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ATLS Exam 2025 Questions and
Correct
Answers
A 22-year-old man is hypotensive and tachycardic after a
shotgun wound to the left shoulder. His blood pressure is
initially 80/40 mm Hg. After initial fluid resuscitation his
blood pressure increases to 122/84 mm Hg. His heart rate
is now 100 beats per minute and his respiratory rate is 28
breaths per minute. A tube thoracostomy is performed for
decreased left chest breath sounds with the return of a
small amount of blood and no air leak. After chest tube
insertion, the most appropriate next step is:
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Select one: a. reexamine the chest
b.
perform an aortogram
c.
obtain a CT scan of the chest d. obtain arterial blood gas
analyses
e.
perform transesophageal echocardiography - ANSWERS-
A) Reexamine the chest
A construction worker falls two stories from a building
and sustains bilateral calcaneal fractures. In the
emergency department, he is alert, vital signs are normal,
and he is complaining of severe pain in both heels and his
lower back. Lower extremity pulses are strong and there
is no other deformity. The suspected diagnosis is most
likely to be confirmed by:
Select one: a. angiography
b.
compartment pressures
c. retrograde urethrogram d. Doppler ultrasound studies
e. complete spine x-ray series - ANSWERS-e) Complete
spine x-ray series
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Which of the following is true regarding the initial
resuscitation of a trauma patient?
Select one: a.
A patient that presents with a torso gunshot wound and is
hypotensive should receive crystalloid fluid resuscitation
until the blood pressure is normal b. Evidence of
improved perfusion after fluid resuscitation could include
improvement in Glasgow coma scale score on
reevaluation
c.
Massive transfusion is defined as transfusion of more than
>10 of packed red blood cells and plasma in 24 hours d.
When tranexamic acid is administered by prehospital
providers a second dose is required within 24 hours e.
Fluid resuscitation is far more important than bleeding
control in trauma patients - ANSWERS-b.
Evidence of improved perfusion after fluid resuscitation
could include improvement in Glasgow coma scale score
on reevaluation
In managing a patient with a severe traumatic brain injury,
the most important initial step is to:
Select one: a. Secure
the airway b.
ATLS Exam 2025 Questions and
Correct
Answers
A 22-year-old man is hypotensive and tachycardic after a
shotgun wound to the left shoulder. His blood pressure is
initially 80/40 mm Hg. After initial fluid resuscitation his
blood pressure increases to 122/84 mm Hg. His heart rate
is now 100 beats per minute and his respiratory rate is 28
breaths per minute. A tube thoracostomy is performed for
decreased left chest breath sounds with the return of a
small amount of blood and no air leak. After chest tube
insertion, the most appropriate next step is:
,2|Page
Select one: a. reexamine the chest
b.
perform an aortogram
c.
obtain a CT scan of the chest d. obtain arterial blood gas
analyses
e.
perform transesophageal echocardiography - ANSWERS-
A) Reexamine the chest
A construction worker falls two stories from a building
and sustains bilateral calcaneal fractures. In the
emergency department, he is alert, vital signs are normal,
and he is complaining of severe pain in both heels and his
lower back. Lower extremity pulses are strong and there
is no other deformity. The suspected diagnosis is most
likely to be confirmed by:
Select one: a. angiography
b.
compartment pressures
c. retrograde urethrogram d. Doppler ultrasound studies
e. complete spine x-ray series - ANSWERS-e) Complete
spine x-ray series
, 3|Page
Which of the following is true regarding the initial
resuscitation of a trauma patient?
Select one: a.
A patient that presents with a torso gunshot wound and is
hypotensive should receive crystalloid fluid resuscitation
until the blood pressure is normal b. Evidence of
improved perfusion after fluid resuscitation could include
improvement in Glasgow coma scale score on
reevaluation
c.
Massive transfusion is defined as transfusion of more than
>10 of packed red blood cells and plasma in 24 hours d.
When tranexamic acid is administered by prehospital
providers a second dose is required within 24 hours e.
Fluid resuscitation is far more important than bleeding
control in trauma patients - ANSWERS-b.
Evidence of improved perfusion after fluid resuscitation
could include improvement in Glasgow coma scale score
on reevaluation
In managing a patient with a severe traumatic brain injury,
the most important initial step is to:
Select one: a. Secure
the airway b.
