1g|gPg ag gg e
ATLS POST- g
TEST EXAM|| ACTUAL EXAM ALL QUESTIONS A
g g g g g g
ND 100% QUESTIONS AND 100% CORRECT ANS
g g g g g g
WERS ALREADY GRADED A+|| LATEST AND CO
g g g g g g
MPLETE UPDATE 2024- g g
2025 WITH VERIFIED SOLUTIONS|| ASSURED PA
g g g g g
SS!!!
Ag22-year-
oldgmangisghypotensivegandgtachycardicgaftergagshotgungwoundgtogthegleftgshoulder.g
Hisgbloodgpressuregisginitiallyg80/40gmmgHg.gAfterg2glitersgofgcrystalloidgsolutionghi
sgbloodgpressuregincreasesgtog122/84gmmgHg.gHisgheartgrategisgnowg100gbeatsgpergm
inutegandghisgrespiratorygrategisg28gbreathsgpergminute.gHisgbreathgsoundsgaregdecrea
sedgingthegleftghemithorax,gandgafterginitialgIVgfluidgresuscitation,gagclosedgtubegthor
acostomygisgperformedgforgdecreasedgleftgbreathgsoundsgwithgthegreturngofgagsmallga
mountgofgbloodgandgnogairgleak.gAftergchestgtubeginsertion,gthegmostgappropriategne
xtgstepgis:
a) reexaminegthegchest.
b) performgangaortogram.
c) obtaingagCTgscangofgthegchest.
d) obtaingarterialgbloodggasganalysesg-gANSWER:ga)greexaminegthegchest
Whichgonegofgthegfollowinggphysicalgfindingsgsuggestsgagcausegofghypotensiongothe
rgthangspinalgcordginjury?
a) priapism.
b) bradycardia.
c) diaphragmaticgbreathing.
d) presencegofgdeepgtendongreflexes.g-
gANSWER:gd)gpresencegofgdeepgtendongreflexes.
,2g|gPg ag gg e
Agconstructiongworkergfallsgtwogstoriesgfromgagbuildinggandgsustainsgbilateralgcalca
nealgfractures.gIngthegemergencygdepartment,ghegisgalert,gvitalgsignsgaregnormal,gan
dghegisgcomplaininggofgseveregpaingingbothgheelsgandghisglowergback.gLowergextrem
itygpulsesgaregstronggandgtheregisgnogothergdeformity.gThegsuspectedgdiagnosisgisgm
ostglikelygtogbegconfirmedgby:
a) compartmentgpressures
b) retrogradegurethrogram
c) Doppler-ultrasoundg studies
d) completegspinegx-raygseriesg-gANSWER:gd)gcompletegspinegx-raygseries
Ingmanaginggtheghead-injuredgpatient,gthegmostgimportantginitialgstepgisgto:
a) obtaingc-spinegfilm.
b) securegthegairway.
c) supportgthegcirculation.
d) controlgscalpghemorrhage.g-gANSWER:gb)gsecuregthegairway.
Agpreviouslyghealthy,g70-kgg(154-
pound)gmangsuffersgangestimatedgacutegbloodglossgofg2gliters.gWhichgonegofgthegfollo
winggstatementsgappliesgtogthisgpatient?
a) Hisgpulsegpressuregwillgbegwidened.
b) Hisgurinarygoutputgwillgbegatgtheglowerglimitsgofgnormal.
c) Hegwillghavegtachycardia,gbutgnogchangeginghisgsystolicgbloodgpressure.
d) Hisgsystolicgbloodgpressuregwillgbegdecreasedgwithgagnarrowedgpulsegpr
essure.g-
gANSWER:gd)gHisgsystolicgbloodgpressuregwillgbegdecreasedgwithgagnarrowedg
pulsegpressure.
,3g|gPg ag gg e
Thegphysiologicghypervolemiagofgpregnancyghasgclinicalgsignificancegingthegmanageme
ntgofgthegseverelyginjured,ggravidgwomangby:
a) reducinggthegneedgforgbloodgtransfusion.
b) increasinggthegriskgofgpulmonarygedema.
c) increasinggthegvolumegofgbloodglossgtogproducegmaternalghypotension.
d) complicatinggthegmangementgofgclosedgheadginjury.g-
gANSWER:gc)gincreasinggthegvolumegofgbloodglossgtogproducegmaternalgh
ypotension.
Thegbestgassessmentgofgfluidgresuscitationgofgthegburngpatientgis:
a) adequategurinarygoutput.
b) reversalgofgsystemicgacidosis.
c) normalizationgofgthegheartgrate.
d) agnormalgcentralgvenousgpressure.g-gANSWER:ga)gadequategurinarygoutput.
Thegdiagnosisgofgshockgmustginclude:
a) increasedgvasculargresistance.
b) evidencegofginadequategorgangperfusion.
c) acidosis.
d) hypoxemia.g-gANSWER:gb)gevidencegofginadequategorgangperfusion.
Ag7-year-
oldgboygisgbroughtgtogthegemergencygdepartmentgbyghisgparentsgseveralgminutesgaft
erghegfellgthroughgagwindow.gHegisgbleedinggprofuselygfromgag6-
cmgwoundgofghisgmedialgrightgthigh.gImmediategmanagementgofgthegwoundgshouldg
consistgof:
, 4g|gPg ag gg e
a) applicationgofgagtourniquet.
b) directgpressuregongthegwound.
c) packinggthegwoundgwithggauze.
d) directgpressuregongthegfemoralgarterygatgtheggroin.g-
gANSWER:gb)gdirectgpressuregongthegwound.
Forgthegpatientgwithgseveregtraumaticgbrainginjury,gprofoundghypocarbiagshouldgbegavoi
dedgtogprevent:
a) respiratorygacidosis.
b) metabolicgacidosis.
c) cerebralgvasoconstrictiongwithgdiminishedgperfusion.
d) neurogenicgpulmonarygedema.g-
gANSWER:gc)gcerebralgvasoconstrictiongwithgdiminishedgperfusion.
Ag25-year-
oldgmangisgbroughtgtogaghospitalgwithgaggeneralgsurgeongaftergbeingginvolvedgingagm
otorgvehiclegcrash.gComputedgtomographygshowsgangaorticginjurygandgsplenicglacer
ationgwithgfreegabdominalgfluid.gHisgbloodgpressuregfallsgtog70gmmgHggaftergCT.gTh
egnextgstepgis:
a) contrastgangiography.
b) transfergtogaghigherglevelgtraumagcenter.
c) exploratoryglaparotomy.
d) infusegadditionalgcrystalloids.g-gANSWER:gc)gexploratoryglaparotomy.
Whichgonegofgthegfollowinggstatementsgregardinggabdominalgtraumagingthegpregnantgpat
ientgisgTRUE?
ATLS POST- g
TEST EXAM|| ACTUAL EXAM ALL QUESTIONS A
g g g g g g
ND 100% QUESTIONS AND 100% CORRECT ANS
g g g g g g
WERS ALREADY GRADED A+|| LATEST AND CO
g g g g g g
MPLETE UPDATE 2024- g g
2025 WITH VERIFIED SOLUTIONS|| ASSURED PA
g g g g g
SS!!!
Ag22-year-
oldgmangisghypotensivegandgtachycardicgaftergagshotgungwoundgtogthegleftgshoulder.g
Hisgbloodgpressuregisginitiallyg80/40gmmgHg.gAfterg2glitersgofgcrystalloidgsolutionghi
sgbloodgpressuregincreasesgtog122/84gmmgHg.gHisgheartgrategisgnowg100gbeatsgpergm
inutegandghisgrespiratorygrategisg28gbreathsgpergminute.gHisgbreathgsoundsgaregdecrea
sedgingthegleftghemithorax,gandgafterginitialgIVgfluidgresuscitation,gagclosedgtubegthor
acostomygisgperformedgforgdecreasedgleftgbreathgsoundsgwithgthegreturngofgagsmallga
mountgofgbloodgandgnogairgleak.gAftergchestgtubeginsertion,gthegmostgappropriategne
xtgstepgis:
a) reexaminegthegchest.
b) performgangaortogram.
c) obtaingagCTgscangofgthegchest.
d) obtaingarterialgbloodggasganalysesg-gANSWER:ga)greexaminegthegchest
Whichgonegofgthegfollowinggphysicalgfindingsgsuggestsgagcausegofghypotensiongothe
rgthangspinalgcordginjury?
a) priapism.
b) bradycardia.
c) diaphragmaticgbreathing.
d) presencegofgdeepgtendongreflexes.g-
gANSWER:gd)gpresencegofgdeepgtendongreflexes.
,2g|gPg ag gg e
Agconstructiongworkergfallsgtwogstoriesgfromgagbuildinggandgsustainsgbilateralgcalca
nealgfractures.gIngthegemergencygdepartment,ghegisgalert,gvitalgsignsgaregnormal,gan
dghegisgcomplaininggofgseveregpaingingbothgheelsgandghisglowergback.gLowergextrem
itygpulsesgaregstronggandgtheregisgnogothergdeformity.gThegsuspectedgdiagnosisgisgm
ostglikelygtogbegconfirmedgby:
a) compartmentgpressures
b) retrogradegurethrogram
c) Doppler-ultrasoundg studies
d) completegspinegx-raygseriesg-gANSWER:gd)gcompletegspinegx-raygseries
Ingmanaginggtheghead-injuredgpatient,gthegmostgimportantginitialgstepgisgto:
a) obtaingc-spinegfilm.
b) securegthegairway.
c) supportgthegcirculation.
d) controlgscalpghemorrhage.g-gANSWER:gb)gsecuregthegairway.
Agpreviouslyghealthy,g70-kgg(154-
pound)gmangsuffersgangestimatedgacutegbloodglossgofg2gliters.gWhichgonegofgthegfollo
winggstatementsgappliesgtogthisgpatient?
a) Hisgpulsegpressuregwillgbegwidened.
b) Hisgurinarygoutputgwillgbegatgtheglowerglimitsgofgnormal.
c) Hegwillghavegtachycardia,gbutgnogchangeginghisgsystolicgbloodgpressure.
d) Hisgsystolicgbloodgpressuregwillgbegdecreasedgwithgagnarrowedgpulsegpr
essure.g-
gANSWER:gd)gHisgsystolicgbloodgpressuregwillgbegdecreasedgwithgagnarrowedg
pulsegpressure.
,3g|gPg ag gg e
Thegphysiologicghypervolemiagofgpregnancyghasgclinicalgsignificancegingthegmanageme
ntgofgthegseverelyginjured,ggravidgwomangby:
a) reducinggthegneedgforgbloodgtransfusion.
b) increasinggthegriskgofgpulmonarygedema.
c) increasinggthegvolumegofgbloodglossgtogproducegmaternalghypotension.
d) complicatinggthegmangementgofgclosedgheadginjury.g-
gANSWER:gc)gincreasinggthegvolumegofgbloodglossgtogproducegmaternalgh
ypotension.
Thegbestgassessmentgofgfluidgresuscitationgofgthegburngpatientgis:
a) adequategurinarygoutput.
b) reversalgofgsystemicgacidosis.
c) normalizationgofgthegheartgrate.
d) agnormalgcentralgvenousgpressure.g-gANSWER:ga)gadequategurinarygoutput.
Thegdiagnosisgofgshockgmustginclude:
a) increasedgvasculargresistance.
b) evidencegofginadequategorgangperfusion.
c) acidosis.
d) hypoxemia.g-gANSWER:gb)gevidencegofginadequategorgangperfusion.
Ag7-year-
oldgboygisgbroughtgtogthegemergencygdepartmentgbyghisgparentsgseveralgminutesgaft
erghegfellgthroughgagwindow.gHegisgbleedinggprofuselygfromgag6-
cmgwoundgofghisgmedialgrightgthigh.gImmediategmanagementgofgthegwoundgshouldg
consistgof:
, 4g|gPg ag gg e
a) applicationgofgagtourniquet.
b) directgpressuregongthegwound.
c) packinggthegwoundgwithggauze.
d) directgpressuregongthegfemoralgarterygatgtheggroin.g-
gANSWER:gb)gdirectgpressuregongthegwound.
Forgthegpatientgwithgseveregtraumaticgbrainginjury,gprofoundghypocarbiagshouldgbegavoi
dedgtogprevent:
a) respiratorygacidosis.
b) metabolicgacidosis.
c) cerebralgvasoconstrictiongwithgdiminishedgperfusion.
d) neurogenicgpulmonarygedema.g-
gANSWER:gc)gcerebralgvasoconstrictiongwithgdiminishedgperfusion.
Ag25-year-
oldgmangisgbroughtgtogaghospitalgwithgaggeneralgsurgeongaftergbeingginvolvedgingagm
otorgvehiclegcrash.gComputedgtomographygshowsgangaorticginjurygandgsplenicglacer
ationgwithgfreegabdominalgfluid.gHisgbloodgpressuregfallsgtog70gmmgHggaftergCT.gTh
egnextgstepgis:
a) contrastgangiography.
b) transfergtogaghigherglevelgtraumagcenter.
c) exploratoryglaparotomy.
d) infusegadditionalgcrystalloids.g-gANSWER:gc)gexploratoryglaparotomy.
Whichgonegofgthegfollowinggstatementsgregardinggabdominalgtraumagingthegpregnantgpat
ientgisgTRUE?
