ATLS PRE-TEST EXAM QUESTIONS AND ANSWERS
2024-2025
SAS22-year-
oldSmanSisShypotensiveSandStachycardicSafterSaSshotgunSwoundStoStheSleftSshoulder.SHisSbloodSpress
ureSisSinitiallyS80/40SmmSHg.SAfterSinitialSfluidSresuscitationShisSbloodSpressureSincreasesStoS122/84S
mmSHg.SHisSheartSrateSisSnowS100SbeatsSperSminuteSandShisSrespiratorySrateSisS28SbreathsSperSminut
e.SAStubeSthoracostomySisSperformedSforSdecreasedSleftSchestSbreathSsoundsSwithStheSreturnSofSaSsma
llSamountSofSbloodSandSnoSairSleak.SAfterSchestStubeSinsertion,StheSmostSappropriateSnextSstepSis:S-
ScorrectSanswer--S*Re-examineStheSchest*
-SPerformSanSaortogram
-SObtainSaSCTSscanSofStheSchest
-SObtainSABGSanalysis
-STransesophagealSechocardiography
ASconstructionSworkerSfallsStwoSstoriesSfromSaSbuildingSandSsustainsSbilateralScalcanealSfractures.SI
nStheSemergencySdepartment,SheSisSalert,SvitalSsignsSareSnormal,SandSheSisScomplainingSofSsevereSpai
nSinSbothSheelsSandShisSlowerSback.SLowerSextremitySpulsesSareSstrongSandSthereSisSnoSotherSdeformi
ty.STheSsuspectedSdiagnosisSisSmostSlikelyStoSbeSconfirmedSby:S-ScorrectSanswer--ScompleteSspineSx-
raySseries
WhichSofStheSfollowingSisStrueSregardingStheSinitialSresuscitationSofSaStraumaSpatient?S-
ScorrectSanswer--
SASpatientSwithSaStorsoSgunshotSwoundSandShypotensionSshouldSreceiveScrystalloidSfluidSresuscitatio
nSuntilStheSbloodSpressureSisSnormal
-
*SEvidenceSofSimprovedSperfusionSafterSfluidSresuscitationScouldSincludeSimprovementSinSGlasgowS
ComaSScaleSscoreSonSreevaluation*
-
SMassiveStransfusionSisSdefinedSasStransfusionSofSmoreSthanS10SunitsSofSpackedSredSbloodScellsSandSpl
asmaSwithinS24Shours
-SWhenStranexamicSacidSisSadministeredSbySpre-
hospitalSproviders,SaSsecondSdoseSisSrequiredSwithinS24Shours
-SFluidSresuscitationSisSfarSmoreSimportantSthanSbleedingScontrolSinStraumaSpatient
InSmanagingSaSpatientSwithSaSsevereStraumaticSbrainSinjury,StheSmostSimportantSinitialSstepSisSto:S-
ScorrectSanswer--SSecureStheSairway
, ASpreviouslyShealthy,S70-kgS(154-
pound)SmanSsuffersSanSestimatedSacuteSbloodSlossSofS2Sliters.SWhichSoneSofStheSfollowingSstatementsS
appliesStoSthisSpatient?S-ScorrectSanswer--SHisSpulseSpressureSwillSbeSwidened.
-SHisSurinarySoutputSwillSbeSatStheSlowerSlimitsSofSnormal.Sxxx
-SHeSwillShaveStachycardia,SbutSnoSchangeSinShisSsystolicSbloodSpressure.
-S*AnSABGSwouldSdemonstrateSaSbaseSdeficitSbetweenS-6SandS-10SmEq/L.*
-SHisSsystolicSbloodSpressureSwillSbeSmaintainedSwithSanSelevatedSdiastolicSpressure.
TheSphysiologicalShypervolemiaSofSpregnancyShasSclinicalSsignificanceSinStheSmanagementSofStheSsev
erelySinjured,SgravidSwomanSby:S-ScorrectSanswer--
SincreasingStheSvolumeSofSbloodSlossStoSproduceSmaternalShypotension.
TheSbestSassessmentSofSfluidSresuscitationSofStheSadultSburnSpatientSis:S-ScorrectSanswer--
SurinarySoutputSofS0.5SmL/kg/hr
TheSdiagnosisSofSshockSmustSinclude:S-ScorrectSanswer--SevidenceSofSinadequateSorganSperfusion
AS7-year-
oldSboySisSbroughtStoStheSemergencySdepartmentSbyShisSparentsSseveralSminutesSafterSheSfellSthrough
SaSwindow.SHeSisSbleedingSprofuselySfromSaS6-
cmSwoundSofShisSmedialSrightSthigh.SImmediateSmanagementSofStheSwoundSshouldSconsistSof:S-
ScorrectSanswer--SdirectSpressureSonStheSwound
ForStheSpatientSwithSsevereStraumaticSbrainSinjury,SprofoundShypocarbiaSshouldSbeSavoidedStoSprev
ent:S-ScorrectSanswer--SrespiratorySacidosisSxxx
-SmetabolicSacidosis
-S*CerebralSvasoconstrictionSwithSdiminishedSperfusion*
-SneurogenicSpulmonarySedema
-SshiftSofStheSoxyhemoglobinSdissociationScurve
AfterSbeingSinvolvedSinSaSmotorSvehicleScrash,SaS25-year-
oldSmanSisSbroughtStoSaShospitalSthatShasSsurgeryScapabilitiesSavailable.SComputedStomographySofSt
heSchestSandSabdomenSshowsSanSaorticSinjurySandSsplenicSlacerationSwithSfreeSabdominalSfluid.SHisS
bloodSpressureSfallsStoS70SmmSHgSafterSCT.STheSnextSstepSis:S-ScorrectSanswer--
SperformSanSexploratorySlaparotomy
2024-2025
SAS22-year-
oldSmanSisShypotensiveSandStachycardicSafterSaSshotgunSwoundStoStheSleftSshoulder.SHisSbloodSpress
ureSisSinitiallyS80/40SmmSHg.SAfterSinitialSfluidSresuscitationShisSbloodSpressureSincreasesStoS122/84S
mmSHg.SHisSheartSrateSisSnowS100SbeatsSperSminuteSandShisSrespiratorySrateSisS28SbreathsSperSminut
e.SAStubeSthoracostomySisSperformedSforSdecreasedSleftSchestSbreathSsoundsSwithStheSreturnSofSaSsma
llSamountSofSbloodSandSnoSairSleak.SAfterSchestStubeSinsertion,StheSmostSappropriateSnextSstepSis:S-
ScorrectSanswer--S*Re-examineStheSchest*
-SPerformSanSaortogram
-SObtainSaSCTSscanSofStheSchest
-SObtainSABGSanalysis
-STransesophagealSechocardiography
ASconstructionSworkerSfallsStwoSstoriesSfromSaSbuildingSandSsustainsSbilateralScalcanealSfractures.SI
nStheSemergencySdepartment,SheSisSalert,SvitalSsignsSareSnormal,SandSheSisScomplainingSofSsevereSpai
nSinSbothSheelsSandShisSlowerSback.SLowerSextremitySpulsesSareSstrongSandSthereSisSnoSotherSdeformi
ty.STheSsuspectedSdiagnosisSisSmostSlikelyStoSbeSconfirmedSby:S-ScorrectSanswer--ScompleteSspineSx-
raySseries
WhichSofStheSfollowingSisStrueSregardingStheSinitialSresuscitationSofSaStraumaSpatient?S-
ScorrectSanswer--
SASpatientSwithSaStorsoSgunshotSwoundSandShypotensionSshouldSreceiveScrystalloidSfluidSresuscitatio
nSuntilStheSbloodSpressureSisSnormal
-
*SEvidenceSofSimprovedSperfusionSafterSfluidSresuscitationScouldSincludeSimprovementSinSGlasgowS
ComaSScaleSscoreSonSreevaluation*
-
SMassiveStransfusionSisSdefinedSasStransfusionSofSmoreSthanS10SunitsSofSpackedSredSbloodScellsSandSpl
asmaSwithinS24Shours
-SWhenStranexamicSacidSisSadministeredSbySpre-
hospitalSproviders,SaSsecondSdoseSisSrequiredSwithinS24Shours
-SFluidSresuscitationSisSfarSmoreSimportantSthanSbleedingScontrolSinStraumaSpatient
InSmanagingSaSpatientSwithSaSsevereStraumaticSbrainSinjury,StheSmostSimportantSinitialSstepSisSto:S-
ScorrectSanswer--SSecureStheSairway
, ASpreviouslyShealthy,S70-kgS(154-
pound)SmanSsuffersSanSestimatedSacuteSbloodSlossSofS2Sliters.SWhichSoneSofStheSfollowingSstatementsS
appliesStoSthisSpatient?S-ScorrectSanswer--SHisSpulseSpressureSwillSbeSwidened.
-SHisSurinarySoutputSwillSbeSatStheSlowerSlimitsSofSnormal.Sxxx
-SHeSwillShaveStachycardia,SbutSnoSchangeSinShisSsystolicSbloodSpressure.
-S*AnSABGSwouldSdemonstrateSaSbaseSdeficitSbetweenS-6SandS-10SmEq/L.*
-SHisSsystolicSbloodSpressureSwillSbeSmaintainedSwithSanSelevatedSdiastolicSpressure.
TheSphysiologicalShypervolemiaSofSpregnancyShasSclinicalSsignificanceSinStheSmanagementSofStheSsev
erelySinjured,SgravidSwomanSby:S-ScorrectSanswer--
SincreasingStheSvolumeSofSbloodSlossStoSproduceSmaternalShypotension.
TheSbestSassessmentSofSfluidSresuscitationSofStheSadultSburnSpatientSis:S-ScorrectSanswer--
SurinarySoutputSofS0.5SmL/kg/hr
TheSdiagnosisSofSshockSmustSinclude:S-ScorrectSanswer--SevidenceSofSinadequateSorganSperfusion
AS7-year-
oldSboySisSbroughtStoStheSemergencySdepartmentSbyShisSparentsSseveralSminutesSafterSheSfellSthrough
SaSwindow.SHeSisSbleedingSprofuselySfromSaS6-
cmSwoundSofShisSmedialSrightSthigh.SImmediateSmanagementSofStheSwoundSshouldSconsistSof:S-
ScorrectSanswer--SdirectSpressureSonStheSwound
ForStheSpatientSwithSsevereStraumaticSbrainSinjury,SprofoundShypocarbiaSshouldSbeSavoidedStoSprev
ent:S-ScorrectSanswer--SrespiratorySacidosisSxxx
-SmetabolicSacidosis
-S*CerebralSvasoconstrictionSwithSdiminishedSperfusion*
-SneurogenicSpulmonarySedema
-SshiftSofStheSoxyhemoglobinSdissociationScurve
AfterSbeingSinvolvedSinSaSmotorSvehicleScrash,SaS25-year-
oldSmanSisSbroughtStoSaShospitalSthatShasSsurgeryScapabilitiesSavailable.SComputedStomographySofSt
heSchestSandSabdomenSshowsSanSaorticSinjurySandSsplenicSlacerationSwithSfreeSabdominalSfluid.SHisS
bloodSpressureSfallsStoS70SmmSHgSafterSCT.STheSnextSstepSis:S-ScorrectSanswer--
SperformSanSexploratorySlaparotomy