POST TEST ATLS (SOAL POST TEST) EXAM
POST TEST ATLS (SOAL POST TEST) Exam Updated
2025 (A+ Graded 100% Verified Answers)
SOAL POST TEST
Cardiac tamponade after trauma:
A. Is seldom life-threating
B. Can be excluded by an upright, AP chest x-ray
C. Can be confused with a tension pneumthorax
D. Causes a fall in systolic pressure of > 15mmHg with expiration
E. Most commonly occurs after blunt injury to the anterior chest wall - ANSWER✅ C. Can be confused
with a tension pneumothorax
To establish a diagnosis of shock,
A. Systolic blood pressure must be below 90mmHg
B. The presence of a closed head injury should be excluded
C. Acidosis should be present by arterial blood gas analysis
D. The patient must fail to respond to intravenous fluid infusion
E. Clinical evidence of inadequate organ perfusion must be present. - ANSWER✅ E. Clinical evidence of
inadequate organ perfusion must be present.
Abscence of breath sounds and dullness to percussion over the left hemithorax are findings best
explained by:
A. Left hemothorax
B. Cardiac contusion
C. Left simple pneumothorax
D. Left diaphragmatic rupture
E. Right tension pneumothorax - ANSWER✅ A. Left hemothorax
, POST TEST ATLS (SOAL POST TEST) EXAM
A young man sustains a gunshot wound to the abdomen and is brought promptly to the ED by
prehospital personnel. His skin is cool and diaphoretic, and he is confused. His pulse is thready and his
femoral pulse is only weakly palpable. The definitive treatment in managing this patient is to:
A. Administer O-negative blood
B. Apply external warming devices
C. Control internal hemorrhage operatively
D. Apply a pneumatic antishock garment (PASG)
E. Infuse large volumes of intravenous crystalloid solutions. - ANSWER✅ C. Control internal
hemorrhage operatively
Regarding shock in the child, which of the following is FALSE?
A. Vital signs are age-related
B. Children have greater physiologic reserves than do adults
C. Tachycardia is the primary physiologic response to hypovolemia
D. The absolute volume of blood loss required to produce shock is the same as in adults
E. An initial fluid bolus for resuscitation should approximate 20ml/kg Ringers Lactate - ANSWER✅ D.
The absolute volume of blood loss required to produce shock is the same as in adults
Hemorrhage of 20% of the patients blood volume is associated usually with:
A. Oliguria
B. Confusion
C. Hypotension
D. Tachycardia
E. Blood transfusion requirement - ANSWER✅ D. Tachycardia
Which of the follow statements concerning intraosseous infusion is TRUE?
A. Only crystalloid solutions may be safely infused through the needle
B. Aspiration of bone marrow confirms appropriate positioning of the needle
, POST TEST ATLS (SOAL POST TEST) EXAM
C. Intraosseous infusion is the preferred route for volume resuscitation in small children
D. Intraosseous infusion may be utilized indefinitely
E. Swelling in the soft tissues around the intraosseous site is not a reason to discontinue infusion. -
ANSWER✅ B. Aspiration of bone marrow confirms appropriate positioning of the needle
The most important, immediate step in the management of an open pneumothorax is:
A. endotracheal intubation
B. Operation to close the wound
C. Placing a chest tube through the chest wound
D. Placement of an occlusive dressing over the wound
E. Initiation of 2 large-caliber IVs with crystalloid solution - ANSWER✅ D. Placement of an occlusive
dressing over the wound
Which one of the following situations requires Rh immunoglobulin administration to an injured woman?
A. Negative pregnancy test, Rh negative, and torso trauma
B. Positive pregnancy test, Rh positive, and has torso trauma
C. Positive pregnancy test, Rh negative, and has torso trauma
D. Positive pregnancy test, Rh positive, and has an isolated wrist fracture
E. Positive pregnancy test, Rh negative, and has an isolated wrist fracture - ANSWER✅ C. Positive
pregnancy test, Rh negative, and has torso trauma
Which of the following is the recommended Method for trestemt frostbite?
A. Vasodilators
B. Anticigulants
C. Warm (40 degrees) water
D. Padding and elevation
E. Application of heat from a hairdryer - ANSWER✅ C. Warm (40 degrees) water
Which of the following physical findings suggest a cause of hypotension other than spinal cord injury?
A. Prispism
, POST TEST ATLS (SOAL POST TEST) EXAM
B. Bradycardia
C. Diaphragmatic breathing
D. Presence of deep tendon reflexes
E. Ability to flex forearms but not extend them - ANSWER✅ D. Presence of deep tendon reflexes. Spinal
shock refers to loss of muscle toe (flaccidty) and loss of reflexes.
The primary indication for transferring A patient to a higher level trauma center is:
A. Unavailibility of surgeon or operating staff
B. Multiple system injuries, including severe head injury
C. Resource limitations as determined by the transferring doctor
D. Resource limitations as determined by the hospital administration
E. Widened mediastinum on chest x-ray following blunt trauma - ANSWER✅ C. Resource limitations as
determined by the transferring doctor (MÅ SJEKKES)
A young man sustains a rifle wound to the mid-abdomen. He is brought promptly to the ED by
prehospital personnel. His skin is cool and diaphoretic, and his systolic blood pressure is 58mmHg.
Warmed crystalloid fluids are initiated without improvement in his vital signs. The next, most
appropriate, step is to perform:
A. a laparotomy
B. An abdominal CT-scan
C. Diagnostic laparoscopy
D. Abdominal ultrasonography
E. A diagnostic peritoneal lavage - ANSWER✅ A. Laparotomy because of hemodynamic abnormality
A 42-year-old man is trapped from the waist down beneath his overturned tractor for several hours
before medical assistance arrives. He is awake and alert until just before arriving in the ED. He is now
unconscious and responds only to painful stimuli by moaning. His pupils are 3mm in diameter and
symmetrically reactive to light. Prehospital personnel indicate that they have not seen the patient move
either of his lower extremities. On examination in the ED, no movement of his lower extremities are
detected, even in response to painful stimuli. The most likely cause for this finding is:
A. An epidural hematoma
B. A pelvic fracture
POST TEST ATLS (SOAL POST TEST) Exam Updated
2025 (A+ Graded 100% Verified Answers)
SOAL POST TEST
Cardiac tamponade after trauma:
A. Is seldom life-threating
B. Can be excluded by an upright, AP chest x-ray
C. Can be confused with a tension pneumthorax
D. Causes a fall in systolic pressure of > 15mmHg with expiration
E. Most commonly occurs after blunt injury to the anterior chest wall - ANSWER✅ C. Can be confused
with a tension pneumothorax
To establish a diagnosis of shock,
A. Systolic blood pressure must be below 90mmHg
B. The presence of a closed head injury should be excluded
C. Acidosis should be present by arterial blood gas analysis
D. The patient must fail to respond to intravenous fluid infusion
E. Clinical evidence of inadequate organ perfusion must be present. - ANSWER✅ E. Clinical evidence of
inadequate organ perfusion must be present.
Abscence of breath sounds and dullness to percussion over the left hemithorax are findings best
explained by:
A. Left hemothorax
B. Cardiac contusion
C. Left simple pneumothorax
D. Left diaphragmatic rupture
E. Right tension pneumothorax - ANSWER✅ A. Left hemothorax
, POST TEST ATLS (SOAL POST TEST) EXAM
A young man sustains a gunshot wound to the abdomen and is brought promptly to the ED by
prehospital personnel. His skin is cool and diaphoretic, and he is confused. His pulse is thready and his
femoral pulse is only weakly palpable. The definitive treatment in managing this patient is to:
A. Administer O-negative blood
B. Apply external warming devices
C. Control internal hemorrhage operatively
D. Apply a pneumatic antishock garment (PASG)
E. Infuse large volumes of intravenous crystalloid solutions. - ANSWER✅ C. Control internal
hemorrhage operatively
Regarding shock in the child, which of the following is FALSE?
A. Vital signs are age-related
B. Children have greater physiologic reserves than do adults
C. Tachycardia is the primary physiologic response to hypovolemia
D. The absolute volume of blood loss required to produce shock is the same as in adults
E. An initial fluid bolus for resuscitation should approximate 20ml/kg Ringers Lactate - ANSWER✅ D.
The absolute volume of blood loss required to produce shock is the same as in adults
Hemorrhage of 20% of the patients blood volume is associated usually with:
A. Oliguria
B. Confusion
C. Hypotension
D. Tachycardia
E. Blood transfusion requirement - ANSWER✅ D. Tachycardia
Which of the follow statements concerning intraosseous infusion is TRUE?
A. Only crystalloid solutions may be safely infused through the needle
B. Aspiration of bone marrow confirms appropriate positioning of the needle
, POST TEST ATLS (SOAL POST TEST) EXAM
C. Intraosseous infusion is the preferred route for volume resuscitation in small children
D. Intraosseous infusion may be utilized indefinitely
E. Swelling in the soft tissues around the intraosseous site is not a reason to discontinue infusion. -
ANSWER✅ B. Aspiration of bone marrow confirms appropriate positioning of the needle
The most important, immediate step in the management of an open pneumothorax is:
A. endotracheal intubation
B. Operation to close the wound
C. Placing a chest tube through the chest wound
D. Placement of an occlusive dressing over the wound
E. Initiation of 2 large-caliber IVs with crystalloid solution - ANSWER✅ D. Placement of an occlusive
dressing over the wound
Which one of the following situations requires Rh immunoglobulin administration to an injured woman?
A. Negative pregnancy test, Rh negative, and torso trauma
B. Positive pregnancy test, Rh positive, and has torso trauma
C. Positive pregnancy test, Rh negative, and has torso trauma
D. Positive pregnancy test, Rh positive, and has an isolated wrist fracture
E. Positive pregnancy test, Rh negative, and has an isolated wrist fracture - ANSWER✅ C. Positive
pregnancy test, Rh negative, and has torso trauma
Which of the following is the recommended Method for trestemt frostbite?
A. Vasodilators
B. Anticigulants
C. Warm (40 degrees) water
D. Padding and elevation
E. Application of heat from a hairdryer - ANSWER✅ C. Warm (40 degrees) water
Which of the following physical findings suggest a cause of hypotension other than spinal cord injury?
A. Prispism
, POST TEST ATLS (SOAL POST TEST) EXAM
B. Bradycardia
C. Diaphragmatic breathing
D. Presence of deep tendon reflexes
E. Ability to flex forearms but not extend them - ANSWER✅ D. Presence of deep tendon reflexes. Spinal
shock refers to loss of muscle toe (flaccidty) and loss of reflexes.
The primary indication for transferring A patient to a higher level trauma center is:
A. Unavailibility of surgeon or operating staff
B. Multiple system injuries, including severe head injury
C. Resource limitations as determined by the transferring doctor
D. Resource limitations as determined by the hospital administration
E. Widened mediastinum on chest x-ray following blunt trauma - ANSWER✅ C. Resource limitations as
determined by the transferring doctor (MÅ SJEKKES)
A young man sustains a rifle wound to the mid-abdomen. He is brought promptly to the ED by
prehospital personnel. His skin is cool and diaphoretic, and his systolic blood pressure is 58mmHg.
Warmed crystalloid fluids are initiated without improvement in his vital signs. The next, most
appropriate, step is to perform:
A. a laparotomy
B. An abdominal CT-scan
C. Diagnostic laparoscopy
D. Abdominal ultrasonography
E. A diagnostic peritoneal lavage - ANSWER✅ A. Laparotomy because of hemodynamic abnormality
A 42-year-old man is trapped from the waist down beneath his overturned tractor for several hours
before medical assistance arrives. He is awake and alert until just before arriving in the ED. He is now
unconscious and responds only to painful stimuli by moaning. His pupils are 3mm in diameter and
symmetrically reactive to light. Prehospital personnel indicate that they have not seen the patient move
either of his lower extremities. On examination in the ED, no movement of his lower extremities are
detected, even in response to painful stimuli. The most likely cause for this finding is:
A. An epidural hematoma
B. A pelvic fracture
