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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Student Name: ___ [Insert Student’s Name] _____
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Examination
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Instructions:
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2. Answer all questions.
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5. Please answer each question below and click Submit when you
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ATLS Chapter 1 Initial Assessment and Management
Review ATLS Exam 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: -
2. True / False - all trauma patients should get a DRE: TRUE - look for blood,
sphincter tone, and rectal integrity
3. Who should get vaginal exam during secondary survey?: All patients with
high risk for a vaginal injury
4. What should all female patients be evaluated for?: Child bearing age status
ALL of these get a b-HCG test
5. Approach to examination of the musculoskeletal system:: - Palpate all bony
structures and prominences
- range of motion
- Joint laxity testing
- EXAMINE THE BACK
- strength
- neurological sensation testing
6. Musculoskeletal trauma complications: - large blood loss from pel vic
- compartment syndrome fx
- occult ligament or msk injury
7. Neurological exam key approach:: - motor / sensory extremity exam
- consciousness testing / GCS
- Pupil sizes and reflexes
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8. First assessment to check in a patient with decreasing level of conscious-
ness?: Oxygenation
Ventilation Perfusion
Consult neurosurgery early
9. Specialized adjunct testing for the secondary survey?: - additional xrays
- CT of head/chest/abdomen/spine
- Urography
- Angiography
- TEE
- Bronchoscopy
- EGD
- others
10. Minimum urinary output for adult patients? Pediatric patients >1yr
old?-
: Adults: e0.5mL/kg/hr
Pediatrics: e1.0mL/kg/hr
11. What types of analgesia are typically used in trauma?: Opioids +
Anxiolyt- ics IV is best
(dont use IM)
Small doses b/c you MUST avoid respiratory depression and hypotension and AMS
12. Starting dosing of IV fentanyl (Sublimaze)?: ~0.5-2mcg/kg IV bolus
[can just start at 25mcg-100mcg in many patients]
13. How do you know if a patient requires transfer?: You Need:
1. Full assessment of the patient's condition
2. knowledge of the hospitals capability/resources AND refer to the interhospital
transfer guidelines
1. Describe the 3 peaks of the trimodal distribution of death due to injury:: 1.
Immediate death (large vessel ruptures, brainstem, cardiac)
2. Minutes-Hours (subdural/epidurals, spleen/liver lacs, pelvic fx, ect. GOLDEN HOUR"
...)
3. Days to weeks - death from sepsis and multi organ failure (the handling of 2nd peak
conditions affects this peak) "THE
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