ATLS (ADVANCED TRAUMA LIFE
SUPPOORT)10TH EDITION POST-TEST EXAM
2025 WITH ACTUAL CORRECT QUESTIONS
AND VERIFIED DETAILED ANSWERS
|FREQUENTLY TESTED QUESTIONS AND
SOLUTIONS |ALREADY GRADED A+|
NEWEST!!|LATEST UPDATE |GUARANTEED
PASS
In comparison with young adults, elderly patients exhibit which of the following regarding brain
injuries?
A. Increased cerebral blood flow
B. Less stretching of the bridging veins
C. Less subdural hematomas
D. Less brain contusions
E. Less mobility with angular acceleration and deceleration
D. Less brain contusions
Which of the following will be missed by DPL?
Subcapsular hematoma of the spleen (becauase it is a retroperitoneal organ)
Burn victim, core temperature is 34C. Whats next?
A. Escharotomy
B. Rewarm
C. Oxygen mask
D...
E..
C. Oxygen mask
1|Page
,Which of the following is NORMAL in pregnancy?
A. increased residual lung volume
B. Decreased plasma volume
C. Decreased total RBC mass
D. Widened symphysis pubis
E.
D. Widened symphysis pubis
A 34-year-old man is brought to the ED after being pinned to the wall of building by a cement
truck. He is in obvious shock, and has deformities and marked swelling of both thighs. Although
no open wound are present, his shock:
A. Cannot be explained without concomitant pelvic fracture
B. Signifies a loss of approximately 15%
C. Is consistent with blood loss from bilateral femoral fracture
D. Will likely be reversed if appropriate traction splint are applied
E. Cannot be explained by his observed injuries unless a major arterial injury exist
C. Is consistent with blood loss from bilateral femoral fracture
Prior to passage of urinary catheter in a man, it is essential to:
A. Examine the abdomen
B. Determine pelvic stability
C. Examine the rectum and perineum
D. Perform a retrograde urethrogram
E. Know the history and mechanism of injury
C. Examine the rectum and perineum
The best guide for adequate fluid resuscitation of the burn patient is:
A. Adequate urinary output
B. Reversal of systemic acidosis
C. Normalization of the heart rate
D. A normal central venous pressure
E. 4ml/kg/percent body burn/24 hours
A. Adequate urinary output
A 36-year-old woman is beaten about the head and face and is brought to the local community
hospital in full spinal immobilization. Her BP is 13088, HR 70/minutes, and RR 18/minute. Pulse
oximetry indicated 98% while she was given 100% O2 via a non rebreather mask. Her airway is
clear. She has marked swellings on her face and several lacerations of her scalp that are not
2|Page
,actively bleeding. She does not respond to verbal stimuli, but localizes to painful stiumuli and
opens her eyes. She moves all extremities equally. The remainder of her physical exam is
normal. There is no neurosurgeon at the local hospital. After ensuring the patient airway, the
most appropriate course of action is to:
A. Admit the patient to the hospital for observation
B. Obtain x-ray of her facial bones prior to transfer
C. Obtain complete x-ray evaluation of the cervical spine
D. Transfer the patient to a neurosurgeon without performing a CT-scan
E. Perform DPL or request abdominal ultrasonography
D. Transfer the patient to a neurosurgeon without performing a CT-scan
For the trauma patient with cerebral edema, hypercarbia should be avoided to prevent:
A. metabolic acidosis
B. Respiratory acidosis
C. Cerebral vasodilatation
D. Neurogenic pulmonary edema
E. Reciprocal high level of PaCO2
C. Cerebral vasodilatation
A 29 y/o male is brought to the ED after being involved in a motor vehicular collision when his
car struck a bridge abutment. He is intoxicated, has GCS 13 and complains of abdominal pain.
His BP was 80mmHg systolic by palpation on admission, but rapidly increased to 110/70 with
the administration of IV fluid. His heart rate is 120/minute. The chest x-ray show loss of aortic
know, widening of mediastinum, no rib fracture and no hemopneumothorax. Contrast
angiography:
A. Is not indicated
B. Should be performed after CT scan of the chest
C. Is positive ofr aortic rupture in 80% of similar cases
D. Is not necessary if the CT-scan of the chest is normal
E. Should be performed after DPL
D. Is not necessary if the CT-scan of the chest is normal
Important screening x-rays to obtain in the multiple system trauma patient are:
A. Skull, chest and abdomen
B. Chest, abdomen and pelvis
C. Skull cervical spine and pelvis
D. Cervical spine, chest and pelvis
E. Cervical spine, chest and abdomen
3|Page
, D. Cervical spine, chest and pelvis
All of the following statement regarding pulse oxymetry are true EXCEPT
A. excessive surrounding room light can interfere with the accuracy of the reading
B. Significant levels of dysfunctional hemoglobin can affect the accuracy of the reading
C. It provides a continuous measurement of the partial pressure of oxygen
D. It is dependent on differential light absorption by oxygenated and deoxygenated hemoglobin
E. It provides a continuous, non-invasiv measurement of pulse rate that is updated with each HR
C. It provides a continuous measurement of the partial pressure of oxygen
Bronchial intubation at the right or left mainstem bronchus can easily occuring during infant
endotracheal intubation because
A. The trachea is relatively short
B. The distance from the lips to the larynx is relatively short
C. The use of tubes without cuffs allow the tube to slip easily
D. The mainstem bronchi are less angulated in their relation to the trachea
E. Do litte friction exist between endotracheal tube and the wall of the trachea.
A. The trachea is relatively short
A 52 y/o woman sustaining 50% total body surface burns in an explosion. She has burns around
the chest and both upper arms. Adequate resuscitation is initiated. She is nasotracheally
intubated and is being mechanically ventilated. Her CarboxyHb level is 10%. Her arterial blood
gas reveals PaO2 of 40mmHg, PaCo2 of 60mmHg and pH of 7,25. Appropriate immediate
management at the time is to
A. Ensure adequate tissue perfusion
B. Increase the rate of fluid resuscitation
C. Add PEEP
D. Reassess for the presence of pneumothorax
E. Administer IV narcotics in small amounts
?A. Ensure adequate tissue perfusion
All of the following suggest urethral injury EXCEPT
A. scrotal hematoma
B. Blood in rectal lumen
C. Blod in external urethral meatus
D. High riding prostate on rectal exam
E. Absence of a palpable prostate on rectal exam
E. Absence of a palpable prostate on rectal exam
4|Page
SUPPOORT)10TH EDITION POST-TEST EXAM
2025 WITH ACTUAL CORRECT QUESTIONS
AND VERIFIED DETAILED ANSWERS
|FREQUENTLY TESTED QUESTIONS AND
SOLUTIONS |ALREADY GRADED A+|
NEWEST!!|LATEST UPDATE |GUARANTEED
PASS
In comparison with young adults, elderly patients exhibit which of the following regarding brain
injuries?
A. Increased cerebral blood flow
B. Less stretching of the bridging veins
C. Less subdural hematomas
D. Less brain contusions
E. Less mobility with angular acceleration and deceleration
D. Less brain contusions
Which of the following will be missed by DPL?
Subcapsular hematoma of the spleen (becauase it is a retroperitoneal organ)
Burn victim, core temperature is 34C. Whats next?
A. Escharotomy
B. Rewarm
C. Oxygen mask
D...
E..
C. Oxygen mask
1|Page
,Which of the following is NORMAL in pregnancy?
A. increased residual lung volume
B. Decreased plasma volume
C. Decreased total RBC mass
D. Widened symphysis pubis
E.
D. Widened symphysis pubis
A 34-year-old man is brought to the ED after being pinned to the wall of building by a cement
truck. He is in obvious shock, and has deformities and marked swelling of both thighs. Although
no open wound are present, his shock:
A. Cannot be explained without concomitant pelvic fracture
B. Signifies a loss of approximately 15%
C. Is consistent with blood loss from bilateral femoral fracture
D. Will likely be reversed if appropriate traction splint are applied
E. Cannot be explained by his observed injuries unless a major arterial injury exist
C. Is consistent with blood loss from bilateral femoral fracture
Prior to passage of urinary catheter in a man, it is essential to:
A. Examine the abdomen
B. Determine pelvic stability
C. Examine the rectum and perineum
D. Perform a retrograde urethrogram
E. Know the history and mechanism of injury
C. Examine the rectum and perineum
The best guide for adequate fluid resuscitation of the burn patient is:
A. Adequate urinary output
B. Reversal of systemic acidosis
C. Normalization of the heart rate
D. A normal central venous pressure
E. 4ml/kg/percent body burn/24 hours
A. Adequate urinary output
A 36-year-old woman is beaten about the head and face and is brought to the local community
hospital in full spinal immobilization. Her BP is 13088, HR 70/minutes, and RR 18/minute. Pulse
oximetry indicated 98% while she was given 100% O2 via a non rebreather mask. Her airway is
clear. She has marked swellings on her face and several lacerations of her scalp that are not
2|Page
,actively bleeding. She does not respond to verbal stimuli, but localizes to painful stiumuli and
opens her eyes. She moves all extremities equally. The remainder of her physical exam is
normal. There is no neurosurgeon at the local hospital. After ensuring the patient airway, the
most appropriate course of action is to:
A. Admit the patient to the hospital for observation
B. Obtain x-ray of her facial bones prior to transfer
C. Obtain complete x-ray evaluation of the cervical spine
D. Transfer the patient to a neurosurgeon without performing a CT-scan
E. Perform DPL or request abdominal ultrasonography
D. Transfer the patient to a neurosurgeon without performing a CT-scan
For the trauma patient with cerebral edema, hypercarbia should be avoided to prevent:
A. metabolic acidosis
B. Respiratory acidosis
C. Cerebral vasodilatation
D. Neurogenic pulmonary edema
E. Reciprocal high level of PaCO2
C. Cerebral vasodilatation
A 29 y/o male is brought to the ED after being involved in a motor vehicular collision when his
car struck a bridge abutment. He is intoxicated, has GCS 13 and complains of abdominal pain.
His BP was 80mmHg systolic by palpation on admission, but rapidly increased to 110/70 with
the administration of IV fluid. His heart rate is 120/minute. The chest x-ray show loss of aortic
know, widening of mediastinum, no rib fracture and no hemopneumothorax. Contrast
angiography:
A. Is not indicated
B. Should be performed after CT scan of the chest
C. Is positive ofr aortic rupture in 80% of similar cases
D. Is not necessary if the CT-scan of the chest is normal
E. Should be performed after DPL
D. Is not necessary if the CT-scan of the chest is normal
Important screening x-rays to obtain in the multiple system trauma patient are:
A. Skull, chest and abdomen
B. Chest, abdomen and pelvis
C. Skull cervical spine and pelvis
D. Cervical spine, chest and pelvis
E. Cervical spine, chest and abdomen
3|Page
, D. Cervical spine, chest and pelvis
All of the following statement regarding pulse oxymetry are true EXCEPT
A. excessive surrounding room light can interfere with the accuracy of the reading
B. Significant levels of dysfunctional hemoglobin can affect the accuracy of the reading
C. It provides a continuous measurement of the partial pressure of oxygen
D. It is dependent on differential light absorption by oxygenated and deoxygenated hemoglobin
E. It provides a continuous, non-invasiv measurement of pulse rate that is updated with each HR
C. It provides a continuous measurement of the partial pressure of oxygen
Bronchial intubation at the right or left mainstem bronchus can easily occuring during infant
endotracheal intubation because
A. The trachea is relatively short
B. The distance from the lips to the larynx is relatively short
C. The use of tubes without cuffs allow the tube to slip easily
D. The mainstem bronchi are less angulated in their relation to the trachea
E. Do litte friction exist between endotracheal tube and the wall of the trachea.
A. The trachea is relatively short
A 52 y/o woman sustaining 50% total body surface burns in an explosion. She has burns around
the chest and both upper arms. Adequate resuscitation is initiated. She is nasotracheally
intubated and is being mechanically ventilated. Her CarboxyHb level is 10%. Her arterial blood
gas reveals PaO2 of 40mmHg, PaCo2 of 60mmHg and pH of 7,25. Appropriate immediate
management at the time is to
A. Ensure adequate tissue perfusion
B. Increase the rate of fluid resuscitation
C. Add PEEP
D. Reassess for the presence of pneumothorax
E. Administer IV narcotics in small amounts
?A. Ensure adequate tissue perfusion
All of the following suggest urethral injury EXCEPT
A. scrotal hematoma
B. Blood in rectal lumen
C. Blod in external urethral meatus
D. High riding prostate on rectal exam
E. Absence of a palpable prostate on rectal exam
E. Absence of a palpable prostate on rectal exam
4|Page
