1l|lPl al gl e
ATLS POST- l
TEST EXAM|| ACTUAL EXAM ALL QUESTIONS AN l l l l l l
D 100% QUESTIONS AND 100% CORRECT ANSWE
l l l l l l
RS ALREADY GRADED A+|| LATEST AND COMPL
l l l l l l
ETE UPDATE 2024- l l
2025 WITH VERIFIED SOLUTIONS||ASSURED PAS
l l l l l
S!!!
A 22-year-
l
old man is hypotensive and tachycardic after a shotgun wound to the left shoulder. His bl
l l l l l l l l l l l l l l l
ood pressure is initially 80/40 mm Hg. After 2 liters of crystalloid solution his blood pre
l l l l l l l l l l l l l l l
ssure increases to 122/84 mm Hg. His heart rate is now 100 beats per minute and his resp
l l l l l l l l l l l l l l l l l
iratory rate is 28 breaths per minute. His breath sounds are decreased in the left hemithor
l l l l l l l l l l l l l l l
ax, and after initial IV fluid resuscitation, a closed tube thoracostomy is performed for d
l l l l l l l l l l l l l l
ecreased left breath sounds with the return of a small amount of blood and no air leak. Af
l l l l l l l l l l l l l l l l l
ter chest tube insertion, the most appropriate next step is:
l l l l l l l l l
a) reexamine the chest. l l
b) perform an aortogram. l l
c) obtain a CT scan of the chest. l l l l l l
d) obtain arterial blood gas analyses - ANSWER: a) reexamine the chest
l l l l l l l l l l
Which one of the following physical findings suggests a cause of hypotension other tha
l l l l l l l l l l l l l
n spinal cord injury?
l l l
a) priapism.
b) bradycardia.
c) diaphragmatic breathing. l
d) presence of deep tendon reflexes. - l l l l l
ANSWER: d) presence of deep tendon reflexes.
l l l l l l l
,2l|lPl al gl e
A construction worker falls two stories from a building and sustains bilateral calcaneal
l l l l l l l l l l l l l
fractures. In the emergency department, he is alert, vital signs are normal, and he is com
l l l l l l l l l l l l l l l
plaining of severe pain in both heels and his lower back. Lower extremity pulses are str
l l l l l l l l l l l l l l l
ong and there is no other deformity. The suspected diagnosis is most likely to be confir
l l l l l l l l l l l l l l l
med by: l
a) compartment pressures l
b) retrograde urethrogram l
c) Doppler-ultrasound studies l
d) complete spine x-ray series - ANSWER: d) complete spine x-ray series
l l l l l l l l l l
In managing the head-injured patient, the most important initial step is to:
l l l l l l l l l l l
a) obtain c-spine film. l l
b) secure the airway. l l
c) support the circulation. l l
d) control scalp hemorrhage. - ANSWER: b) secure the airway.
l l l l l l l l
A previously healthy, 70-kg (154-
l l l l
pound) man suffers an estimated acute blood loss of 2 liters. Which one of the following
l l l l l l l l l l l l l l l l
statements applies to this patient? l l l l
a) His pulse pressure will be widened.
l l l l l
b) His urinary output will be at the lower limits of normal.
l l l l l l l l l l
c) He will have tachycardia, but no change in his systolic blood pressure.
l l l l l l l l l l l
d) His systolic blood pressure will be decreased with a narrowed pulse pressur
l l l l l l l l l l l
e. - l
ANSWER: d) His systolic blood pressure will be decreased with a narrowed puls
l l l l l l l l l l l l l
e pressure.
l
,3l|lPl al gl e
The physiologic hypervolemia of pregnancy has clinical significance in the management of
l l l l l l l l l l l
the severely injured, gravid woman by:
l l l l l l
a) reducing the need for blood transfusion. l l l l l
b) increasing the risk of pulmonary edema. l l l l l
c) increasing the volume of blood loss to produce maternal hypotension.
l l l l l l l l l
d) complicating the mangement of closed head injury. - l l l l l l l
ANSWER: c) increasing the volume of blood loss to produce maternal hypot
l l l l l l l l l l l l
ension.
The best assessment of fluid resuscitation of the burn patient is:
l l l l l l l l l l
a) adequate urinary output. l l
b) reversal of systemic acidosis. l l l
c) normalization of the heart rate. l l l l
d) a normal central venous pressure. - ANSWER: a) adequate urinary output.
l l l l l l l l l l
The diagnosis of shock must include:
l l l l l
a) increased vascular resistance. l l
b) evidence of inadequate organ perfusion. l l l l
c) acidosis.
d) hypoxemia. - ANSWER: b) evidence of inadequate organ perfusion. l l l l l l l l
A 7-year-
l
old boy is brought to the emergency department by his parents several minutes after he f
l l l l l l l l l l l l l l l
ell through a window. He is bleeding profusely from a 6-
l l l l l l l l l l
cm wound of his medial right thigh. Immediate management of the wound should cons
l l l l l l l l l l l l l
ist of: l
, 4l|lPl al gl e
a) application of a tourniquet. l l l
b) direct pressure on the wound.
l l l l
c) packing the wound with gauze. l l l l
d) direct pressure on the femoral artery at the groin. -
l l l l l l l l l
ANSWER: b) direct pressure on the wound.
l l l l l l l
For the patient with severe traumatic brain injury, profound hypocarbia should be avoided t
l l l l l l l l l l l l l
o prevent:
l
a) respiratoryacidosis. l
b) metabolic acidosis. l
c) cerebral vasoconstriction with diminished perfusion.
l l l l
d) neurogenic pulmonary edema. - l l l
ANSWER: c) cerebral vasoconstriction with diminished perfusion.
l l l l l l l
A 25-year- l
old man is brought to a hospital with a general surgeon after being involved in a motor ve
l l l l l l l l l l l l l l l l l
hicle crash. Computed tomography shows an aortic injury and splenic laceration with fr
l l l l l l l l l l l l
ee abdominal fluid. His blood pressure falls to 70 mm Hg after CT. The next step is:
l l l l l l l l l l l l l l l l
a) contrast angiography. l
b) transfer to a higher level trauma center.
l l l l l l
c) exploratory laparotomy. l
d) infuse additional crystalloids. - ANSWER: c) exploratory laparotomy.
l l l l l l l
Which one of the following statements regarding abdominal trauma in the pregnant patient i
l l l l l l l l l l l l l
s TRUE?
l
ATLS POST- l
TEST EXAM|| ACTUAL EXAM ALL QUESTIONS AN l l l l l l
D 100% QUESTIONS AND 100% CORRECT ANSWE
l l l l l l
RS ALREADY GRADED A+|| LATEST AND COMPL
l l l l l l
ETE UPDATE 2024- l l
2025 WITH VERIFIED SOLUTIONS||ASSURED PAS
l l l l l
S!!!
A 22-year-
l
old man is hypotensive and tachycardic after a shotgun wound to the left shoulder. His bl
l l l l l l l l l l l l l l l
ood pressure is initially 80/40 mm Hg. After 2 liters of crystalloid solution his blood pre
l l l l l l l l l l l l l l l
ssure increases to 122/84 mm Hg. His heart rate is now 100 beats per minute and his resp
l l l l l l l l l l l l l l l l l
iratory rate is 28 breaths per minute. His breath sounds are decreased in the left hemithor
l l l l l l l l l l l l l l l
ax, and after initial IV fluid resuscitation, a closed tube thoracostomy is performed for d
l l l l l l l l l l l l l l
ecreased left breath sounds with the return of a small amount of blood and no air leak. Af
l l l l l l l l l l l l l l l l l
ter chest tube insertion, the most appropriate next step is:
l l l l l l l l l
a) reexamine the chest. l l
b) perform an aortogram. l l
c) obtain a CT scan of the chest. l l l l l l
d) obtain arterial blood gas analyses - ANSWER: a) reexamine the chest
l l l l l l l l l l
Which one of the following physical findings suggests a cause of hypotension other tha
l l l l l l l l l l l l l
n spinal cord injury?
l l l
a) priapism.
b) bradycardia.
c) diaphragmatic breathing. l
d) presence of deep tendon reflexes. - l l l l l
ANSWER: d) presence of deep tendon reflexes.
l l l l l l l
,2l|lPl al gl e
A construction worker falls two stories from a building and sustains bilateral calcaneal
l l l l l l l l l l l l l
fractures. In the emergency department, he is alert, vital signs are normal, and he is com
l l l l l l l l l l l l l l l
plaining of severe pain in both heels and his lower back. Lower extremity pulses are str
l l l l l l l l l l l l l l l
ong and there is no other deformity. The suspected diagnosis is most likely to be confir
l l l l l l l l l l l l l l l
med by: l
a) compartment pressures l
b) retrograde urethrogram l
c) Doppler-ultrasound studies l
d) complete spine x-ray series - ANSWER: d) complete spine x-ray series
l l l l l l l l l l
In managing the head-injured patient, the most important initial step is to:
l l l l l l l l l l l
a) obtain c-spine film. l l
b) secure the airway. l l
c) support the circulation. l l
d) control scalp hemorrhage. - ANSWER: b) secure the airway.
l l l l l l l l
A previously healthy, 70-kg (154-
l l l l
pound) man suffers an estimated acute blood loss of 2 liters. Which one of the following
l l l l l l l l l l l l l l l l
statements applies to this patient? l l l l
a) His pulse pressure will be widened.
l l l l l
b) His urinary output will be at the lower limits of normal.
l l l l l l l l l l
c) He will have tachycardia, but no change in his systolic blood pressure.
l l l l l l l l l l l
d) His systolic blood pressure will be decreased with a narrowed pulse pressur
l l l l l l l l l l l
e. - l
ANSWER: d) His systolic blood pressure will be decreased with a narrowed puls
l l l l l l l l l l l l l
e pressure.
l
,3l|lPl al gl e
The physiologic hypervolemia of pregnancy has clinical significance in the management of
l l l l l l l l l l l
the severely injured, gravid woman by:
l l l l l l
a) reducing the need for blood transfusion. l l l l l
b) increasing the risk of pulmonary edema. l l l l l
c) increasing the volume of blood loss to produce maternal hypotension.
l l l l l l l l l
d) complicating the mangement of closed head injury. - l l l l l l l
ANSWER: c) increasing the volume of blood loss to produce maternal hypot
l l l l l l l l l l l l
ension.
The best assessment of fluid resuscitation of the burn patient is:
l l l l l l l l l l
a) adequate urinary output. l l
b) reversal of systemic acidosis. l l l
c) normalization of the heart rate. l l l l
d) a normal central venous pressure. - ANSWER: a) adequate urinary output.
l l l l l l l l l l
The diagnosis of shock must include:
l l l l l
a) increased vascular resistance. l l
b) evidence of inadequate organ perfusion. l l l l
c) acidosis.
d) hypoxemia. - ANSWER: b) evidence of inadequate organ perfusion. l l l l l l l l
A 7-year-
l
old boy is brought to the emergency department by his parents several minutes after he f
l l l l l l l l l l l l l l l
ell through a window. He is bleeding profusely from a 6-
l l l l l l l l l l
cm wound of his medial right thigh. Immediate management of the wound should cons
l l l l l l l l l l l l l
ist of: l
, 4l|lPl al gl e
a) application of a tourniquet. l l l
b) direct pressure on the wound.
l l l l
c) packing the wound with gauze. l l l l
d) direct pressure on the femoral artery at the groin. -
l l l l l l l l l
ANSWER: b) direct pressure on the wound.
l l l l l l l
For the patient with severe traumatic brain injury, profound hypocarbia should be avoided t
l l l l l l l l l l l l l
o prevent:
l
a) respiratoryacidosis. l
b) metabolic acidosis. l
c) cerebral vasoconstriction with diminished perfusion.
l l l l
d) neurogenic pulmonary edema. - l l l
ANSWER: c) cerebral vasoconstriction with diminished perfusion.
l l l l l l l
A 25-year- l
old man is brought to a hospital with a general surgeon after being involved in a motor ve
l l l l l l l l l l l l l l l l l
hicle crash. Computed tomography shows an aortic injury and splenic laceration with fr
l l l l l l l l l l l l
ee abdominal fluid. His blood pressure falls to 70 mm Hg after CT. The next step is:
l l l l l l l l l l l l l l l l
a) contrast angiography. l
b) transfer to a higher level trauma center.
l l l l l l
c) exploratory laparotomy. l
d) infuse additional crystalloids. - ANSWER: c) exploratory laparotomy.
l l l l l l l
Which one of the following statements regarding abdominal trauma in the pregnant patient i
l l l l l l l l l l l l l
s TRUE?
l
