ATLS POST TEST 2025/2026 Questions
And Correct Answers
WhichbofbthebfollowingbisbthebrecommendedbMethodbforbtreatmentbfrostbite?
A.bVasodilators
B.bAnticigulants
C.bWarmb(40bdegrees)bwater
D.bPaddingbandbelevation
E.bApplicationbofbheatbfrombabhairdryerb-bans-C.bWarmb(40bdegrees)bwater
Whichbofbthebfollowingbphysicalbfindingsbsuggestbabcausebofbhypotensionbotherb
thanbspinalbcordbinjury?
A.bPriapism
B.bBradycardia
C.bDiaphragmaticbbreathing
D.bPresencebofbdeepbtendonbreflexes
E.bAbilitybtobflexbforearmsbbutbnotbextendbthemb-bans-
D.bPresencebofbdeepbtendonbreflexes.bSpinalbshockbrefersbtoblossbofbmusclebto
eb(flaccidty)bandblossbofbreflexes.
ThebprimarybindicationbforbtransferringbAbpatientbtobabhigherblevelbtraumabcenter
bis:
A.bUnavailibilitybofbsurgeonborboperatingbstaff
B.bMultiplebsystembinjuries,bincludingbseverebheadbinjury
C.bResourceblimitationsbasbdeterminedbbybthebtransferringbdoctor
D.bResourceblimitationsbasbdeterminedbbybthebhospitalbadministration
E.bWidenedbmediastinumbonbchestbx-raybfollowingbbluntbtraumab-bans-
C.bResourceblimitationsbasbdeterminedbbybthebtransferringbdoctor
Abyoungbmanbsustainsbabriflebwoundbtobthebmid-
abdomen.bHebisbbroughtbpromptlybtobthebEDbbybprehospitalbpersonnel.bHisbskin
bisbcoolbandbdiaphoretic,bandbhisbsystolicbbloodbpressurebisb58mmHg.bWarmed
bcrystalloidbfluidsbarebinitiatedbwithoutbimprovementbinbhisbvitalbsigns.bThebnext,
bmostbappropriate,bstepbisbtobperform:
A.bablaparotomy
B.bAnbabdominalbCT-scan
C.bDiagnosticblaparoscopy
D.bAbdominalbultrasonography
,E.bAbdiagnosticbperitonealblavageb-bans-
A.bLaparotomybbecausebofbhemodynamicbabnormality
Ab42-year-
oldbmanbisbtrappedbfrombthebwaistbdownbbeneathbhisboverturnedbtractorbforbsev
eralbhoursbbeforebmedicalbassistancebarrives.bHebisbawakebandbalertbuntilbjustb
beforebarrivingbinbthebED.bHebisbnowbunconsciousbandbrespondsbonlybtobpainful
bstimulibbybmoaning.bHisbpupilsbareb3mmbinbdiameterbandbsymmetricallybreactiv
ebtoblight.bPrehospitalbpersonnelbindicatebthatbtheybhavebnotbseenbthebpatientb
movebeitherbofbhisblowerbextremities.bOnbexaminationbinbthebED,bnobmovement
bofbhisblowerbextremitiesbarebdetected,bevenbinbresponsebtobpainfulbstimuli.bThe
bmostblikelybcausebforbthisbfindingbis:
A.bAnbepiduralbhematoma
B.bAbpelvicbfracture
C.bCentralbcordbsyndrome
D.bIntracerebralbhemorrhage
E.bBilateralbcompartmentbsyndromeb-bans-E.bBilateralbcompartmentbsyndrome
Ab6-year-
obboybisbstruckbbybanbautomobilebandbbroughtbtobthebED.bHebisblethargic,bbut
bwithdrawsbpurposefullybfrombpainfulbstimuli.bHisbbloodbpressurebisb90mmHgbsys
tolic,bheartbrateb140bbeatsbperbminutebandbhisbrespiratorybratebisb36bbreathsbp
erbminute.bThebpreferredbroutebofbvenousbaccessbinbthisbpatientbis:
A.bPercutaneousbfemoralbveinbcannulation
B.bCutdownbonbthebsaphenousbveinbatbthebankle
C.bIntraosseousbcatheterbplacementbinbthebproximalbtibia
D.bPercutaneousbperipheralbveinsbinbthebupperbextremities
E.bCentralbvenousbaccessbviabthebsubclavianborbinternalbjugularbveinb-bans-
D.bPercutaneousbperipheralbveinsbinbthebupperbextremities
Abyoungbmanbsustainsbabgunshotbwoundbtobthebabdomenbandbisbbroughtbprom
ptlybtobthebEDbbybprehospitalbpersonnel.bHisbskinbisbcoolbandbdiaphoretic,bandb
hebisbconfused.bHisbpulsebisbthreadybandbhisbfemoralbpulsebisbonlybweaklybpal
pable.bThebdefinitivebtreatmentbinbmanagingbthisbpatientbisbto:
A.bAdministerbO-negativebblood
B.bApplybexternalbwarmingbdevices
C.bControlbinternalbhemorrhageboperatively
D.bApplybabpneumaticbantishockbgarmentb(PASG)
E.bInfuseblargebvolumesbofbintravenousbcrystalloidbsolutions.b-bans-
C.bControlbinternalbhemorrhageboperatively
Regardingbshockbinbthebchild,bwhichbofbthebfollowingbisbFALSE?
A.bVitalbsignsbarebage-related
B.bChildrenbhavebgreaterbphysiologicbreservesbthanbdobadults
C.bTachycardiabisbthebprimarybphysiologicbresponsebtobhypovolemia
,D.bThebabsolutebvolumebofbbloodblossbrequiredbtobproducebshockbisbthebsameb
asbinbadults
E.bAnbinitialbfluidbbolusbforbresuscitationbshouldbapproximateb20ml/
kgbRingersbLactateb-bans-
D.bThebabsolutebvolumebofbbloodblossbrequiredbtobproducebshockbisbthebsameb
asbinbadults
Ab33-year-
oldbmanbisbstruckbbybabcarbtravellingbatb56km/
hb(35mph).bHebhasbobviousbfracturesbofbthebleftbtibiabnearbthebknee,bpainbinbt
hebpelvicbarea,bandbseverebdyspnea.bHisbheartbratebisb182bbeatsbperbminute,b
andbhisbrespiratorybratebisb48bbreathsbperbminutebwithbnobbreathbsoundsbheard
binbthebleftbchest.bAbtensionbpneumothoraxbisbrelievedbbybimmediatebneedlebde
compressionbandbtubebthoracostomy.bSubsequently,bhisbheartbratebdecreasesbtob
144bbeatsbperbminute,bhisbrespirartorybratebdecreasesbtob36bbreathsbperbminute
bandbhisbbloodbpressurebisb81/53bmmHg.bWarmedbRingersblactatebisbadminster
edbintravenously.bThebnextbprioritybshouldbbebto:
A.bPerformbexternalbfixationbofbthebpelvis
B.bObtainbabdominalbandbpelvicbCT-scans
C.bPerformbarterialbembolizationbofbthebpelvicbvessel
D.bPerformbdiagnosticbperitonealblavageborbFAST
E.bPerformbaburethrogrambandbcystogramb-bans-
D.bPerformbdiagnosticbperitonealblavageborbFAST
Ab42-year-
oldbman,binjuredbinbabmotorbvehiclebcrash,bsuffersbabclosedbheadbinjury,bmultipl
ebpalpablebleftbribbfractures,bandbbilateralbfemurbfractures.bHebisbintubatedborotr
acheallybwithoutbdifficulty.bInitially,bhisbventilationsbarebeasilybassistedbwithbabbag
-
maskbdevice.bItbbecomesbmorebdifficultbtobventilatebthebpatientboverbthebnextb5
bminutes,bandbhisbhemoglobinboxygenbsaturationblevelbdecreasesbfromb98%btob
89%.bThebmostbappropriatebnextbstepbisbto:
A.bObtainbabchestbx-ray
B.bDecreasebthebtidalbvolume
C.bDecreasebPEEP
D.bIncreasebthebratebofbassistedbventilations
E.bPerformbneedlebdecompressionbofbthebleftbchest.b-bans-A.bObtainbabchestbx-
ray
Ab30-year-
oldbmanbsustainsbabseverelybcomminuted,bopen,bdistalbrightbfemurbfracturebinba
bmotorcyclebcrash.bThebwoundbisbactivelybbleeding.bNormalbsensationbisbpresent
boverbtheblateralbaspectbofbthebfootbbutbdecreasedboverbthebmedialbfootbandbgr
eatbtoe.bNormalbmotionbofbthebfootbisbobserved.bDorsalisbpedisbandbposteriorbti
bialbpulsesbarebeasilybpalpablebonbthebleft,bbutbheardbonlybbybDopplerbonbtheb
, right.bImmediatebeffortsbtobimprovebcirculationbtobthebinjuredbextremitybshouldbin
volve:
A.bImmediatebangiography
B.bTamponadebofbthebwoundbwithbabpressurebdressing
C.bWoundbexplorationbandbremovalbofbbonybfragments
D.bRealignmentbofbthebfracturebsegmentsbwithbabtractionbsplint
E.bFasciotomybofballbfourbcompartmentsbinbtheblowerbextremityb-bans-
B.bTamponadebofbthebwoundbwithbabpressurebdressing
Anb18-yeard-
old,bunhelmetedbmotorcyclistbisbbroughtbbybambulancebtobthebEDbfollowingbabcr
ash.bHebhadbdecreasedblevelbofbconsciousnessbatbthebscene,bbutbthenbwasbale
rtbandbconversationalbduringbtransportation.bNowbhisbGCSbisbonlyb11.bWhichbof
bthebfollowingbstatementsbisbTRUE?
A.bCerebralbperfusionbisbintact
B.bIntravascularbvolumebstatusbisbnormal
C.bThebpatientbisbinbabpostictalbstate
D.bIntra-abdominalbvisceralbinjurybisbunlikely
E.bThebpatientbprobablybhasbanbacutebepiduralbhematomab-bans-
E.bThebpatientbprobablybhasbanbacutebepiduralbhematoma
Abpreviouslybhealthy,b70kgb(175bpound)bmanbsuffersbanbestimatedbacutebbloodb
lossbofbtwobliters.bWhichbonebofbthebfollowingbstatementsbapplybtobthisbpatient?
A.bHisbpulsebpressurebwillbbebwidened
B.bHisburinaryboutputbwillbbebatbtheblowerblimitsbofbnormal
C.bHebwillbhavebtachycardia,bbutbnobchangebinbsystolicbbloodbpressure
D.bHisbsystolicbbloodbpressurebwillbbebdecreasedbwithbabnarrowed,bpulsebpress
ure
E.bHisbsystolicbbloodbpressurebwillbbebmaintainedbwithbanbelevatedbdiastolicbpre
ssure.b-bans-
E.bHisbsystolicbbloodbpressurebwillbbebmaintainedbwithbanbelevatedbdiastolicbpre
ssure.
Thebphysioclogicbhypervolemiabofbpregnancybhasbclinicalbsignificancebinbthebman
agementbofbthebseverelybinjuredbgravidbwomanbby
A.bReducingbthebneedbforbbloodbtransfusion
B.bIncreasingbthebriskbofbpulmonarybedema
C.bComplicatingbthebmanagementbofbclosedbheadbinjury
D.bIncreasingbthebvolumebofbbloodblossbtobproducebshock/maternalbhypotension
E.bReducingbthebvolumebofbcrystalloidbrequiredbforbresuscitationb-bans-
D.bIncreasingbthebvolumebofbbloodblossbtobproducebshock
Ab17-year-
oldbhelmetedbmotorcyclistblosesbconsciousnessbwhenbhebisbstruckbbroadbsidebby
banbautomobilebatbanbintersection.bHebarrivesbinbthebEDbwithbabbloodbpressure
bofb140/92,bpulsebrateb88bbeatsbperbminute,babrespiratorybratebofb18bbreathsbp
And Correct Answers
WhichbofbthebfollowingbisbthebrecommendedbMethodbforbtreatmentbfrostbite?
A.bVasodilators
B.bAnticigulants
C.bWarmb(40bdegrees)bwater
D.bPaddingbandbelevation
E.bApplicationbofbheatbfrombabhairdryerb-bans-C.bWarmb(40bdegrees)bwater
Whichbofbthebfollowingbphysicalbfindingsbsuggestbabcausebofbhypotensionbotherb
thanbspinalbcordbinjury?
A.bPriapism
B.bBradycardia
C.bDiaphragmaticbbreathing
D.bPresencebofbdeepbtendonbreflexes
E.bAbilitybtobflexbforearmsbbutbnotbextendbthemb-bans-
D.bPresencebofbdeepbtendonbreflexes.bSpinalbshockbrefersbtoblossbofbmusclebto
eb(flaccidty)bandblossbofbreflexes.
ThebprimarybindicationbforbtransferringbAbpatientbtobabhigherblevelbtraumabcenter
bis:
A.bUnavailibilitybofbsurgeonborboperatingbstaff
B.bMultiplebsystembinjuries,bincludingbseverebheadbinjury
C.bResourceblimitationsbasbdeterminedbbybthebtransferringbdoctor
D.bResourceblimitationsbasbdeterminedbbybthebhospitalbadministration
E.bWidenedbmediastinumbonbchestbx-raybfollowingbbluntbtraumab-bans-
C.bResourceblimitationsbasbdeterminedbbybthebtransferringbdoctor
Abyoungbmanbsustainsbabriflebwoundbtobthebmid-
abdomen.bHebisbbroughtbpromptlybtobthebEDbbybprehospitalbpersonnel.bHisbskin
bisbcoolbandbdiaphoretic,bandbhisbsystolicbbloodbpressurebisb58mmHg.bWarmed
bcrystalloidbfluidsbarebinitiatedbwithoutbimprovementbinbhisbvitalbsigns.bThebnext,
bmostbappropriate,bstepbisbtobperform:
A.bablaparotomy
B.bAnbabdominalbCT-scan
C.bDiagnosticblaparoscopy
D.bAbdominalbultrasonography
,E.bAbdiagnosticbperitonealblavageb-bans-
A.bLaparotomybbecausebofbhemodynamicbabnormality
Ab42-year-
oldbmanbisbtrappedbfrombthebwaistbdownbbeneathbhisboverturnedbtractorbforbsev
eralbhoursbbeforebmedicalbassistancebarrives.bHebisbawakebandbalertbuntilbjustb
beforebarrivingbinbthebED.bHebisbnowbunconsciousbandbrespondsbonlybtobpainful
bstimulibbybmoaning.bHisbpupilsbareb3mmbinbdiameterbandbsymmetricallybreactiv
ebtoblight.bPrehospitalbpersonnelbindicatebthatbtheybhavebnotbseenbthebpatientb
movebeitherbofbhisblowerbextremities.bOnbexaminationbinbthebED,bnobmovement
bofbhisblowerbextremitiesbarebdetected,bevenbinbresponsebtobpainfulbstimuli.bThe
bmostblikelybcausebforbthisbfindingbis:
A.bAnbepiduralbhematoma
B.bAbpelvicbfracture
C.bCentralbcordbsyndrome
D.bIntracerebralbhemorrhage
E.bBilateralbcompartmentbsyndromeb-bans-E.bBilateralbcompartmentbsyndrome
Ab6-year-
obboybisbstruckbbybanbautomobilebandbbroughtbtobthebED.bHebisblethargic,bbut
bwithdrawsbpurposefullybfrombpainfulbstimuli.bHisbbloodbpressurebisb90mmHgbsys
tolic,bheartbrateb140bbeatsbperbminutebandbhisbrespiratorybratebisb36bbreathsbp
erbminute.bThebpreferredbroutebofbvenousbaccessbinbthisbpatientbis:
A.bPercutaneousbfemoralbveinbcannulation
B.bCutdownbonbthebsaphenousbveinbatbthebankle
C.bIntraosseousbcatheterbplacementbinbthebproximalbtibia
D.bPercutaneousbperipheralbveinsbinbthebupperbextremities
E.bCentralbvenousbaccessbviabthebsubclavianborbinternalbjugularbveinb-bans-
D.bPercutaneousbperipheralbveinsbinbthebupperbextremities
Abyoungbmanbsustainsbabgunshotbwoundbtobthebabdomenbandbisbbroughtbprom
ptlybtobthebEDbbybprehospitalbpersonnel.bHisbskinbisbcoolbandbdiaphoretic,bandb
hebisbconfused.bHisbpulsebisbthreadybandbhisbfemoralbpulsebisbonlybweaklybpal
pable.bThebdefinitivebtreatmentbinbmanagingbthisbpatientbisbto:
A.bAdministerbO-negativebblood
B.bApplybexternalbwarmingbdevices
C.bControlbinternalbhemorrhageboperatively
D.bApplybabpneumaticbantishockbgarmentb(PASG)
E.bInfuseblargebvolumesbofbintravenousbcrystalloidbsolutions.b-bans-
C.bControlbinternalbhemorrhageboperatively
Regardingbshockbinbthebchild,bwhichbofbthebfollowingbisbFALSE?
A.bVitalbsignsbarebage-related
B.bChildrenbhavebgreaterbphysiologicbreservesbthanbdobadults
C.bTachycardiabisbthebprimarybphysiologicbresponsebtobhypovolemia
,D.bThebabsolutebvolumebofbbloodblossbrequiredbtobproducebshockbisbthebsameb
asbinbadults
E.bAnbinitialbfluidbbolusbforbresuscitationbshouldbapproximateb20ml/
kgbRingersbLactateb-bans-
D.bThebabsolutebvolumebofbbloodblossbrequiredbtobproducebshockbisbthebsameb
asbinbadults
Ab33-year-
oldbmanbisbstruckbbybabcarbtravellingbatb56km/
hb(35mph).bHebhasbobviousbfracturesbofbthebleftbtibiabnearbthebknee,bpainbinbt
hebpelvicbarea,bandbseverebdyspnea.bHisbheartbratebisb182bbeatsbperbminute,b
andbhisbrespiratorybratebisb48bbreathsbperbminutebwithbnobbreathbsoundsbheard
binbthebleftbchest.bAbtensionbpneumothoraxbisbrelievedbbybimmediatebneedlebde
compressionbandbtubebthoracostomy.bSubsequently,bhisbheartbratebdecreasesbtob
144bbeatsbperbminute,bhisbrespirartorybratebdecreasesbtob36bbreathsbperbminute
bandbhisbbloodbpressurebisb81/53bmmHg.bWarmedbRingersblactatebisbadminster
edbintravenously.bThebnextbprioritybshouldbbebto:
A.bPerformbexternalbfixationbofbthebpelvis
B.bObtainbabdominalbandbpelvicbCT-scans
C.bPerformbarterialbembolizationbofbthebpelvicbvessel
D.bPerformbdiagnosticbperitonealblavageborbFAST
E.bPerformbaburethrogrambandbcystogramb-bans-
D.bPerformbdiagnosticbperitonealblavageborbFAST
Ab42-year-
oldbman,binjuredbinbabmotorbvehiclebcrash,bsuffersbabclosedbheadbinjury,bmultipl
ebpalpablebleftbribbfractures,bandbbilateralbfemurbfractures.bHebisbintubatedborotr
acheallybwithoutbdifficulty.bInitially,bhisbventilationsbarebeasilybassistedbwithbabbag
-
maskbdevice.bItbbecomesbmorebdifficultbtobventilatebthebpatientboverbthebnextb5
bminutes,bandbhisbhemoglobinboxygenbsaturationblevelbdecreasesbfromb98%btob
89%.bThebmostbappropriatebnextbstepbisbto:
A.bObtainbabchestbx-ray
B.bDecreasebthebtidalbvolume
C.bDecreasebPEEP
D.bIncreasebthebratebofbassistedbventilations
E.bPerformbneedlebdecompressionbofbthebleftbchest.b-bans-A.bObtainbabchestbx-
ray
Ab30-year-
oldbmanbsustainsbabseverelybcomminuted,bopen,bdistalbrightbfemurbfracturebinba
bmotorcyclebcrash.bThebwoundbisbactivelybbleeding.bNormalbsensationbisbpresent
boverbtheblateralbaspectbofbthebfootbbutbdecreasedboverbthebmedialbfootbandbgr
eatbtoe.bNormalbmotionbofbthebfootbisbobserved.bDorsalisbpedisbandbposteriorbti
bialbpulsesbarebeasilybpalpablebonbthebleft,bbutbheardbonlybbybDopplerbonbtheb
, right.bImmediatebeffortsbtobimprovebcirculationbtobthebinjuredbextremitybshouldbin
volve:
A.bImmediatebangiography
B.bTamponadebofbthebwoundbwithbabpressurebdressing
C.bWoundbexplorationbandbremovalbofbbonybfragments
D.bRealignmentbofbthebfracturebsegmentsbwithbabtractionbsplint
E.bFasciotomybofballbfourbcompartmentsbinbtheblowerbextremityb-bans-
B.bTamponadebofbthebwoundbwithbabpressurebdressing
Anb18-yeard-
old,bunhelmetedbmotorcyclistbisbbroughtbbybambulancebtobthebEDbfollowingbabcr
ash.bHebhadbdecreasedblevelbofbconsciousnessbatbthebscene,bbutbthenbwasbale
rtbandbconversationalbduringbtransportation.bNowbhisbGCSbisbonlyb11.bWhichbof
bthebfollowingbstatementsbisbTRUE?
A.bCerebralbperfusionbisbintact
B.bIntravascularbvolumebstatusbisbnormal
C.bThebpatientbisbinbabpostictalbstate
D.bIntra-abdominalbvisceralbinjurybisbunlikely
E.bThebpatientbprobablybhasbanbacutebepiduralbhematomab-bans-
E.bThebpatientbprobablybhasbanbacutebepiduralbhematoma
Abpreviouslybhealthy,b70kgb(175bpound)bmanbsuffersbanbestimatedbacutebbloodb
lossbofbtwobliters.bWhichbonebofbthebfollowingbstatementsbapplybtobthisbpatient?
A.bHisbpulsebpressurebwillbbebwidened
B.bHisburinaryboutputbwillbbebatbtheblowerblimitsbofbnormal
C.bHebwillbhavebtachycardia,bbutbnobchangebinbsystolicbbloodbpressure
D.bHisbsystolicbbloodbpressurebwillbbebdecreasedbwithbabnarrowed,bpulsebpress
ure
E.bHisbsystolicbbloodbpressurebwillbbebmaintainedbwithbanbelevatedbdiastolicbpre
ssure.b-bans-
E.bHisbsystolicbbloodbpressurebwillbbebmaintainedbwithbanbelevatedbdiastolicbpre
ssure.
Thebphysioclogicbhypervolemiabofbpregnancybhasbclinicalbsignificancebinbthebman
agementbofbthebseverelybinjuredbgravidbwomanbby
A.bReducingbthebneedbforbbloodbtransfusion
B.bIncreasingbthebriskbofbpulmonarybedema
C.bComplicatingbthebmanagementbofbclosedbheadbinjury
D.bIncreasingbthebvolumebofbbloodblossbtobproducebshock/maternalbhypotension
E.bReducingbthebvolumebofbcrystalloidbrequiredbforbresuscitationb-bans-
D.bIncreasingbthebvolumebofbbloodblossbtobproducebshock
Ab17-year-
oldbhelmetedbmotorcyclistblosesbconsciousnessbwhenbhebisbstruckbbroadbsidebby
banbautomobilebatbanbintersection.bHebarrivesbinbthebEDbwithbabbloodbpressure
bofb140/92,bpulsebrateb88bbeatsbperbminute,babrespiratorybratebofb18bbreathsbp
