ATLS practice 2024/2025 Questions With All the
Correct Answers
Question 1
What is assessed first in a trauma patient?
A) Breathing
B) Circulation
C) Airway
D) Disability
Correct Answer: C
Rationale: The primary survey in ATLS follows the ABCDE approach. The
first priority is assessing and securing the Airway while maintaining
cervical spine protection.
Question 2
Which degree of burn is characterized by bone involvement?
A) First degree
B) Second degree
C) Third degree
D) Fourth degree
Correct Answer: D
,Rationale: Fourth-degree burns extend through the skin, subcutaneous
tissue, muscle, and bone. They are the most severe type of burn and often
require extensive surgical intervention.
Question 3
Which of the following is a complication of head trauma?
A) Intracerebral hematoma
B) Extradural hematoma
C) Brain abscess
D) All of the above
Correct Answer: D
Rationale: Complications of head trauma include intracerebral
hematoma, extradural hematoma, subdural hematoma, brain abscess, and
cerebral edema. All of these can be life-threatening.
Question 4
What is the most common cause of laryngotracheal stenosis?
A) Infection
B) Trauma
C) Congenital anomaly
D) Tumor
,Correct Answer: B
Rationale: Trauma, particularly from prolonged endotracheal intubation
or direct injury to the neck, is the most common cause of laryngotracheal
stenosis.
Question 5
Which intervention can help prevent the development of acute renal
failure in a trauma patient?
A) Infusion of normal saline
B) Administration of diuretics
C) Restriction of fluids
D) Administration of nephrotoxic drugs
Correct Answer: A
Rationale: Infusion of normal saline helps maintain adequate
intravascular volume and renal perfusion, which can prevent the
development of acute renal failure in trauma patients.
Question 6
A 26-year-old male is resuscitated with blood transfusion after a motor
vehicle collision that was complicated by a fractured pelvis. A few hours
later, the patient becomes febrile, hypotensive with a normal CVP, and
, oliguric. Upon examination, the patient is found to be bleeding from the NG
tube and IV sites. Which of the following is the most likely diagnosis?
A) Hemorrhagic shock
B) Acute adrenal insufficiency
C) Fat embolism syndrome
D) Transfusion reaction
Correct Answer: D
Rationale: The patient's symptoms of fever, hypotension, oliguria, and
bleeding from the NG tube and IV sites are classic signs of a transfusion
reaction, specifically a hemolytic transfusion reaction. This requires
immediate cessation of the transfusion and supportive care.
Question 7
Which of the following is an effective skin antiseptic?
A) Ethanol 70%
B) Acetic acid
C) Salicylic acid
D) Hydrogen peroxide
Correct Answer: A
Rationale: Ethanol 70% is an effective skin antiseptic that is commonly
used in clinical settings. Acetic acid is used to treat Gram-negative skin
infections, and salicylic acid is used to treat certain skin yeast infections.
Correct Answers
Question 1
What is assessed first in a trauma patient?
A) Breathing
B) Circulation
C) Airway
D) Disability
Correct Answer: C
Rationale: The primary survey in ATLS follows the ABCDE approach. The
first priority is assessing and securing the Airway while maintaining
cervical spine protection.
Question 2
Which degree of burn is characterized by bone involvement?
A) First degree
B) Second degree
C) Third degree
D) Fourth degree
Correct Answer: D
,Rationale: Fourth-degree burns extend through the skin, subcutaneous
tissue, muscle, and bone. They are the most severe type of burn and often
require extensive surgical intervention.
Question 3
Which of the following is a complication of head trauma?
A) Intracerebral hematoma
B) Extradural hematoma
C) Brain abscess
D) All of the above
Correct Answer: D
Rationale: Complications of head trauma include intracerebral
hematoma, extradural hematoma, subdural hematoma, brain abscess, and
cerebral edema. All of these can be life-threatening.
Question 4
What is the most common cause of laryngotracheal stenosis?
A) Infection
B) Trauma
C) Congenital anomaly
D) Tumor
,Correct Answer: B
Rationale: Trauma, particularly from prolonged endotracheal intubation
or direct injury to the neck, is the most common cause of laryngotracheal
stenosis.
Question 5
Which intervention can help prevent the development of acute renal
failure in a trauma patient?
A) Infusion of normal saline
B) Administration of diuretics
C) Restriction of fluids
D) Administration of nephrotoxic drugs
Correct Answer: A
Rationale: Infusion of normal saline helps maintain adequate
intravascular volume and renal perfusion, which can prevent the
development of acute renal failure in trauma patients.
Question 6
A 26-year-old male is resuscitated with blood transfusion after a motor
vehicle collision that was complicated by a fractured pelvis. A few hours
later, the patient becomes febrile, hypotensive with a normal CVP, and
, oliguric. Upon examination, the patient is found to be bleeding from the NG
tube and IV sites. Which of the following is the most likely diagnosis?
A) Hemorrhagic shock
B) Acute adrenal insufficiency
C) Fat embolism syndrome
D) Transfusion reaction
Correct Answer: D
Rationale: The patient's symptoms of fever, hypotension, oliguria, and
bleeding from the NG tube and IV sites are classic signs of a transfusion
reaction, specifically a hemolytic transfusion reaction. This requires
immediate cessation of the transfusion and supportive care.
Question 7
Which of the following is an effective skin antiseptic?
A) Ethanol 70%
B) Acetic acid
C) Salicylic acid
D) Hydrogen peroxide
Correct Answer: A
Rationale: Ethanol 70% is an effective skin antiseptic that is commonly
used in clinical settings. Acetic acid is used to treat Gram-negative skin
infections, and salicylic acid is used to treat certain skin yeast infections.
