ATLS Advanced Trauma Life Support
ATLS Written Examination & Practical Skills Assessment
Course Title and Number: ATLS Written Examination &
Practical Skills Assessment
Exam Title: ATLS Exam
Exam Date: Exam 2025- 2026
Instructor: ____ [Insert Instructor’s Name] _______
Student Name: ___ [Insert Student’s Name] _____
Student ID: ____ [Insert Student ID] _____________
Examination
Time: - ____ Hours: ___ Minutes
Instructions:
1. Read each question carefully.
2. Answer all questions.
3. Use the provided answer sheet to mark your responses.
4. Ensure all answers are final before submitting the exam.
5. Please answer each question below and click Submit when you
have completed the Exam.
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automatically when the time expires
7. This is Exam which will assess your knowledge on the course
Learning Resources.
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ATLS Advanced Trauma Advanced Principles of
Anesthesia II *Big Miller *M&M* Review Questions and
Answers | 100% Pass Guaranteed | Graded A+ |
2025- 2026
ATLS Written Examination & Practical Skills Assessment
ATLS Advanced Trauma Life Support Exam
Read All Instructions Carefully and Answer All the
Questions Correctly Good Luck: -
ATLS emphasizes the ABCDE mnemonic: - =Answer>> *Airway
*Breathing
*Circulation
*Disability
*Exposure
Estimation of Blood Volume Deficits - =Answer>>
Classification of Hemorrhage - =Answer>>
Class I Hemorrhage: EBL - =Answer>> up to 750
Class I Hemorrhage: %Blood Loss - =Answer>> up to 15%
Class I Hemorrhage: Pulse Rate - =Answer>> <100
Class I Hemorrhage: Blood Pressure - =Answer>> Normal
Class I Hemorrhage: Pulse Pressure - =Answer>> Normal or
Increased
Class I Hemorrhage: Respiratory Rate - =Answer>> 14-20
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Class I Hemorrhage: UOP - =Answer>> >30/hr
Class I Hemorrhage: CNS - =Answer>> Slightly anxious
Class II Hemorrhage: EBL - =Answer>> 750-1500
Class II Hemorrhage: %Blood Loss - =Answer>> 15-30%
Class II Hemorrhage: Pulse Rate - =Answer>> >100
Class II Hemorrhage: Blood Pressure - =Answer>> Normal
Class II Hemorrhage: Pulse Pressure - =Answer>> Decreased
Class II Hemorrhage: Respiratory Rate - =Answer>> 20-30
Class II Hemorrhage: UOP - =Answer>> 20-30/hr
Class II Hemorrhage: CNS - =Answer>> Mildly anxious
Class III Hemorrhage: EBL - =Answer>> 1500-2000
Class III Hemorrhage: %Blood Loss - =Answer>> 30-40%
Class III Hemorrhage: Pulse Rate - =Answer>> >120
Class III Hemorrhage: Blood Pressure - =Answer>> Decreased
Class III Hemorrhage: Pulse Pressure - =Answer>> Decreased
Class III Hemorrhage: Respiratory Rate - =Answer>> 30-40
Class III Hemorrhage: UOP - =Answer>> 5-15/hr
Class III Hemorrhage: CNS - =Answer>> Anxious/Confused
Class IV Hemorrhage: EBL - =Answer>> >2000
Class IV Hemorrhage: %Blood Loss - =Answer>> >40%
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Class IV Hemorrhage: Blood Pressure - =Answer>> Decreased
Class IV Hemorrhage: Pulse Pressure - =Answer>> Decreased
Class IV Hemorrhage: Respiratory Rate - =Answer>> >35
Class IV Hemorrhage: UOP - =Answer>> Negligible
Class IV Hemorrhage: Pulse Rate - =Answer>> >140
Class IV Hemorrhage: CNS - =Answer>> Confused/lethargic
Clinical Impact of Intravenous Fluids on Coagulation - =Answer>>
•Large amounts of crystalloids results in a dilutional
coagulopathy by diluting platelets
•Impaired platelet function results from diminished circulating
vWF antigen activity reported in patients treated with NS-based
and not BS-based fluids
•Retrospective studies suggest HES/NS may be associated with
more perioperative bleeding
Risk factors that affect trauma patient outcome: - =Answer>>
•Persistent hypotension: MAP <50mmHg
•Acidemia: pH <7.10
•Hypothermia: <34 degrees Centigrade
•Massive transfusions: >10 units PRBC
•Coagulopathy: PT>16sec., PTT>50sec., INR>1.5 at 6 hours
A delicate balance exists between coagulation and fibrinolysis,
which can be influenced by: - =Answer>> •Endothelial damage
•Coagulation cascade
•Fibrinolyticcascade
•Complement activation
•Capillary leak
Trauma-induced coagulopathyis characterized by three general
mechanisms: - =Answer>> •Dilution of clotting factors and
platelets by non-red blood cell volume replacement
•Consumption of coagulation factors caused by trauma and the
inflammatory response (DIC)
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