ATLS PRACTICE 2025 QUESTIONS AND ANSWERS
AssessedSfirstSinStraumaSpatientS-ScorrectSanswer-Airway
(*)DegreeSofSburnSthatSisScharacterizedSbySboneSinvolvementS-ScorrectSanswer-Fourth
ComplicationsSofSheadStraumaS-ScorrectSanswer-IntracerebralShematoma
ExtraduralShematoma
BrainSabscess
MostScommonScauseSofSlaryngotrachealSstenosisS-ScorrectSanswer-Trauma
InterventionSthatScanShelpSpreventSdevelopmentSofSacuteSrenalSfailureS-ScorrectSanswer-
InfusionSofSnormalSsaline
AS26-year-
oldSmaleSisSresuscitatedSwithSbloodStransfusionSafterSaSmotorSvehicleScollisionSthatSwasScomplicatedSbySaSfr
acturedSpelvis.SASfewShoursSlater,StheSpatientSbecomesSfebrile,ShypotensiveSwithSaSnormalSCVP,SandSoliguri
c.SUponSexamination,StheSpatientSisSfoundStoSbeSbleedingSfromStheSNGStubeSandSIVSsites.SWhichSofStheSfoll
owingSisStheSmostSlikelySdiagnosis?
A.SHemorrhagicSshock
B.SAcuteSadrenalSinsufficiency
C.SFatSembolismSsyndrome
D.STransfusionSreactionS-ScorrectSanswer-D.STransfusionSreaction
SkinSantisepticS-ScorrectSanswer--EthanolS70%SisSanSeffectiveSskinSantiseptic
-AceticSacidScanSbeSusedStoStreatSGram-SskinSinfections
-SalicylicSacidSisSusedStoStreatScertainSskinSyeastSinfections
ClassSIVShemorrhageSindicatesSwhatS%SbloodSlossS-ScorrectSanswer-55%
HowSdoesSshiveringSaffectSbodyStemperatureS-ScorrectSanswer-IncreasesSbodyStemperature
,ClassSIIIShemorrhageSindicatesSwhatS%SofSbloodSlossS-ScorrectSanswer-35%
ManagementSofSaSstableSpatientSwithSkidneyScontusionS-ScorrectSanswer-Observation
AssociatedSwithShypovolemicSshockS-ScorrectSanswer--
InadequateStissueSperfusionSwithSresultantStissueShypoxia
-BloodSshuntingStoSvitalSorgans
-DecreasedScirculatingSbloodSvolumeSandSdecreasedSvenousSreturn
-LowScardiacSoutput
-LossSofSlessSthanS20%SofStheSbloodSvolumeSisSusuallySwithoutSsymptomSexceptSforSmildStachycardiaS
-PatientsSbecomeSorthostaticSwithSlossesSbetweenS20SandS40%S
-ShockSisSevidencedSbyStachycardia,Shypotension,Soliguria,SflatSneckSveins
TheSmostSeffectiveSmethodSofSmonitoringStheSsuccessSofSresuscitationSduringSCPR?S-ScorrectSanswer-
ReactivitySofSpupilsStoSlight
UsedStoSensureScorrectSplacementSofSendotrachealStubeS-ScorrectSanswer--UltrasoundS
-BilateralSbreathSsounds
-SustainedSend-tidalSCO2
TotalSbodySsurfaceSareaSinvolvedSinSaSburnSinSanSadultStoStheSanteriorSchestSandSabdomenS-ScorrectSanswer-
18%
WhatSisSoftenScausedSbyScarotidSmassage?S-ScorrectSanswer-Bradycardia
StepSinSaSpatientSdiagnosedSwithStensionSpneumothoraxS-ScorrectSanswer-
1.SNeedleSdecompression/Sthoracotomy
2.SChestStube
TrueSstatementsSregardingSdiaphragmaticSinjuriesS-ScorrectSanswer--
BluntSdiaphragmaticSinjuriesSareSusuallySassociatedSwithSskeletalStraumaS
,-PenetratingSdiaphragmaticSinjuriesSmaySbeSmissed
-RepairSofStraumaticSdiaphragmaticSinjuriesSusuallySdoesSnotSrequireSprostheticSmaterial
FirstSprioritySinStheStreatmentSofSanSunconsciousSpatientS-ScorrectSanswer-CheckingStheSpulse
ASpatientSinvolvedSinSaSroadSaccidentSisSbroughtStoStheSemergencySdepartmentSinSanSunconsciousSstate.SOnS
arrival,SherSvitalsSshowSaStemperatureSofS96.4SdegreesSFahrenheit,SaSrespirationSrateSofS24SbreathsSperSminu
te,SaSheartSrateSofS140SbeatsSperSminute,SandSaSbloodSpressureSofS80/40SmmSHg.SSheSisScold,Sshivering,SandS
perspiringSprofusely.SSheShasSbilateralSreactiveSpupilsSbutSsheSdoesSnotSrespondStoSpain.SOnSphysicalSexami
nation,SsheShasSnoSobviousSsignSofSexternalSbleeding.SWhichSofStheSfollowingScannotSbeStheScauseSofShypot
ensionSinSthisSpatient?
A.SPelvicSfracture
B.SFractureSofSfemur
C.SIntracranialShemorrhage
D.SHemothoraxS-ScorrectSanswer-C.SIntracranialShemorrhage
ASpatientSsufferedSaSslashStoShisSrightSneck.STheSwoundSisSoverStheSmid-
portionSofStheSsternocleidomastoid.SThereSisSaSlargeShematomaSandSbriskSbleedingSwhenSuncovered.SHeSisS
stable.SWhatSisStheSnextSstepSinSmanagement?
A.SGetSanSangiogram
B.SCloseStheSwoundSinStheSER
C.STakeShimStoStheSoperatingSroom
D.SCTSscanStoSevaluateSneckSstructureS-ScorrectSanswer-C.STakeShimStoStheSOR
AfterSabdominalSinjury,SwhichSofStheSfollowingSurinalysisSfindingsSwouldSbeSanSindicationSforSfurtherStesti
ng?
A.S0-5Scasts/HPF
B.S5-10SWBC/HPF
C.S10-20SRBC/HPF
D.SGrossShematuriaS-ScorrectSanswer-D.SGrossShematuria
ASlacerationSofStheSneckSsuperficialStoStheSdeepScervicalSfasciaSalongStheSsternocleidomastoidSmuscleSatSitsS
midpointSwouldScauseSbleedingSfromSwhichSstructure?S-ScorrectSanswer-ExternalSjugularSvein
, ClinicalSfeaturesSassociatedSwithStensionSpneumothoraxS-ScorrectSanswer-
UnilateralSdecreaseSinSbreathSsounds
Hyperresonance
RespiratorySdistress
Tachycardia
TrachealSshift
Desatruation
DecreasedSbreathSsounds
DecreasedScompliance
AsymmetricSchestSmovement
NOTShypertension,SaudibleSbronchialSsounds
NotSrecommendedSasSaSmodeSofSventilationSforSaSpatientSwithSaSdiaphragmaticShernia
A.SBagSandSmask
B.SLMA
C.SEndotrachealSintubation
D.SJetSventilationS-ScorrectSanswer-A.SBagSandSmask
WhatSisStheSnextSstepSinStheSassessmentSofSaStraumaticSpatientSafterSairwaySisSestablished?S-ScorrectSanswer-
Breathing
BloodSgroupSthatSisSconsideredSaSuniversalSdonorS-ScorrectSanswer-O
ASproviderSisSexaminingSaSpatientSwhoSsustainedSaSsevereStraumaticSheadSinjury.SHeSdocumentsSnoSDoll'sSe
yes.SWhatSdoesSthisSsignify?S-ScorrectSanswer-BrainstemSinjury
WhichSofStheSfollowingSisStheSleastSpreferredSmethodSofSadministeringSIVSfluids?
A.SCubitalSveins
B.SCephalicSveins
AssessedSfirstSinStraumaSpatientS-ScorrectSanswer-Airway
(*)DegreeSofSburnSthatSisScharacterizedSbySboneSinvolvementS-ScorrectSanswer-Fourth
ComplicationsSofSheadStraumaS-ScorrectSanswer-IntracerebralShematoma
ExtraduralShematoma
BrainSabscess
MostScommonScauseSofSlaryngotrachealSstenosisS-ScorrectSanswer-Trauma
InterventionSthatScanShelpSpreventSdevelopmentSofSacuteSrenalSfailureS-ScorrectSanswer-
InfusionSofSnormalSsaline
AS26-year-
oldSmaleSisSresuscitatedSwithSbloodStransfusionSafterSaSmotorSvehicleScollisionSthatSwasScomplicatedSbySaSfr
acturedSpelvis.SASfewShoursSlater,StheSpatientSbecomesSfebrile,ShypotensiveSwithSaSnormalSCVP,SandSoliguri
c.SUponSexamination,StheSpatientSisSfoundStoSbeSbleedingSfromStheSNGStubeSandSIVSsites.SWhichSofStheSfoll
owingSisStheSmostSlikelySdiagnosis?
A.SHemorrhagicSshock
B.SAcuteSadrenalSinsufficiency
C.SFatSembolismSsyndrome
D.STransfusionSreactionS-ScorrectSanswer-D.STransfusionSreaction
SkinSantisepticS-ScorrectSanswer--EthanolS70%SisSanSeffectiveSskinSantiseptic
-AceticSacidScanSbeSusedStoStreatSGram-SskinSinfections
-SalicylicSacidSisSusedStoStreatScertainSskinSyeastSinfections
ClassSIVShemorrhageSindicatesSwhatS%SbloodSlossS-ScorrectSanswer-55%
HowSdoesSshiveringSaffectSbodyStemperatureS-ScorrectSanswer-IncreasesSbodyStemperature
,ClassSIIIShemorrhageSindicatesSwhatS%SofSbloodSlossS-ScorrectSanswer-35%
ManagementSofSaSstableSpatientSwithSkidneyScontusionS-ScorrectSanswer-Observation
AssociatedSwithShypovolemicSshockS-ScorrectSanswer--
InadequateStissueSperfusionSwithSresultantStissueShypoxia
-BloodSshuntingStoSvitalSorgans
-DecreasedScirculatingSbloodSvolumeSandSdecreasedSvenousSreturn
-LowScardiacSoutput
-LossSofSlessSthanS20%SofStheSbloodSvolumeSisSusuallySwithoutSsymptomSexceptSforSmildStachycardiaS
-PatientsSbecomeSorthostaticSwithSlossesSbetweenS20SandS40%S
-ShockSisSevidencedSbyStachycardia,Shypotension,Soliguria,SflatSneckSveins
TheSmostSeffectiveSmethodSofSmonitoringStheSsuccessSofSresuscitationSduringSCPR?S-ScorrectSanswer-
ReactivitySofSpupilsStoSlight
UsedStoSensureScorrectSplacementSofSendotrachealStubeS-ScorrectSanswer--UltrasoundS
-BilateralSbreathSsounds
-SustainedSend-tidalSCO2
TotalSbodySsurfaceSareaSinvolvedSinSaSburnSinSanSadultStoStheSanteriorSchestSandSabdomenS-ScorrectSanswer-
18%
WhatSisSoftenScausedSbyScarotidSmassage?S-ScorrectSanswer-Bradycardia
StepSinSaSpatientSdiagnosedSwithStensionSpneumothoraxS-ScorrectSanswer-
1.SNeedleSdecompression/Sthoracotomy
2.SChestStube
TrueSstatementsSregardingSdiaphragmaticSinjuriesS-ScorrectSanswer--
BluntSdiaphragmaticSinjuriesSareSusuallySassociatedSwithSskeletalStraumaS
,-PenetratingSdiaphragmaticSinjuriesSmaySbeSmissed
-RepairSofStraumaticSdiaphragmaticSinjuriesSusuallySdoesSnotSrequireSprostheticSmaterial
FirstSprioritySinStheStreatmentSofSanSunconsciousSpatientS-ScorrectSanswer-CheckingStheSpulse
ASpatientSinvolvedSinSaSroadSaccidentSisSbroughtStoStheSemergencySdepartmentSinSanSunconsciousSstate.SOnS
arrival,SherSvitalsSshowSaStemperatureSofS96.4SdegreesSFahrenheit,SaSrespirationSrateSofS24SbreathsSperSminu
te,SaSheartSrateSofS140SbeatsSperSminute,SandSaSbloodSpressureSofS80/40SmmSHg.SSheSisScold,Sshivering,SandS
perspiringSprofusely.SSheShasSbilateralSreactiveSpupilsSbutSsheSdoesSnotSrespondStoSpain.SOnSphysicalSexami
nation,SsheShasSnoSobviousSsignSofSexternalSbleeding.SWhichSofStheSfollowingScannotSbeStheScauseSofShypot
ensionSinSthisSpatient?
A.SPelvicSfracture
B.SFractureSofSfemur
C.SIntracranialShemorrhage
D.SHemothoraxS-ScorrectSanswer-C.SIntracranialShemorrhage
ASpatientSsufferedSaSslashStoShisSrightSneck.STheSwoundSisSoverStheSmid-
portionSofStheSsternocleidomastoid.SThereSisSaSlargeShematomaSandSbriskSbleedingSwhenSuncovered.SHeSisS
stable.SWhatSisStheSnextSstepSinSmanagement?
A.SGetSanSangiogram
B.SCloseStheSwoundSinStheSER
C.STakeShimStoStheSoperatingSroom
D.SCTSscanStoSevaluateSneckSstructureS-ScorrectSanswer-C.STakeShimStoStheSOR
AfterSabdominalSinjury,SwhichSofStheSfollowingSurinalysisSfindingsSwouldSbeSanSindicationSforSfurtherStesti
ng?
A.S0-5Scasts/HPF
B.S5-10SWBC/HPF
C.S10-20SRBC/HPF
D.SGrossShematuriaS-ScorrectSanswer-D.SGrossShematuria
ASlacerationSofStheSneckSsuperficialStoStheSdeepScervicalSfasciaSalongStheSsternocleidomastoidSmuscleSatSitsS
midpointSwouldScauseSbleedingSfromSwhichSstructure?S-ScorrectSanswer-ExternalSjugularSvein
, ClinicalSfeaturesSassociatedSwithStensionSpneumothoraxS-ScorrectSanswer-
UnilateralSdecreaseSinSbreathSsounds
Hyperresonance
RespiratorySdistress
Tachycardia
TrachealSshift
Desatruation
DecreasedSbreathSsounds
DecreasedScompliance
AsymmetricSchestSmovement
NOTShypertension,SaudibleSbronchialSsounds
NotSrecommendedSasSaSmodeSofSventilationSforSaSpatientSwithSaSdiaphragmaticShernia
A.SBagSandSmask
B.SLMA
C.SEndotrachealSintubation
D.SJetSventilationS-ScorrectSanswer-A.SBagSandSmask
WhatSisStheSnextSstepSinStheSassessmentSofSaStraumaticSpatientSafterSairwaySisSestablished?S-ScorrectSanswer-
Breathing
BloodSgroupSthatSisSconsideredSaSuniversalSdonorS-ScorrectSanswer-O
ASproviderSisSexaminingSaSpatientSwhoSsustainedSaSsevereStraumaticSheadSinjury.SHeSdocumentsSnoSDoll'sSe
yes.SWhatSdoesSthisSsignify?S-ScorrectSanswer-BrainstemSinjury
WhichSofStheSfollowingSisStheSleastSpreferredSmethodSofSadministeringSIVSfluids?
A.SCubitalSveins
B.SCephalicSveins