Control internal hemorrhage operatively
D. Apply a pneumatic antishock garment (PASG)
E. Infuse large volumes of intravenous crystalloid solutions.
C. Control internal hemorrhage operatively
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
D. The absolute volume of blood loss required to produce shock
is the same as in adults
, A 33-year-old man is struck by a car travelling at 56km/h
(35mph). He has obvious fractures of the left tibia near the
knee, pain in the pelvic area, and severe dyspnea. His heart
rate is 182 beats per minute, and his respiratory rate is 48
breaths per minute with no breath sounds heard in the left
chest. A tension pneumothorax is relieved by immediate
needle decompression and tube thoracostomy.
Subsequently, his heart rate decreases to 144 beats per
minute, his respirartory rate decreases to 36 breaths per
minute and his blood pressure is 81/53 mmHg. Warmed
Ringers lactate is adminstered intravenously. The next
priority should be to:
A. Perform external fixation of the pelvis
B. Obtain abdominal and pelvic CT-scans
C. Perform arterial embolization of the pelvic vessel
D. Perform diagnostic peritoneal lavage or FAST
E. Perform a urethrogram and cystogram
D. Perform diagnostic peritoneal lavage or FAST
A 42-year-old man, injured in a motor vehicle crash, suffers a
closed head injury, multiple palpable left rib fractures, and
bilateral femur fractures. He is intubated orotracheally
without difficulty. Initially, his ventilations are easily assisted
with a bag-mask device. It becomes more difficult to ventilate
the patient over the next 5 minutes, and his hemoglobin
oxygen saturation level decreases from 98% to 89%. The
most appropriate next step is to:
A. Obtain a chest x-ray
B. Decrease the tidal volume
C. Decrease PEEP
D. Increase the rate of assisted ventilations
E. Perform needle decompression of the left chest.
A. Obtain a chest x-ray
A 30-year-old man sustains a severely comminuted, open,
distal right femur fracture in a motorcycle crash. The wound
