ATLS 10th Edition Post Test (2024 /
2025) Actual Questions and Verified
Answers, 100% Guarantee Pass
Question : A 22-year-old female is taken to the emergency department after
falling from a height. She is hypotensive, with a blood pressure of 85/55 mmHg,
tachycardic, with a heart rate of 130 beats per minute, and respiring at 30 breaths per
minute. She is sluggish and confused. A non-rebreather mask is used to deliver oxygen,
and two large-bore IVs are inserted for fluid resuscitation. The initial lab results show
elevated lactate levels. What is the most appropriate immediate management strategy
for improving her condition?
Answer
Restore normal perfusion: High lactate levels indicate hypoperfusion and
potential shock. Immediate treatment includes aggressive fluid resuscitation to restore
normal perfusion, stabilize blood pressure, and improve tissue oxygenation.
Question : What is the first priority in managing a patient with multiple closed
extremity fractures who has been involved in a traumatic incident?
Answer
Ensure proper oxygenation and ventilation: The primary concern in trauma
patients, particularly those with multiple fractures, is to secure the airway and maintain
adequate oxygenation and ventilation. This is critical because poor breathing or low
oxygen levels can cause serious complications and worsen the patient's overall health.
Once the airway and breathing have been stabilized, attention can be turned to treating
fractures and other injuries.
, Question : A 50-year-old man is taken to the emergency room after a serious
head-on collision. He is intubated and using mechanical ventilation. A chest x-ray
reveals an endotracheal tube (ETT) above the carina. What is the most reliable method
for confirming proper endotracheal tube placement?
Answer
Bronchoscopy allows for direct visualization of the endotracheal tube's position:
Although a chest x-ray can confirm that the ETT is above the carina, direct visualization
using bronchoscopy provides the most accurate assessment of proper tube placement
and confirms that the tube is in the trachea rather than the esophagus.
Question : What is the most urgent action to take in a patient with severe facial
trauma and a compromised airway?
Answer
Performing surgical airway procedures like cricothyrotomy: Severe
maxillofacial trauma may obstruct the airway, making intubation difficult or impossible.
In such cases, a surgical airway procedure, such as cricothyrotomy, is required to gain
immediate access to the airway when other methods fail.
Question : In the context of mass casualty incidents, which principle of triage
aims to maximize patient outcomes given limited medical resources?
Answer
Prioritize treatment to produce the greatest number of survivors based on available
resources: The principle of triage in mass casualty situations is to allocate medical
resources in a way that maximizes the number of survivors. This involves assessing and
,categorizing patients based on the severity of their conditions and the likelihood of their
survival with available resources, ensuring that those who can benefit most from
immediate treatment receive it first.
Question : A 45-year-old female is admitted to the emergency room after
suffering a severe stab wound to the abdomen. She is intubated, and rapid fluid
resuscitation with crystalloids is started using two large-bore IVs. Initial blood tests
show a significant decrease in hemoglobin levels. Despite receiving 2 liters of fluid, her
blood pressure remains 80/50 mmHg, and her heart rate is 130 beats per minute. A
focused assessment using sonography for trauma (FAST) reveals free fluid in the
abdomen. What is the appropriate next step in management?
condition.
Answer
Perform an emergency laparotomy in the operating room: The patient’s persistent
hypotension and signs of intra-abdominal bleeding indicate significant hemorrhage. An
emergency laparotomy is necessary to identify and control the source of bleeding and to
stabilize the patient’s condition.
Question A 40-year-old man presents with a headache and altered mental status
following a car accident. A CT scan of the brain shows numerous contusions. Which of
the following statements best describes a possible complication of these brain injuries?
Answer
Cerebral contusions can combine to form an intracerebral hematoma: Cerebral
contusions are bruising of the brain caused by trauma. As these contusions progress,
, they may merge or coalesce, resulting in the formation of an intracerebral hematoma, a
localized collection of blood within brain tissue. This complication can exacerbate the
patient's condition, necessitating close monitoring and management.
Question : A 35-year-old female presents to the emergency department after a
high-speed motor vehicle collision. She has multiple rib fractures on the left side and is
experiencing severe chest pain and difficulty breathing. Her blood pressure is 100/70
mm Hg, heart rate is 110 eats per minute, and respiratory rate is 28 breaths per minute.
After securing the airway and administering pain control, what is the next appropriate
step?
Answer
obtain a portable chest x-ray: A chest x-ray is essential to assess for
complications such as pneumothorax, hemothorax, or lung contusion, which can
occur with multiple rib fractures.
Question : A 30-year-old man is transported to the emergency room following a
motorcycle accident. He describes severe pelvic pain and difficulty urinating. Perineal
bruising and a high-riding prostate are discovered during a digital rectal examination.
There is also blood on the urethral meatus. What is the best initial diagnostic test to
assess his urinary tract injury?
Answer
Retrograde urethrography: The presence of blood at the urethral meatus and
pelvic trauma indicate a possible urethral injury. Retrograde urethrography is the
preferred initial diagnostic test for determining the integrity of the urethra prior to
catheterization or other procedures.
2025) Actual Questions and Verified
Answers, 100% Guarantee Pass
Question : A 22-year-old female is taken to the emergency department after
falling from a height. She is hypotensive, with a blood pressure of 85/55 mmHg,
tachycardic, with a heart rate of 130 beats per minute, and respiring at 30 breaths per
minute. She is sluggish and confused. A non-rebreather mask is used to deliver oxygen,
and two large-bore IVs are inserted for fluid resuscitation. The initial lab results show
elevated lactate levels. What is the most appropriate immediate management strategy
for improving her condition?
Answer
Restore normal perfusion: High lactate levels indicate hypoperfusion and
potential shock. Immediate treatment includes aggressive fluid resuscitation to restore
normal perfusion, stabilize blood pressure, and improve tissue oxygenation.
Question : What is the first priority in managing a patient with multiple closed
extremity fractures who has been involved in a traumatic incident?
Answer
Ensure proper oxygenation and ventilation: The primary concern in trauma
patients, particularly those with multiple fractures, is to secure the airway and maintain
adequate oxygenation and ventilation. This is critical because poor breathing or low
oxygen levels can cause serious complications and worsen the patient's overall health.
Once the airway and breathing have been stabilized, attention can be turned to treating
fractures and other injuries.
, Question : A 50-year-old man is taken to the emergency room after a serious
head-on collision. He is intubated and using mechanical ventilation. A chest x-ray
reveals an endotracheal tube (ETT) above the carina. What is the most reliable method
for confirming proper endotracheal tube placement?
Answer
Bronchoscopy allows for direct visualization of the endotracheal tube's position:
Although a chest x-ray can confirm that the ETT is above the carina, direct visualization
using bronchoscopy provides the most accurate assessment of proper tube placement
and confirms that the tube is in the trachea rather than the esophagus.
Question : What is the most urgent action to take in a patient with severe facial
trauma and a compromised airway?
Answer
Performing surgical airway procedures like cricothyrotomy: Severe
maxillofacial trauma may obstruct the airway, making intubation difficult or impossible.
In such cases, a surgical airway procedure, such as cricothyrotomy, is required to gain
immediate access to the airway when other methods fail.
Question : In the context of mass casualty incidents, which principle of triage
aims to maximize patient outcomes given limited medical resources?
Answer
Prioritize treatment to produce the greatest number of survivors based on available
resources: The principle of triage in mass casualty situations is to allocate medical
resources in a way that maximizes the number of survivors. This involves assessing and
,categorizing patients based on the severity of their conditions and the likelihood of their
survival with available resources, ensuring that those who can benefit most from
immediate treatment receive it first.
Question : A 45-year-old female is admitted to the emergency room after
suffering a severe stab wound to the abdomen. She is intubated, and rapid fluid
resuscitation with crystalloids is started using two large-bore IVs. Initial blood tests
show a significant decrease in hemoglobin levels. Despite receiving 2 liters of fluid, her
blood pressure remains 80/50 mmHg, and her heart rate is 130 beats per minute. A
focused assessment using sonography for trauma (FAST) reveals free fluid in the
abdomen. What is the appropriate next step in management?
condition.
Answer
Perform an emergency laparotomy in the operating room: The patient’s persistent
hypotension and signs of intra-abdominal bleeding indicate significant hemorrhage. An
emergency laparotomy is necessary to identify and control the source of bleeding and to
stabilize the patient’s condition.
Question A 40-year-old man presents with a headache and altered mental status
following a car accident. A CT scan of the brain shows numerous contusions. Which of
the following statements best describes a possible complication of these brain injuries?
Answer
Cerebral contusions can combine to form an intracerebral hematoma: Cerebral
contusions are bruising of the brain caused by trauma. As these contusions progress,
, they may merge or coalesce, resulting in the formation of an intracerebral hematoma, a
localized collection of blood within brain tissue. This complication can exacerbate the
patient's condition, necessitating close monitoring and management.
Question : A 35-year-old female presents to the emergency department after a
high-speed motor vehicle collision. She has multiple rib fractures on the left side and is
experiencing severe chest pain and difficulty breathing. Her blood pressure is 100/70
mm Hg, heart rate is 110 eats per minute, and respiratory rate is 28 breaths per minute.
After securing the airway and administering pain control, what is the next appropriate
step?
Answer
obtain a portable chest x-ray: A chest x-ray is essential to assess for
complications such as pneumothorax, hemothorax, or lung contusion, which can
occur with multiple rib fractures.
Question : A 30-year-old man is transported to the emergency room following a
motorcycle accident. He describes severe pelvic pain and difficulty urinating. Perineal
bruising and a high-riding prostate are discovered during a digital rectal examination.
There is also blood on the urethral meatus. What is the best initial diagnostic test to
assess his urinary tract injury?
Answer
Retrograde urethrography: The presence of blood at the urethral meatus and
pelvic trauma indicate a possible urethral injury. Retrograde urethrography is the
preferred initial diagnostic test for determining the integrity of the urethra prior to
catheterization or other procedures.
