ATLS PRETEST QUESTIONS WITH CORRECT ANSWERS 2025

ATLS PRETEST QUESTIONS WITH
CORRECT ANSWERS 2025/2026
AA22-year-
oldAmanAisAhypotensiveAandAtachycardicAafterAaAshotgunAwoundAtoAtheAleftAshoulder.AHisAbloo
dApressureAisAinitiallyA80/40AmmAHg.AAfterAinitialAfluidAresuscitationAhisAbloodApressureAincreas
esAtoA122/84AmmAHg.AHisAheartArateAisAnowA100AbeatsAperAminuteAandAhisArespiratoryArateAisA2
8AbreathsAperAminute.AAAtubeAthoracostomyAisAperformedAforAdecreasedAleftAchestAbreathAsou
ndsAwithAtheAreturnAofAaAsmallAamountAofAbloodAandAnoAairAleak.AAfterAchestAtubeAinsertion,At
heAmostAappropriateAnextAstepAis:A-AcorrectAanswersre-examineAtheAchest

AAconstructionAworkerAfallsAtwoAstoriesAfromAaAbuildingAandAsustainsAbilateralAcalcanealAfractu
res.AInAtheAemergencyAdepartment,AheAisAalert,AvitalAsignsAareAnormal,AandAheAisAcomplainingA
ofAsevereApainAinAbothAheelsAandAhisAlowerAback.ALowerAextremityApulsesAareAstrongAandAthere
AisAnoAotherAdeformity.ATheAsuspectedAdiagnosisAisAmostAlikelyAtoAbeAconfirmedAby:A-


AcorrectAanswerscompleteAspineAx-rayAseries



WhichAofAtheAfollowingAisAtrueAregardingAtheAinitialAresuscitationAofAaAtraumaApatient?A-
AcorrectAanswersEvidenceAofAimprovedAperfusionAafterAfluidAresuscitationAcouldAincludeAimpro


vementAinAGlasgowAComaAScaleAscoreAonAreevaluation.

InAmanagingAaApatientAwithAaAsevereAtraumaticAbrainAinjury,AtheAmostAimportantAinitialAstepAisA
to:A-AcorrectAanswerssecureAtheAairway

AApreviouslyAhealthy,A70-kgA(154-
pound)AmanAsuffersAanAestimatedAacuteAbloodAlossAofA2Aliters.AWhichAoneAofAtheAfollowingAsta
tementsAappliesAtoAthisApatient?A-
AcorrectAanswersAnAABGAwouldAdemonstrateAaAbaseAdeficitAbetweenA-6AandA-10AmEq/L.



TheAphysiologicalAhypervolemiaAofApregnancyAhasAclinicalAsignificanceAinAtheAmanagementAofA
theAseverelyAinjured,AgravidAwomanAby:A-
AcorrectAanswersincreasingAtheAvolumeAofAbloodAlossAtoAproduceAmaternalAhypotension



TheAbestAassessmentAofAfluidAresuscitationAofAtheAadultAburnApatientAis:A-
AcorrectAanswersurinaryAoutputAofA0.5AmL/kg/hr



TheAdiagnosisAofAshockAmustAinclude:A-
AcorrectAanswersevidenceAofAinadequateAorganAperfusion



AA7-year-
oldAboyAisAbroughtAtoAtheAemergencyAdepartmentAbyAhisAparentsAseveralAminutesAafterAheAfellA
throughAaAwindow.AHeAisAbleedingAprofuselyAfromAaA6-
cmAwoundAofAhisAmedialArightAthigh.AImmediateAmanagementAofAtheAwoundAshouldAconsistAof
:A-AcorrectAanswersdirectApressureAonAtheAwound

, ForAtheApatientAwithAsevereAtraumaticAbrainAinjury,AprofoundAhypocarbiaAshouldAbeAavoidedAt
oAprevent:A-AcorrectAanswerscerebralAvasoconstrictionAwithAdiminishedAperfusion

AfterAbeingAinvolvedAinAaAmotorAvehicleAcrash,AaA25-year-
oldAmanAisAbroughtAtoAaAhospitalAthatAhasAsurgeryAcapabilitiesAavailable..AComputedAtomograp
hyAofAtheAchestAandAabdomenAshowsAanAaorticAinjuryAandAsplenicAlacerationAwithAfreeAabdomi
nalAfluid.AHisAbloodApressureAfallsAtoA70AmmAHgAafterACT.ATheAnextAstepAis:A-
AcorrectAanswersperformAanAexploratoryAlaparotomy



WhichAoneAofAtheAfollowingAstatementsAregardingAabdominalAtraumaAinAtheApregnantApatientA
isATRUE?A-AcorrectAanswersLeakageAofAamnioticAfluidAisAanAindicationAforAhospitalAadmission.

TheAfirstAmaneuverAtoAimproveAoxygenationAafterAchestAinjuryAis:A-
AcorrectAanswersadministerAsupplementalAoxygen



AA25-year-
oldAman,AinjuredAinAaAmotorAvehicularAcrash,AisAadmittedAtoAtheAemergencyAdepartment.AHisAp
upilsAreactAsluggishlyAandAhisAeyesAopenAtoApressure.AHeAdoesAnotAfollowAcommands,AbutAheAd
oesAmoanAperiodically.AHisArightAarmAisAdeformedAandAdoesAnotArespondAtoApressure;Ahoweve
r,AhisAleftAhandAreachesApurposefullyAtowardAtheAstimulus.ABothAlegsAareAstifflyAextended.AHisA
GCSAscoreAis:A-AcorrectAanswers9

AA20-year-
oldAwomanAwhoAisAatA32AweeksAgestation,AisAstabbedAinAtheAupperArightAchest.AInAtheAemerge
ncyAdepartment,AherAbloodApressureAisA80/60AmmAHg.ASheAisAgaspingAforAbreath,AextremelyAa
nxious,AandAyellingAforAhelp.ABreathAsoundsAareAdiminishedAinAtheArightAchest.ATheAmostAappro
priateAfirstAstepAisAto:A-
AcorrectAanswersperformAneedleAorAfingerAdecompressionAofAtheArightAchest



WhichAoneAofAtheAfollowingAfindingsAinAanAadultAisAmostAlikelyAtoArequireAimmediateAmanage
mentAduringAtheAprimaryAsurvey?A-AcorrectAanswersrespiratoryArateAofA40AbreathsAperAminute

TheAmostAimportant,AimmediateAstepAinAtheAmanagementAofAanAopenApneumothoraxAis:A-
AcorrectAanswersplacementAofAanAocclusiveAdressingAoverAtheAwound



TheAfollowingAareAcontraindicationsAforAtetanusAtoxoidAadministration:A-
AcorrectAanswershistoryAofAneurologicalAreactionAorAsevereAhypersensitivityAtoAtheAproduct



AA56-year-
oldAmanAisAthrownAviolentlyAagainstAtheAsteeringAwheelAofAhisAtruckAduringAaAmotorAvehicleAcr
ash.AOnAarrivalAinAtheAemergencyAdepartmentAheAisAdiaphoreticAandAcomplainingAofAchestApai
n.AHisAbloodApressureAisA60/40AmmAHgAandAhisArespiratoryArateAisA40AbreathsAperAminute.AWhi
chAofAtheAfollowingAbestAdifferentiatesAcardiacAtamponadeAfromAtensionApneumothoraxAasAth
eAcauseAofAhisAhypotension?A-AcorrectAanswersbreathAsounds