ATLS Post Actual Exam NEWEST VERSION 2025 Actual Exam with Verified
Questions and Correct Answers.
Study online at https://quizlet.com/_hfyu6o
1. Twenty seven people are severely injured in an aircraft crash at a local
airport. The principles of triage include:
A. establish a triage site within the internal perimeter of the crash site
B. treat only the most severely injured patients first
C. immediately transport all patients to the nearest hospital
D. treat the greatest number of patients in the shortest period of time
E. produce the greatest number of survivors based on available resources: E.
Produce the greatest number of survivors based on available resources
2. Which of the following statements are correct?
A. Cerebral contusions may coalesce to form an intracerebral hematoma
B. Epidural hematomas are usually seen in the frontal region
C. Subdural hematomas are caused by injury to the middle meningeal artery
D. Subdural hematomas typically have a lenticular shape on CT
E. The associated brain damage is more severe in epidural hematomas: A.
Cerebral contusions may coalesce to form an intracerebral hematoma
EM: Epidural, middle meningeal
SuB: Subdural, Bridging veins
3. An 18 year old male is brought to the ED after being shot. He has one bullet
wound just below the right clavicle and another just below the costal margin
in the right posterior axillary line. His blood pressure is 110/60, heart rate of
90, and respiratory rate of 34. After ensuring a patent airway and inserting 2
large caliber IV lines, the next most appropriate step is to:
A. Obtain a portable chest x-ray
B. Administer a bolus of additional IV fluid
C. Perform a laparatomy
D. Obtain an abdominal CT scan
E. Perform diagnostic peritoneal lavage: A. Obtain a portable chest x-ray
need more info on chest, not abdomen
4. Which of the following should be performed FIRST in any patient whose
injuries may include multiple closed extremity fractures?
A. A thorough assessment of four limb perfusion
, ATLS Post Actual Exam NEWEST VERSION 2025 Actual Exam with Verified
Questions and Correct Answers.
Study online at https://quizlet.com/_hfyu6o
B. Manuevers to prevent necrosis of the skin
C. Extremity compartment syndrome release
D. Ensuring adequate oxygenation and ventilation
E. Evaluation for occult crush syndrome: D. Ensuring adequate oxygenation and ventilation
(ABC's)
5. A 22 year old male sustains a shotgun wound to the shoulder and chest at
close range. His BP is 80/40 and HR 130. After 2 L of crystalloid solution are
rapidly infused, his BP increases to 122/84 and HR decreases to 100. He is
tachypneic with RR of 28. On PE, his breath sounds are decreased at the left
upper chest with dullness on percussion. A large caliber tube thoracostomy
is inserted into the fifth intercostal space with the return of 200 mL of blood
and no air leak. The most appropriate next step is:
A. Insert a foley catheter
B. Begin to transfuse O negative blood
C. Perform thoracotomy
D. Obtain a CT Chest/Abd
E. Repeat the physical exam of the chest: E. Repeat the physical exam of the chest
decreased breath sounds w/dullness -> hemothorax, need tube to drain
vs.
decreased/absent breath sounds w/hyperresonance -> tension pneumonia, need needle decompression followed
by tube
6. Which one of the following statements concerning spine and spinal cord
trauma is TRUE?
A. A normal lateral C spine film excludes injury
B. A vertebral injury is unlikely in the absence of physical findings of a cord
injury
C. A patient with a suspected spine injury requires immobilization on a short
spine
D. Diaphragmatic breathing in an unconscious patient who has fallen is a sign
of spine injury
, ATLS Post Actual Exam NEWEST VERSION 2025 Actual Exam with Verified
Questions and Correct Answers.
Study online at https://quizlet.com/_hfyu6o
E. Determination of whether a spinal cord lesion is complete or incomplete
must be made in the primary survey: B. A vertebral injury is unlikely in the absence of physical
findings of a cord injury
7. A 17 year old female is brought to the ED following a 6 feet fall onto concrete.
She is unresponsive and found to have a RR of 32, BP of 90/60, and HR of 68.
The FIRST step in treatment is:
A. Administering vasopressors
B. Establishing IV access for drug-assisted intubation
C. Seeking the cause of her decreased level of consciousness
D. Applying oxygen and maintaining airway
E. Excluding hemorrhage as a cause of shock: D. Applying oxygen and maintaining airway
First = ABCs
8. Signs and symptoms of airway compromise include all of the following
except:
A. Change in voice
B. Stridor
C. Tachypea
D. Dyspnea and agitation
E. Decreased pulse pressure: E. Decreased pulse pressure
9. A 47 year old house painter is brought to the hospital after falling 20 feet
from a ladder and landing straddled on a fence. Examination of his perineum
reveals extensive ecchymosis. There is blood in the external urethral meatus.
The initial diagnostic study for the evaluation of the urinary tract should be:
A. cystoscopy
B. cystography
C. intravenous pyelography
D. CT scan
E. retrograde urethrography: E. retrograde urethrography
-> any ecchymosis, needs to be done before catheter!
10. A 30 year old male presents after a MVC. Vitals are RR 18, HR 88, BP 130/72,
GCS 13. Laparatomy is indicated when:
Questions and Correct Answers.
Study online at https://quizlet.com/_hfyu6o
1. Twenty seven people are severely injured in an aircraft crash at a local
airport. The principles of triage include:
A. establish a triage site within the internal perimeter of the crash site
B. treat only the most severely injured patients first
C. immediately transport all patients to the nearest hospital
D. treat the greatest number of patients in the shortest period of time
E. produce the greatest number of survivors based on available resources: E.
Produce the greatest number of survivors based on available resources
2. Which of the following statements are correct?
A. Cerebral contusions may coalesce to form an intracerebral hematoma
B. Epidural hematomas are usually seen in the frontal region
C. Subdural hematomas are caused by injury to the middle meningeal artery
D. Subdural hematomas typically have a lenticular shape on CT
E. The associated brain damage is more severe in epidural hematomas: A.
Cerebral contusions may coalesce to form an intracerebral hematoma
EM: Epidural, middle meningeal
SuB: Subdural, Bridging veins
3. An 18 year old male is brought to the ED after being shot. He has one bullet
wound just below the right clavicle and another just below the costal margin
in the right posterior axillary line. His blood pressure is 110/60, heart rate of
90, and respiratory rate of 34. After ensuring a patent airway and inserting 2
large caliber IV lines, the next most appropriate step is to:
A. Obtain a portable chest x-ray
B. Administer a bolus of additional IV fluid
C. Perform a laparatomy
D. Obtain an abdominal CT scan
E. Perform diagnostic peritoneal lavage: A. Obtain a portable chest x-ray
need more info on chest, not abdomen
4. Which of the following should be performed FIRST in any patient whose
injuries may include multiple closed extremity fractures?
A. A thorough assessment of four limb perfusion
, ATLS Post Actual Exam NEWEST VERSION 2025 Actual Exam with Verified
Questions and Correct Answers.
Study online at https://quizlet.com/_hfyu6o
B. Manuevers to prevent necrosis of the skin
C. Extremity compartment syndrome release
D. Ensuring adequate oxygenation and ventilation
E. Evaluation for occult crush syndrome: D. Ensuring adequate oxygenation and ventilation
(ABC's)
5. A 22 year old male sustains a shotgun wound to the shoulder and chest at
close range. His BP is 80/40 and HR 130. After 2 L of crystalloid solution are
rapidly infused, his BP increases to 122/84 and HR decreases to 100. He is
tachypneic with RR of 28. On PE, his breath sounds are decreased at the left
upper chest with dullness on percussion. A large caliber tube thoracostomy
is inserted into the fifth intercostal space with the return of 200 mL of blood
and no air leak. The most appropriate next step is:
A. Insert a foley catheter
B. Begin to transfuse O negative blood
C. Perform thoracotomy
D. Obtain a CT Chest/Abd
E. Repeat the physical exam of the chest: E. Repeat the physical exam of the chest
decreased breath sounds w/dullness -> hemothorax, need tube to drain
vs.
decreased/absent breath sounds w/hyperresonance -> tension pneumonia, need needle decompression followed
by tube
6. Which one of the following statements concerning spine and spinal cord
trauma is TRUE?
A. A normal lateral C spine film excludes injury
B. A vertebral injury is unlikely in the absence of physical findings of a cord
injury
C. A patient with a suspected spine injury requires immobilization on a short
spine
D. Diaphragmatic breathing in an unconscious patient who has fallen is a sign
of spine injury
, ATLS Post Actual Exam NEWEST VERSION 2025 Actual Exam with Verified
Questions and Correct Answers.
Study online at https://quizlet.com/_hfyu6o
E. Determination of whether a spinal cord lesion is complete or incomplete
must be made in the primary survey: B. A vertebral injury is unlikely in the absence of physical
findings of a cord injury
7. A 17 year old female is brought to the ED following a 6 feet fall onto concrete.
She is unresponsive and found to have a RR of 32, BP of 90/60, and HR of 68.
The FIRST step in treatment is:
A. Administering vasopressors
B. Establishing IV access for drug-assisted intubation
C. Seeking the cause of her decreased level of consciousness
D. Applying oxygen and maintaining airway
E. Excluding hemorrhage as a cause of shock: D. Applying oxygen and maintaining airway
First = ABCs
8. Signs and symptoms of airway compromise include all of the following
except:
A. Change in voice
B. Stridor
C. Tachypea
D. Dyspnea and agitation
E. Decreased pulse pressure: E. Decreased pulse pressure
9. A 47 year old house painter is brought to the hospital after falling 20 feet
from a ladder and landing straddled on a fence. Examination of his perineum
reveals extensive ecchymosis. There is blood in the external urethral meatus.
The initial diagnostic study for the evaluation of the urinary tract should be:
A. cystoscopy
B. cystography
C. intravenous pyelography
D. CT scan
E. retrograde urethrography: E. retrograde urethrography
-> any ecchymosis, needs to be done before catheter!
10. A 30 year old male presents after a MVC. Vitals are RR 18, HR 88, BP 130/72,
GCS 13. Laparatomy is indicated when:
