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ATLS POST TEST 4|COMPREHENSIVE
Q&A FOR CERTIFICATION SUCCESS
2026
A young man sustain 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 0.neg blood
B. Apply external warming devices
C. Control internal hemorraghe operatively
D. Apply pneumatic anti shock garment
E. Infuse large volumes of IV crystalloid solution - correct-answer -C. Control
internal hemorraghe operatively
B. Reversal of s
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A four-year-old girl, weighing approximately 20kg is admitted in shock after an
automobile crash. The initialt fluid challenge or bolus should consist of Ringers
lactate solution in the volume of
A. 200ml
B. 400ml
C. 440ml
D. 600ml
E. 880ml - correct-answer -B. 400ml (20ml/kg)
All of the following are considered minimal precautions for the prevention of the
spread of communicable diseases during resuscitation, EXCEPT:
A. goggles
B. Face mask
C. Water-impervious gown
D. Water-impervious leggings
E. Needle-impenetrable sterile gloves - correct-answer -E. Needle-impenetrable
sterile gloves
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30-year-old woman fell down four stair landing on concrete. Unconscious for 5
minutes after the fall, full consciousness during 10 minute transport to hospital,
GCS 15, complaint is a slight headache, 30 minute later she is unresponsive with
GCS 6 and left pupil is large. - correct-answer -Epidural hematoma
A young male fallen from height with obvious flail chest. ABG shows pH 7,47.
What is the cause of this abnormality? - correct-answer -Pulmonary contusion
Cushings triad which occurs in cases of increased intracranial pressure? - correct-
answer -Bradycardia with irregular respirations and isolated increase in SYSTOLIC
BLOOD PRESSURE
In comparison with young adults, elderly patients exhibit which of the following
regarding brain injuries?
A. Increased cerebral blood flow
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B. Less stretching of the bridging veins
C. Less subdural hematomas
D. Less brain contusions
E. Less mobility with angular acceleration and deceleration - correct-answer -D.
Less brain contusions
Which of the following will be missed by DPL? - correct-answer -Subcapsular
hematoma of the spleen (becauase it is a retroperitoneal organ)
Burn victim, core temperature is 34C. Whats next?
A. Escharotomy
B. Rewarm
C. Oxygen mask
D...
E.. - correct-answer -C. Oxygen mask
ATLS POST TEST 4|COMPREHENSIVE
Q&A FOR CERTIFICATION SUCCESS
2026
A young man sustain 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 0.neg blood
B. Apply external warming devices
C. Control internal hemorraghe operatively
D. Apply pneumatic anti shock garment
E. Infuse large volumes of IV crystalloid solution - correct-answer -C. Control
internal hemorraghe operatively
B. Reversal of s
,2|Page
A four-year-old girl, weighing approximately 20kg is admitted in shock after an
automobile crash. The initialt fluid challenge or bolus should consist of Ringers
lactate solution in the volume of
A. 200ml
B. 400ml
C. 440ml
D. 600ml
E. 880ml - correct-answer -B. 400ml (20ml/kg)
All of the following are considered minimal precautions for the prevention of the
spread of communicable diseases during resuscitation, EXCEPT:
A. goggles
B. Face mask
C. Water-impervious gown
D. Water-impervious leggings
E. Needle-impenetrable sterile gloves - correct-answer -E. Needle-impenetrable
sterile gloves
,3|Page
30-year-old woman fell down four stair landing on concrete. Unconscious for 5
minutes after the fall, full consciousness during 10 minute transport to hospital,
GCS 15, complaint is a slight headache, 30 minute later she is unresponsive with
GCS 6 and left pupil is large. - correct-answer -Epidural hematoma
A young male fallen from height with obvious flail chest. ABG shows pH 7,47.
What is the cause of this abnormality? - correct-answer -Pulmonary contusion
Cushings triad which occurs in cases of increased intracranial pressure? - correct-
answer -Bradycardia with irregular respirations and isolated increase in SYSTOLIC
BLOOD PRESSURE
In comparison with young adults, elderly patients exhibit which of the following
regarding brain injuries?
A. Increased cerebral blood flow
, 4|Page
B. Less stretching of the bridging veins
C. Less subdural hematomas
D. Less brain contusions
E. Less mobility with angular acceleration and deceleration - correct-answer -D.
Less brain contusions
Which of the following will be missed by DPL? - correct-answer -Subcapsular
hematoma of the spleen (becauase it is a retroperitoneal organ)
Burn victim, core temperature is 34C. Whats next?
A. Escharotomy
B. Rewarm
C. Oxygen mask
D...
E.. - correct-answer -C. Oxygen mask
