ATLS EXAM WITH 100% CORRECT ANSWERS 2024-
2025
TrueSorSfalse?SAlthoughStheSmechanismSofSinjurySmaySbeSsimilarStoSthoseSforStheSyoungerSpopulation,SdataS
showsSincreasedSmortalitySwithSsimilarSseveritySofSinjurySinSolderSadults.S-ScorrectSanswer-True
InStheSelderlySpopulation,SwhatSisSdecreasedSphysiologicalSreserve?S-ScorrectSanswer-
agingSisScharacterizedSbySimpairedSadaptiveSandShomeostaticSmechanismsSthatScausedSanSincreasedSsuscep
tibilityStoStheSstressSofSinjury.SInsultsStoleratedSbyStheSyoungerSpopulationScanSleadStoSdevastatingSresultsSin
SelderlySpatients.
Pre-existingSconditionsSthatSaffectSmorbiditySandSmortalitySinclude:S-ScorrectSanswer-
cirrhosis,Scoagulopathy,SCOPD,SischemicSheartSdisease,SDM
WhatSisStheSmostScommonSmechanismSofSinjurySinStheSelderly?S-ScorrectSanswer-
Fall.SNonfatalSfallsSareScommonSinSwomenSandSfracturesSareScommonSinSwomenSwhoSfall.SFallsSareStheSmo
stScommonScauseSofSTBI.
InStheSelderlySpopulation,SwhatSareSriskSfactorsSforSfalls?S-ScorrectSanswer-
advancedSage,SphysicalSimpairment,ShistorySofSpreviousSfall,SmedicationSuse,Sdementia,SunsteadySgait,SandS
visual,ScognitiveSimpairment
MostSofSelderlyStrafficSfatalitiesSoccurSinStheSdaytimeSandSonSweekendsSandStypicallySinvolveSotherSvehicle
s.SWhy?S-ScorrectSanswer-
OlderSpeopleSdriveSonSmoreSfamiliarSroadsSandSatSlowerSspeedsSandStendStoSdriveSduringStheSday.SOlderSpeo
pleShaveSslowerSreactionStime,SaSlargerSblindSspot,SlimitedScervicalSmobility,SdecreasedShearing,SandScogniti
veSimpairment.
TrueSorSFalse?SMortalitySassociatedSwithSsmallStoSmoderateSsizedSburnsSinSolderSadultsSremainsShighS-
ScorrectSanswer-True
SpilledShotSliquidsSonStheSleg,SwhichSinSyoungerSpatientsSmaySre-
epithelializeSdueStoSanSadequateSnumberSofShairSfollicles,SwillSresultSinSaSfullSthicknessSburnSinSolderSpatien
ts.S-ScorrectSanswer-thisSisStrue
Airway-
patientsSmayShaveSdenturesSthatSmaySloosenSorSobstructStheSairway.SIfSdenturesSareSnotSobstructingStheSairw
ay,SleaveSthemSinSplaceSforSwhat?S-ScorrectSanswer-bagSmaskSventilation,SasSitSimprovesSmaskSfitting.
,WhenSpreformingSrapidSsequenceSintubation,StheSdoseSofSbenzos,Sbarbiturates,SandSotherSsedativesSshouldS
beSreducedStoSwhatSpercentageStoSminimizeStheSriskSofScardiovascularSdepression?S-ScorrectSanswer-20-
40%
FunctionalSchangesSinScardiacSsystemSincludeSdecliningSfunction,SdecreasedSsensitivityStoScatecholamines,S
atherosclerosisSofScoronarySvessels,SincreasedSafterload,SfixedSheartSrateS(betaSblockers)S-ScorrectSanswer-
thisSresultsSinSlackSofSclassicSresponseStoShypovolemia,SriskSforScardiacSischemia,SelevatedSBPSatSbaseline,S
andSincreasedSriskSofSdysrythmias.
FunctionalSchangesSinSpulmonarySsystemSincludeSdecreasedSelasticSrecoil,SreducedSresidualScapacity,Sdecre
asedSgasSexchangeSandSdecreasedScoughSreflexS-ScorrectSanswer-
thusStheySareSatSincreasedSriskSforSrespiratorySfailure,SincreasedSriskSforSpneumonia,SandSpoorStoleranceStoSr
ibSfractures
FunctionalSchangesSinSrenalSsystemSincludeSlossSofSrenalSmass,SdecreasedSGFR,SandSdecreasedSsensitivitySt
oSADHSandSaldosteroneS-ScorrectSanswer-
resultingSinSdrugSdosingSforSrenalSinsufficiency,SdecreasedSabilityStoSconcentrateSurine,SincreasedSriskSforSA
KISandSurineSflowSmaySbeSnormalSwithShypovolemia
FunctionalSchangesStoSMSKSincludeSlossSofSleanSbodySmass,Sosteoporosis,SchangesSinSjointsSandScartilage,S
cSspineSdegenerativeSchangesSandSlossSofSskinSelastinSandSsubcutaneousSfatS-ScorrectSanswer-
resultingSinSincreasedSriskSforSfractures,SdecreasedSmobility,SdifficultySforSoralSintubation,SriskSofSskinSinjur
y,SincreasedSriskSforShypothermia,SchallengesSinSrehabiliation
FunctionalSchangesSinSEndocrineSsystemSincludeSdecreasedSproductionSandSresponseStoSthyroxinSandSdecre
asedSdehydroepiandrosteroneS(DHEA)S-ScorrectSanswer-
resultingSinSoccultShypothyroidism,SrelativeShypercortisoneSstatesSandSincreasedSriskSofSinfection
TrueSorSfalse:SArthritisScanScomplicateStheSairwaySandScervicalSspine.SPatientsScanShaveSmultilevelSdegener
ativeSchangesSaffectingSdiskSspacesSandSposteriorSelementsSassociatedSwithSsevereScentralScanalSstenosis,Sc
ordScompression,SandSmyelomalaciaS-ScorrectSanswer-true
InSelderlySpopulation,SdueStoStheirSchangesSinSpulmonarySsystem,SplacingSaSgauzeSbetweenSgumsSandSchee
kStoSachieveSsealSwhenSusingSbagSvalveSmaskSventilationSisSokay.SInSaddition,SbecauseSagingScausesSaSsupp
ressedSheartSrateSresponseStoShypoxia......S-ScorrectSanswer-
respiratorySfailureSmaySpresentSinsidiouslySinSolderSadults.
, AgeSrelatedSchangesSinStheScardiovascularSsystemSplaceStheSelderlyStraumaSpatientSatSsignificantSriskSforSbe
ingSinaccuratelyScategorizedSasShemodynamicallySstable.S-ScorrectSanswer-
ElderlySpatientsShaveSaSfixedSheartSrateSandSfixedScardiacSoutput,Sthus,StheirSresponseStoShypovolemiaSwillSi
nvolveSincreasingStheirSsystemicSvascularSresistance.SFurthermore,SsinceSolderSpatientsShaveSHTN,SanSacce
ptableSBPSmayStrulySreflectSaShypotensiveSstate.SASsystolicSBPSofS110SisStoSbeSutilizedSasStheSthresholdSforSi
dentifyingShypotensionSinSpatientsS65SandSolder.
DoSnoSequateSbloodSpressureSwithSshockSinSolderSpatientsS-ScorrectSanswer-
BPSinSolderSpatientsSmaySlookSnormalSdueStoStheSmedicationsStheySareSon.SUseSlactateSandSbaseSdeficitStoSe
valuateSforSevidenceSofSshock
whatS2SfactorsSplaceSelderlySpatientsSatSriskSforSintracranialShemorrhage?S-ScorrectSanswer-
agingScausesSduraStoSbecomeSmoreSadherentStoStheSskullSincreasingSriskSofSinjurySandSolderSpatientsSareSonS
anticoagulantSandSantiplateletSmedications.
LossSofSsubcutaneousSfat,SnutritionalSdeficiencies,SchronicSmedicalSconditionsSplaceSelderlySpatientsSasSris
kSforShypothermiaSandScomplicationsSforSimmobility.S-ScorrectSanswer-
RapidSevaluationSandSwhenSpossibleSearlySliberationSfromSspineSboardsSandScervicalScollarsSwillSminimizeS
complications.
TrueSorSFalse:SFallSpreventionSisStheSmainstaySofSreducingStheSmortalitySassociatedSwithSpelvicSfractures.S-
ScorrectSanswer-true
poorShygiene,Sdehydration,SoralSinjury,ScontusionsSaffectingStheSinnerSarms,SinnerSthighs,Spalms,Ssoles,Sscal
p,Sear,SnasalSbridgeSandStempleSinjurySfromSbeingSstruckSwhileSwearingSglasses,ScontactSburnsSandSscalds.S
TheseSareSallSsignsSof.......?S-ScorrectSanswer-
ElderSmaltreatment.STheSpresenceSofSphysicalSfindingsSofSmaltreatmentSshouldSpromptSaSdetailedShistory.Si
fShistorySconflictsSwithSfindings,SimmediatelySreportSfindingsStoSauthorities.
TrueSofSfalse:SearlySactivationSofStheStraumaSteamSmaySbeSrequiredSforSelderlySpatientsSwhoSdoSnotSmeetStra
ditionalScriteriaSforSactivationS-ScorrectSanswer-
True.SASsimpleSinjurySsuchSasSanSopenStibiaSfractureSinSaSfrailSelderlySpatientSmaySbecomeSlifeSthreatening.
CommonSmechanismsSofSinjurySincludeSfalls,SMVC,Sburns,SandSpenetratingSinjuriesS-ScorrectSanswer-
commonSinjuriesSinStheSelderlySincludeSribSfractures,STBI,SpelvicSfractures
TheSbestSinitialStreatmentSforStheSfetusSisStoSprovideSoptimalSresuscitationSofStheSmother.STrueSorSFalse?S-
ScorrectSanswer-
2025
TrueSorSfalse?SAlthoughStheSmechanismSofSinjurySmaySbeSsimilarStoSthoseSforStheSyoungerSpopulation,SdataS
showsSincreasedSmortalitySwithSsimilarSseveritySofSinjurySinSolderSadults.S-ScorrectSanswer-True
InStheSelderlySpopulation,SwhatSisSdecreasedSphysiologicalSreserve?S-ScorrectSanswer-
agingSisScharacterizedSbySimpairedSadaptiveSandShomeostaticSmechanismsSthatScausedSanSincreasedSsuscep
tibilityStoStheSstressSofSinjury.SInsultsStoleratedSbyStheSyoungerSpopulationScanSleadStoSdevastatingSresultsSin
SelderlySpatients.
Pre-existingSconditionsSthatSaffectSmorbiditySandSmortalitySinclude:S-ScorrectSanswer-
cirrhosis,Scoagulopathy,SCOPD,SischemicSheartSdisease,SDM
WhatSisStheSmostScommonSmechanismSofSinjurySinStheSelderly?S-ScorrectSanswer-
Fall.SNonfatalSfallsSareScommonSinSwomenSandSfracturesSareScommonSinSwomenSwhoSfall.SFallsSareStheSmo
stScommonScauseSofSTBI.
InStheSelderlySpopulation,SwhatSareSriskSfactorsSforSfalls?S-ScorrectSanswer-
advancedSage,SphysicalSimpairment,ShistorySofSpreviousSfall,SmedicationSuse,Sdementia,SunsteadySgait,SandS
visual,ScognitiveSimpairment
MostSofSelderlyStrafficSfatalitiesSoccurSinStheSdaytimeSandSonSweekendsSandStypicallySinvolveSotherSvehicle
s.SWhy?S-ScorrectSanswer-
OlderSpeopleSdriveSonSmoreSfamiliarSroadsSandSatSlowerSspeedsSandStendStoSdriveSduringStheSday.SOlderSpeo
pleShaveSslowerSreactionStime,SaSlargerSblindSspot,SlimitedScervicalSmobility,SdecreasedShearing,SandScogniti
veSimpairment.
TrueSorSFalse?SMortalitySassociatedSwithSsmallStoSmoderateSsizedSburnsSinSolderSadultsSremainsShighS-
ScorrectSanswer-True
SpilledShotSliquidsSonStheSleg,SwhichSinSyoungerSpatientsSmaySre-
epithelializeSdueStoSanSadequateSnumberSofShairSfollicles,SwillSresultSinSaSfullSthicknessSburnSinSolderSpatien
ts.S-ScorrectSanswer-thisSisStrue
Airway-
patientsSmayShaveSdenturesSthatSmaySloosenSorSobstructStheSairway.SIfSdenturesSareSnotSobstructingStheSairw
ay,SleaveSthemSinSplaceSforSwhat?S-ScorrectSanswer-bagSmaskSventilation,SasSitSimprovesSmaskSfitting.
,WhenSpreformingSrapidSsequenceSintubation,StheSdoseSofSbenzos,Sbarbiturates,SandSotherSsedativesSshouldS
beSreducedStoSwhatSpercentageStoSminimizeStheSriskSofScardiovascularSdepression?S-ScorrectSanswer-20-
40%
FunctionalSchangesSinScardiacSsystemSincludeSdecliningSfunction,SdecreasedSsensitivityStoScatecholamines,S
atherosclerosisSofScoronarySvessels,SincreasedSafterload,SfixedSheartSrateS(betaSblockers)S-ScorrectSanswer-
thisSresultsSinSlackSofSclassicSresponseStoShypovolemia,SriskSforScardiacSischemia,SelevatedSBPSatSbaseline,S
andSincreasedSriskSofSdysrythmias.
FunctionalSchangesSinSpulmonarySsystemSincludeSdecreasedSelasticSrecoil,SreducedSresidualScapacity,Sdecre
asedSgasSexchangeSandSdecreasedScoughSreflexS-ScorrectSanswer-
thusStheySareSatSincreasedSriskSforSrespiratorySfailure,SincreasedSriskSforSpneumonia,SandSpoorStoleranceStoSr
ibSfractures
FunctionalSchangesSinSrenalSsystemSincludeSlossSofSrenalSmass,SdecreasedSGFR,SandSdecreasedSsensitivitySt
oSADHSandSaldosteroneS-ScorrectSanswer-
resultingSinSdrugSdosingSforSrenalSinsufficiency,SdecreasedSabilityStoSconcentrateSurine,SincreasedSriskSforSA
KISandSurineSflowSmaySbeSnormalSwithShypovolemia
FunctionalSchangesStoSMSKSincludeSlossSofSleanSbodySmass,Sosteoporosis,SchangesSinSjointsSandScartilage,S
cSspineSdegenerativeSchangesSandSlossSofSskinSelastinSandSsubcutaneousSfatS-ScorrectSanswer-
resultingSinSincreasedSriskSforSfractures,SdecreasedSmobility,SdifficultySforSoralSintubation,SriskSofSskinSinjur
y,SincreasedSriskSforShypothermia,SchallengesSinSrehabiliation
FunctionalSchangesSinSEndocrineSsystemSincludeSdecreasedSproductionSandSresponseStoSthyroxinSandSdecre
asedSdehydroepiandrosteroneS(DHEA)S-ScorrectSanswer-
resultingSinSoccultShypothyroidism,SrelativeShypercortisoneSstatesSandSincreasedSriskSofSinfection
TrueSorSfalse:SArthritisScanScomplicateStheSairwaySandScervicalSspine.SPatientsScanShaveSmultilevelSdegener
ativeSchangesSaffectingSdiskSspacesSandSposteriorSelementsSassociatedSwithSsevereScentralScanalSstenosis,Sc
ordScompression,SandSmyelomalaciaS-ScorrectSanswer-true
InSelderlySpopulation,SdueStoStheirSchangesSinSpulmonarySsystem,SplacingSaSgauzeSbetweenSgumsSandSchee
kStoSachieveSsealSwhenSusingSbagSvalveSmaskSventilationSisSokay.SInSaddition,SbecauseSagingScausesSaSsupp
ressedSheartSrateSresponseStoShypoxia......S-ScorrectSanswer-
respiratorySfailureSmaySpresentSinsidiouslySinSolderSadults.
, AgeSrelatedSchangesSinStheScardiovascularSsystemSplaceStheSelderlyStraumaSpatientSatSsignificantSriskSforSbe
ingSinaccuratelyScategorizedSasShemodynamicallySstable.S-ScorrectSanswer-
ElderlySpatientsShaveSaSfixedSheartSrateSandSfixedScardiacSoutput,Sthus,StheirSresponseStoShypovolemiaSwillSi
nvolveSincreasingStheirSsystemicSvascularSresistance.SFurthermore,SsinceSolderSpatientsShaveSHTN,SanSacce
ptableSBPSmayStrulySreflectSaShypotensiveSstate.SASsystolicSBPSofS110SisStoSbeSutilizedSasStheSthresholdSforSi
dentifyingShypotensionSinSpatientsS65SandSolder.
DoSnoSequateSbloodSpressureSwithSshockSinSolderSpatientsS-ScorrectSanswer-
BPSinSolderSpatientsSmaySlookSnormalSdueStoStheSmedicationsStheySareSon.SUseSlactateSandSbaseSdeficitStoSe
valuateSforSevidenceSofSshock
whatS2SfactorsSplaceSelderlySpatientsSatSriskSforSintracranialShemorrhage?S-ScorrectSanswer-
agingScausesSduraStoSbecomeSmoreSadherentStoStheSskullSincreasingSriskSofSinjurySandSolderSpatientsSareSonS
anticoagulantSandSantiplateletSmedications.
LossSofSsubcutaneousSfat,SnutritionalSdeficiencies,SchronicSmedicalSconditionsSplaceSelderlySpatientsSasSris
kSforShypothermiaSandScomplicationsSforSimmobility.S-ScorrectSanswer-
RapidSevaluationSandSwhenSpossibleSearlySliberationSfromSspineSboardsSandScervicalScollarsSwillSminimizeS
complications.
TrueSorSFalse:SFallSpreventionSisStheSmainstaySofSreducingStheSmortalitySassociatedSwithSpelvicSfractures.S-
ScorrectSanswer-true
poorShygiene,Sdehydration,SoralSinjury,ScontusionsSaffectingStheSinnerSarms,SinnerSthighs,Spalms,Ssoles,Sscal
p,Sear,SnasalSbridgeSandStempleSinjurySfromSbeingSstruckSwhileSwearingSglasses,ScontactSburnsSandSscalds.S
TheseSareSallSsignsSof.......?S-ScorrectSanswer-
ElderSmaltreatment.STheSpresenceSofSphysicalSfindingsSofSmaltreatmentSshouldSpromptSaSdetailedShistory.Si
fShistorySconflictsSwithSfindings,SimmediatelySreportSfindingsStoSauthorities.
TrueSofSfalse:SearlySactivationSofStheStraumaSteamSmaySbeSrequiredSforSelderlySpatientsSwhoSdoSnotSmeetStra
ditionalScriteriaSforSactivationS-ScorrectSanswer-
True.SASsimpleSinjurySsuchSasSanSopenStibiaSfractureSinSaSfrailSelderlySpatientSmaySbecomeSlifeSthreatening.
CommonSmechanismsSofSinjurySincludeSfalls,SMVC,Sburns,SandSpenetratingSinjuriesS-ScorrectSanswer-
commonSinjuriesSinStheSelderlySincludeSribSfractures,STBI,SpelvicSfractures
TheSbestSinitialStreatmentSforStheSfetusSisStoSprovideSoptimalSresuscitationSofStheSmother.STrueSorSFalse?S-
ScorrectSanswer-