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ATLS Advanced Trauma Life Support) 2025/2026
Edition Post-Test Updated version
An 18 y/o man is brought to the ED after smashing his
motorcycle into a tree. He is conscious and alert, but
paralyzed in both legs and arms. His skin is pale and cold.
He complains of thirst and difficulty in breathing. His
airway is clear. His BP is 60/40 and his pulse is 140 bpm.
Breath sounds are full and equal bilaterally. He should
A. Undergo exploratory celiotomy
B. Be treated for neurogenic shock
C. Be treated for hypovolemic shock
D. Undergo immediate nasotracheal intubation
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E. be placed in cervical traction tongs before any other
treatment is instituted - ANSWER-C. Be treated for
hypovolemic shock
The principle of balanced resuscitation is:
A) Permissive hypotension and early plasma infusion
B) Equal amounts of crystalloid and colloids
C) Simultaneous management of breathing and circulation
D) Maintenance of a normal acid base balance
E) Achieving a pulse rate <90 - ANSWER-A) Permissive
hypotension and early plasma infusion
Healthy young male in a motor vehicle crash is brought to
the emergency department with a blood pressure of 84/60,
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pulse 123, GCS 10. The patient moans when his pelvis is
palpated. After initiating fluid resuscitation, the next step in
management is:
A) Placement of a pelvic binder
B) Transfer to a trauma center
C) Pelvic x-ray
D) Insert urinary catheter
E) Repeat examination of pelvis - ANSWER-A) Placement
of a pelvic binder
22 year old male fall from 2m, large right pneumothorax.
Chest tube placed, connected to drainage. Control x-ray
shows pneumothorax, third x-ray reveals pneumothorax -
ANSWER-Tracheobronchal injury
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Which one of the following is not a feature of neurogenic
shock?
A. Increased venous capaitance
B. Decreased systemic vascular resistance
C. Increased cardiac output
D. Warm skin - ANSWER-C. Increased cardiac output
Tension pneumothorax can be caused by:
A. Flail chest
B. Cardiac tamponade
C. Clamping of a chest tube
D. All of the above - ANSWER-
ATLS Advanced Trauma Life Support) 2025/2026
Edition Post-Test Updated version
An 18 y/o man is brought to the ED after smashing his
motorcycle into a tree. He is conscious and alert, but
paralyzed in both legs and arms. His skin is pale and cold.
He complains of thirst and difficulty in breathing. His
airway is clear. His BP is 60/40 and his pulse is 140 bpm.
Breath sounds are full and equal bilaterally. He should
A. Undergo exploratory celiotomy
B. Be treated for neurogenic shock
C. Be treated for hypovolemic shock
D. Undergo immediate nasotracheal intubation
,2|Page
E. be placed in cervical traction tongs before any other
treatment is instituted - ANSWER-C. Be treated for
hypovolemic shock
The principle of balanced resuscitation is:
A) Permissive hypotension and early plasma infusion
B) Equal amounts of crystalloid and colloids
C) Simultaneous management of breathing and circulation
D) Maintenance of a normal acid base balance
E) Achieving a pulse rate <90 - ANSWER-A) Permissive
hypotension and early plasma infusion
Healthy young male in a motor vehicle crash is brought to
the emergency department with a blood pressure of 84/60,
,3|Page
pulse 123, GCS 10. The patient moans when his pelvis is
palpated. After initiating fluid resuscitation, the next step in
management is:
A) Placement of a pelvic binder
B) Transfer to a trauma center
C) Pelvic x-ray
D) Insert urinary catheter
E) Repeat examination of pelvis - ANSWER-A) Placement
of a pelvic binder
22 year old male fall from 2m, large right pneumothorax.
Chest tube placed, connected to drainage. Control x-ray
shows pneumothorax, third x-ray reveals pneumothorax -
ANSWER-Tracheobronchal injury
, 4|Page
Which one of the following is not a feature of neurogenic
shock?
A. Increased venous capaitance
B. Decreased systemic vascular resistance
C. Increased cardiac output
D. Warm skin - ANSWER-C. Increased cardiac output
Tension pneumothorax can be caused by:
A. Flail chest
B. Cardiac tamponade
C. Clamping of a chest tube
D. All of the above - ANSWER-
