ATLS Advanced Trauma Life Support
ATLS Written Examination & Practical Skills Assessment
ATLS Final Exams
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.
6. This test has a time limit, The test will save and submit
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 Life Support Exam Review
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2025- 2026
ATLS Written Examination & Practical Skills Assessment
ATLS Final Exams
ATLS Advanced Trauma Life Support Exam
Read All Instructions Carefully and Answer All the
Questions Correctly Good Luck: -
True or false? Although the mechanism of injury may be similar
to those for the younger population, data shows increased
mortality with similar severity of injury in older adults. -
=Answer>> True
How do you dissolve a tar burn? - =Answer>> Use mineral oil
Abuse and burns - =Answer>> circular burns and burns with clear
edges and unique patterns may reflect cigarette burns or iron.
Burns on the sole of the feet usually suggest child was placed
in hot water. A burn on the posterior aspect of the LE and
buttocks
Patient with electrical burn can develop for acute renal failure -
=Answer>> remember these burns can cause serious muscle
damage without showing signs outright. Test urine for
hemochromogen and administer proper volume. Assess for
compartment syndrome and attach EKG leads as electrical
injury can cause arrhythmias.
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Frostbite is due to freezing of tissue with intracellular ice crystal
formation, microvascular occlusion, and subsequent tissue
anoxia. - =Answer>> first degree: hyperemia and edema are
present w/o skin necrosis
second degree: large clear vesicles accompany the hyperemia
and edema with partial thickness skin necrosis.
third degree frostbite: full thickness skin necrosis including
muscle and bone with later necrosis
treatment is circulating water at constant 40 degrees C or 104F
until pink color and perfusion return in 20-30 minutes.
In frostbite injury, warming large areas can result in reperfusion
syndrome, with acidosis, hyperK and local swelling. - =Answer>>
therefore monitor the patient's cardiac status and peripheral
perfusion during rewarming.
Sympathetic blockade agents and vasodilating agents have
shown to be effective in altering the progression of acute cold
injury - =Answer>> false
hypothermia is a core temp below 36C or 96.8F - =Answer>>
hypothermia can worsen coagulopathy and affect organ
function.
Rhabdomyolysis can lead to metabolic acidosis, hyperK, hypoC,
and DIC. - =Answer>> Myoglobin induced renal failure can be
prevented with intravascular fluid expansion, alkalinization of
the urine by IV administration of Bicarbonate and osmotic
diuresis.
For MSK trauma, loss of sensation in a stocking or glove
distribution is an early sign of.... - =Answer>> early sign of
vascular impairment
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Knee dislocations can reduce spontaneously and may not
present with any gross external or radiographic anomalies until
a physical exam of is joint is perfromed. - =Answer>> an ankle
brachial index of less than 0.9 indicates abnormal arterial flow
secondary to injury or peripheral vascular disease
Blanched skin associated with fractures and dislocations can
lead to soft tissue necrosis. The purpose of promptly reducing
this injury is to prevent pressure necrosis of the lateral left
ankle soft tissue - =Answer>> the only reason to forgo an xray
exam before treating a dislocation or fracture is the presence of
vascular compromise or impending skin breakdown, often seen
with fracture dislocations of the ankle
Treat all patients with open fractures as soon as possible with iv
antibiotics - =Answer>> cephalosporins are necessary for all
open fractures
operative revascularization to an avascular extremity is
important to treat emergently. - =Answer>> muscle necrosis
begins where there is a lack of blood flow for 6 hours. is there is
an associated fracture deformity, correct it by gently pulling the
limb out to length, realigning the fracture and splinting the
injured extremity. This maneuver can restore the blood flow
High risk activities that can cause compartment syndrome
include: - =Answer>> excessive exercise
burns
severe crush injury to muscle
localized prolonged external pressure to an extremity
increased capillary permeability secondary to reperfusion of
ischemic muscle.
Compartment syndrome is a clinical diagnosis and pressure
measurements are only an adjunct to aid in its diagnosis. a
pressure greater than 30 can cause anoxia. - =Answer>> the
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