ATLS Pretest Questions And Answers
With Complete Answers Well Updated
2026
Ab22-year-
oldbmanbisbhypotensivebandbtachycardicbafterbabshotgunbwoundbtobthebleftbsho
ulder.bHisbbloodbpressurebisbinitiallyb80/40bmmbHg.bAfterbinitialbfluidbresuscitatio
nbhisbbloodbpressurebincreasesbtob122/84bmmbHg.bHisbheartbratebisbnowb100b
beatsbperbminutebandbhisbrespiratorybratebisb28bbreathsbperbminute.bAbtubebth
oracostomybisbperformedbforbdecreasedbleftbchestbbreathbsoundsbwithbthebreturn
bofbabsmallbamountbofbbloodbandbnobairbleak.bAfterbchestbtubebinsertion,btheb
mostbappropriatebnextbstepbis:b-bans-re-examinebthebchest
Abconstructionbworkerbfallsbtwobstoriesbfrombabbuildingbandbsustainsbbilateralbca
lcanealbfractures.bInbthebemergencybdepartment,bhebisbalert,bvitalbsignsbarebnor
mal,bandbhebisbcomplainingbofbseverebpainbinbbothbheelsbandbhisblowerbback.b
Lowerbextremitybpulsesbarebstrongbandbtherebisbnobotherbdeformity.bThebsuspec
tedbdiagnosisbisbmostblikelybtobbebconfirmedbby:b-bans-completebspinebx-
raybseries
Whichbofbthebfollowingbisbtruebregardingbthebinitialbresuscitationbofbabtraumabpat
ient?b-bans-
Evidencebofbimprovedbperfusionbafterbfluidbresuscitationbcouldbincludebimproveme
ntbinbGlasgowbComabScalebscorebonbreevaluation.
Inbmanagingbabpatientbwithbabseverebtraumaticbbrainbinjury,bthebmostbimportant
binitialbstepbisbto:b-bans-securebthebairway
Abpreviouslybhealthy,b70-kgb(154-
pound)bmanbsuffersbanbestimatedbacutebbloodblossbofb2bliters.bWhichbonebofbth
ebfollowingbstatementsbappliesbtobthisbpatient?b-bans-
AnbABGbwouldbdemonstratebabbasebdeficitbbetweenb-6bandb-10bmEq/L.
Thebphysiologicalbhypervolemiabofbpregnancybhasbclinicalbsignificancebinbthebma
nagementbofbthebseverelybinjured,bgravidbwomanbby:b-bans-
increasingbthebvolumebofbbloodblossbtobproducebmaternalbhypotension
, Thebbestbassessmentbofbfluidbresuscitationbofbthebadultbburnbpatientbis:b-bans-
urinaryboutputbofb0.5bmL/kg/hr
Thebdiagnosisbofbshockbmustbinclude:b-bans-
evidencebofbinadequateborganbperfusion
Ab7-year-
oldbboybisbbroughtbtobthebemergencybdepartmentbbybhisbparentsbseveralbminute
sbafterbhebfellbthroughbabwindow.bHebisbbleedingbprofuselybfrombab6-
cmbwoundbofbhisbmedialbrightbthigh.bImmediatebmanagementbofbthebwoundbsho
uldbconsistbof:b-bans-directbpressurebonbthebwound
Forbthebpatientbwithbseverebtraumaticbbrainbinjury,bprofoundbhypocarbiabshouldbb
ebavoidedbtobprevent:b-bans-cerebralbvasoconstrictionbwithbdiminishedbperfusion
Afterbbeingbinvolvedbinbabmotorbvehiclebcrash,bab25-year-
oldbmanbisbbroughtbtobabhospitalbthatbhasbsurgerybcapabilitiesbavailable..bComp
utedbtomographybofbthebchestbandbabdomenbshowsbanbaorticbinjurybandbsplenic
blacerationbwithbfreebabdominalbfluid.bHisbbloodbpressurebfallsbtob70bmmbHgbaf
terbCT.bThebnextbstepbis:b-bans-performbanbexploratoryblaparotomy
Whichbonebofbthebfollowingbstatementsbregardingbabdominalbtraumabinbthebpreg
nantbpatientbisbTRUE?b-bans-
Leakagebofbamnioticbfluidbisbanbindicationbforbhospitalbadmission.
Thebfirstbmaneuverbtobimproveboxygenationbafterbchestbinjurybis:b-bans-
administerbsupplementalboxygen
Ab25-year-
oldbman,binjuredbinbabmotorbvehicularbcrash,bisbadmittedbtobthebemergencybdep
artment.bHisbpupilsbreactbsluggishlybandbhisbeyesbopenbtobpressure.bHebdoesbn
otbfollowbcommands,bbutbhebdoesbmoanbperiodically.bHisbrightbarmbisbdeformed
bandbdoesbnotbrespondbtobpressure;bhowever,bhisbleftbhandbreachesbpurposefull
ybtowardbthebstimulus.bBothblegsbarebstifflybextended.bHisbGCSbscorebis:b-
bans-9
Ab20-year-
oldbwomanbwhobisbatb32bweeksbgestation,bisbstabbedbinbthebupperbrightbchest.
bInbthebemergencybdepartment,bherbbloodbpressurebisb80/60bmmbHg.bShebisbg
aspingbforbbreath,bextremelybanxious,bandbyellingbforbhelp.bBreathbsoundsbarebd
iminishedbinbthebrightbchest.bThebmostbappropriatebfirstbstepbisbto:b-bans-
performbneedleborbfingerbdecompressionbofbthebrightbchest
Whichbonebofbthebfollowingbfindingsbinbanbadultbisbmostblikelybtobrequirebimme
diatebmanagementbduringbthebprimarybsurvey?b-bans-
respiratorybratebofb40bbreathsbperbminute
With Complete Answers Well Updated
2026
Ab22-year-
oldbmanbisbhypotensivebandbtachycardicbafterbabshotgunbwoundbtobthebleftbsho
ulder.bHisbbloodbpressurebisbinitiallyb80/40bmmbHg.bAfterbinitialbfluidbresuscitatio
nbhisbbloodbpressurebincreasesbtob122/84bmmbHg.bHisbheartbratebisbnowb100b
beatsbperbminutebandbhisbrespiratorybratebisb28bbreathsbperbminute.bAbtubebth
oracostomybisbperformedbforbdecreasedbleftbchestbbreathbsoundsbwithbthebreturn
bofbabsmallbamountbofbbloodbandbnobairbleak.bAfterbchestbtubebinsertion,btheb
mostbappropriatebnextbstepbis:b-bans-re-examinebthebchest
Abconstructionbworkerbfallsbtwobstoriesbfrombabbuildingbandbsustainsbbilateralbca
lcanealbfractures.bInbthebemergencybdepartment,bhebisbalert,bvitalbsignsbarebnor
mal,bandbhebisbcomplainingbofbseverebpainbinbbothbheelsbandbhisblowerbback.b
Lowerbextremitybpulsesbarebstrongbandbtherebisbnobotherbdeformity.bThebsuspec
tedbdiagnosisbisbmostblikelybtobbebconfirmedbby:b-bans-completebspinebx-
raybseries
Whichbofbthebfollowingbisbtruebregardingbthebinitialbresuscitationbofbabtraumabpat
ient?b-bans-
Evidencebofbimprovedbperfusionbafterbfluidbresuscitationbcouldbincludebimproveme
ntbinbGlasgowbComabScalebscorebonbreevaluation.
Inbmanagingbabpatientbwithbabseverebtraumaticbbrainbinjury,bthebmostbimportant
binitialbstepbisbto:b-bans-securebthebairway
Abpreviouslybhealthy,b70-kgb(154-
pound)bmanbsuffersbanbestimatedbacutebbloodblossbofb2bliters.bWhichbonebofbth
ebfollowingbstatementsbappliesbtobthisbpatient?b-bans-
AnbABGbwouldbdemonstratebabbasebdeficitbbetweenb-6bandb-10bmEq/L.
Thebphysiologicalbhypervolemiabofbpregnancybhasbclinicalbsignificancebinbthebma
nagementbofbthebseverelybinjured,bgravidbwomanbby:b-bans-
increasingbthebvolumebofbbloodblossbtobproducebmaternalbhypotension
, Thebbestbassessmentbofbfluidbresuscitationbofbthebadultbburnbpatientbis:b-bans-
urinaryboutputbofb0.5bmL/kg/hr
Thebdiagnosisbofbshockbmustbinclude:b-bans-
evidencebofbinadequateborganbperfusion
Ab7-year-
oldbboybisbbroughtbtobthebemergencybdepartmentbbybhisbparentsbseveralbminute
sbafterbhebfellbthroughbabwindow.bHebisbbleedingbprofuselybfrombab6-
cmbwoundbofbhisbmedialbrightbthigh.bImmediatebmanagementbofbthebwoundbsho
uldbconsistbof:b-bans-directbpressurebonbthebwound
Forbthebpatientbwithbseverebtraumaticbbrainbinjury,bprofoundbhypocarbiabshouldbb
ebavoidedbtobprevent:b-bans-cerebralbvasoconstrictionbwithbdiminishedbperfusion
Afterbbeingbinvolvedbinbabmotorbvehiclebcrash,bab25-year-
oldbmanbisbbroughtbtobabhospitalbthatbhasbsurgerybcapabilitiesbavailable..bComp
utedbtomographybofbthebchestbandbabdomenbshowsbanbaorticbinjurybandbsplenic
blacerationbwithbfreebabdominalbfluid.bHisbbloodbpressurebfallsbtob70bmmbHgbaf
terbCT.bThebnextbstepbis:b-bans-performbanbexploratoryblaparotomy
Whichbonebofbthebfollowingbstatementsbregardingbabdominalbtraumabinbthebpreg
nantbpatientbisbTRUE?b-bans-
Leakagebofbamnioticbfluidbisbanbindicationbforbhospitalbadmission.
Thebfirstbmaneuverbtobimproveboxygenationbafterbchestbinjurybis:b-bans-
administerbsupplementalboxygen
Ab25-year-
oldbman,binjuredbinbabmotorbvehicularbcrash,bisbadmittedbtobthebemergencybdep
artment.bHisbpupilsbreactbsluggishlybandbhisbeyesbopenbtobpressure.bHebdoesbn
otbfollowbcommands,bbutbhebdoesbmoanbperiodically.bHisbrightbarmbisbdeformed
bandbdoesbnotbrespondbtobpressure;bhowever,bhisbleftbhandbreachesbpurposefull
ybtowardbthebstimulus.bBothblegsbarebstifflybextended.bHisbGCSbscorebis:b-
bans-9
Ab20-year-
oldbwomanbwhobisbatb32bweeksbgestation,bisbstabbedbinbthebupperbrightbchest.
bInbthebemergencybdepartment,bherbbloodbpressurebisb80/60bmmbHg.bShebisbg
aspingbforbbreath,bextremelybanxious,bandbyellingbforbhelp.bBreathbsoundsbarebd
iminishedbinbthebrightbchest.bThebmostbappropriatebfirstbstepbisbto:b-bans-
performbneedleborbfingerbdecompressionbofbthebrightbchest
Whichbonebofbthebfollowingbfindingsbinbanbadultbisbmostblikelybtobrequirebimme
diatebmanagementbduringbthebprimarybsurvey?b-bans-
respiratorybratebofb40bbreathsbperbminute
