2026/01/15 ATLS 10TH Edition POST TEST 1,2,3 & 4 QuestiNS
ATLS 10TH& ANSWERS.pdf
Edition POST TEST 1,2,3 & 4 QuestiNS & ANSWERS.pdf
ATLS 10TH Edition POST TEST 1,2,3 & 4
Questions And Answers
2025/2026 update
TABLE OF CONTENT
ATLS POST TEST 1 …………….15
ATLS POST TEST 2……………. 35
ATLS POST TEST 3…………….. 42
ATLS POST TEST 4 ……………..77
ATLS POST TEST 1
A 22-year-old man is hypotensive and tachycardic after a shotgun wound to the left shoulder. His
blood pressure is initially 80/40 mm Hg. After initial fluid resuscitation his blood pressure increases
to 122/84 mm Hg. His heart rate is now 100 beats per minute and his respiratory rate is 28 breaths
per minute. A tube thoracostomy is performed for decreased left chest breath sounds with the
return of a small amount of blood and no air leak. After chest tube insertion, the most appropriate
next step is:
Select one:
a.
reexamine the chest
b.
perform an aortogram
c.
obtain a CT scan of the chest d.
obtain arterial blood gas
analyses
e.
perform transesophageal echocardiography - ANS>>A) Reexamine the chest
A construction worker falls two stories from a building and sustains bilateral calcaneal fractures. In
the emergency department, he is alert, vital signs are normal, and he is complaining of severe pain
in both heels and his lower back. Lower extremity pulses are strong and there is no other deformity.
The suspected diagnosis is most likely to be confirmed by:
Select one:
a.
angiography
b.
compartment pressures
c.
ATLS 10TH Edition POST TEST 1,2,3 & 4 QuestiNS
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retrograde urethrogram
d.
Doppler ultrasound studies
e.
complete spine x-ray series - ANS>>e) Complete spine x-ray series
Which of the following is true regarding the initial resuscitation of a trauma patient?
Select one:
a.
A patient that presents with a torso gunshot wound and is hypotensive should receive crystalloid
fluid resuscitation until the blood pressure is normal b.
Evidence of improved perfusion after fluid resuscitation could include improvement in Glasgow
coma scale score on reevaluation
c.
Massive transfusion is defined as transfusion of more than >10 of packed red blood cells and
plasma in 24 hours
d.
When tranexamic acid is administered by pre-hospital providers a second dose is required within 24
hours
e.
Fluid resuscitation is far more important than bleeding control in trauma patients - ANS>>b.
Evidence of improved perfusion after fluid resuscitation could include improvement in Glasgow
coma scale score on reevaluation
In managing a patient with a severe traumatic brain injury, the most important initial step is to:
Select one: a.
Secure the airway b.
obtain a c-spine film c.
support the
circulation d.
control scalp hemorrhage
e.
determine the GCS score
Feedback
Your ANS>> is corr - ANS>>a.
Secure the airway
A previously healthy, 70-kg (154-pound) man suffers an estimated acute blood loss of 2 liters.
Which one of the following statements applies to this patient?
Select one:
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 his systolic blood pressure. d.
An ABG would demonstrate a base deficit between -6 and -10 mEq/L e.
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His systolic blood pressure will be maintained with an elevated diastolic pressure. - ANS>>d.
An ABG would demonstrate a base deficit between -6 and -10 mEq/L
The physiologic hypervolemia of pregnancy has clinical significance in the management of the
severely injured, gravid woman by:
Select one:
a.
reducing the need for blood transfusion
b. resulting in an elevated hematocrit
c.
complicating the management of closed head injury d. reducing the volume of
crystalloid required for resuscitation e. increasing the volume of blood loss to
produce maternal hypotension - ANS>>e.
increasing the volume of blood loss to produce maternal hypotension
The best assessment of fluid resuscitation of the adult burn patient is:
Select one: a.
Urine output of 0.5 mL/kg/hr b.
normalization of blood
pressure
c. normalization of the heart
rate d.
measuring a normal central venous pressure e. providing 4 mL/kg/percent
body burn/24 hours of crystalloid fluid - ANS>>a. Urine output of 0.5
mL/kg/hr
The diagnosis of shock must include:
Select one:
a.
hypoxemia
b. acidosis
c.
hypotension
d. increased vascular resistance
e. evidence of inadequate organ
perfusion - ANS>>e.
evidence of inadequate organ perfusion
A 7-year-old boy is brought to the emergency department by his parents several minutes after he
fell through a window. He is bleeding profusely from a 6-cm wound of his medial right thigh.
Immediate management of the wound should consist of:
Select one:
a. application of a
tourniquet b.
direct pressure on the wound
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c.
packing the wound with gauze
d. direct pressure on the femoral artery at the
groin e. debridement of devitalized tissue -
ANS>>b.
direct pressure on the wound
For the patient with severe traumatic brain injury, profound hypocarbia should be avoided to
prevent: Select one:
a.
respiratory acidosis
b. metabolic
acidosis
c.
cerebral vasoconstriction with diminished perfusion d.
neurogenic pulmonary edema
e. shift of the oxyhemoglobin dissociation curve -
ANS>>c.
cerebral vasoconstriction with diminished perfusion
After being involved in a motor vehicle crash, a 25-year-old man is brought to a hospital that has
surgery capabilities available.. Computed tomography of the chest and abdomen shows an aortic
injury and splenic laceration with free abdominal fluid. His blood pressure falls to 70 mm Hg after
CT. The next step is:
Select one:
a.
obtain contrast angiography
b. transfer to a higher level trauma
center c.
perform an exploratory laparotomy
d.
infuse additional crystalloid fluids e.
Obtain transesophageal echocardiography - ANS>>c.
perform an exploratory laparotomy
Which one of the following statements regarding abdominal trauma in the pregnant patient is
TRUE?
Select one:
a.
The fetus is in jeopardy only with major maternal abdominal trauma. b.
Leakage of amniotic fluid is an indication for hospital admission. c.
Indications for peritoneal lavage are different from those in the nonpregnant patient. d.
With penetrating trauma, injury to the mother's abdominal hollow viscus is more common in late
than in early pregnancy.
e.
ATLS 10TH Edition POST TEST 1,2,3 & 4 QuestiNS
ATLS 10TH& ANSWERS
Edition POST TEST 1,2,3 & 4 QuestiNS
ATLS&10TH
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Edition POST TEST 1,2,3 & 4 QuestiNS & ANSWERS
ATLS 10TH& ANSWERS.pdf
Edition POST TEST 1,2,3 & 4 QuestiNS & ANSWERS.pdf
ATLS 10TH Edition POST TEST 1,2,3 & 4
Questions And Answers
2025/2026 update
TABLE OF CONTENT
ATLS POST TEST 1 …………….15
ATLS POST TEST 2……………. 35
ATLS POST TEST 3…………….. 42
ATLS POST TEST 4 ……………..77
ATLS POST TEST 1
A 22-year-old man is hypotensive and tachycardic after a shotgun wound to the left shoulder. His
blood pressure is initially 80/40 mm Hg. After initial fluid resuscitation his blood pressure increases
to 122/84 mm Hg. His heart rate is now 100 beats per minute and his respiratory rate is 28 breaths
per minute. A tube thoracostomy is performed for decreased left chest breath sounds with the
return of a small amount of blood and no air leak. After chest tube insertion, the most appropriate
next step is:
Select one:
a.
reexamine the chest
b.
perform an aortogram
c.
obtain a CT scan of the chest d.
obtain arterial blood gas
analyses
e.
perform transesophageal echocardiography - ANS>>A) Reexamine the chest
A construction worker falls two stories from a building and sustains bilateral calcaneal fractures. In
the emergency department, he is alert, vital signs are normal, and he is complaining of severe pain
in both heels and his lower back. Lower extremity pulses are strong and there is no other deformity.
The suspected diagnosis is most likely to be confirmed by:
Select one:
a.
angiography
b.
compartment pressures
c.
ATLS 10TH Edition POST TEST 1,2,3 & 4 QuestiNS
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retrograde urethrogram
d.
Doppler ultrasound studies
e.
complete spine x-ray series - ANS>>e) Complete spine x-ray series
Which of the following is true regarding the initial resuscitation of a trauma patient?
Select one:
a.
A patient that presents with a torso gunshot wound and is hypotensive should receive crystalloid
fluid resuscitation until the blood pressure is normal b.
Evidence of improved perfusion after fluid resuscitation could include improvement in Glasgow
coma scale score on reevaluation
c.
Massive transfusion is defined as transfusion of more than >10 of packed red blood cells and
plasma in 24 hours
d.
When tranexamic acid is administered by pre-hospital providers a second dose is required within 24
hours
e.
Fluid resuscitation is far more important than bleeding control in trauma patients - ANS>>b.
Evidence of improved perfusion after fluid resuscitation could include improvement in Glasgow
coma scale score on reevaluation
In managing a patient with a severe traumatic brain injury, the most important initial step is to:
Select one: a.
Secure the airway b.
obtain a c-spine film c.
support the
circulation d.
control scalp hemorrhage
e.
determine the GCS score
Feedback
Your ANS>> is corr - ANS>>a.
Secure the airway
A previously healthy, 70-kg (154-pound) man suffers an estimated acute blood loss of 2 liters.
Which one of the following statements applies to this patient?
Select one:
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 his systolic blood pressure. d.
An ABG would demonstrate a base deficit between -6 and -10 mEq/L e.
ATLS 10TH Edition POST TEST 1,2,3 & 4 QuestiNS
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His systolic blood pressure will be maintained with an elevated diastolic pressure. - ANS>>d.
An ABG would demonstrate a base deficit between -6 and -10 mEq/L
The physiologic hypervolemia of pregnancy has clinical significance in the management of the
severely injured, gravid woman by:
Select one:
a.
reducing the need for blood transfusion
b. resulting in an elevated hematocrit
c.
complicating the management of closed head injury d. reducing the volume of
crystalloid required for resuscitation e. increasing the volume of blood loss to
produce maternal hypotension - ANS>>e.
increasing the volume of blood loss to produce maternal hypotension
The best assessment of fluid resuscitation of the adult burn patient is:
Select one: a.
Urine output of 0.5 mL/kg/hr b.
normalization of blood
pressure
c. normalization of the heart
rate d.
measuring a normal central venous pressure e. providing 4 mL/kg/percent
body burn/24 hours of crystalloid fluid - ANS>>a. Urine output of 0.5
mL/kg/hr
The diagnosis of shock must include:
Select one:
a.
hypoxemia
b. acidosis
c.
hypotension
d. increased vascular resistance
e. evidence of inadequate organ
perfusion - ANS>>e.
evidence of inadequate organ perfusion
A 7-year-old boy is brought to the emergency department by his parents several minutes after he
fell through a window. He is bleeding profusely from a 6-cm wound of his medial right thigh.
Immediate management of the wound should consist of:
Select one:
a. application of a
tourniquet b.
direct pressure on the wound
ATLS 10TH Edition POST TEST 1,2,3 & 4 QuestiNS
ATLS 10TH& ANSWERS
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c.
packing the wound with gauze
d. direct pressure on the femoral artery at the
groin e. debridement of devitalized tissue -
ANS>>b.
direct pressure on the wound
For the patient with severe traumatic brain injury, profound hypocarbia should be avoided to
prevent: Select one:
a.
respiratory acidosis
b. metabolic
acidosis
c.
cerebral vasoconstriction with diminished perfusion d.
neurogenic pulmonary edema
e. shift of the oxyhemoglobin dissociation curve -
ANS>>c.
cerebral vasoconstriction with diminished perfusion
After being involved in a motor vehicle crash, a 25-year-old man is brought to a hospital that has
surgery capabilities available.. Computed tomography of the chest and abdomen shows an aortic
injury and splenic laceration with free abdominal fluid. His blood pressure falls to 70 mm Hg after
CT. The next step is:
Select one:
a.
obtain contrast angiography
b. transfer to a higher level trauma
center c.
perform an exploratory laparotomy
d.
infuse additional crystalloid fluids e.
Obtain transesophageal echocardiography - ANS>>c.
perform an exploratory laparotomy
Which one of the following statements regarding abdominal trauma in the pregnant patient is
TRUE?
Select one:
a.
The fetus is in jeopardy only with major maternal abdominal trauma. b.
Leakage of amniotic fluid is an indication for hospital admission. c.
Indications for peritoneal lavage are different from those in the nonpregnant patient. d.
With penetrating trauma, injury to the mother's abdominal hollow viscus is more common in late
than in early pregnancy.
e.
ATLS 10TH Edition POST TEST 1,2,3 & 4 QuestiNS
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