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ATLS Practice Test 2026 | 250 Real Trauma Exam
Questions With Verified Answers & Detailed
Rationales||Verified Exam!!!
Young women sustains a severe head injury as the result
of a motor vehicle crash. In the emergency department her
GCS is 6. Her BP is 140/90 mmHg and her HR is 80. She
is intubated and is being mechanically ventilated. Her
pupils are 3 mm in size and equally reactive to light. There
is no other apparent injury. The more important principle to
follow in the early management of her head injury is to: -
Answers-Prevent secondary brain injury
22 year old man is brought to the hospital after crashing
his motorcycle into a telephone pole. He is unconscious
and in profound shock. He has no open wounds or
obvious fractures. The cause of his shocks is most likely
caused by: - Answers-Hemorrhage into the chest of
abdomen
30 year old man is struck by a car traveling 35mph. He
has obvious fractures of the left tibia near the knee, pain in
the pelvis area, and severe dyspnea. His HR is 180, RR
48 bpm with no breath sounds heard in the left chest. A
tension PTX is relieved by immediate needle
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decompression and tube thoracostomy. Subsequently his
HR decreased to 140, his RR decreased to 36 bpm, and
BP 80/50 mmHg. Warmed LR is administered
intravenously. The next priority should be to: - Answers-
Perform external fixation of the pelvis
8 year old girl is an unrestrained passenger in a vehicle
struck from behind. In the ED, her blood pressure is 80/60,
heart rate is 80 bpm, and respiratory rate is 16 breaths per
minute. Her GCS score is 14. She complains that her legs
"feel funny and won't move right", however, her spine x-
rays do not show a fracture dislocation. A spinal injury in
this child: - Answers-Can be excluded by obtaining a CT of
the entire spine
Immediately chest tube insertion is indicated for which of
the following conditions? - Answers-Massive hemothorax
18 year old helmeted motorcyclist is brought by
ambulance to the emergency department following a high
speed crash. Pre-hospital personnel report that he was
thrown 50 feet off his bike. He has a history of hypotension
prior to arrival in the ED, but is now awake, alert, and
conversational. Which of the following statements is true?
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- Answers-The patient probably has an acute epidural
hematoma
Crosstable, lateral XR of the cervical spine: - Answers-Is
unacceptable unless 7 cervical vertebra and the C7 to T1
relationship are visualized
During resuscitation, which one of the following is the most
reliable as a guide to volume replacement? - Answers-
Urinary output
Which one of the following is the recommended method
for initially treating frostbite? - Answers-Warm 40C water
Which of the following is least reliable for diagnosing
esophageal intubation? - Answers-ETT above carina on
chest x ray
Which of the following signs necessitates the need for a
definitive airway in severe trauma patient? - Answers-
Severe maxillofacial trauma
Twenty seven people are severely injured in an aircraft
crash at a local airport. The principles of triage include: -
ATLS Practice Test 2026 | 250 Real Trauma Exam
Questions With Verified Answers & Detailed
Rationales||Verified Exam!!!
Young women sustains a severe head injury as the result
of a motor vehicle crash. In the emergency department her
GCS is 6. Her BP is 140/90 mmHg and her HR is 80. She
is intubated and is being mechanically ventilated. Her
pupils are 3 mm in size and equally reactive to light. There
is no other apparent injury. The more important principle to
follow in the early management of her head injury is to: -
Answers-Prevent secondary brain injury
22 year old man is brought to the hospital after crashing
his motorcycle into a telephone pole. He is unconscious
and in profound shock. He has no open wounds or
obvious fractures. The cause of his shocks is most likely
caused by: - Answers-Hemorrhage into the chest of
abdomen
30 year old man is struck by a car traveling 35mph. He
has obvious fractures of the left tibia near the knee, pain in
the pelvis area, and severe dyspnea. His HR is 180, RR
48 bpm with no breath sounds heard in the left chest. A
tension PTX is relieved by immediate needle
,2|Page
decompression and tube thoracostomy. Subsequently his
HR decreased to 140, his RR decreased to 36 bpm, and
BP 80/50 mmHg. Warmed LR is administered
intravenously. The next priority should be to: - Answers-
Perform external fixation of the pelvis
8 year old girl is an unrestrained passenger in a vehicle
struck from behind. In the ED, her blood pressure is 80/60,
heart rate is 80 bpm, and respiratory rate is 16 breaths per
minute. Her GCS score is 14. She complains that her legs
"feel funny and won't move right", however, her spine x-
rays do not show a fracture dislocation. A spinal injury in
this child: - Answers-Can be excluded by obtaining a CT of
the entire spine
Immediately chest tube insertion is indicated for which of
the following conditions? - Answers-Massive hemothorax
18 year old helmeted motorcyclist is brought by
ambulance to the emergency department following a high
speed crash. Pre-hospital personnel report that he was
thrown 50 feet off his bike. He has a history of hypotension
prior to arrival in the ED, but is now awake, alert, and
conversational. Which of the following statements is true?
, 3|Page
- Answers-The patient probably has an acute epidural
hematoma
Crosstable, lateral XR of the cervical spine: - Answers-Is
unacceptable unless 7 cervical vertebra and the C7 to T1
relationship are visualized
During resuscitation, which one of the following is the most
reliable as a guide to volume replacement? - Answers-
Urinary output
Which one of the following is the recommended method
for initially treating frostbite? - Answers-Warm 40C water
Which of the following is least reliable for diagnosing
esophageal intubation? - Answers-ETT above carina on
chest x ray
Which of the following signs necessitates the need for a
definitive airway in severe trauma patient? - Answers-
Severe maxillofacial trauma
Twenty seven people are severely injured in an aircraft
crash at a local airport. The principles of triage include: -
