ATLS PRACTICE TEST 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
,BronchialAintubationAofAtheArightAorAleftAmainstemAbronchusAcanAeasilyAoccurAduringAinfantAen
dotrachealAintubationAbecause:A-AcorrectAanswersTheAtracheaAisArelativelyAshort.
AA23-year-
oldAmanAsustainsA4AstabAwoundsAtoAtheAupperArightAchestAduringAanAaltercationAandAisAbrough
tAbyAambulanceAtoAaAhospitalAthatAhasAfullAsurgicalAcapabilities.AHisAwoundsAareAallAaboveAtheA
nipple.AHeAisAendotracheallyAintubated,AclosedAtubeAthoracostomyAisAperformed,AfluidAresusci
tationAisAinitiatedAthroughA2Alarge-
caliberAIVs.AFASTAexamAdoesAnotArevealAintraabdominalAinjuries.AHisAbloodApressureAnowAisA60
/0AmmAHg,AheartArateAisA160AbeatsAperAminute,AandArespiratoryArateAisA14AbreathsAperAminuteA
(ventilatedAwithA100%AO2).A1500AmLAofAbloodAhasAdrainedAfromAtheArightAchest.ATheAmostAap
propriateAnextAstepAinAmanagingAthisApatientAisAto:A-
AcorrectAanswersurgentlyAtransferAtheApatientAtoAtheAoperatingAroom
AA39-year-
oldAmanAisAadmittedAtoAtheAemergencyAdepartmentAafterAanAautomobileAcollision.AHeAisAcyano
tic,AhasAinsufficientArespiratoryAeffort,AandAhasAaAGCSAscoreAofA6.AHisAfullAbeardAmakesAitAdifficu
ltAtoAfitAtheAoxygenAfacemaskAtoAhisAface.ATheAmostAappropriateAnextAstepAisAto:A-
AcorrectAanswersrestrictAcervicalAmotionAandAattemptAorotrachealAintubationAusingA2Apeople
AApatientAisAbroughtAtoAtheAemergencyAdepartmentAafterAaAmotorAvehicleAcrash.AHeAisAconscio
usAandAthereAisAnoAobviousAexternalAtrauma.AHeAarrivesAatAtheAhospitalAcompletelyAimmobilize
dAonAaAlongAspineAboard.AHisAbloodApressureAisA60/40AmmAHgAandAhisAheartArateAisA70AbeatsApe
rAminute.AHisAskinAisAwarm.AWhichAoneAofAtheAfollowingAstatementsAisATRUE?A-
AcorrectAanswersFlaccidityAofAtheAlowerAextremitiesAandAlossAofAdeepAtendonAreflexesAareAexp
ected.
WhichAoneAofAtheAfollowingAisAtheAmostAeffectiveAmethodAforAinitiallyAtreatingAfrostbite?A-
AcorrectAanswersmoistAheat
AA32-year-
oldAman'sArightAlegAisAtrappedAbeneathAhisAoverturnedAcarAforAnearlyA2AhoursAbeforeAheAisAextr
icated.AOnAarrivalAinAtheAemergencyAdepartment,AhisArightAlowerAextremityAisAcool,Amottled,Ain
sensate,AandAmotionless.ADespiteAnormalAvitalAsigns,ApulsesAcannotAbeApalpatedAbelowAtheArig
htAfemoralAarteryAandAtheAmusclesAofAtheAlowerAextremityAareAfirmAandAhard.ADuringAtheAman
agementAofAthisApatient,AwhichAofAtheAfollowingAisAmostAlikelyAtoAimproveAtheAchancesAforAlim
bAsalvage?A-AcorrectAanswerssurgicalAconsultationAforArightAlowerAextremityAfasciotomy
AApatientAarrivesAinAtheAemergencyAdepartmentAafterAbeingAbeatenAaboutAtheAheadAandAfaceA
withAaAwoodenAclub.AHeAisAcomatoseAandAhasAaApalpableAdepressedAskullAfracture.AHisAfaceAisA
swollenAandAecchymotic.AHeAhasAgurglingArespirationsAandAvomitusAonAhisAfaceAandAclothing.A
TheAmostAappropriateAstepAafterAprovidingAsupplementalAoxygenAandAelevatingAhisAjawAisAto:A-
AcorrectAanswerssuctionAtheAoropharynx
, AA22-year-
oldAmanAsustainsAaAgunshotAwoundAtoAtheAleftAchestAandAisAtransportedAtoAaAsmallAcommunity
AhospitalAnoAsurgicalAcapabilitiesAareAavailable.AInAtheAemergencyAdepartment,AaAchestAtubeAisA
insertedAandA700AmLAofAbloodAisAevacuated.ATheAtraumaAcenterAacceptsAtheApatientAinAtransfe
r.AJustAbeforeAtheApatientAisAplacedAinAtheAambulanceAforAtransfer,AhisAbloodApressureAdecreas
esAtoA80/68AmmAHgAandAhisAheartArateAincreasesAtoA136AbeatsAperAminute.ATheAnextAstepAshou
ldAbeAto:A-AcorrectAanswersrepeatAtheAprimaryAsurveyAandAproceedAwithAtransfer
AA64-year-oldAmanAinvolvedAinAaAhigh-
speedAcarAcrash,AisAresuscitatedAinitiallyAinAaAsmallAhospitalAwithoutAsurgicalAcapabilities.AHeAh
asAaAclosedAheadAinjuryAwithAaAGCSAscoreAofA13.AHeAhasAaAwidenedAmediastinumAonAchestAx-
rayAwithAfracturesAofAleftAribsA2AthroughA4,AbutAnoApneumothorax.AAfterAinitiatingAfluidAresusci
tation,AhisAbloodApressureAisA110/74AmmAHg,AheartArateAisA100AbeatsAperAminute,AandArespirat
oryArateAisA18AbreathsAperAminute.AHeAhasAgrossAhematuriaAandAaApelvicAfracture.AYouAdecideAt
oAtransferAthisApatientAtoAaAfacilityAcapableAofAprovidingAaAhigherAlevelAofAcare.ATheAfacilityAisA1
28AkmA(80Amiles)Aaway.ABeforeAtransfer,AyouAshouldAfirst:A-
AcorrectAanswerscallAtheAreceivingAhospitalAandAspeakAtoAtheAsurgeonAonAcall
HemorrhageAofA20%AofAtheApatient'sAbloodAvolumeAisAassociatedAusuallyAwith:A-
AcorrectAanswerstachycardia
WhichAoneAofAtheAfollowingAstatementsAconcerningAintraosseousAinfusionAisATRUE?A-
AcorrectAanswersAspirationAofAboneAmarrowAconfirmsAappropriateApositioningAofAtheAneedle.
AAyoungAwomanAsustainsAaAsevereAheadAinjuryAasAtheAresultAofAaAmotorAvehicleAcrash.AInAtheAe
mergencyAdepartment,AherAGCSAisA6.AHerAbloodApressureAisA140/90AmmAHgAandAherAheartArate
AisA80AbeatsAperAminute.ASheAisAintubatedAandAmechanicallyAventilated.AHerApupilsAareA3AmmAi
nAsizeAandAequallyAreactiveAtoAlight.AThereAisAnoAotherAapparentAinjury.ATheAmostAimportantApr
incipleAtoAfollowAinAtheAearlyAmanagementAofAherAheadAinjuryAisAto:A-
AcorrectAanswersavoidAhypotension
AA33-year-oldAwomanAisAinvolvedAinAaAhead-
onAmotorAvehicleAcrash.AItAtookA30AminutesAtoAextricateAherAfromAtheAcar.AUponAarrivalAinAtheA
emergencyAdepartment,AherAheartArateAisA120AbeatsAperAminute,ABPAisA90/70AmmAHg,Arespirat
oryArateAisA16AbreathsAperAminute,AandAherAGCSAscoreAisA15.AExaminationArevealsAbilaterallyAeq
ualAbreathAsounds,AanteriorAchestAwallAecchymosis,AandAdistendedAneckAveins.AHerAabdomenAi
sAflat,Asoft,AandAnotAtender.AHerApelvisAisAstable.APalpableAdistalApulsesAareAfoundAinAallA4Aextre
mities.AOfAtheAfollowing,AtheAmostAlikelyAdiagnosisAis:A-AcorrectAanswerscardiacAtamponade
AAhemodynamicallyAnormalA10-year-
oldAgirlAisAhospitalizedAforAobservationAafterAaAGradeAIIIA(moderatelyAsevere)AsplenicAinjuryAhas
AbeenAconfirmedAbyAcomputedAtomographyA(CT).AWhichAofAtheAfollowingAmandatesApromptAc
eliotomyA(laparotomy)?A-AcorrectAanswersdevelopmentAofAperitonitisAonAphysicalAexam
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
,BronchialAintubationAofAtheArightAorAleftAmainstemAbronchusAcanAeasilyAoccurAduringAinfantAen
dotrachealAintubationAbecause:A-AcorrectAanswersTheAtracheaAisArelativelyAshort.
AA23-year-
oldAmanAsustainsA4AstabAwoundsAtoAtheAupperArightAchestAduringAanAaltercationAandAisAbrough
tAbyAambulanceAtoAaAhospitalAthatAhasAfullAsurgicalAcapabilities.AHisAwoundsAareAallAaboveAtheA
nipple.AHeAisAendotracheallyAintubated,AclosedAtubeAthoracostomyAisAperformed,AfluidAresusci
tationAisAinitiatedAthroughA2Alarge-
caliberAIVs.AFASTAexamAdoesAnotArevealAintraabdominalAinjuries.AHisAbloodApressureAnowAisA60
/0AmmAHg,AheartArateAisA160AbeatsAperAminute,AandArespiratoryArateAisA14AbreathsAperAminuteA
(ventilatedAwithA100%AO2).A1500AmLAofAbloodAhasAdrainedAfromAtheArightAchest.ATheAmostAap
propriateAnextAstepAinAmanagingAthisApatientAisAto:A-
AcorrectAanswersurgentlyAtransferAtheApatientAtoAtheAoperatingAroom
AA39-year-
oldAmanAisAadmittedAtoAtheAemergencyAdepartmentAafterAanAautomobileAcollision.AHeAisAcyano
tic,AhasAinsufficientArespiratoryAeffort,AandAhasAaAGCSAscoreAofA6.AHisAfullAbeardAmakesAitAdifficu
ltAtoAfitAtheAoxygenAfacemaskAtoAhisAface.ATheAmostAappropriateAnextAstepAisAto:A-
AcorrectAanswersrestrictAcervicalAmotionAandAattemptAorotrachealAintubationAusingA2Apeople
AApatientAisAbroughtAtoAtheAemergencyAdepartmentAafterAaAmotorAvehicleAcrash.AHeAisAconscio
usAandAthereAisAnoAobviousAexternalAtrauma.AHeAarrivesAatAtheAhospitalAcompletelyAimmobilize
dAonAaAlongAspineAboard.AHisAbloodApressureAisA60/40AmmAHgAandAhisAheartArateAisA70AbeatsApe
rAminute.AHisAskinAisAwarm.AWhichAoneAofAtheAfollowingAstatementsAisATRUE?A-
AcorrectAanswersFlaccidityAofAtheAlowerAextremitiesAandAlossAofAdeepAtendonAreflexesAareAexp
ected.
WhichAoneAofAtheAfollowingAisAtheAmostAeffectiveAmethodAforAinitiallyAtreatingAfrostbite?A-
AcorrectAanswersmoistAheat
AA32-year-
oldAman'sArightAlegAisAtrappedAbeneathAhisAoverturnedAcarAforAnearlyA2AhoursAbeforeAheAisAextr
icated.AOnAarrivalAinAtheAemergencyAdepartment,AhisArightAlowerAextremityAisAcool,Amottled,Ain
sensate,AandAmotionless.ADespiteAnormalAvitalAsigns,ApulsesAcannotAbeApalpatedAbelowAtheArig
htAfemoralAarteryAandAtheAmusclesAofAtheAlowerAextremityAareAfirmAandAhard.ADuringAtheAman
agementAofAthisApatient,AwhichAofAtheAfollowingAisAmostAlikelyAtoAimproveAtheAchancesAforAlim
bAsalvage?A-AcorrectAanswerssurgicalAconsultationAforArightAlowerAextremityAfasciotomy
AApatientAarrivesAinAtheAemergencyAdepartmentAafterAbeingAbeatenAaboutAtheAheadAandAfaceA
withAaAwoodenAclub.AHeAisAcomatoseAandAhasAaApalpableAdepressedAskullAfracture.AHisAfaceAisA
swollenAandAecchymotic.AHeAhasAgurglingArespirationsAandAvomitusAonAhisAfaceAandAclothing.A
TheAmostAappropriateAstepAafterAprovidingAsupplementalAoxygenAandAelevatingAhisAjawAisAto:A-
AcorrectAanswerssuctionAtheAoropharynx
, AA22-year-
oldAmanAsustainsAaAgunshotAwoundAtoAtheAleftAchestAandAisAtransportedAtoAaAsmallAcommunity
AhospitalAnoAsurgicalAcapabilitiesAareAavailable.AInAtheAemergencyAdepartment,AaAchestAtubeAisA
insertedAandA700AmLAofAbloodAisAevacuated.ATheAtraumaAcenterAacceptsAtheApatientAinAtransfe
r.AJustAbeforeAtheApatientAisAplacedAinAtheAambulanceAforAtransfer,AhisAbloodApressureAdecreas
esAtoA80/68AmmAHgAandAhisAheartArateAincreasesAtoA136AbeatsAperAminute.ATheAnextAstepAshou
ldAbeAto:A-AcorrectAanswersrepeatAtheAprimaryAsurveyAandAproceedAwithAtransfer
AA64-year-oldAmanAinvolvedAinAaAhigh-
speedAcarAcrash,AisAresuscitatedAinitiallyAinAaAsmallAhospitalAwithoutAsurgicalAcapabilities.AHeAh
asAaAclosedAheadAinjuryAwithAaAGCSAscoreAofA13.AHeAhasAaAwidenedAmediastinumAonAchestAx-
rayAwithAfracturesAofAleftAribsA2AthroughA4,AbutAnoApneumothorax.AAfterAinitiatingAfluidAresusci
tation,AhisAbloodApressureAisA110/74AmmAHg,AheartArateAisA100AbeatsAperAminute,AandArespirat
oryArateAisA18AbreathsAperAminute.AHeAhasAgrossAhematuriaAandAaApelvicAfracture.AYouAdecideAt
oAtransferAthisApatientAtoAaAfacilityAcapableAofAprovidingAaAhigherAlevelAofAcare.ATheAfacilityAisA1
28AkmA(80Amiles)Aaway.ABeforeAtransfer,AyouAshouldAfirst:A-
AcorrectAanswerscallAtheAreceivingAhospitalAandAspeakAtoAtheAsurgeonAonAcall
HemorrhageAofA20%AofAtheApatient'sAbloodAvolumeAisAassociatedAusuallyAwith:A-
AcorrectAanswerstachycardia
WhichAoneAofAtheAfollowingAstatementsAconcerningAintraosseousAinfusionAisATRUE?A-
AcorrectAanswersAspirationAofAboneAmarrowAconfirmsAappropriateApositioningAofAtheAneedle.
AAyoungAwomanAsustainsAaAsevereAheadAinjuryAasAtheAresultAofAaAmotorAvehicleAcrash.AInAtheAe
mergencyAdepartment,AherAGCSAisA6.AHerAbloodApressureAisA140/90AmmAHgAandAherAheartArate
AisA80AbeatsAperAminute.ASheAisAintubatedAandAmechanicallyAventilated.AHerApupilsAareA3AmmAi
nAsizeAandAequallyAreactiveAtoAlight.AThereAisAnoAotherAapparentAinjury.ATheAmostAimportantApr
incipleAtoAfollowAinAtheAearlyAmanagementAofAherAheadAinjuryAisAto:A-
AcorrectAanswersavoidAhypotension
AA33-year-oldAwomanAisAinvolvedAinAaAhead-
onAmotorAvehicleAcrash.AItAtookA30AminutesAtoAextricateAherAfromAtheAcar.AUponAarrivalAinAtheA
emergencyAdepartment,AherAheartArateAisA120AbeatsAperAminute,ABPAisA90/70AmmAHg,Arespirat
oryArateAisA16AbreathsAperAminute,AandAherAGCSAscoreAisA15.AExaminationArevealsAbilaterallyAeq
ualAbreathAsounds,AanteriorAchestAwallAecchymosis,AandAdistendedAneckAveins.AHerAabdomenAi
sAflat,Asoft,AandAnotAtender.AHerApelvisAisAstable.APalpableAdistalApulsesAareAfoundAinAallA4Aextre
mities.AOfAtheAfollowing,AtheAmostAlikelyAdiagnosisAis:A-AcorrectAanswerscardiacAtamponade
AAhemodynamicallyAnormalA10-year-
oldAgirlAisAhospitalizedAforAobservationAafterAaAGradeAIIIA(moderatelyAsevere)AsplenicAinjuryAhas
AbeenAconfirmedAbyAcomputedAtomographyA(CT).AWhichAofAtheAfollowingAmandatesApromptAc
eliotomyA(laparotomy)?A-AcorrectAanswersdevelopmentAofAperitonitisAonAphysicalAexam
