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ATLS Post Test 2 Study Guide Exam Latest 2026/2027 Updated Verified Questions and Solutions A+ Pass Guaranteed

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Terms in this set (40)



A 24 year old male pedestrian, struck by an B
automobile, is admitted to the emergency department 1
hour after injury. His blood pressure is 80/60 mmHg,
heart rate 140 beats per minute and respiratory rate is
36 per minute. He is lethargic. Oxygen is delivered via
face mask, and two large-caliber IVs are initiated.
Arterial blood gases are obtained. His PaO2 is 118
mmHg, PaCO2 is 30 mmHg, and pH is 7.21. The
treatment of his acid-base disorder is best
accomplished by:
A. Hyperventilation
B. Restoration of normal perfusion
C. Initiation of low-dose dopamine
D. Administration of sodium bicarbonate
E. Initiation of phenylepinephrine infusion


The highest priority in managing a patient whose D
injuries include closed extremity fractures is:
A. Assessing limb perfusion
B. Preventing necrosis of the skin
C. Decompressing compartment syndrome
D. Addressing respiratory insufficiency
E. Identifying crush syndrome

, A 34-year-old female is involved in a motor vehicle B
crash is brought to the emergency department. She is
talking, but her voice is hoarse and on exposure she
has diagonal bruising of the chest and anterior neck.
What is the next step?
A. Direct laryngoscopy to exclude laryngeal trauma
B. Oxygen by non-rebreathing mask
C. Protecting the spine by making her lie down
D. Palpation of the anterior neck
E. Attaching a pulse oximeter to her finger


A 30-year-old male sustains a gunshot wound to the D
right lower chest, midway between the nipple and the
costal margin. He is brought by ambulance to a hospital
that has full surgical capabilities. In the emergency
department he is endotracheally intubated, fluid
resuscitation is initiated through two large-caliber IV
lines, and a closed tube thoracostomy is performed,
with the return of 200 ml of blood. A chest x- ray
reveals correct placement of the chest tube and a small
residual hemothorax. His blood pressure is now 70/0
mmHg, and his heart rate is 140 beats per minute. His
hypotension is most likely due to:
A. Tension pneumothorax
B. Massive hemothorax
C. Pericardial tamponade
D. Intraabdominal bleeding
E. Insufficient isotonic crystalloid infusion


A 20-year-old athlete is involved in a motorcycle crash E
after having ridden for hours on a very hot day. When
he arrives in the emergency department, he shouts that
he cannot move his legs. On physical examination,
there are no abnormalities of the chest, abdomen, or
pelvis. The patient has no sensation in his legs and
cannot move them, but his arms are moving. The
patient's respiratory rate is 22, heart rate is 88, and
blood pressure is 80/60 mmHg. He is pale and sweaty.
What is the most likely cause of his hypotension?
A. Neurogenic shock
B. Cardiac tamponade
C. Myocardial contusion
D. Hyperthermia
E. Hemorrhagic shock


Compared with adults, children have: C
A. A longer, wider, funnel-shaped airway
B. A less pliable, calcified skeleton
C. Greater mobility of mediastinal structures
D. A relatively smaller head and larger jaw
E. Anterior displacement of C5 on C6

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