ATLS 11TH-EDITION POST-TEST 2025 BRAND-NEW
MCQs · November 03, 2025 Global Launch Edition
Questions with 100% Correct Answers
- *xABCDE* is now the LAW (ACS Sept 16, 2025)
- Whole-blood 1–6°C in every bay
- 8 cm needle · REBOA cart · MyATLS app QR on every wall
1. The *ONLY* new letter in the 11th-ed primary survey:
A. Z
B. *x* (exsanguinating hemorrhage)
C. W
D. G
*Answer: B*
“For certain patients, rapid control of exsanguinating external hemorrhage is
lifesaving.” – ACS Brief, Sept 16, 2025.
2. GSW thigh, arterial fountain on arrival → *FIRST* action:
A. Jaw thrust
B. *Tourniquet 3" proximal + hemostatic gauze*
C. Intubate
D. 1 L LR
*Answer: B*
xABCDE = bleed stops before airway.
,3. Preferred resuscitation fluid (11th ed Table 3.1):
A. 2 L LR
B. *Low-titer O whole blood*
C. 1:1:1 components
D. Hetastarch
*Answer: B*
4. TCA <10 min, torso GSW → OR step #1:
A. CPR → epi
B. *Bilateral finger thoracostomy + Zone-1 REBOA*
C. Needle chest
D. Pericardiocentesis
*Answer: B*
New TCA algorithm.
5. Needle decompression (obese adult):
A. 5 cm
B. *8 cm minimum*
C. 6 cm
D. Any
*Answer: B*
,6. Obtunded, high-quality CT c-spine NEGATIVE →
A. MRI
B. *Collar off – cleared*
C. Collar 48 h
D. Flex-ex
*Answer: B*
99.9% NPV.
7. TXA “golden window”:
A. *<1 h ideal – give up to 3 h*
B. <6 h
C. Never in TBI
D. Only if SBP <90
*Answer: A*
8. Pelvic binder fails → OR:
A. Angio
B. *Pre-peritoneal packing*
C. Zone-3 REBOA
D. Ex-fix
*Answer: B*
9. 30-kg child Class III bolus:
, A. 600 mL LR
B. *20 mL/kg crystalloid → 10 mL/kg whole blood*
C. 20 mL/kg PRBC
D. Wait
*Answer: B*
10. Triage: tourniquet on, yelling, BP 90/60 =
A. *RED*
B. YELLOW
C. GREEN
D. BLACK
*Answer: A*
11. New trauma-team trigger:
A. *Pre-hospital tourniquet*
B. Age 65
C. SpO₂ 93%
D. ETCO₂ 34
*Answer: A*
12. Hypothermia rewarming goal:
A. 34°C
B. *>35°C in 60 min*
MCQs · November 03, 2025 Global Launch Edition
Questions with 100% Correct Answers
- *xABCDE* is now the LAW (ACS Sept 16, 2025)
- Whole-blood 1–6°C in every bay
- 8 cm needle · REBOA cart · MyATLS app QR on every wall
1. The *ONLY* new letter in the 11th-ed primary survey:
A. Z
B. *x* (exsanguinating hemorrhage)
C. W
D. G
*Answer: B*
“For certain patients, rapid control of exsanguinating external hemorrhage is
lifesaving.” – ACS Brief, Sept 16, 2025.
2. GSW thigh, arterial fountain on arrival → *FIRST* action:
A. Jaw thrust
B. *Tourniquet 3" proximal + hemostatic gauze*
C. Intubate
D. 1 L LR
*Answer: B*
xABCDE = bleed stops before airway.
,3. Preferred resuscitation fluid (11th ed Table 3.1):
A. 2 L LR
B. *Low-titer O whole blood*
C. 1:1:1 components
D. Hetastarch
*Answer: B*
4. TCA <10 min, torso GSW → OR step #1:
A. CPR → epi
B. *Bilateral finger thoracostomy + Zone-1 REBOA*
C. Needle chest
D. Pericardiocentesis
*Answer: B*
New TCA algorithm.
5. Needle decompression (obese adult):
A. 5 cm
B. *8 cm minimum*
C. 6 cm
D. Any
*Answer: B*
,6. Obtunded, high-quality CT c-spine NEGATIVE →
A. MRI
B. *Collar off – cleared*
C. Collar 48 h
D. Flex-ex
*Answer: B*
99.9% NPV.
7. TXA “golden window”:
A. *<1 h ideal – give up to 3 h*
B. <6 h
C. Never in TBI
D. Only if SBP <90
*Answer: A*
8. Pelvic binder fails → OR:
A. Angio
B. *Pre-peritoneal packing*
C. Zone-3 REBOA
D. Ex-fix
*Answer: B*
9. 30-kg child Class III bolus:
, A. 600 mL LR
B. *20 mL/kg crystalloid → 10 mL/kg whole blood*
C. 20 mL/kg PRBC
D. Wait
*Answer: B*
10. Triage: tourniquet on, yelling, BP 90/60 =
A. *RED*
B. YELLOW
C. GREEN
D. BLACK
*Answer: A*
11. New trauma-team trigger:
A. *Pre-hospital tourniquet*
B. Age 65
C. SpO₂ 93%
D. ETCO₂ 34
*Answer: A*
12. Hypothermia rewarming goal:
A. 34°C
B. *>35°C in 60 min*
