ATLS PRACTICE TEST 2024-2025 ACTUAL EXA
QUESTIONS AND CORRECT DETAILED ANSW
A c22-year-old cman cis chypotensive cand ctachycardic cafter ca cshotgun cwound cto cthe cleft cshoulde
cinitially c80/40 cmm cHg. cAfter cinitial cfluid cresuscitation chis cblood cpressure cincreases cto c122/84
cnow c100 cbeats cper cminute cand chis crespiratory crate cis c28 cbreaths cper cminute. cA ctube cthorac
cdecreased cleft cchest cbreath csounds cwith cthe creturn cof ca csmall camount cof cblood cand cno cair c
cinsertion, cthe cmost cappropriate cnext cstep cis: c- cCORRECT cANS✔✔re-examine cthe cchest
A cconstruction cworker cfalls ctwo cstories cfrom ca cbuilding cand csustains cbilateral ccalcaneal cfractu
cdepartment, che cis calert, cvital csigns care cnormal, cand che cis ccomplaining cof csevere cpain cin cbot
cLower cextremity cpulses care cstrong cand cthere cis cno cother cdeformity. cThe csuspected cdiagnosis
cconfirmed cby: c- cCORRECT cANS✔✔complete cspine cx-ray cseries
Which cof cthe cfollowing cis ctrue cregarding cthe cinitial cresuscitation cof ca ctrauma cpatient? c- cCORR
cimproved cperfusion cafter cfluid cresuscitation ccould cinclude cimprovement cin cGlasgow cComa cSca
In cmanaging ca cpatient cwith ca csevere ctraumatic cbrain cinjury, cthe cmost cimportant cinitial cstep cis
cANS✔✔secure cthe cairway
A cpreviously chealthy, c70-kg c(154-pound) cman csuffers can cestimated cacute cblood closs cof c2 clite
cstatements capplies cto cthis cpatient? c- cCORRECT cANS✔✔An cABG cwould cdemonstrate ca cbase
cmEq/L.
The cphysiological chypervolemia cof cpregnancy chas cclinical csignificance cin cthe cmanagement cof c
cwoman cby: c- cCORRECT cANS✔✔increasing cthe cvolume cof cblood closs cto cproduce cmaternal ch
,A c25-year-old cman, cinjured cin ca cmotor cvehicular ccrash, cis cadmitted cto cthe cemergency cdepartm
csluggishly cand chis ceyes copen cto cpressure. cHe cdoes cnot cfollow ccommands, cbut che cdoes cmoa
cis cdeformed cand cdoes cnot crespond cto cpressure; chowever, chis cleft chand creaches cpurposefully
clegs care cstiffly cextended. cHis cGCS cscore cis: c- cCORRECT cANS✔✔9
A c20-year-old cwoman cwho cis cat c32 cweeks cgestation, cis cstabbed cin cthe cupper cright cchest. cIn
cher cblood cpressure cis c80/60 cmm cHg. cShe cis cgasping cfor cbreath, cextremely canxious, cand cyel
care cdiminished cin cthe cright cchest. cThe cmost cappropriate cfirst cstep cis cto: c- cCORRECT cANS✔
cdecompression cof cthe cright cchest
Which cone cof cthe cfollowing cfindings cin can cadult cis cmost clikely cto crequire cimmediate cmanagem
csurvey? c- cCORRECT cANS✔✔respiratory crate cof c40 cbreaths cper cminute
The cmost cimportant, cimmediate cstep cin cthe cmanagement cof can copen cpneumothorax cis: c- cCOR
can cocclusive cdressing cover cthe cwound
The cfollowing care ccontraindications cfor ctetanus ctoxoid cadministration: c- cCORRECT cANS✔✔his
csevere chypersensitivity cto cthe cproduct
A c56-year-old cman cis cthrown cviolently cagainst cthe csteering cwheel cof chis ctruck cduring ca cmotor
cthe cemergency cdepartment che cis cdiaphoretic cand ccomplaining cof cchest cpain. cHis cblood cpress
crespiratory crate cis c40 cbreaths cper cminute. cWhich cof cthe cfollowing cbest cdifferentiates ccardiac c
cpneumothorax cas cthe ccause cof chis chypotension? c- cCORRECT cANS✔✔breath csounds
Bronchial cintubation cof cthe cright cor cleft cmainstem cbronchus ccan ceasily coccur cduring cinfant cen
c- cCORRECT cANS✔✔The ctrachea cis crelatively cshort.
A c23-year-old cman csustains c4 cstab cwounds cto cthe cupper cright cchest cduring can caltercation can
ca chospital cthat chas cfull csurgical ccapabilities. cHis cwounds care call cabove cthe cnipple. cHe cis cend
ctube cthoracostomy cis cperformed, cfluid cresuscitation cis cinitiated cthrough c2 clarge-caliber cIVs. cFA
cintraabdominal cinjuries. cHis cblood cpressure cnow cis c60/0 cmm cHg, cheart crate cis c160 cbeats cpe
cis c14 cbreaths cper cminute c(ventilated cwith c100% cO2). c1500 cmL cof cblood chas cdrained cfrom cth
cappropriate cnext cstep cin cmanaging cthis cpatient cis cto: c- cCORRECT cANS✔✔urgently ctransfer ct
croom
A c39-year-old cman cis cadmitted cto cthe cemergency cdepartment cafter can cautomobile ccollision. cH
crespiratory ceffort, cand chas ca cGCS cscore cof c6. cHis cfull cbeard cmakes cit cdifficult cto cfit cthe coxyg
cmost cappropriate cnext cstep cis cto: c- cCORRECT cANS✔✔restrict ccervical cmotion cand cattempt co
cpeople
A cpatient cis cbrought cto cthe cemergency cdepartment cafter ca cmotor cvehicle ccrash. cHe cis cconsci
cexternal ctrauma. cHe carrives cat cthe chospital ccompletely cimmobilized con ca clong cspine cboard. cH
cmm cHg cand chis cheart crate cis c70 cbeats cper cminute. cHis cskin cis cwarm. cWhich cone cof cthe cfoll
cCORRECT cANS✔✔Flaccidity cof cthe clower cextremities cand closs cof cdeep ctendon creflexes care c
Which cone cof cthe cfollowing cis cthe cmost ceffective cmethod cfor cinitially ctreating cfrostbite? c- cCOR
A c32-year-old cman's cright cleg cis ctrapped cbeneath chis coverturned ccar cfor cnearly c2 chours cbefor
cin cthe cemergency cdepartment, chis cright clower cextremity cis ccool, cmottled, cinsensate, cand cmoti
csigns, cpulses ccannot cbe cpalpated cbelow cthe cright cfemoral cartery cand cthe cmuscles cof cthe clow
chard. cDuring cthe cmanagement cof cthis cpatient, cwhich cof cthe cfollowing cis cmost clikely cto cimprov
csalvage? c- cCORRECT cANS✔✔surgical cconsultation cfor cright clower cextremity cfasciotomy
A cpatient carrives cin cthe cemergency cdepartment cafter cbeing cbeaten cabout cthe chead cand cface c
, Which cone cof cthe cfollowing cstatements cconcerning cintraosseous cinfusion cis cTRUE? c- cCORRE
cmarrow cconfirms cappropriate cpositioning cof cthe cneedle.
A cyoung cwoman csustains ca csevere chead cinjury cas cthe cresult cof ca cmotor cvehicle ccrash. cIn cth
cGCS cis c6. cHer cblood cpressure cis c140/90 cmm cHg cand cher cheart crate cis c80 cbeats cper cminute
cmechanically cventilated. cHer cpupils care c3 cmm cin csize cand cequally creactive cto clight. cThere cis
cmost cimportant cprinciple cto cfollow cin cthe cearly cmanagement cof cher chead cinjury cis cto: c- cCORR
chypotension
A c33-year-old cwoman cis cinvolved cin ca chead-on cmotor cvehicle ccrash. cIt ctook c30 cminutes cto cex
cUpon carrival cin cthe cemergency cdepartment, cher cheart crate cis c120 cbeats cper cminute, cBP cis c9
cis c16 cbreaths cper cminute, cand cher cGCS cscore cis c15. cExamination creveals cbilaterally cequal cb
cwall cecchymosis, cand cdistended cneck cveins. cHer cabdomen cis cflat, csoft, cand cnot ctender. cHer c
cdistal cpulses care cfound cin call c4 cextremities. cOf cthe cfollowing, cthe cmost clikely cdiagnosis cis: c- c
ctamponade
A chemodynamically cnormal c10-year-old cgirl cis chospitalized cfor cobservation cafter ca cGrade cIII c(m
cinjury chas cbeen cconfirmed cby ccomputed ctomography c(CT). cWhich cof cthe cfollowing cmandates
c(laparotomy)? c- cCORRECT cANS✔✔development cof cperitonitis con cphysical cexam
A c40-year-old cwoman cwho cwas ca crestrained cdriver cin ca cmotor cvehicle ccrash cis cevaluated cin c
cShe cis chemodynamically cnormal cand cfound cto cbe cparaplegic cat cthe clevel cof cT10. cWhich cof ct
cregarding cher cevaluation cand cmanagement? c- cCORRECT cANS✔✔Log crolling cusing c4 cpeople
cspinal cmotion cwhen cmoving cher.
A ctrauma cpatient cpresents cto cyour cemergency cdepartment cwith cinspiratory cstridor cand ca csusp
csaturation cis c88% con chigh-flow coxygen cvia ca cnonrebreathing cmask. cThe cmost cappropriate cne
cANS✔✔restrict ccervical cmotion cand cestablish ca cdefinitive cairway
When capplying cthe cRule cof cNines cto cinfants: c- cCORRECT cANS✔✔The chead cis cproportionally
cadults.
A chealthy cyoung cmale cis cbrought cto cthe cemergency cdepartment cfollowing ca cmotor cvehicle ccra
cblood cpressure cof c84/60, cpulse c123, cGCS c10. cThe cpatient cmoans cwhen chis cpelvis cis cpalpate
cresuscitation, cthe cnext cstep cin cmanagement cis: c- cCORRECT cANS✔✔placement cof ca cpelvic cb
Which cone cof cthe cfollowing csituations crequires cRh cimmunoglobulin cadministration cto can cinjured
cANS✔✔positive cpregnancy ctest, cRh cnegative, cand chas ctorso ctrauma
A c22-year-old cfemale cathlete cis cstabbed cin cher cleft cchest cat cthe cthird cinterspace cin cthe canteri
cto cthe cemergency cdepartment cand c15 cminutes cafter cthe cincident, cshe cis cawake cand calert. cH
cminute, cblood cpressure c80/60 cmm cHg, cand crespiratory crate c20 cbreaths cper cminute. cA cchest c
chemothorax. cA cleft cchest ctube cis cplaced cwith can cimmediate creturn cof c1600 cmL cof cblood. cThe
cthis cpatient cis: c- cCORRECT cANS✔✔prepare cfor can cexploratory cthoracotomy
A c6-year-old cboy cwalking cacross cthe cstreet cis cstruck cby cthe cfront cbumper cof ca csports cutility cv
cmph). cWhich cone cof cthe cfollowing cstatements cis cTRUE cabout cthis cpatient? c- cCORRECT cANS
cmay cbe cpresent cin cthe cabsence cof crib cfractures.
Assessed cfirst cin ctrauma cpatient c- cCORRECT cANS✔✔Airway
(*)Degree cof cburn cthat cis ccharacterized cby cbone cinvolvement c- cCORRECT cANS✔✔Fourth
Complications cof chead ctrauma c- cCORRECT cANS✔✔Intracerebral chematoma
Extradural chematoma
QUESTIONS AND CORRECT DETAILED ANSW
A c22-year-old cman cis chypotensive cand ctachycardic cafter ca cshotgun cwound cto cthe cleft cshoulde
cinitially c80/40 cmm cHg. cAfter cinitial cfluid cresuscitation chis cblood cpressure cincreases cto c122/84
cnow c100 cbeats cper cminute cand chis crespiratory crate cis c28 cbreaths cper cminute. cA ctube cthorac
cdecreased cleft cchest cbreath csounds cwith cthe creturn cof ca csmall camount cof cblood cand cno cair c
cinsertion, cthe cmost cappropriate cnext cstep cis: c- cCORRECT cANS✔✔re-examine cthe cchest
A cconstruction cworker cfalls ctwo cstories cfrom ca cbuilding cand csustains cbilateral ccalcaneal cfractu
cdepartment, che cis calert, cvital csigns care cnormal, cand che cis ccomplaining cof csevere cpain cin cbot
cLower cextremity cpulses care cstrong cand cthere cis cno cother cdeformity. cThe csuspected cdiagnosis
cconfirmed cby: c- cCORRECT cANS✔✔complete cspine cx-ray cseries
Which cof cthe cfollowing cis ctrue cregarding cthe cinitial cresuscitation cof ca ctrauma cpatient? c- cCORR
cimproved cperfusion cafter cfluid cresuscitation ccould cinclude cimprovement cin cGlasgow cComa cSca
In cmanaging ca cpatient cwith ca csevere ctraumatic cbrain cinjury, cthe cmost cimportant cinitial cstep cis
cANS✔✔secure cthe cairway
A cpreviously chealthy, c70-kg c(154-pound) cman csuffers can cestimated cacute cblood closs cof c2 clite
cstatements capplies cto cthis cpatient? c- cCORRECT cANS✔✔An cABG cwould cdemonstrate ca cbase
cmEq/L.
The cphysiological chypervolemia cof cpregnancy chas cclinical csignificance cin cthe cmanagement cof c
cwoman cby: c- cCORRECT cANS✔✔increasing cthe cvolume cof cblood closs cto cproduce cmaternal ch
,A c25-year-old cman, cinjured cin ca cmotor cvehicular ccrash, cis cadmitted cto cthe cemergency cdepartm
csluggishly cand chis ceyes copen cto cpressure. cHe cdoes cnot cfollow ccommands, cbut che cdoes cmoa
cis cdeformed cand cdoes cnot crespond cto cpressure; chowever, chis cleft chand creaches cpurposefully
clegs care cstiffly cextended. cHis cGCS cscore cis: c- cCORRECT cANS✔✔9
A c20-year-old cwoman cwho cis cat c32 cweeks cgestation, cis cstabbed cin cthe cupper cright cchest. cIn
cher cblood cpressure cis c80/60 cmm cHg. cShe cis cgasping cfor cbreath, cextremely canxious, cand cyel
care cdiminished cin cthe cright cchest. cThe cmost cappropriate cfirst cstep cis cto: c- cCORRECT cANS✔
cdecompression cof cthe cright cchest
Which cone cof cthe cfollowing cfindings cin can cadult cis cmost clikely cto crequire cimmediate cmanagem
csurvey? c- cCORRECT cANS✔✔respiratory crate cof c40 cbreaths cper cminute
The cmost cimportant, cimmediate cstep cin cthe cmanagement cof can copen cpneumothorax cis: c- cCOR
can cocclusive cdressing cover cthe cwound
The cfollowing care ccontraindications cfor ctetanus ctoxoid cadministration: c- cCORRECT cANS✔✔his
csevere chypersensitivity cto cthe cproduct
A c56-year-old cman cis cthrown cviolently cagainst cthe csteering cwheel cof chis ctruck cduring ca cmotor
cthe cemergency cdepartment che cis cdiaphoretic cand ccomplaining cof cchest cpain. cHis cblood cpress
crespiratory crate cis c40 cbreaths cper cminute. cWhich cof cthe cfollowing cbest cdifferentiates ccardiac c
cpneumothorax cas cthe ccause cof chis chypotension? c- cCORRECT cANS✔✔breath csounds
Bronchial cintubation cof cthe cright cor cleft cmainstem cbronchus ccan ceasily coccur cduring cinfant cen
c- cCORRECT cANS✔✔The ctrachea cis crelatively cshort.
A c23-year-old cman csustains c4 cstab cwounds cto cthe cupper cright cchest cduring can caltercation can
ca chospital cthat chas cfull csurgical ccapabilities. cHis cwounds care call cabove cthe cnipple. cHe cis cend
ctube cthoracostomy cis cperformed, cfluid cresuscitation cis cinitiated cthrough c2 clarge-caliber cIVs. cFA
cintraabdominal cinjuries. cHis cblood cpressure cnow cis c60/0 cmm cHg, cheart crate cis c160 cbeats cpe
cis c14 cbreaths cper cminute c(ventilated cwith c100% cO2). c1500 cmL cof cblood chas cdrained cfrom cth
cappropriate cnext cstep cin cmanaging cthis cpatient cis cto: c- cCORRECT cANS✔✔urgently ctransfer ct
croom
A c39-year-old cman cis cadmitted cto cthe cemergency cdepartment cafter can cautomobile ccollision. cH
crespiratory ceffort, cand chas ca cGCS cscore cof c6. cHis cfull cbeard cmakes cit cdifficult cto cfit cthe coxyg
cmost cappropriate cnext cstep cis cto: c- cCORRECT cANS✔✔restrict ccervical cmotion cand cattempt co
cpeople
A cpatient cis cbrought cto cthe cemergency cdepartment cafter ca cmotor cvehicle ccrash. cHe cis cconsci
cexternal ctrauma. cHe carrives cat cthe chospital ccompletely cimmobilized con ca clong cspine cboard. cH
cmm cHg cand chis cheart crate cis c70 cbeats cper cminute. cHis cskin cis cwarm. cWhich cone cof cthe cfoll
cCORRECT cANS✔✔Flaccidity cof cthe clower cextremities cand closs cof cdeep ctendon creflexes care c
Which cone cof cthe cfollowing cis cthe cmost ceffective cmethod cfor cinitially ctreating cfrostbite? c- cCOR
A c32-year-old cman's cright cleg cis ctrapped cbeneath chis coverturned ccar cfor cnearly c2 chours cbefor
cin cthe cemergency cdepartment, chis cright clower cextremity cis ccool, cmottled, cinsensate, cand cmoti
csigns, cpulses ccannot cbe cpalpated cbelow cthe cright cfemoral cartery cand cthe cmuscles cof cthe clow
chard. cDuring cthe cmanagement cof cthis cpatient, cwhich cof cthe cfollowing cis cmost clikely cto cimprov
csalvage? c- cCORRECT cANS✔✔surgical cconsultation cfor cright clower cextremity cfasciotomy
A cpatient carrives cin cthe cemergency cdepartment cafter cbeing cbeaten cabout cthe chead cand cface c
, Which cone cof cthe cfollowing cstatements cconcerning cintraosseous cinfusion cis cTRUE? c- cCORRE
cmarrow cconfirms cappropriate cpositioning cof cthe cneedle.
A cyoung cwoman csustains ca csevere chead cinjury cas cthe cresult cof ca cmotor cvehicle ccrash. cIn cth
cGCS cis c6. cHer cblood cpressure cis c140/90 cmm cHg cand cher cheart crate cis c80 cbeats cper cminute
cmechanically cventilated. cHer cpupils care c3 cmm cin csize cand cequally creactive cto clight. cThere cis
cmost cimportant cprinciple cto cfollow cin cthe cearly cmanagement cof cher chead cinjury cis cto: c- cCORR
chypotension
A c33-year-old cwoman cis cinvolved cin ca chead-on cmotor cvehicle ccrash. cIt ctook c30 cminutes cto cex
cUpon carrival cin cthe cemergency cdepartment, cher cheart crate cis c120 cbeats cper cminute, cBP cis c9
cis c16 cbreaths cper cminute, cand cher cGCS cscore cis c15. cExamination creveals cbilaterally cequal cb
cwall cecchymosis, cand cdistended cneck cveins. cHer cabdomen cis cflat, csoft, cand cnot ctender. cHer c
cdistal cpulses care cfound cin call c4 cextremities. cOf cthe cfollowing, cthe cmost clikely cdiagnosis cis: c- c
ctamponade
A chemodynamically cnormal c10-year-old cgirl cis chospitalized cfor cobservation cafter ca cGrade cIII c(m
cinjury chas cbeen cconfirmed cby ccomputed ctomography c(CT). cWhich cof cthe cfollowing cmandates
c(laparotomy)? c- cCORRECT cANS✔✔development cof cperitonitis con cphysical cexam
A c40-year-old cwoman cwho cwas ca crestrained cdriver cin ca cmotor cvehicle ccrash cis cevaluated cin c
cShe cis chemodynamically cnormal cand cfound cto cbe cparaplegic cat cthe clevel cof cT10. cWhich cof ct
cregarding cher cevaluation cand cmanagement? c- cCORRECT cANS✔✔Log crolling cusing c4 cpeople
cspinal cmotion cwhen cmoving cher.
A ctrauma cpatient cpresents cto cyour cemergency cdepartment cwith cinspiratory cstridor cand ca csusp
csaturation cis c88% con chigh-flow coxygen cvia ca cnonrebreathing cmask. cThe cmost cappropriate cne
cANS✔✔restrict ccervical cmotion cand cestablish ca cdefinitive cairway
When capplying cthe cRule cof cNines cto cinfants: c- cCORRECT cANS✔✔The chead cis cproportionally
cadults.
A chealthy cyoung cmale cis cbrought cto cthe cemergency cdepartment cfollowing ca cmotor cvehicle ccra
cblood cpressure cof c84/60, cpulse c123, cGCS c10. cThe cpatient cmoans cwhen chis cpelvis cis cpalpate
cresuscitation, cthe cnext cstep cin cmanagement cis: c- cCORRECT cANS✔✔placement cof ca cpelvic cb
Which cone cof cthe cfollowing csituations crequires cRh cimmunoglobulin cadministration cto can cinjured
cANS✔✔positive cpregnancy ctest, cRh cnegative, cand chas ctorso ctrauma
A c22-year-old cfemale cathlete cis cstabbed cin cher cleft cchest cat cthe cthird cinterspace cin cthe canteri
cto cthe cemergency cdepartment cand c15 cminutes cafter cthe cincident, cshe cis cawake cand calert. cH
cminute, cblood cpressure c80/60 cmm cHg, cand crespiratory crate c20 cbreaths cper cminute. cA cchest c
chemothorax. cA cleft cchest ctube cis cplaced cwith can cimmediate creturn cof c1600 cmL cof cblood. cThe
cthis cpatient cis: c- cCORRECT cANS✔✔prepare cfor can cexploratory cthoracotomy
A c6-year-old cboy cwalking cacross cthe cstreet cis cstruck cby cthe cfront cbumper cof ca csports cutility cv
cmph). cWhich cone cof cthe cfollowing cstatements cis cTRUE cabout cthis cpatient? c- cCORRECT cANS
cmay cbe cpresent cin cthe cabsence cof crib cfractures.
Assessed cfirst cin ctrauma cpatient c- cCORRECT cANS✔✔Airway
(*)Degree cof cburn cthat cis ccharacterized cby cbone cinvolvement c- cCORRECT cANS✔✔Fourth
Complications cof chead ctrauma c- cCORRECT cANS✔✔Intracerebral chematoma
Extradural chematoma
