POSTEST ATLS 2025 UPDATED EXAM
REVIEW 2026 QUESTIONS AND CORRECT
SOLUTIONS GRADED A+
⩥ Which of the following statements regarding injury to the central
nervous system in children is true? Answer: Children suffer spinal cord
injury without an XR abnormality more commonly than adults
⩥ 5 year old boy is struck by an automobile and brought to the
emergency department. He is lethargic, but withdraws purposefully from
painfully stimuli. His blood pressure is 90 mmHg, HR 140 BPM, and
RR is 36 bpm. The preferred route of venous access in this patient is:
Answer: Pertained veins in the upper extremities
⩥ The response to catecholamines in an injured, hypovolemic pregnant
woman can be expected to result in:
A. Placental abruption
B. Fetal hypoxia and distress
C. Fetal/maternal dysrhytmia
D. Improved uterine blood flow
E. Increased maternal renal blood flow Answer: Fetal hypoxia and
distress
, ⩥ Cardiac tamponade after trauma: Answer: Can be confused with a
tension pneumothorax
⩥ 30 year old man sustains a severely, communities, open distal right
femur fracture in a motorcycle crash. The wound is actively bleeding.
DP and PT are easily palpable on the left, but heard only by Doppler on
the right. Immediate effort to improve circulation the injured extremity
should involve: Answer: Tamponade of the wound with a pressure
dressing
⩥ 24 year old male sustains multiple fractured ribs bilaterally as a result
of being crushed in a press at plywood factory. Examination in the ED
revealed a foil segment on the patient's thorax. Primary resuscitation
includes high flow, oxygen administration via a non-breathing mask, and
initiation of ringers lactate solution. The patient exhibits progressive
confusion, cyanosis, and kidney. Management at this time she consist of:
Answer: Endotracheal intubation and mechanical ventilation
⩥ 23 year old man is brought immediately to the emergency department
from the hospital parking lot where he was shot in the lower abdomen.
Examination reveals a single bullet wound. He is breathing and has a
thrash pulse. However, he is unconscious and has no detectable blood
pressure. Optimal immediate management is to: Answer: Transfer the
patient to the operating room while initiating fluid therapy
⩥ 25 year old woman is brought to the emergency department after a
motor vehicle crash. She was initially lucid at the scene and then
REVIEW 2026 QUESTIONS AND CORRECT
SOLUTIONS GRADED A+
⩥ Which of the following statements regarding injury to the central
nervous system in children is true? Answer: Children suffer spinal cord
injury without an XR abnormality more commonly than adults
⩥ 5 year old boy is struck by an automobile and brought to the
emergency department. He is lethargic, but withdraws purposefully from
painfully stimuli. His blood pressure is 90 mmHg, HR 140 BPM, and
RR is 36 bpm. The preferred route of venous access in this patient is:
Answer: Pertained veins in the upper extremities
⩥ The response to catecholamines in an injured, hypovolemic pregnant
woman can be expected to result in:
A. Placental abruption
B. Fetal hypoxia and distress
C. Fetal/maternal dysrhytmia
D. Improved uterine blood flow
E. Increased maternal renal blood flow Answer: Fetal hypoxia and
distress
, ⩥ Cardiac tamponade after trauma: Answer: Can be confused with a
tension pneumothorax
⩥ 30 year old man sustains a severely, communities, open distal right
femur fracture in a motorcycle crash. The wound is actively bleeding.
DP and PT are easily palpable on the left, but heard only by Doppler on
the right. Immediate effort to improve circulation the injured extremity
should involve: Answer: Tamponade of the wound with a pressure
dressing
⩥ 24 year old male sustains multiple fractured ribs bilaterally as a result
of being crushed in a press at plywood factory. Examination in the ED
revealed a foil segment on the patient's thorax. Primary resuscitation
includes high flow, oxygen administration via a non-breathing mask, and
initiation of ringers lactate solution. The patient exhibits progressive
confusion, cyanosis, and kidney. Management at this time she consist of:
Answer: Endotracheal intubation and mechanical ventilation
⩥ 23 year old man is brought immediately to the emergency department
from the hospital parking lot where he was shot in the lower abdomen.
Examination reveals a single bullet wound. He is breathing and has a
thrash pulse. However, he is unconscious and has no detectable blood
pressure. Optimal immediate management is to: Answer: Transfer the
patient to the operating room while initiating fluid therapy
⩥ 25 year old woman is brought to the emergency department after a
motor vehicle crash. She was initially lucid at the scene and then
