1|Page
ATLS 10th Edition Post Test 2026/2027
UPDATE/PRACTICE EXAMS 450 QUESTIONS AND
CORRECT VERIFIED ANSWERS (complete solutions)
ASSURED SUCCESS/GRADED A+!!!
An 18-yeard-old, unhelmeted motorcyclist is brought by 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
......ANSWER......E. The patient probably has an acute epidural
hematoma
A previously healthy, 70kg (175 pound) man suffers an 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
pg. 1
,2|Page
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. ......ANSWER......E. His systolic blood pressure will be
maintained with an elevated diastolic pressure.
The physioclogic hypervolemia of pregnancy has clinical 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
......ANSWER......D. Increasing the volume of blood loss to produce
shock
A 17-year-old helmeted motorcyclist loses consciousness 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
pg. 2
,3|Page
C. A short spine board
D. Cervical traction tongs
E. Pneumatic antishock garment ......ANSWER......B. A long spine board
During an altercation, a 36-year-old man sustains a 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 ......ANSWER......E. Chest X-ray
to confirm tube placement
Abscence of breath sounds and dullness to percussion over the left
hemithorax are findings best explained by:
A. Left hemothorax
B. Cardiac contusion
C. Left simple pneumothorax
pg. 3
, 4|Page
D. Left diaphragmatic rupture
E. Right tension pneumothorax ......ANSWER......A. Left hemothorax
A 23-year-old man is brought immediately to the ED from the hospitals
parking lot where he was shot in the lower abdomen. Examination
reveals a single bullet wound. He is breathing and has a thready pulse.
However, he is unconsious and has no detectable blood pressure.
Optimale immediate management is to:
A. Perform a diagnostic peritoneal lavage
B. Initiate infusion of packed red blood cells
C. Insert a nasogastric tube and urinary catheter
D. Transfer the patient to the operating room, while initiating fluid
therapy
E. Initiate fluid therapy to return his blood pressure to normotensive
......ANSWER......D. Transfer the patient to the operating room, while
initiating fluid therapy
A teen-aged bicycle rider is hit by a truck traveling at high speed. In the
ED, she is actively bleeding from open fractures of her legs, and has
abrasions on her chest and abdominal wall. Her blood pressure is 80/50
mmHg, heart rate is 140 beats per minute, respiratory rate is 8 breaths
per minute, and GCS score is 6. The first step in managing this patient is
to:
A. Obtain a lateral cervical spine x-ray
B. Insert av central venous pressure line
pg. 4
ATLS 10th Edition Post Test 2026/2027
UPDATE/PRACTICE EXAMS 450 QUESTIONS AND
CORRECT VERIFIED ANSWERS (complete solutions)
ASSURED SUCCESS/GRADED A+!!!
An 18-yeard-old, unhelmeted motorcyclist is brought by 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
......ANSWER......E. The patient probably has an acute epidural
hematoma
A previously healthy, 70kg (175 pound) man suffers an 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
pg. 1
,2|Page
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. ......ANSWER......E. His systolic blood pressure will be
maintained with an elevated diastolic pressure.
The physioclogic hypervolemia of pregnancy has clinical 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
......ANSWER......D. Increasing the volume of blood loss to produce
shock
A 17-year-old helmeted motorcyclist loses consciousness 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
pg. 2
,3|Page
C. A short spine board
D. Cervical traction tongs
E. Pneumatic antishock garment ......ANSWER......B. A long spine board
During an altercation, a 36-year-old man sustains a 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 ......ANSWER......E. Chest X-ray
to confirm tube placement
Abscence of breath sounds and dullness to percussion over the left
hemithorax are findings best explained by:
A. Left hemothorax
B. Cardiac contusion
C. Left simple pneumothorax
pg. 3
, 4|Page
D. Left diaphragmatic rupture
E. Right tension pneumothorax ......ANSWER......A. Left hemothorax
A 23-year-old man is brought immediately to the ED from the hospitals
parking lot where he was shot in the lower abdomen. Examination
reveals a single bullet wound. He is breathing and has a thready pulse.
However, he is unconsious and has no detectable blood pressure.
Optimale immediate management is to:
A. Perform a diagnostic peritoneal lavage
B. Initiate infusion of packed red blood cells
C. Insert a nasogastric tube and urinary catheter
D. Transfer the patient to the operating room, while initiating fluid
therapy
E. Initiate fluid therapy to return his blood pressure to normotensive
......ANSWER......D. Transfer the patient to the operating room, while
initiating fluid therapy
A teen-aged bicycle rider is hit by a truck traveling at high speed. In the
ED, she is actively bleeding from open fractures of her legs, and has
abrasions on her chest and abdominal wall. Her blood pressure is 80/50
mmHg, heart rate is 140 beats per minute, respiratory rate is 8 breaths
per minute, and GCS score is 6. The first step in managing this patient is
to:
A. Obtain a lateral cervical spine x-ray
B. Insert av central venous pressure line
pg. 4
