1|Page
Advanced Trauma Life Support (ATLS) Exam 2026/2027 ||
Verified Exams!!!
A 13 year old boy fell while riding his bicycle and hit his head.
He was unconscious for 4 or 5 minutes. He vomited twice. He
has no memory of the event or a headache. His exam is entirely
normal. Glasgow coma score is 15. Select the next step in
management.
A. Discharge home with concussion instructions
B. CT of the head
C. Skull films
D. Admit for observation - ANSWER-B. CT of the head
Cerebral edema treatment - ANSWER-Mannitol
Head up position
Hyperventilation
Sellick maneuver - ANSWER-Minimizes the chances of
regurgitation during intubation
Which of the following is predominantly an iatrogenic
complication?
A. Venous air embolism
,2|Page
B. Deep venous thrombosis (DVT)
C. Venous thromboembolism
D. None of the above - ANSWER-A. Venous air embolism
Normal capillary refill time - ANSWER-2 seconds
Which of the following cannot be administered via
endotracheal (ET) tube?
A. Atropine
B. Atenolol
C. Epinephrine
D. Lidocaine - ANSWER-B. Atenolol
Can be added to lidocaine to reduce the burning sensation
when administered - ANSWER-Sodium bicarbonate
Nerve + sensory relationships - ANSWER-C6 - Thumb
C7 - Middle finger
C8 - Little finger
,3|Page
True regarding the initial resuscitation of a trauma patient -
ANSWER-Evidence of improved perfusion after fluid
resuscitation could include improvement of GCS on
reevaluation
For the patient with severe traumatic brain injury, profound
hypocarbia should be avoided to prevent: - ANSWER-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: -
ANSWER-perform an exploratory laparotomy
Which one of the following statements regarding abdominal
trauma in the pregnant patient is TRUE?
A. The fetus is in jeopardy only with major 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.
, 4|Page
D. With penetrating trauma, injury to the mother's abdominal
hollow viscus is more common in late than in early pregnancy.
E. The secondary survey follows a different pattern from that of
the nonpregnant patient. - ANSWER-B. Leakage of amniotic
fluid is an indication for hospital admission.
Which one of the following findings in an adult is most likely to
require immediate management during the primary survey?
A. distended abdomen
B. Glasgow Coma Scale score of 11
C. temperature of 36.5°C (97.8°F)
D. deforming of the right thigh
E. Respiratory rate of 40 breaths per minute - ANSWER-E.
Respiratory rate of 40 breaths per minute
The most important, immediate step in the management of an
open pneumothorax is:
A. endotracheal intubation
B. operation to close the wound
C. placing a chest tube through the chest wound
D. placement of an occlusive dressing over the wound
Advanced Trauma Life Support (ATLS) Exam 2026/2027 ||
Verified Exams!!!
A 13 year old boy fell while riding his bicycle and hit his head.
He was unconscious for 4 or 5 minutes. He vomited twice. He
has no memory of the event or a headache. His exam is entirely
normal. Glasgow coma score is 15. Select the next step in
management.
A. Discharge home with concussion instructions
B. CT of the head
C. Skull films
D. Admit for observation - ANSWER-B. CT of the head
Cerebral edema treatment - ANSWER-Mannitol
Head up position
Hyperventilation
Sellick maneuver - ANSWER-Minimizes the chances of
regurgitation during intubation
Which of the following is predominantly an iatrogenic
complication?
A. Venous air embolism
,2|Page
B. Deep venous thrombosis (DVT)
C. Venous thromboembolism
D. None of the above - ANSWER-A. Venous air embolism
Normal capillary refill time - ANSWER-2 seconds
Which of the following cannot be administered via
endotracheal (ET) tube?
A. Atropine
B. Atenolol
C. Epinephrine
D. Lidocaine - ANSWER-B. Atenolol
Can be added to lidocaine to reduce the burning sensation
when administered - ANSWER-Sodium bicarbonate
Nerve + sensory relationships - ANSWER-C6 - Thumb
C7 - Middle finger
C8 - Little finger
,3|Page
True regarding the initial resuscitation of a trauma patient -
ANSWER-Evidence of improved perfusion after fluid
resuscitation could include improvement of GCS on
reevaluation
For the patient with severe traumatic brain injury, profound
hypocarbia should be avoided to prevent: - ANSWER-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: -
ANSWER-perform an exploratory laparotomy
Which one of the following statements regarding abdominal
trauma in the pregnant patient is TRUE?
A. The fetus is in jeopardy only with major 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.
, 4|Page
D. With penetrating trauma, injury to the mother's abdominal
hollow viscus is more common in late than in early pregnancy.
E. The secondary survey follows a different pattern from that of
the nonpregnant patient. - ANSWER-B. Leakage of amniotic
fluid is an indication for hospital admission.
Which one of the following findings in an adult is most likely to
require immediate management during the primary survey?
A. distended abdomen
B. Glasgow Coma Scale score of 11
C. temperature of 36.5°C (97.8°F)
D. deforming of the right thigh
E. Respiratory rate of 40 breaths per minute - ANSWER-E.
Respiratory rate of 40 breaths per minute
The most important, immediate step in the management of an
open pneumothorax is:
A. endotracheal intubation
B. operation to close the wound
C. placing a chest tube through the chest wound
D. placement of an occlusive dressing over the wound
