ATLS MCQ EXAM 1 STUDY GUIDE 2026
QUESTIONS WITH 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:
Select one:
a.
angiography
b.
compartment pressures
c.
retrograde urethrogram
d.
Doppler ultrasound studies
e.
complete spine x-ray series Answer: 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 Answer: 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 answer is corr Answer: 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
QUESTIONS WITH 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:
Select one:
a.
angiography
b.
compartment pressures
c.
retrograde urethrogram
d.
Doppler ultrasound studies
e.
complete spine x-ray series Answer: 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 Answer: 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 answer is corr Answer: 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
