ATLS POST TEST
2026-2027
2026-2027
Master Exam Prep Bundle
(Verified Questions & Answers)
A+ Grade Guaranteed
,Which of the following is the recommended Method for C. Warm (40 degrees) water
treatment frostbite?
A. Vasodilators
B. Anticigulants
C. Warm (40 degrees) water
D. Padding and elevation
E. Application of heat from a hairdryer
Which of the following physical findings suggest a cause of D. Presence of deep tendon reflexes. Spinal shock refers to loss of muscle toe
hypotension other than spinal cord injury? (flaccidty) and loss of reflexes.
A. Priapism
B. Bradycardia
C. Diaphragmatic breathing
D. Presence of deep tendon reflexes
E. Ability to flex forearms but not extend them
The primary indication for transferring A patient to a higher C. Resource limitations as determined by the transferring doctor
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
A young man sustains a rifle wound to the mid-abdomen. A. Laparotomy because of hemodynamic abnormality
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
A 42-year-old man is trapped from the waist down beneath E. Bilateral compartment syndrome
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
C. Central cord syndrome
D. Intracerebral hemorrhage
E. Bilateral compartment syndrome
A 6-year-o boy is struck by an automobile and brought to D. Percutaneous peripheral veins in the upper extremities
the ED. He is lethargic, but withdraws purposefully from
painful stimuli. His blood pressure is 90mmHg systolic,
heart rate 140 beats per minute and his respiratory rate is
36 breaths per minute. The preferred route of venous
access in this patient is:
A. Percutaneous femoral vein cannulation
B. Cutdown on the saphenous vein at the ankle
C. Intraosseous catheter placement in the proximal tibia
D. Percutaneous peripheral veins in the upper extremities
E. Central venous access via the subclavian or internal
jugular vein
,A young man sustains a gunshot wound to the abdomen C. Control internal hemorrhage operatively
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.
Regarding shock in the child, which of the following is D. The absolute volume of blood loss required to produce shock is the same as in
FALSE? adults
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
A 33-year-old man is struck by a car travelling at 56km/h D. Perform diagnostic peritoneal lavage or FAST
(35mph). He has obvious fractures of the left tibia near the
knee, pain in the pelvic area, and severe dyspnea. His
heart rate is 182 beats per minute, and his respiratory rate
is 48 breaths per minute with no breath sounds heard in
the left chest. A tension pneumothorax is relieved by
immediate needle decompression and tube thoracostomy.
Subsequently, his heart rate decreases to 144 beats per
minute, his respirartory rate decreases to 36 breaths per
minute and his blood pressure is 81/53 mmHg. Warmed
Ringers lactate is adminstered intravenously. The next
priority should be to:
A. Perform external fixation of the pelvis
B. Obtain abdominal and pelvic CT-scans
C. Perform arterial embolization of the pelvic vessel
D. Perform diagnostic peritoneal lavage or FAST
E. Perform a urethrogram and cystogram
A 42-year-old man, injured in a motor vehicle crash, suffers A. Obtain a chest x-ray
a closed head injury, multiple palpable left rib fractures,
and bilateral femur fractures. He is intubated orotracheally
without difficulty. Initially, his ventilations are easily assisted
with a bag-mask device. It becomes more difficult to
ventilate the patient over the next 5 minutes, and his
hemoglobin oxygen saturation level decreases from 98%
to 89%. The most appropriate next step is to:
A. Obtain a chest x-ray
B. Decrease the tidal volume
C. Decrease PEEP
D. Increase the rate of assisted ventilations
E. Perform needle decompression of the left chest.
A 30-year-old man sustains a severely comminuted, open, B. Tamponade of the wound with a pressure dressing
distal right femur fracture in a motorcycle crash. The
wound is actively bleeding. Normal sensation is present
over the lateral aspect of the foot but decreased over the
medial foot and great toe. Normal motion of the foot is
observed. Dorsalis pedis and posterior tibial pulses are
easily palpable on the left, but heard only by Doppler on
the right. Immediate efforts to improve circulation to the
injured extremity should involve:
A. Immediate angiography
B. Tamponade of the wound with a pressure dressing
C. Wound exploration and removal of bony fragments
D. Realignment of the fracture segments with a traction
splint
E. Fasciotomy of all four compartments in the lower
extremity
, An 18-yeard-old, unhelmeted motorcyclist is brought by E. The patient probably has an acute epidural hematoma
ambulance to the ED following a crash. He had decreased
level of consciousness at the scene, but then was alert
and conversational during transportation. Now his GCS is
only 11. Which of the following statements is TRUE?
A. Cerebral perfusion is intact
B. Intravascular volume status is normal
C. The patient is in a postictal state
D. Intra-abdominal visceral injury is unlikely
E. The patient probably has an acute epidural hematoma
A previously healthy, 70kg (175 pound) man suffers an E. His systolic blood pressure will be maintained with an elevated diastolic pressure.
estimated acute blood loss of two liters. Which one of the
following statements apply to this patient?
A. His pulse pressure will be widened
B. His urinary output will be at the lower limits of normal
C. He will have tachycardia, but no change in systolic
blood pressure
D. His systolic blood pressure will be decreased with a
narrowed, pulse pressure
E. His systolic blood pressure will be maintained with an
elevated diastolic pressure.
The physioclogic hypervolemia of pregnancy has clinical D. Increasing the volume of blood loss to produce shock
significance in the management of the severely injured
gravid woman by
A. Reducing the need for blood transfusion
B. Increasing the risk of pulmonary edema
C. Complicating the management of closed head injury
D. Increasing the volume of blood loss to produce
shock/maternal hypotension
E. Reducing the volume of crystalloid required for
resuscitation
A 17-year-old helmeted motorcyclist loses consciousness B. A long spine board
when he is struck broad side by an automobile at an
intersection. He arrives in the ED with a blood pressure of
140/92, pulse rate 88 beats per minute, a respiratory rate
of 18 breaths per minue, and a GCS of 7. Appropriate
initial immobilization of this patient should include a semi-
rigid cervical collar and:
A. A scoop stretcher
B. A long spine board
C. A short spine board
D. Cervical traction tongs
E. Pneumatic antishock garment
During an altercation, a 36-year-old man sustains a E. Chest X-ray to confirm tube placement
gunshot wound above the nipple line on the right, with an
exit wound posteriorly above the scapula on the right. He
is transported by ambulance to a community hospital. He
is endotracheally intubated, close tube thoracostomy is
performed, and 2 liters Ringers lactate solution are infused
via 2 large-caliber IV´s. His blood pressure now is
60/0mmHg, heart rate is 160 beats per minute, and
respiratory rate is 14 breaths per minute (ventilated with
100% O2). The most appropriate next step in managin this
patient is:
A. Laparotomy
B. Diagnostic peritoneal lavage
C. Arterial blood gas determination
D. Administer packed red blood cells
E. Chest X-ray to confirm tube placement
Abscence of breath sounds and dullness to percussion A. Left hemothorax
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
2026-2027
2026-2027
Master Exam Prep Bundle
(Verified Questions & Answers)
A+ Grade Guaranteed
,Which of the following is the recommended Method for C. Warm (40 degrees) water
treatment frostbite?
A. Vasodilators
B. Anticigulants
C. Warm (40 degrees) water
D. Padding and elevation
E. Application of heat from a hairdryer
Which of the following physical findings suggest a cause of D. Presence of deep tendon reflexes. Spinal shock refers to loss of muscle toe
hypotension other than spinal cord injury? (flaccidty) and loss of reflexes.
A. Priapism
B. Bradycardia
C. Diaphragmatic breathing
D. Presence of deep tendon reflexes
E. Ability to flex forearms but not extend them
The primary indication for transferring A patient to a higher C. Resource limitations as determined by the transferring doctor
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
A young man sustains a rifle wound to the mid-abdomen. A. Laparotomy because of hemodynamic abnormality
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
A 42-year-old man is trapped from the waist down beneath E. Bilateral compartment syndrome
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
C. Central cord syndrome
D. Intracerebral hemorrhage
E. Bilateral compartment syndrome
A 6-year-o boy is struck by an automobile and brought to D. Percutaneous peripheral veins in the upper extremities
the ED. He is lethargic, but withdraws purposefully from
painful stimuli. His blood pressure is 90mmHg systolic,
heart rate 140 beats per minute and his respiratory rate is
36 breaths per minute. The preferred route of venous
access in this patient is:
A. Percutaneous femoral vein cannulation
B. Cutdown on the saphenous vein at the ankle
C. Intraosseous catheter placement in the proximal tibia
D. Percutaneous peripheral veins in the upper extremities
E. Central venous access via the subclavian or internal
jugular vein
,A young man sustains a gunshot wound to the abdomen C. Control internal hemorrhage operatively
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.
Regarding shock in the child, which of the following is D. The absolute volume of blood loss required to produce shock is the same as in
FALSE? adults
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
A 33-year-old man is struck by a car travelling at 56km/h D. Perform diagnostic peritoneal lavage or FAST
(35mph). He has obvious fractures of the left tibia near the
knee, pain in the pelvic area, and severe dyspnea. His
heart rate is 182 beats per minute, and his respiratory rate
is 48 breaths per minute with no breath sounds heard in
the left chest. A tension pneumothorax is relieved by
immediate needle decompression and tube thoracostomy.
Subsequently, his heart rate decreases to 144 beats per
minute, his respirartory rate decreases to 36 breaths per
minute and his blood pressure is 81/53 mmHg. Warmed
Ringers lactate is adminstered intravenously. The next
priority should be to:
A. Perform external fixation of the pelvis
B. Obtain abdominal and pelvic CT-scans
C. Perform arterial embolization of the pelvic vessel
D. Perform diagnostic peritoneal lavage or FAST
E. Perform a urethrogram and cystogram
A 42-year-old man, injured in a motor vehicle crash, suffers A. Obtain a chest x-ray
a closed head injury, multiple palpable left rib fractures,
and bilateral femur fractures. He is intubated orotracheally
without difficulty. Initially, his ventilations are easily assisted
with a bag-mask device. It becomes more difficult to
ventilate the patient over the next 5 minutes, and his
hemoglobin oxygen saturation level decreases from 98%
to 89%. The most appropriate next step is to:
A. Obtain a chest x-ray
B. Decrease the tidal volume
C. Decrease PEEP
D. Increase the rate of assisted ventilations
E. Perform needle decompression of the left chest.
A 30-year-old man sustains a severely comminuted, open, B. Tamponade of the wound with a pressure dressing
distal right femur fracture in a motorcycle crash. The
wound is actively bleeding. Normal sensation is present
over the lateral aspect of the foot but decreased over the
medial foot and great toe. Normal motion of the foot is
observed. Dorsalis pedis and posterior tibial pulses are
easily palpable on the left, but heard only by Doppler on
the right. Immediate efforts to improve circulation to the
injured extremity should involve:
A. Immediate angiography
B. Tamponade of the wound with a pressure dressing
C. Wound exploration and removal of bony fragments
D. Realignment of the fracture segments with a traction
splint
E. Fasciotomy of all four compartments in the lower
extremity
, An 18-yeard-old, unhelmeted motorcyclist is brought by E. The patient probably has an acute epidural hematoma
ambulance to the ED following a crash. He had decreased
level of consciousness at the scene, but then was alert
and conversational during transportation. Now his GCS is
only 11. Which of the following statements is TRUE?
A. Cerebral perfusion is intact
B. Intravascular volume status is normal
C. The patient is in a postictal state
D. Intra-abdominal visceral injury is unlikely
E. The patient probably has an acute epidural hematoma
A previously healthy, 70kg (175 pound) man suffers an E. His systolic blood pressure will be maintained with an elevated diastolic pressure.
estimated acute blood loss of two liters. Which one of the
following statements apply to this patient?
A. His pulse pressure will be widened
B. His urinary output will be at the lower limits of normal
C. He will have tachycardia, but no change in systolic
blood pressure
D. His systolic blood pressure will be decreased with a
narrowed, pulse pressure
E. His systolic blood pressure will be maintained with an
elevated diastolic pressure.
The physioclogic hypervolemia of pregnancy has clinical D. Increasing the volume of blood loss to produce shock
significance in the management of the severely injured
gravid woman by
A. Reducing the need for blood transfusion
B. Increasing the risk of pulmonary edema
C. Complicating the management of closed head injury
D. Increasing the volume of blood loss to produce
shock/maternal hypotension
E. Reducing the volume of crystalloid required for
resuscitation
A 17-year-old helmeted motorcyclist loses consciousness B. A long spine board
when he is struck broad side by an automobile at an
intersection. He arrives in the ED with a blood pressure of
140/92, pulse rate 88 beats per minute, a respiratory rate
of 18 breaths per minue, and a GCS of 7. Appropriate
initial immobilization of this patient should include a semi-
rigid cervical collar and:
A. A scoop stretcher
B. A long spine board
C. A short spine board
D. Cervical traction tongs
E. Pneumatic antishock garment
During an altercation, a 36-year-old man sustains a E. Chest X-ray to confirm tube placement
gunshot wound above the nipple line on the right, with an
exit wound posteriorly above the scapula on the right. He
is transported by ambulance to a community hospital. He
is endotracheally intubated, close tube thoracostomy is
performed, and 2 liters Ringers lactate solution are infused
via 2 large-caliber IV´s. His blood pressure now is
60/0mmHg, heart rate is 160 beats per minute, and
respiratory rate is 14 breaths per minute (ventilated with
100% O2). The most appropriate next step in managin this
patient is:
A. Laparotomy
B. Diagnostic peritoneal lavage
C. Arterial blood gas determination
D. Administer packed red blood cells
E. Chest X-ray to confirm tube placement
Abscence of breath sounds and dullness to percussion A. Left hemothorax
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
