ATLS10th Edition Post Test Exam Questions and
Answers 100% Correct Grade A+ 2025
1. An 18-yeard- g
old, unhelmeted motorcyclist is brought by ambulance to the ED following a cr
g g g g g g g g g g g g
ash. He had decreased level of consciousness at the scene, but then was alert
g g g g g g g g g g g g g g
and conversational during transportation. Now his GCS is only 11. Which of th
g g g g g g g g g g g g
e following statements is TRUE?
g g g g
A. Cerebral perfusion is intact
g g g
B. Intravascular volume status is normal g g g g
C. The patient is in a postictal state
g g g g g g
D. Intra-abdominal visceral injury is unlikely g g g g
E. The patient probably has an acute epidural hematoma:
g g g g g g g g
Answer>E. The patient proba- bly has an acute epidural hematoma
g g g g g g g g g
2. A previously healthy, 70kg (175 pound) man suffers an estimated acute bl
g g g g g g g g g g g
ood loss of two liters. Which one of the following statements apply to this pati
g g g g g g g g g g g g g g
1g/g125
,ent?
A. His pulse pressure will be widened
g g g g g
B. His urinary output will be at the lower limits of normal
g g g g g g g g g g
C. He will have tachycardia, but no change in systolic blood pressure
g g g g g g g g g g
D. His systolic blood pressure will be decreased with a narrowed, pulse p
g g g g g g g g g g g
ressure
E. His systolic blood pressure will be maintained with an elevated diastolic pr
g g g g g g g g g g g
essure.: g
Answer>E. His systolic blood pressure will be maintained with an elevated dias-
g g g g g g g g g g g
tolic pressure.
g g
3. The physioclogic hypervolemia of pregnancy has clinical significance in t
g g g g g g g g g
he management of the severely injured gravid woman by
g g g g g g g g
A. Reducing the need for blood transfusiong g g g g
B. Increasing the risk of pulmonary edema g g g g g
C. Complicating the management of closed head injury g g g g g g
D. Increasing the volume of blood loss to produce shock/maternal hypoten-
g g g g g g g g g
g sion
E. Reducing the volume of crystalloid required for resuscitation:
g g g g g g g
g Answer> D. Increasing the volume of blood loss to produce shock
g g g g g g g g g g
2g/g125
,4. A 17-year- g
old helmeted motorcyclist loses consciousness when he is struck broad side
g g g g g g g g g g g
by an automobile at an intersection. He arrives in the ED with a blood pressure
g g g g g g g g g g g g g g g
of 140/92, pulse rate 88 beats per minute, a respiratory rate of 18 breaths per mi
g g g g g g g g g g g g g g g
nue, and a GCS of 7. Appropriate initial immobilization of this patient should incl
g g g g g g g g g g g g g
ude a semi-rigid cervical collar and:
g g g g g
A. A scoop stretcher
g g g
3g/g125
, B. A long spine board
g g g g
C. A short spine board
g g g g
D. Cervical traction tongs
g g g
E. Pneumatic antishock garment:
g g g
Answer>B. A long spine board
g g g g g
5. During an altercation, a 36-year- g g g g
old man sustains a gunshot wound above the nipple line on the right, with an e
g g g g g g g g g g g g g g g
xit wound posteriorly above the scapula on the right. He is transported by amb
g g g g g g g g g g g g g
ulance to a community hospital. He is endotracheally intubated, close tube tho
g g g g g g g g g g g
racostomy is performed, and 2 liters Ringers lactate solution are infused via 2 la
g g g g g g g g g g g g g
rge-
caliber IV´s. His blood pressure now is 60/0mmHg, heart rate is 160 beats per mi
g g g g g g g g g g g g g g
nute, and respiratory rate is 14 breaths per minute (ventilated with 100% O2). T
g g g g g g g g g g g g g
he most appropriate next step in managin this patient is:
g g g g g g g g g
A. Laparotomy
B. Diagnostic peritoneal lavage g g
C. Arterial blood gas determination g g g
D. Administer packed red blood cells g g g g
4g/g125
Answers 100% Correct Grade A+ 2025
1. An 18-yeard- g
old, unhelmeted motorcyclist is brought by ambulance to the ED following a cr
g g g g g g g g g g g g
ash. He had decreased level of consciousness at the scene, but then was alert
g g g g g g g g g g g g g g
and conversational during transportation. Now his GCS is only 11. Which of th
g g g g g g g g g g g g
e following statements is TRUE?
g g g g
A. Cerebral perfusion is intact
g g g
B. Intravascular volume status is normal g g g g
C. The patient is in a postictal state
g g g g g g
D. Intra-abdominal visceral injury is unlikely g g g g
E. The patient probably has an acute epidural hematoma:
g g g g g g g g
Answer>E. The patient proba- bly has an acute epidural hematoma
g g g g g g g g g
2. A previously healthy, 70kg (175 pound) man suffers an estimated acute bl
g g g g g g g g g g g
ood loss of two liters. Which one of the following statements apply to this pati
g g g g g g g g g g g g g g
1g/g125
,ent?
A. His pulse pressure will be widened
g g g g g
B. His urinary output will be at the lower limits of normal
g g g g g g g g g g
C. He will have tachycardia, but no change in systolic blood pressure
g g g g g g g g g g
D. His systolic blood pressure will be decreased with a narrowed, pulse p
g g g g g g g g g g g
ressure
E. His systolic blood pressure will be maintained with an elevated diastolic pr
g g g g g g g g g g g
essure.: g
Answer>E. His systolic blood pressure will be maintained with an elevated dias-
g g g g g g g g g g g
tolic pressure.
g g
3. The physioclogic hypervolemia of pregnancy has clinical significance in t
g g g g g g g g g
he management of the severely injured gravid woman by
g g g g g g g g
A. Reducing the need for blood transfusiong g g g g
B. Increasing the risk of pulmonary edema g g g g g
C. Complicating the management of closed head injury g g g g g g
D. Increasing the volume of blood loss to produce shock/maternal hypoten-
g g g g g g g g g
g sion
E. Reducing the volume of crystalloid required for resuscitation:
g g g g g g g
g Answer> D. Increasing the volume of blood loss to produce shock
g g g g g g g g g g
2g/g125
,4. A 17-year- g
old helmeted motorcyclist loses consciousness when he is struck broad side
g g g g g g g g g g g
by an automobile at an intersection. He arrives in the ED with a blood pressure
g g g g g g g g g g g g g g g
of 140/92, pulse rate 88 beats per minute, a respiratory rate of 18 breaths per mi
g g g g g g g g g g g g g g g
nue, and a GCS of 7. Appropriate initial immobilization of this patient should incl
g g g g g g g g g g g g g
ude a semi-rigid cervical collar and:
g g g g g
A. A scoop stretcher
g g g
3g/g125
, B. A long spine board
g g g g
C. A short spine board
g g g g
D. Cervical traction tongs
g g g
E. Pneumatic antishock garment:
g g g
Answer>B. A long spine board
g g g g g
5. During an altercation, a 36-year- g g g g
old man sustains a gunshot wound above the nipple line on the right, with an e
g g g g g g g g g g g g g g g
xit wound posteriorly above the scapula on the right. He is transported by amb
g g g g g g g g g g g g g
ulance to a community hospital. He is endotracheally intubated, close tube tho
g g g g g g g g g g g
racostomy is performed, and 2 liters Ringers lactate solution are infused via 2 la
g g g g g g g g g g g g g
rge-
caliber IV´s. His blood pressure now is 60/0mmHg, heart rate is 160 beats per mi
g g g g g g g g g g g g g g
nute, and respiratory rate is 14 breaths per minute (ventilated with 100% O2). T
g g g g g g g g g g g g g
he most appropriate next step in managin this patient is:
g g g g g g g g g
A. Laparotomy
B. Diagnostic peritoneal lavage g g
C. Arterial blood gas determination g g g
D. Administer packed red blood cells g g g g
4g/g125