ATLS 10th POST TEST questions and
ANSWERS 2025\2026 update (passing
100% guaranteed)
170 MULTIPLE CHOICE QUESTIONS WITH VERIFIED ANSWERS
Which of the following is the recommended Method for treatment
frostbite?
A. Vasodilators
B. Anticigulants
C. Warm (40 degrees) water
D. Padding and elevation
E. Application of heat from a hairdryer - ANS>>C. Warm (40 degrees) water
Which of the following physical findings suggest a cause of hypotension
other than spinal cord injury?
A. Priapism
B. Bradycardia
C. Diaphragmatic breathing
D. Presence of deep tendon reflexes
E. Ability to flex forearms but not extend them - ANS>>D. Presence of deep
tendon reflexes. Spinal shock refers to loss of muscle toe (flaccidty) and
loss of reflexes.
The primary indication for transferring A patient to a higher level trauma
center is:
,E. Widened mediastinum on chest x-ray following blunt trauma - ANS>>C.
Resource limitations as determined by the transferring doctor
A young man sustains a rifle wound to the mid-abdomen. He is brought
promptly to the ED by prehospital personnel. His skin is cool and
diaphoretic, and his systolic blood pressure is 58mmHg. Warmed
crystalloid fluids are initiated without improvement in his vital signs. The
next, most appropriate, step is to perform:
A. a laparotomy
B. An abdominal CT-scan
C. Diagnostic laparoscopy
D. Abdominal ultrasonography
E. A diagnostic peritoneal lavage - ANS>>A. Laparotomy because of
hemodynamic abnormality
A 42-year-old man is trapped from the waist down beneath his overturned
tractor for several hours before medical assistance arrives. He is awake
and alert until just before arriving in the ED. He is now unconscious and
responds only to painful stimuli by moaning. His pupils are 3mm in
diameter and symmetrically reactive to light. Prehospital personnel
indicate that they have not seen the patient move either of his lower
extremities. On examination in the ED, no movement of his lower
extremities are detected, even in response to painful stimuli. The most
likely cause for this finding is:
A. An epidural hematoma
B. A pelvic fracture
C. Central cord syndrome
D. Intracerebral hemorrhage
E. Bilateral compartment syndrome - ANS>>E. Bilateral compartment
syndrome
,A. Percutaneous femoral vein cannulation
B. Cutdown on the saphenous vein at the ankle
C. Intraosseous catheter placement in the proximal tibia
D. Percutaneous peripheral veins in the upper extremities
E. Central venous access via the subclavian or internal jugular vein -
ANS>>D. Percutaneous peripheral veins in the upper extremities
A young man sustains a gunshot wound to the abdomen and is brought
promptly to the ED by prehospital personnel. His skin is cool and
diaphoretic, and he is confused. His pulse is thready and his femoral pulse
is only weakly palpable. The definitive treatment in managing this patient
is to:
A. Administer O-negative blood
B. Apply external warming devices
C. Control internal hemorrhage operatively
D. Apply a pneumatic antishock garment (PASG)
E. Infuse large volumes of intravenous crystalloid solutions. - ANS>>C.
Control internal hemorrhage operatively
Regarding shock in the child, which of the following is FALSE?
A. Vital signs are age-related
B. Children have greater physiologic reserves than do adults
C. Tachycardia is the primary physiologic response to hypovolemia
D. The absolute volume of blood loss required to produce shock is the
same as in adults
E. An initial fluid bolus for resuscitation should approximate 20ml/kg
Ringers Lactate - ANS>>D. The absolute volume of blood loss required to
produce shock is the same as in adults
A 33-year-old man is struck by a car travelling at 56km/h (35mph). He has
obvious fractures of the left tibia near the knee, pain in the pelvic area, and
, and his blood pressure is 81/53 mmHg. Warmed Ringers lactate is
adminstered intravenously. The next priority should be to:
A. Perform external fixation of the pelvis
B. Obtain abdominal and pelvic CT-scans
C. Perform arterial embolization of the pelvic vessel
D. Perform diagnostic peritoneal lavage or FAST
E. Perform a urethrogram and cystogram - ANS>>D. Perform diagnostic
peritoneal lavage or FAST
A 42-year-old man, injured in a motor vehicle crash, suffers a closed head
injury, multiple palpable left rib fractures, and bilateral femur fractures. He
is intubated orotracheally without difficulty. Initially, his ventilations are
easily assisted with a bag-mask device. It becomes more difficult to
ventilate the patient over the next 5 minutes, and his hemoglobin oxygen
saturation level decreases from 98% to 89%. The most appropriate next
step is to:
A. Obtain a chest x-ray
B. Decrease the tidal volume
C. Decrease PEEP
D. Increase the rate of assisted ventilations
E. Perform needle decompression of the left chest. - ANS>>A. Obtain a
chest x-ray
A 30-year-old man sustains a severely comminuted, open, distal right
femur fracture in a motorcycle crash. The wound is actively bleeding.
Normal sensation is present over the lateral aspect of the foot but
decreased over the medial foot and great toe. Normal motion of the foot is
observed. Dorsalis pedis and posterior tibial pulses are easily palpable on
the left, but heard only by Doppler on the right. Immediate efforts to
improve circulation to the injured extremity should involve:
A. Immediate angiography
ANSWERS 2025\2026 update (passing
100% guaranteed)
170 MULTIPLE CHOICE QUESTIONS WITH VERIFIED ANSWERS
Which of the following is the recommended Method for treatment
frostbite?
A. Vasodilators
B. Anticigulants
C. Warm (40 degrees) water
D. Padding and elevation
E. Application of heat from a hairdryer - ANS>>C. Warm (40 degrees) water
Which of the following physical findings suggest a cause of hypotension
other than spinal cord injury?
A. Priapism
B. Bradycardia
C. Diaphragmatic breathing
D. Presence of deep tendon reflexes
E. Ability to flex forearms but not extend them - ANS>>D. Presence of deep
tendon reflexes. Spinal shock refers to loss of muscle toe (flaccidty) and
loss of reflexes.
The primary indication for transferring A patient to a higher level trauma
center is:
,E. Widened mediastinum on chest x-ray following blunt trauma - ANS>>C.
Resource limitations as determined by the transferring doctor
A young man sustains a rifle wound to the mid-abdomen. He is brought
promptly to the ED by prehospital personnel. His skin is cool and
diaphoretic, and his systolic blood pressure is 58mmHg. Warmed
crystalloid fluids are initiated without improvement in his vital signs. The
next, most appropriate, step is to perform:
A. a laparotomy
B. An abdominal CT-scan
C. Diagnostic laparoscopy
D. Abdominal ultrasonography
E. A diagnostic peritoneal lavage - ANS>>A. Laparotomy because of
hemodynamic abnormality
A 42-year-old man is trapped from the waist down beneath his overturned
tractor for several hours before medical assistance arrives. He is awake
and alert until just before arriving in the ED. He is now unconscious and
responds only to painful stimuli by moaning. His pupils are 3mm in
diameter and symmetrically reactive to light. Prehospital personnel
indicate that they have not seen the patient move either of his lower
extremities. On examination in the ED, no movement of his lower
extremities are detected, even in response to painful stimuli. The most
likely cause for this finding is:
A. An epidural hematoma
B. A pelvic fracture
C. Central cord syndrome
D. Intracerebral hemorrhage
E. Bilateral compartment syndrome - ANS>>E. Bilateral compartment
syndrome
,A. Percutaneous femoral vein cannulation
B. Cutdown on the saphenous vein at the ankle
C. Intraosseous catheter placement in the proximal tibia
D. Percutaneous peripheral veins in the upper extremities
E. Central venous access via the subclavian or internal jugular vein -
ANS>>D. Percutaneous peripheral veins in the upper extremities
A young man sustains a gunshot wound to the abdomen and is brought
promptly to the ED by prehospital personnel. His skin is cool and
diaphoretic, and he is confused. His pulse is thready and his femoral pulse
is only weakly palpable. The definitive treatment in managing this patient
is to:
A. Administer O-negative blood
B. Apply external warming devices
C. Control internal hemorrhage operatively
D. Apply a pneumatic antishock garment (PASG)
E. Infuse large volumes of intravenous crystalloid solutions. - ANS>>C.
Control internal hemorrhage operatively
Regarding shock in the child, which of the following is FALSE?
A. Vital signs are age-related
B. Children have greater physiologic reserves than do adults
C. Tachycardia is the primary physiologic response to hypovolemia
D. The absolute volume of blood loss required to produce shock is the
same as in adults
E. An initial fluid bolus for resuscitation should approximate 20ml/kg
Ringers Lactate - ANS>>D. The absolute volume of blood loss required to
produce shock is the same as in adults
A 33-year-old man is struck by a car travelling at 56km/h (35mph). He has
obvious fractures of the left tibia near the knee, pain in the pelvic area, and
, and his blood pressure is 81/53 mmHg. Warmed Ringers lactate is
adminstered intravenously. The next priority should be to:
A. Perform external fixation of the pelvis
B. Obtain abdominal and pelvic CT-scans
C. Perform arterial embolization of the pelvic vessel
D. Perform diagnostic peritoneal lavage or FAST
E. Perform a urethrogram and cystogram - ANS>>D. Perform diagnostic
peritoneal lavage or FAST
A 42-year-old man, injured in a motor vehicle crash, suffers a closed head
injury, multiple palpable left rib fractures, and bilateral femur fractures. He
is intubated orotracheally without difficulty. Initially, his ventilations are
easily assisted with a bag-mask device. It becomes more difficult to
ventilate the patient over the next 5 minutes, and his hemoglobin oxygen
saturation level decreases from 98% to 89%. The most appropriate next
step is to:
A. Obtain a chest x-ray
B. Decrease the tidal volume
C. Decrease PEEP
D. Increase the rate of assisted ventilations
E. Perform needle decompression of the left chest. - ANS>>A. Obtain a
chest x-ray
A 30-year-old man sustains a severely comminuted, open, distal right
femur fracture in a motorcycle crash. The wound is actively bleeding.
Normal sensation is present over the lateral aspect of the foot but
decreased over the medial foot and great toe. Normal motion of the foot is
observed. Dorsalis pedis and posterior tibial pulses are easily palpable on
the left, but heard only by Doppler on the right. Immediate efforts to
improve circulation to the injured extremity should involve:
A. Immediate angiography
