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
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ATLS Chapter 3 Shock ATLS Advanced Trauma Life
Support Exam Review Questions and Answers | 100%
Pass Guaranteed | Graded A+ |
2025- 2026
ATLS Modules / Chapter Review
ATLS Written Examination & Practical Skills Assessment
ATLS Advanced Trauma Life Support Exam
Read All Instructions Carefully and Answer All the
Questions Correctly Good Luck: -
What are two broad categories of shock in trauma? - =Answer>> Hemorrhagic and
non-hemorrhagic
What are types of non-hemorrhagic shock? - =Answer>> Obstructive, neurogenic,
septic, cardiogenic
What is the most common cause of shock in the trauma patient? - =Answer>>
Hemorrhagic shock secondary to blood loss
What are common causes of non-hemorrhagic shock in the trauma patient? How can
you diagnose them? - =Answer>> Cardiac tamponade (distended neck veins, muffled
heart sounds, positive FAST for pericardial fluid)
Tension pneumothorax (distended neck veins, tracheal deviation, hyperresonant
percussion over hemithorax)
Neurogenic shock secondary to the cervical or thoracic spine injury (hypotension without
tachycardia or cutaneous vasoconstriction)
Draw out the diagram for Class I-IV of hemorrhagic shock, including: blood loss (mL and
%), pulse, blood pressure, resp rate, urine output, CNS, initial fluid replacement -
=Answer>> Page 69 of ATLS manual
What is the lethal triad in trauma? - =Answer>> Coagulopathy, hypothermia, acidosis
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In resuscitation, what is permissive hypotension? - =Answer>> When someone is
actively bleeding, focusing on normalizing their blood pressure can actually cause them
to bleed more. Permissive hypotension/controlled resuscitation/balanced
resuscitation/hypotensive resuscitation means not trying to aim for normotension, but
aiming for a balance between restoring blood volume while attempting to arrange
primary control.
How can you evaluate response to resuscitation? - =Answer>> Urine output
(0.5ml/kg/hr), acid-base status (shock can cause severe metabolic acidosis)
What do you give for initial fluid therapy? - =Answer>> 2L of warmed, isotonic solution
(Ringers or normal saline)
What is the first step in the initial management of shock?
The first step in the initial management of shock is to recognize its presence
Step 1: Recognize the Shock state
Define shock
Shock
-A circulatory system abnormality that results in inadequate organ perfusion and tissue
oxygenation
-Diagnosis depends upon synthesizing clinical findings and laboratory tests-no single
vital sign or test can diagnose shock
Once shock is identified, initiate treatment based on the probable cause.
Step 2: Identify the probable cause of shock
What is the most common cause of shock in trauma patients?
Hemorrhage
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