ATLS POST TEST EXAM LATEST 2025
ATLS POST TEST EXAM LATEST 2025 UPDATE REAL
EXAM WITH ACCURATE QUESTIONS AND VERIFIED
ANSWERS ALREADY GRADED A+
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 - ANSWER-E. retrograde urethrography
-> any ecchymosis, needs to be done before catheter!
A 30 year old male presents after a MVC. Vitals are RR 18, HR 88, BP 130/72, GCS 13.
Laparatomy is indicated when:
A. There is a distinct seat belt sign over the abdomen
B. The CT demonstrates a grade 4 hepatic injury
C. There is evidence of extraperitoneal bladder injury
D. CT demonstrates retroperitoneal air
E. The abdomen is distended with localized rihgt upper quadrant tenderness - ANSWER-D. CT
demonstrates retroperitoneal air
-> air, peritonitis (tenderness, rigidity), unstable vital signs
A 20 year old male is brought to the hospital approximately 30 minutes after being stabbed in
the chest. There is 3 cm wound just medial to the left nipple. BP is 70/33 and HR is 140. Neck
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, ATLS POST TEST EXAM LATEST 2025
and arm veins are distended. Breath sounds are normal. Heart sounds are diminished, IV access
is established and warm crystalloid is infusing. The next most important aspect of immediate
management is:
A. CT Chest
B. EKG
C. Left tube thoracostomy
D. RBC infusion
E. FAST exam - ANSWER-E. FAST exam
Tamponade: muffled heart sounds, JVD, and hypotension -> FAST cardiac exam
Will require pericardiocentesis
Neurogenic shock has all of the following characteristics except which one?
A. hypotension
B. vasodilation
C. bradycardia
D. neurologic deficit
E. narrowed pulse pressure - ANSWER-E. narrowed pulse pressure
always the answer :)
A 30 year old male sustains a gunshot wound to the right lower chest, midway between the
nipple and the costal margin. He is brought by ambulance to a hospital with full surgical
capabilities. In the ED, he is endotracheally intubated, 2 L of crystalloid is infused rapidly, and a
closed tube thoracostomy is performed with the return of 200 mL of blood. A CXR reveals
correct placement of the chest tube and a small residual hemothorax. His BP is now 70/50 and
HR 140. The most appropriate next step is:
A. Insert a second chest tube
B. Obtain CT Abd
C. Perform a thoracotomy in the ED
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, ATLS POST TEST EXAM LATEST 2025
D. Perform a laporotomy in the OR
E. Perform a FAST exam - ANSWER-E. Perform a FAST exam
-> needs more CHEST exploration not abdomen, so FAST of chest
Which of the following is true regarding a PREGNANT patient who presents following blunt
trauma?
A. Early gastric decompression is important
B. A hemoglobin level of 10 indicates recent blood loss
C. The CVP response to volume resuscitation is blunted in pregnant patients
D. A lap belt is the best form of restraint due to the size of the gravid uterus
E. A PaCO2 of 40 provides reassurance about the adequancy of respiratory function - ANSWER-
A. Early gastric decompression is important
Which one of the following statements is FALSE concerning Rh isoimmunization in pregnant
trauma patients?
A. It occurs in blunt or penetrating abdominal trauma
B. It is produced by minor degrees of fetomaternal hemorrhage
C. Rh immunoglobulin therapy should be administered to pregnant females who have sustained
a gunshot wound to the leg
D. This is not a problem in traumatized, Rh-positive pregnant patients
E. Initiation of Rh immunoglobulin therapy does not require proof of fetomaternal hemorrhage -
ANSWER-C. Rh immunoglobulin therapy should be administered to pregnant females who have
sustained a gunshot wound to the leg
Which of the following statements is TRUE regarding access in pediatric resuscitation?
A. Intraosseous access should be only be considered after 5 percutaneous attempts
B. Cut down at the ankle is a preferred initial access technique
C. Blood transfusion can be delivered through intraosseous access
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, ATLS POST TEST EXAM LATEST 2025
D. Internal jugular cannulation is the next preferred option when percutaneous venous access
fails
E. Intraosseous cannulation should be first choice for access - ANSWER-C. Blood transfusion can
be delivered through intraosseous access
(anything can be delievered IO)
A 23 year old male is stabbed below the right nipple. He is alert, and his oxygen saturation is
98%. Chest tube was placed for treatment of hemopneumothorax. BP is 90/60 mmHg after
administration of 1 L of crystalloid solution. What is the next step in treatment?
A. Re-examine the chest
B. Place a left-sided chest tube
C. Insert central venous catheter
D. Perform CT Abd/Pelvis
E. Prepare for urgent thoractomy - ANSWER-A. Re-examine the chest
You are treating a trauma patient and attempt a definitive airway by intubation. However, the
vocal cords are not visible. What tool would be most valuable for achieving successful
intubation?
A. Gum elastic bougie
B. Lateral cervical spine XR
C. Nasopharyngeal airway
D. Oxygen
E. Laryngeal mask airway - ANSWER-A. Gum elastic bougie
When glottis is not visualized, it is passed blindly behind the epiglottis
A 79 year old female is involved in a motor vehicle crash and presents to the ED. She is on
Coumadin and a beta blocker. Which of the folowing statements is true concerning her
management?
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ATLS POST TEST EXAM LATEST 2025 UPDATE REAL
EXAM WITH ACCURATE QUESTIONS AND VERIFIED
ANSWERS ALREADY GRADED A+
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 - ANSWER-E. retrograde urethrography
-> any ecchymosis, needs to be done before catheter!
A 30 year old male presents after a MVC. Vitals are RR 18, HR 88, BP 130/72, GCS 13.
Laparatomy is indicated when:
A. There is a distinct seat belt sign over the abdomen
B. The CT demonstrates a grade 4 hepatic injury
C. There is evidence of extraperitoneal bladder injury
D. CT demonstrates retroperitoneal air
E. The abdomen is distended with localized rihgt upper quadrant tenderness - ANSWER-D. CT
demonstrates retroperitoneal air
-> air, peritonitis (tenderness, rigidity), unstable vital signs
A 20 year old male is brought to the hospital approximately 30 minutes after being stabbed in
the chest. There is 3 cm wound just medial to the left nipple. BP is 70/33 and HR is 140. Neck
1|Page
, ATLS POST TEST EXAM LATEST 2025
and arm veins are distended. Breath sounds are normal. Heart sounds are diminished, IV access
is established and warm crystalloid is infusing. The next most important aspect of immediate
management is:
A. CT Chest
B. EKG
C. Left tube thoracostomy
D. RBC infusion
E. FAST exam - ANSWER-E. FAST exam
Tamponade: muffled heart sounds, JVD, and hypotension -> FAST cardiac exam
Will require pericardiocentesis
Neurogenic shock has all of the following characteristics except which one?
A. hypotension
B. vasodilation
C. bradycardia
D. neurologic deficit
E. narrowed pulse pressure - ANSWER-E. narrowed pulse pressure
always the answer :)
A 30 year old male sustains a gunshot wound to the right lower chest, midway between the
nipple and the costal margin. He is brought by ambulance to a hospital with full surgical
capabilities. In the ED, he is endotracheally intubated, 2 L of crystalloid is infused rapidly, and a
closed tube thoracostomy is performed with the return of 200 mL of blood. A CXR reveals
correct placement of the chest tube and a small residual hemothorax. His BP is now 70/50 and
HR 140. The most appropriate next step is:
A. Insert a second chest tube
B. Obtain CT Abd
C. Perform a thoracotomy in the ED
2|Page
, ATLS POST TEST EXAM LATEST 2025
D. Perform a laporotomy in the OR
E. Perform a FAST exam - ANSWER-E. Perform a FAST exam
-> needs more CHEST exploration not abdomen, so FAST of chest
Which of the following is true regarding a PREGNANT patient who presents following blunt
trauma?
A. Early gastric decompression is important
B. A hemoglobin level of 10 indicates recent blood loss
C. The CVP response to volume resuscitation is blunted in pregnant patients
D. A lap belt is the best form of restraint due to the size of the gravid uterus
E. A PaCO2 of 40 provides reassurance about the adequancy of respiratory function - ANSWER-
A. Early gastric decompression is important
Which one of the following statements is FALSE concerning Rh isoimmunization in pregnant
trauma patients?
A. It occurs in blunt or penetrating abdominal trauma
B. It is produced by minor degrees of fetomaternal hemorrhage
C. Rh immunoglobulin therapy should be administered to pregnant females who have sustained
a gunshot wound to the leg
D. This is not a problem in traumatized, Rh-positive pregnant patients
E. Initiation of Rh immunoglobulin therapy does not require proof of fetomaternal hemorrhage -
ANSWER-C. Rh immunoglobulin therapy should be administered to pregnant females who have
sustained a gunshot wound to the leg
Which of the following statements is TRUE regarding access in pediatric resuscitation?
A. Intraosseous access should be only be considered after 5 percutaneous attempts
B. Cut down at the ankle is a preferred initial access technique
C. Blood transfusion can be delivered through intraosseous access
3|Page
, ATLS POST TEST EXAM LATEST 2025
D. Internal jugular cannulation is the next preferred option when percutaneous venous access
fails
E. Intraosseous cannulation should be first choice for access - ANSWER-C. Blood transfusion can
be delivered through intraosseous access
(anything can be delievered IO)
A 23 year old male is stabbed below the right nipple. He is alert, and his oxygen saturation is
98%. Chest tube was placed for treatment of hemopneumothorax. BP is 90/60 mmHg after
administration of 1 L of crystalloid solution. What is the next step in treatment?
A. Re-examine the chest
B. Place a left-sided chest tube
C. Insert central venous catheter
D. Perform CT Abd/Pelvis
E. Prepare for urgent thoractomy - ANSWER-A. Re-examine the chest
You are treating a trauma patient and attempt a definitive airway by intubation. However, the
vocal cords are not visible. What tool would be most valuable for achieving successful
intubation?
A. Gum elastic bougie
B. Lateral cervical spine XR
C. Nasopharyngeal airway
D. Oxygen
E. Laryngeal mask airway - ANSWER-A. Gum elastic bougie
When glottis is not visualized, it is passed blindly behind the epiglottis
A 79 year old female is involved in a motor vehicle crash and presents to the ED. She is on
Coumadin and a beta blocker. Which of the folowing statements is true concerning her
management?
4|Page
