ATLS MCQ TEST 1 L ACTUAL EXAM PAPER
2026 COMPLETE QUESTIONS AND ANSWERS
GRADED A+
◉ 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: Answer: - complete spine x-ray series
◉ Which of the following is true regarding the initial resuscitation of
a trauma patient? Answer: - A patient with a torso gunshot wound
and hypotension should receive crystalloid fluid resuscitation until
the blood pressure is normal
-* Evidence of improved perfusion after fluid resuscitation could
include improvement in Glasgow Coma Scale score on reevaluation*
- Massive transfusion is defined as transfusion of more than 10 units
of packed red blood cells and plasma within 24 hours
- When tranexamic acid is administered by pre-hospital providers, a
second dose is required within 24 hours
- Fluid resuscitation is far more important than bleeding control in
trauma patient
, ◉ In managing a patient with a severe traumatic brain injury, the
most important initial step is to: Answer: - 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? Answer: - His pulse pressure will be widened.
- His urinary output will be at the lower limits of normal. xxx
- He will have tachycardia, but no change in his systolic blood
pressure.
- *An ABG would demonstrate a base deficit between -6 and -10
mEq/L.*
- His systolic blood pressure will be maintained with an elevated
diastolic pressure.
◉ The physiological hypervolemia of pregnancy has clinical
significance in the management of the severely injured, gravid
woman by: Answer: - increasing the volume of blood loss to produce
maternal hypotension.
◉ The best assessment of fluid resuscitation of the adult burn
patient is: Answer: - urinary output of 0.5 mL/kg/hr
◉ The diagnosis of shock must include: Answer: - evidence of
inadequate organ perfusion
2026 COMPLETE QUESTIONS AND ANSWERS
GRADED A+
◉ 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: Answer: - complete spine x-ray series
◉ Which of the following is true regarding the initial resuscitation of
a trauma patient? Answer: - A patient with a torso gunshot wound
and hypotension should receive crystalloid fluid resuscitation until
the blood pressure is normal
-* Evidence of improved perfusion after fluid resuscitation could
include improvement in Glasgow Coma Scale score on reevaluation*
- Massive transfusion is defined as transfusion of more than 10 units
of packed red blood cells and plasma within 24 hours
- When tranexamic acid is administered by pre-hospital providers, a
second dose is required within 24 hours
- Fluid resuscitation is far more important than bleeding control in
trauma patient
, ◉ In managing a patient with a severe traumatic brain injury, the
most important initial step is to: Answer: - 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? Answer: - His pulse pressure will be widened.
- His urinary output will be at the lower limits of normal. xxx
- He will have tachycardia, but no change in his systolic blood
pressure.
- *An ABG would demonstrate a base deficit between -6 and -10
mEq/L.*
- His systolic blood pressure will be maintained with an elevated
diastolic pressure.
◉ The physiological hypervolemia of pregnancy has clinical
significance in the management of the severely injured, gravid
woman by: Answer: - increasing the volume of blood loss to produce
maternal hypotension.
◉ The best assessment of fluid resuscitation of the adult burn
patient is: Answer: - urinary output of 0.5 mL/kg/hr
◉ The diagnosis of shock must include: Answer: - evidence of
inadequate organ perfusion
